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TY SANITARY D1§t 1` C
TON COON T
WASHING .,
Williamsport, Md``95
70/81 Industrial Park f
Elliott Parkway C� >
Telephone 301-223-9416
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Permit to Connect to Public Water/Sewer Sy .�,,0
f
SCP 150-1103R
RES Sewer Permit No. 10 - qZ 1 /24/92
Type of Permit 1/ 2 3/ 93
566 Void Date _
Subdistrict Name MAUGANS/OH Issue Date
15
Mainline Contract No.
Building Permit No. 92-0414 Subdistrict No
Permission is hereby given to:
PJOHN R OLIVER CO
Property Owner:
of address:
I VE Street Address
For property located at: S-91-54 M TATES Phase Sec. —
Lot No.
10 Subdiv. N RT BROOK _
Owner's Agent: _
Agent's Address:
Previous Owner:
A
LIER CO-
T),
S RG PIKE HAGERSTOWN 21740
Fees Paid in Full'?
Date Fees Paid
WCSD Dist./Coll. System
Fee
WCSD Ready to Serve
Fee
WCSD
c�
ee
Fee
City of HAFR_TOWN
Total Fee
Remarks
Lateral with Mainline?—
Residential EDU'S
$ 1500 Commercial EDU'S
$ Gal/Day Allocation
—
$ Building Number—
$_
umber$ 420 Utility Number
$ 1920
NECTIONS CAN BE MADE UNTIL ALL S
w A cu I AIr:TnN COUNT
NO
1
0
200
N/A
1501517
R
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy
to road excavations, plumbing ermits, etc. ALL OTHER
a any local ordinance that is in effect with regard
This permit does not superced9 P
PERMITS, STRAETIvEIA N WITH AND OCAL, PMUST
ROPERBE TY OWNER.
BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH
Date:
Signed'.
INSPECTION: At least 48 hours notice prior to requested date is required.
Washington County Plumbing Board
ON SITE INSPECTION will be made by: 33 W Washington Street
Hagerstown, Md, 21740 Phone: 791-3072
Plumbing Inspector
Inspection Date:
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
WCSD Inspector (Lateral)
Inspection Date: WCSD Inspector (Connection)
Inspection Date:
City of Hagerstown City of Williamsport
Distribution:
Permittee WCSD O&M WCSD File
WCSD Construction Plumbing Inspection
Permits Office Plumbing Board
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATE=
WASHINGTON COUNTY, MfOw ^1 CONSTRUCTION REPORT
Project: iyaTT /froyY EsTa,res
Street (or location): i�a.riGa�c� ds�cr. Lors/a �i//
Contractor: C/ ��� 96 3
Date Installed
MH //6� L TO MH /1G 3 -
Wye
Wye Sia. On Main of -6Q /r7-
WYE
rT
WYE
SIZE -
TYPE PIPE
TYPE
C. 0.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI
61,
C asr
nuc _
J ,,
Horiz. = Total
4'&
STPD.
- sa,r-z
$` S
% 3C <
Slope + Horiz. = To
NOTES:
DROP
Depth of Cleanout at Flow Line
Cleanout (4-7 From oic A", j,, 41W�,
Layed at 2 °/o
No Basement Service
v
M H
EN
Amounts pertaining to_ -woork completed this period, reviewed and approved.
By �"' 0/ 07
WCS D INSPECTOR CONTRACTOR'S
M H # //c 3
REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
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