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v.-ASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET"'HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571 DATE
SUBDISTRICT
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: Robe ri t_ - Ho 16 1 nge r I '�Fi 3a
For Property Located at: 11 1'40rth Fain Str?Pt, `Maugansvi11e, i4eryland 21761
Ownedby: "ohP'r 'Holsinger Address: 16 S -e North StrpPf, P-0 Pox 21 Mauaansvrill�
Type of Connection: To Service Connection l kpt , To Main Liner 2,1767
Type of Service: Residential
Commercial
Meter Size
) Units Other
Industrial
Connection Fee $620.00 _ Date Paid
u�14/
To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Water' Accoun-c,'N'o.-navailuoi
Building Permit No.
Secretary -Treasurer
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Permit Fee
Final Inspection Made BY
Hagerstown, Maryland 21740
Telephone: 791-3146
fes''✓
Plumbing I pector
Date
OFF-SITE INSPECTION INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing B
Field Offic
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
'"''ASHINGTON COUNTY SANITARY fOkSTRICT
WASHINGTON COUNTY, ISD.
Project: Maugansville/Orchard Hills
R.,beel £, Nols; k Je,e.
AWA%SANITARY SEWER LATER
CONSTRUCTION RECORD
SD15-1-5
� 13736 M.au9a.ns �, 'r 1 P.��
Street (or location) : 6p,( :92p3 / r1Tj M,4I/� CST toad
Contractor: Callas_ Contractors, Inc.
H 3/8 _ _ TO MH �i9 �...�
Date Installed_ uhf /Z._ /9 3 WYe Sta, On Main_Ljz(Y,c g.✓
W IL Z)1LL-- blit ULP I M TYPE EXCAV. LAYING
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
6" PY.C. -( �, std
*Hort.= Tota
gcast 3 .
5DP-- 2_G I PC)N
x, -Ope+ Horz=Total
NOTES: Drop 3q 868'-t- 22_,60=
18.38' 31. z8....__�..�
CL.,E&N OUr
1 {`
W M.
3. qi'
S" Ru.0
G24vrr
SrWEiZ
Depth of Cleanout %. CFlow L i ne �..s �.._ .......
Cleanout 2Q. ZS' From MAIN LINe 3EGtl612!
Layed
NO Basement Service
cL-6,kN our
MH'i' 3/a 5ra. i+LT MH �3i9
Amounts pertaining to work completed this per;od, reviewed and ap rov d.
WCSU Inspector Contractors Rep.
r
rN
4'. cp�
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1
Property Address: 15 South Main Street 13-38 %%la"gc.n5yille. &a.c/
MH 318 to MH 319 Dwg. ##601-031
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
Now
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to prevent damage to the cleanout
which will be stalled by the District at or near the property
line.
Date: ��1 �� i` �/o '37
Owner (Print)
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
/S" 7r,ei-
er's S�nature t
P.
40'43 /U/r9 _' Lam.
-ere
.l
WASHINGTON COUNTY SANITARY DISTRICTiii
Fy
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Addr,
Sign,
Date
i Oc..t�7ct �
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
C Ut T olu —H p T Tt/ E uJ
If
Requested by Callas Contractors, Inc.., j%cam
Approved by W. C. S. D. Inspector ` 9 /9j 0 ,
Date
Ac