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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 450,
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND4o84 DATE 1311965
P.O. BOX 571
�IJBDISTRICT. 'O, 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAT" SYSTEM i;iaug&ti1 svi 'z"G and
�iills
Permission is hereby given to: Wili iam W. Brewer
For Property Located at: 19 N. Main Street, Maugansville, ?'D 21767
Owned by:
'William It Brewer Address: General Delivery, Haugansville, :MU 21l .
Type of Connection: To Service Connection x To Main Line:
Type of Service: Residential
( 1) Units Other
Commercial Industrial
Connection Fee X620.00 Date Paid Feb. 13s 19,5
Meter Size _ �—
To connect to a public sewerageFsystem (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 RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Secretary -Treasurer
Building Permit No
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
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Inspe r
OFF-SITE 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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
CITY
40 e A01k WA -r
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 19 Main Street /37/0 Mauaarsudle i1oad
MH 319 to MH 362 DwR. #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.
X1J L
r 1 2 207
I li (i 1i (19)
R/W U I
M 8 SAN (MAC.) MH SD 15 -362
I W
R/W
17
L_J I
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 installed by the District at or near the property
line.
Date: /�/13i8Z [Al LLtA-VA fin! R�)A(
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
,IZ2
Lr�feml Z.91 be
WASHINGTON COUNTY SANITARY DISTRICT
33 West Wap h
sington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
733_ Syy
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address
Property Owner
Date„��,/
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:
Requ
Appr
Date
Ex
ii�IL1
CCUN Y SVIIT►�R' 15
UASHINGTON COUNTY, MD.
5 A N I T AR Y SE1L,> LI",T'L.�.,:L
o CONSTRUCTION RECCi\D-
Project• Maucnnsvillc;/Orchard Hills S015--1-5
Street (or location):_ 10)PM A* -J UdZ 7-01)
Contractor: Ca�file9JO Mau9Qosvi!le %gond
_-- s Ct�n`rac:tGrs� IncTr,c. -
hiH lcf —T O MH 3402
Date Installer: -0i JA.�_84_ LI e 5ta. G i i Main Z4ZZ -�,t!!o
WC SIZE-- ! TYPE OLPTH TYPE j EXCrV. LAY1i'i
ii
5-17E 1 TYPE PIPO C.O.— C .0. LATERAL + LENGTH. LE`11 T 1'
8
G C *Hcrz.= Total. 8.W, �� StId..
1100 (J
`Slope+ Horz=io�a1
Drop ZS•8� 10.'x-'' tCo.60.Z1•�5
VOTES:
C)co�c�a 8.54
450 �o Z , f-
I1680' —
8" —` -
Depth of Cleanout 8440 r'FIow Line
Cleanout 24 From 4_ Mis-
Layed @ L4 � ate_ Ot IP
1.1O�JG Basement Service
PIH;;' 3 19
Z42. r;H;; 3102
S
Amounts pertaining to work completed Lhis period, reviewed and approved.
BY
L 5u Irl33peczor Contractors Rep.