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WASHINGTON COUNTY SANITARY DISTRICT PERMIT No. 375
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
DATE
P.O. BOX 571
SUBDISTRICT ND, --J2-2_
PERMIT TO CONNECT TO PUBLIC SEWERAG5-�R SYSTEM M3t1gan8Vl1]e/Orcnax^d
Permission is hereby given to: Lewis T. Sro i.th & Char i . Smith Hills
For Property Located at: 131 North Main Street '
Owned by: LewiS T. Smith & Address: P.O. BOX 138, Ilau ansyi l le MCS 217_6
Charles H. Smith
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
1 ) Units Other
Industrial
Connection Fee $620.00 ` Date Paid -
To connect to a public seweragelr 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 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 I spector
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Board 4
Field Office-
Date
3H1NIG TGN COU,:"i'Y SA N'ITARY SiINICT
UASHINGTON COUNTY, M.D.
Project: Maua,ansvillc Orchr:rd Hills
----
Street (or location):
CONSTRUCTION RECO �C
SD15-1-5
I3,73qI �au�anz-v"IM oa
All 1 _lT n -
Contractor: Calks
Contractors, Inc.
j TYPE=
DLP T H
T YPF_
EXCi1,
T
L A Y 1
. S-1zE
TYPE i'iPE
MH �+ 36
T n r; H 36 5
Gate Instai)_ed .,.
27�4U.8l�-��
Wye Sta,
Ori Miain of 2?.9 L -r
IUYE
SIZE-
j TYPE=
DLP T H
T YPF_
EXCi1,
T
L A Y 1
. S-1zE
TYPE i'iPE
C,D
L^TERAL
LENGTH
.71:
g• b 8
�0 30R 2(oPVG,
6" /?�lG.
(0 271Fst
-*HOrZ - 1 Ota
S1ora + Horz= l otal
NOTES: � swA�E
Drop
2BL.F"
- .-
B.S�t 20.30=29.!lt-.F
m
d
2'
!•1.5� Mei^►
G'5 OR 06
2'/o as•�errd
i
I I
i
a�
2Q �
�- -
Depth of Cleanout &•27Y,r� Line
Cleanout 24.i' F'romgM4ikJ
Layed 0 2 ��� ,4r_7TCR f:�'RoL'
_•�-a5I8C,� BasQCient Service
l is QA W.M. 5P,+ 6 I-ter5
�— 3/W T`sPE K dery iK 69 c)4k rs
Zql
f 1, H;; -A VS
Amounts per ing to work completed Lr.is period, reviewed and approved.
8Y I
_4 &� :�17_
LC5Li 1n3pLr'; r Cont�.c.ctors Rep.
40%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
3 Contract No. SD15-1 S
Property Address: '-55 Main Street /38'3y /ylQc,rg cv. Ile 20
MiL3.6+ to MH Ih;�' Dwg. #6O1-032
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.
a
GI'
3o"xIB" _
CMPI
Aj LJ 1
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: l -2pt I %r L���`- 7— �/l 17-J-1
i— Owner(Print)
Owner s Signature
Atte oS
Wa Co. Sanitary District
(Form WCSC 1)
Replaces WCSC-56
13
!WASHINGTON
i
G/
a/ C131� I& j -n
n S Ccs /) F' r
COUNTY SANITARY DISTRICT /V �0 �'
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
:fid/,ids (-t
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Addres
Signe
operty Uwner
a i75��
Date '- —2 /-
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
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:
4 J T14 E -0 E P 7-W of= -rWA r7 e
w1AZJ
•
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector
Date 8 - 2-3- 83