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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083 1 3084
DATE
SUBDISTRICT --10
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: __ ___ I L�05 Hills
For Property Located at:rv+-
Owned by: Address: '4w: 2Qc . �eY'Stown, KU 21_ ' 1-)
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential _ ( ) Units Other
Commercial Industrial
Meter Size Connection Fee Date Paid
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 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
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY:)Lg_ A i Date 2 , 3^ �R q
Plumbing Inspector IF
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing B
Field Offi
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WA:HINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM
Permission is hereby given to:
For Property Located at:
Owned hv, __ Address:
Type of Connection: To Service Connection
Type of Service: Residential _
Commercial
Meter Size
Connection Fee
To Main Line:
( ) Units Other
Industrial
Date Paid
SUBDISTRICT
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 Spacifications.
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
Permit Fee
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
__ Date
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Bo
Field Offi
: r,SH1%GT0N C0''NT Y S NITARv^IST ziC i
UASHINGTO�d COUNTY, !",D,
,,af% SANlTAR"i' SCL;C? LP.TFE- ;.1
CONSTRUCTION ZECC ;U' -
Project: Mauonnsville/Orcherd Hills SD15--1-5
Street (or location): C.QI 253 S!O Al. /9A /u Sr.
Contractor: Colles Contractors, Inc.
!° H�W --TO MlH X92
Date Installed— Wye Wye Sta. On Ilain
UC SIZE-- j TYPE DEPTH TYPE j � EXCAV - LAY IVIL'
5-1 7E 1 TYPE PIPE C.O. C.Q. L^TERAL 3. LENCfiH --- -l_E. !GT?' -
8(o"SOR;O&P c.
� CiP N 5 28Y.F_ �"Hcrz,= -1011-3
3
' b.,�rA K S t d .
-blope+ Horz=] o;,a
nrnn
Depth of Cleanout Line
Cleanout 25.G F'rcm,&_Manv
Layed Q G C4� AFTER oQ O
,Pz�lg&g- Basement Service
..Z 15rue 4:G4 /'
MH;;'
it43.5 '
U c 141y,� WG. F .
Nil 392
Amount: perming to work completed this period, reviewed and approved.
R_ Y _ I 'dl - •r .
UC50 in pec�tor Contractors Fep
P/0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1 5
# c Contract No. SD15-1S
Property Address: 510 Main Street Au, �' IG1ltQ(�v�Ull�P (Zvo�
MH 381 to MH 392 Dwg. #601-072
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.
PROPOSED C.B. x
INV 619 00 x
t(512503
)
PROPOSE CB
INV. 617.5
MH SD15 -381
Oo 1i �
c�1j p
8" SAN
�R/
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: ?1-2 Z ►N.
Owner mint �� --
ner s Signature
Attest: A11XLn,,6j I )�-"
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC--56
WASHINGTON
.3
COUNTY SANITARY DISTRICT
• it
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:
Address_
Signed17 /
Pr perty OVner
Date /v? — (o Y 3
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-5
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:
Requested by Callas Contractors, Inc.
Approved by W.C.S.D, Inspe
Date