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== WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit -"ES Lk Permit No.
Subdistrict Name JAUGA- 3, OH Issue Date
Mainline Contract No. 3.35 Void Date
Building Permit No. 93--7939 Subdistrict No.
Permission is hereby given to:
;fi_
Property Owner:
MARY COSS
of address:
For property located at: OLDS 1 PSWNA GH
Lot No. Subdiv. FOUNTAINHEAD
Owner's Agent: rIPERT F T P r I I,
1 i Street Address
Phase Sec. _
Agent's Address:
h -`
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCSD Dist./Coll. System
WCSD Ready to Serve
WCSD
City of
Remarks
Fee $
Fee $
Fee $
Fee $
Total Fee $
Lateral with Mainline?
Residential EDU'S
Commercial EDU'S
Gal/Day Allocation
Building Number
Utility Number
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.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits. etc ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH REMAINS WITH THE PROPERTY OWNER
Signed: i— Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street Of
Hagerstown, Md. 21740 Phone: 791-307
Inspection Date: `� ' �0' Q� Plumbing Inspector — �"Z_ Z,/�L/�,
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown City of Williamsport
WCSD Construction WCSD O&M WCSD File
Permits Office Plumbing Board Plumbing Inspection
x
THE PRINTING PLACE
J
Project No: PRJ93-2417
Act.i:ty No. 93-7939
Permit Type: RES. -NEW
Job Address: 13215 OLDS IPSJICH C_R.LE HPi
Location: S-89-184 1'9215 OLDE IPSW CIRCLE
Parcel No: 02.-18-,I28-02059
Zoni^g Dist: RS
Apr ? .ca R.CPPLu ROBERT
RIPPLE, CONSTRUCTION
103 OLDS WATERFORD ROAD
HAGERSTOVN MD 21740
Owner: COSS LEW.iS M & MARY L
Contractor: RIPPLE ROBERT
Status: PENDING
App=ied: Nov 29, 1993
Approved:
Prone 11umba.: 301-790-34.3
Description:
2 STORY DWELLING, FULL BASEMENT, 2 CAR ATTACHED
GARAGE, REAR DECK, FRONT PORCH, CHIMNEY FOR
FIREPLACE
FOUNTAINHEAD NORTH, PEASE II, LOT 59
VAluation: 150,000.00
ruandatlon Size: 30',K-14
Type of Heat.... GAS
Public Sewer...: Y
Public Watt..... Y
Gas ............. .N
Electsic Y
New Baths: 2 . 5
SETBACKS
Lot .Tact Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback
Lot Widt'a
301-790-3423
Construction Type: STIC
Exterior Finish.: BRICK/V-SIDING
Air Conditioning: Y
Sertic...........
Time Existed...
Well .............
.dile Existed...
Total Bedrooms: 4
New Bedrooms: 004
Proposed
15,307 SQ FT
15,307 SQ FT
56.00
59.00
13.00
13.00
100.00
Minimum by Ordinance
10,000 SQ FT
10,000 SQ FT
25.00
40.00
8.00
8.00
70.0.0
The signature below by the reviewer is an indication that the applicant
has signed the permit application signature sheet and thereby agrees to
perfcrm the work In accordance with the conditions of this per-Ilt.
S �)
50 ^,-1.35 R-77IEW-7D BY: _
F C E I if E
71
VVASFiIN;; .. _
_ SANITARY r
WASHINGTON COUNTY SANITARY DISTRICT SANT TAHY StwtK LA I LHAL
WASHINGTON COUNTY. MD. CONSTRUCTION REPORT
Project:
Street (or location):QL�� L�Cki �i'2�t 1 9a S
Contractor:�V�L�
Gess:
MHnZiS-10$1 TO MH SDIS- f4
Date Installed �� p�ZCI-� Wye Sta. On LT �
L. --tk S
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. CO. LATERAL LENGTH LAYING LENGTH
31IXTUx�►I4 !sz>y.a� Ttf FelC-- (o.0 STPD.
4--')�c c . DIZ za�.
NOTES: I D
Depth of Cleanout �.��?.) at Flow Line
Cleanout L(o.O t—R From
Layed at o2. "' "/c>
Basement Service Q
S 9
M H #10014
Horiz. a Total
= Total
MHt#�oal
�GkI ST . T-A,A .
Amounts pertaining t work completed this period. reviewed and ap oved.
BY
W SD INSPECTF CONTRA ORAS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1964 S - 2
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
Project:icu
�ctl�!�
Street (or loc(3tion):C:>L�- 1 54 4Z.A Cxo� �5
Contractor:--p�yVl�� 5
Gwmm
MHnmgs-I0$1 TO MH SDISkU
Date Installed Ac�2�� Wye Sto. On Main a+ 3 l.T
L.cst- -.1k S
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. C.O. LATERAL LENGTH LAYING LENGTH
Q11Y-Tly'$►I C�.gsDK oZ(- ggpvc- (p ,V t STPD.
NOTES: I D
Depth of Cleanout lo.Q1 at Flow Line
Cleanout 3(0.0 From
L a y e d at a, ao u ��
Basement Service
M H #koc1' �
Horiz. z Total
`40 `. F .
= Total
MH##1QBI
�ckI ST . T -A. .
Amounts pert ining t work completed this period, reviewed and ap oved.
BY
nD INSPECT CONTR ORAS REPRESENTATIVE "q
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1964
Lill
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