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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 RES Sewer Permit No. SCP 150-1140
Subdistrict Name Issue Date 1I-$3 -921
Mainline Contract No. Void Date 1 `? -1�
Building Permit No. —Subdistrict No. 15
Permission is hereby given to: EW i S
Property Owner:
of address:
& MARY COSS
For property located at: c MYSTIC CIRCLE Street Address
Lot No. Subdiv. NORTH Phase—Sec.-
Owner's
hase Sec.
Owner's Agent: .JOSEPH L NEWL I N
Agent's Address:
Previous Owner:
Fees Paid in Full?
\l
Lateral with Mainline?
Y E S
Date Fees Paid
t
Residential EDU'S
1
WCSD Dist./Coll. System
Fee
$
Commercial EDU'S
WCSD Ready to Serve
Fee
$
Gal/Day Allocation
200
WCSD
Fee
$Building
Number
N/A
J'
City of
Fee
$
20 Utility Number
1501552
T p
s1920
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Remarks _� - ,
L�-el131*D
PRIOR
TO FINAL CONNECTION
SEWER SYSTEM.
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: K .47 W I ILL I S Date: 1/16/92
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
/)Hagerstown, Md. 21740 Phone: 791-3072i"
Inspection Date: "-! Z 2 Plumbing Inspector --
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
j Permits Office
WCSD Inspector (Lateral) —
WCSD Inspector (Connection)
City of Hagerstown City of Williamsport —
WCSD O&M WCSD File
Plumbing Board — Plumbing Inspection
PRINTERS PRESS/7-92/5286
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Prosect No: PRJ92-2291
Activity No: 92-7669
Permit Type: RES -NEW 33�
Job Address: 13501 OLDS MYSTIC CIRCLE HN
Location: 5-88-184 13501 OLDE MYSTIC CIRCLE
Parcel No: 024-18-1128-00045
Zoning Dist: RS
Applicant: NEWLIN JOSEPH L
105 STOUFFER AVENUE
HAGERSTOWN, MD
21740
Owner: COSS LEWIS M & MARY L
Contractor: NEWLIN JOSEPH L
Status: PENDING
Applied: Nov 09, 1992
Approved:
Phone Number: (301) 797-6197
(301) 797-6197
Description:
2 STORY DWELLING, PARTIAL BASEMENT/CRAWL, 2 CAR
GARAGE ATTACHED TO DWELLING, CHIMNEY FOR FIREPLACE
WRAP-AROUND PORCH
FOUNTAINHEAD NORTH, PHASE II, LOT 45
Valuation: 125,000.00 Construction Type: STIC
F—ldation Size: 32X59
Type of Heat...: ELECTRIC
Public Sewer...: Y
Public Water...: Y
Gas ............. N
Electric........ Y
New Baths: 2.5
SETBACKS
Lot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback
Lot Width
Exterior Finish.:
Air Conditioning:
Septic...........
Time Existed..:
Well .............
Time Existed..:
BRICK/V-SIDING
Y
Total Bedrooms: 3
New Bedrooms: 003
Proposed
20,879 SQ FT
20,879 SQ FT
40.00
80.00
30.00
30.00
00
Minimum by Ordinance
10,000 SQ FT
10,000 SQ FT
25.00
40.00
8.00
8.00
70.00
The signature below by the reviewer is an indication that the applicant
has signed the permit application signature sheet and thereby agrees to
perform the work in accordance with the conditions of this permit.
(,CWg, 1500 REVIEWED BY:
('CI -1 -1 )O
15�1552t
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E C E I V E
NOV 1 01992
WASHINGTON CO.
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WASHINGTON COUNTY SANITARY ' ,TRICT
WASHINGTON COUNTY. MD. 0o,
Project: /5>-,,,ia,., 4SWO 4/0.fr4" f0iir .17
-
Street (or location): I7/%' i�'r�TiC /_-;'= '
( 350`'
Contractor:•,_%�•-
SANITARY SEWER LATERA
CONSTRUCTION REPORT
MH SOT(, TO MH 100-7
Date Installed C�— '4 Wye Sta. On Main -10?'2 1,4
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
C.0.
LATERAL
LENGTH
LAYING LENGTH
_
VxVxI/
�� s''
, ,�
Horiz. = Total
( D
5 0 8
NOTES:
RM
0
Slope t Horiz. = Tota
T 6,5
I 11 Te I I
y7, V
Depth of Cleanout s7S' at Flow Line
Cleanout y? From
Loyed at '
Basement Service
D
MH MH # /0�7
Amounts perrttaining to/work completed this period. reviewed and approved.
BY �-��, ��0' 7'i "
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S - 2
WASHINGTON COUNTY SANITARY r'wTRICT
WASHINGTON COUNTY, MD.
Project. 74&1 /46,9/7 NOQTN A i9mn 7T
Street (or location): Qh)e zg rlc cekt/e
Contractor: FAci/� 1/F
Date Installed � 'I? -r9
SANITARY SEWER LATERA
CONSTRUCTION REPORT
L-6-1 4�-
M H /) - TO MH /02' %
Wye Sia. On Main 5il-rl -ice Af
WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C. 0. Co. LATERAL LENGTH LAYING LENGTH
-aG' 1x yxI/ �, S �, 8 ,, Horiz. 2 Total
C.OLIP ri''PVC A1/C T D.
NOTE'
Depth of Cleanout �� Is- of Flow Line
Cleanouty7' From ,'G,O_ 1',%41J7Ar /OP -7
Loyed at 17.00
Basement Service
MH #/OY4
Z. = Tota
v
M H # /0do' 7
Amounts pertaining to/work completed this period, reviewed and approved.
BY 7f4—/ -
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S - 2
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