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-' WASHINGTON COUNTY SANITARY DISTRICT
r-
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit RR2 SEWER
Permit No. —
Subdistrict Name =4-A-11VILL/G14
Issue Date —
Mainline Contract No. 3 2 F
Void Date
Building Permit No. _)4--5882
—Subdistrict No
Permission is hereby given to:
Property Owner: v ip g. &I FF;
of address: 120 RQX 3 2 2 7
For property located at:
Lot No.
Subdiv.
Owner's Agent: DAI.111P R. RIDER
Agent's Address: i2a Rev 1 2 A 7
Previous Owner:
Fees Paid in Full? ,r J
Date Fees Paid j
WCSD Dist./Coll. System Fee
WCSD Ready to Serve Fee
WCSD Fee
City of.� A,gER._; q _ Fee
Total Fee
"` f, ` Street Address
Lateral with Mainline?
} Residential EDU'S —
$gz 1 590 Commercial EDU'S
$ Gal/Day Allocation
r V
$ Building Number
$ to �4 Utility Number
$ _ "_"-
.
Remarks - - F _ ° _ DEPARTMENT AT
- 1
I.,
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: 1Date: J81187 2D
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: 791-307
Inspection Date: 7 9— Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
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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v^ -r^; I ". rypr : RES N'QW
Tnh A.iarr� n 1 ]Gn4 nLDE 1yfVCTiG �'i��.LE HN
F,�Ca} for S_ oo_ i 04 13504 nr r�E MYS'tTC CIRCI,F,
Par^e'_ Pin: 024 '0-1.1) 0-Orhm43
7��, ILIr� ; �+ Rc RESTT)E"lTTA SUBURBAN
Applicant: RIDER DAVTrl R
1207
HAGERSTOW44, MD
21740
r) neC: RTDER DAVTn R
contractor: RIDER DAVID R
Sta 16,1" -3: P
App i i Pei
ApnrnV^d:
Phone *7„m"er: 301-.
DescCiption:
'. STORY r,WET,I,TNG, FRAME C0NSTRU-.T10N, FULL BASEMENT,
2 CAR ATTACHED GARAGE,CHTMNEY FOR FIREPLACE IN
FAMTT,Y ROOM,KITCHRN WITH BREAKFAST NOOK AREA,
DINING ROOM,LIVING, ROOM AND FOYER 0": FIRST LEVEL,
3 BEDROOMS,,'_ FULL BATHS,16XI2 DECK ON RRAR OF
DWELLtNG AT FAMILY ROOM.
FOUNTATNHFAP. NORTH,PRASE T:T,LOT 43
!haat ion: 13.9, 000.00
Foundation Size: 66'X3,1_'
Type of Heat...- GAS
Public Sewer...: Y
Loublic Mater.... Y
Gas ............. Y
Electric........ N
New Baths: 2.5
SETBACKS
bot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback
T,at Width
301-791-5231
301-791-6231
Construction Type: STIc
Exterior Finish.: BRTCK/VTNYI,
Air Conditioning: :'
Septic..........:
Time Existed..:
Well .............
Time Existed..:
New Bedrooms: 003
Proposed Minimum by Ordinance
.538 ACRRS 10,000 SQ FT
.538 ACRES 10,000 SQ FT
25.00 215.00
46.00 40.00
59.00 0.00
22.00 8.00
70,00 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.
5ej 50 -1a3 j V
RFVTEW4D BY:
Mv�.�em AUG 17
'Kee! C\ * 1 Ll 8`?
fms �Cr� '0100 ✓ ,
x
1
WASHINGTON COUNTY SANITARY r)ISTRICT
WASHINGTON COUNTY. MD. AM.`
Project: iouh i A r n PEn7 Alavt-u PL r,& 7
Street (or location): OMF ►r1vs7,c 0-12(--1iz LoT Y3 1 35v cf
Contractor:
Date Installed5 - 93-Fq
SANITARY SEWER LATEF
CONSTRUCTION REPORT
MH /0L TO MH
Wye Sta. On Main �E7�
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. CO. LATERAL LENGTH LAYING LENGT}
Horiz. = Total
let
NOTES: DROP Slope t Horiz. = Tc
J
Depth of Cleanout S of Flow Line
Cleanout /y' From F"
Loyed at a."•/
Basement Service
M H # log
V •
MH# IdP7
Amounts paining to work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
15'
WASHINGTON COUNTY SANITARY R STRICT
WASHINGTON COUNTY. MD.
Project:
Street (or location): 0/1)C z9v,r7-1C
Contractor:.c�l�!/i
Date Installed 6-/-?� �9
Aoft SANITARY SEWER LATERA
CONSTRUCTION REPORT
Loi 43
MH /Od(-" TO MH SDG'?
Wye Sta. On Main-rnLl-rn
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C. 0.
GO.
LATERAL
LENGTH
LAYING LENGTH
r 5r y
5qR—.14
0 � �
i
Horiz. = Total
�ocr�
y/' 141CPr/C
NOTE:
el--- L Ll.. I = ToL.ta
Depth of Cleanout T at Flow Line
Cleanout TS From 1„v.Z,,� C amu_/Og7
Layed at 1.00 41.
Basement Service
MH
Amounts pertaining to work completed this period. reviewed and approved.
8Y
WCSD INSPECTOR �— CONTRACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984