HomeMy WebLinkAboutLat_13509OldeMysticCircleWASHINGTON COUNTY SANITARY ')ISTRICT
f- SANITARY SEWER LATEFi
WASHINGTON COUNTY,
MD.�
CONSTRUCTION
REPORT
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Project:3
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Street (or location): 'bf-)
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Contractor: 1.4 /5 r-[/r%lam
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TO MH 10? -7
Date Installed
Wye Sta. On Main
WYE
SIZE -
TYPE
DEPTH
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTf
TYPE PIPE
C.O.
C.O.
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'
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yY 9
Horiz. • Total
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.3
D.
Slope + Horiz. = Tc
NOTES:
DROP
3,9„
3
9''
'
Depth of Cleanout 3 at Flow Line
Cleanout vn' From L i
Layed at )-'~_'/
easement Service
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Amounts jp�ertalning to work completed this
WCSD INSPECTOR
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
period, reviewed and approved.
CONTRACTORS REPRESENTATIVE
P V
L- t,
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
}
RES Sewer Permit No.
SCP 150-1132
Type of Permit
MAUGANS
OH Issue Date
Subdistrict Name
335
Void Date
Mainline Contract No.
92-5756
_
Subdistrict
No. 15
Building Permit No.
Permission is hereby given
Property Owner:
LEWIS &
MARY COSS
of address:
For property located at:
13509
OLDE MYSTIC CIRCLE Street Address
Subdiv.
FOUNTAINHEAD NORTH
Phase Sec.
Lot No.
HERITAGE QUALITY BUILDERS
Owner's Agent:
31 3 O' TOOLE DRIVE
Agent's Address:
N/A
Previous Owner:
Lateral with Mainline? YES
Fees Paid in Full?
Residential EDU'S 1
Date Fees Paid
Fee $ 1500
Commercial EDU'S 0
WCSD Dist./Coll. System
Fee $
Gal/Day Allocation 200
WCSD Ready to Serve
WCSD
Fee $
Building Number N/A
1501544
City of HAGERSTOWN
Fee $ 420
Utility Number
Total
Fee $ 1920
ALL FEES SHALL BE
PAID PRIOR TO FINAL
CONNECTi, d TO SEWER SYSTEM.
Remarks
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: KATHY iiVV 1 t 1 t $ Date8I II –?
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 /7
Inspection Date:
o - Z & 97- _ Plumbing Inspector [•y�I
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
Permit No: 92-5756
Permit Type: RES - NEW
Job Address: 13509 OLDE MYSTIC CIRCLE HN
Location: S-88-189 13509 OLDE MYSTIC CIRCLE
Parcel No: 024-19-1128-00047
Zoning Dist: RS
Applicant: HERITAGE QUALITY BUILDERS
LARRY POPP
313 O'TOOLE DRIVE
HAGERSTOWN, MD 21740
Owner: COSS LEWIS M & MARY L
Contractor: HERITAGE QUALITY BUILDERS
Applied: 08/14/1992
Approved:
status: PENDING
Pl.one Number: 301-223-7842
Description:
2 STORY DWELLING,FULL BASEMENT,2-CAF. ATTACHED
GARAGE,CHIMNEY FOR FIREPLACE,15'X 22' FAjtTLY
ROOM
*FOUNTAINHEAD NORTH,LOT 47,PHASE II*
Valuation: 130,000.00
,■..
F dation Size: 30'X 38'
Type of Heat...: GAS
Public Sewer.... Y
Public Water.... Y
Gas............
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
301-223-7842
Construction Type: STIC
Exterior Finish.: BRICK/V SIDING
Air Conditioning: Y
Septic...........
Time Existed..:
Well .............
Time Existed..:
Total Bedrooms: 4
New Bedrooms: 004
Proposed
15,500 SQ FT
15,520 SQ FT
35.00
80.00
12.00
20.00
100.00
Minimum by Ordinance
10,000 SQ FT
10,000 SQ FT
25.00
40.00
10.00
10.00
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.
�1j150- 113
P.EVIEWED BY:
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