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Home My WebLink AboutLat_13512OldeMysticCircleWASHINGTON COUNTY SANITARY `STRICT WASHINGTON COUNTY, MD. ` err• Ask Project: j�unTN,,� urAn/nnrt i�!r,�c !I Street (or location): _01n,_ M , -ric ��)F . tof y/ / Contractor: Date Installed SANITARY SEWER LATEF CONSTRUCTION REPORT MH '0� 7 TO MH _/10TC Wye Sta. On Main /�17k WYE SIZE - TYPE DEPTH TYPE EXCAVATION /) TY/PE PIPE C. 0. CO. LATERAL LENGTH 1�'vXL cru"' y'' � � _ nvG �� ,.S`f''p• �y, 9 ,, NOTES: I DROP R' 6 Depth of Cleanout F, G at Flow ,Line Cleanout /' From F" SEw&e Loyed at Basement Service MH # /oF5S LAYING LENGTF Horiz. = Total Slope + Horiz. = To U • M H t# IoF,� Amounts appertaining to work completed this period, reviewed and approved. WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 ��------ te_ ASHINGTON COUNTY SANITARY WSTRICT WASHINGTON COUNTY, MD. Project: r-Ountja,,� }��r� IVnnTI� I01, II Street (or location): �l)f1,- rrt�sTic GQ_)F .tof y/ )�� Contractor: /�'t�rFe- 1"I Ile Date Installed SANITARY SEWER LATER CONSTRUCTION REPORT MH /Dis5 TO MH 11081; Wye Sta. On Main if -17,q WYE SIZE - TYPE PIPE TYPE C.O. DEPTH C. 0. TYPE LATERAL EXCAVATION LENGTH LAYING LENGTI- Horiz. = Total ST 'D. Iy, 9, Slope + Horiz. = To NOTES: DROP Depth of Cleanout at Flow ,Line Cleanout From 4 F" -T w&,e Layed at �.. Qo Basement Service MH # loY M H t# Amounts pertaining to work completed this period, reviewed and approved. BY WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 r r^,�-4" ^•r-��"�,rxK+tx ,?,�girll��aA�R�T,e�':. , ,.,. �<;a-a ,.-.,�, �, r n 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- 1070 Subdistrict Name - au ansvi Issue Date 7123190 Mainline Contract No. `" - - 11.1 `" Void Date Building Permit No. 90-1 4- Subdistrict No. Permission is hereby given to: J. & J. Partnership Property Owner: 2317 of address: °�` Hagerstown Z1740 e Mystic 1c circ e For property to ted at: Street Address Lot No. Subdiv. Fountainhead Nor Phase Sec. Owner's Agent: ` �Diversified Construction Sery Previous Owner: Agent's Address: P. 0.ox r Fees Paid in Full? yes Lateral with Mainline? yes Date Fees Paid ru/ 05/ 89 Residential EDU'S WCSD Dist./Coll. System Fee lbou $ Commercial EDU'S WCSD Ready to Serve � . Fee $ Gal/Day Allocation 200 WCSD Fee $ Building Number City of alters .own- Fee $ Lateral Contract No. Total Fee $� Remarks o contaec ion oan be made until sewer sons rtuc :i.on ^comp e e 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 THEREWIT,K�/EMAAIIN/S--WIjjTH THEtPPERTY OWNER. Signed: �i�/ /fid 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 /Hagerstown, Md. 21740 Phone: 791-3 C) Inspection Date: / �� ) 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 Williamsp� �� WCSD O&M WCSD File n ��AJ1 Plumbing Board Plumbing Inspe G Ed WASH►AY pO� R�0 7 SAM Tpk COUNTY COMMISSIONERS FOR WASHINGTON COUNTY PERMIT APPLICATION & ZONING CERTIFICATE DEPARTMENT OF BUILDING PERMITS & INSPECTIONS 33 W. Washington Street, Hagerstown, Maryland 21740 • 791-3070 //,P,ERM NO DATE ISSUED L I NC JOB LOCATION DATE NEW ADDITION ALTERATION iT TWO MULTI C R SUBDIVI 10 NAME/APPROVA DATE_( LOT NO. SEC. NO. PLAT NO. TAAXX MAP BLOCK NO. PARCEL NO.. I ZONING DST. T M' y aye R REFERENCE A v'F ets7ti d--C:� NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION Ir J 0 IN j ACCOUNT NO. IMPROVEMENT ELECTION DIST. LIBER FOLIO�/� ACREAGE LOT SIZE IN �![� PROPOSED BY ORD. ZONING O IN E I PROPERTY OWNER(S) PHONE NO. R / F PROPERTY OWNER(S) ADDRESS CITY STATE ZIP _ N) / /� A> iii 1 V (� 0 �1 �k 0 PROPOSED MI BV nf1D. , ?k L 1�K�SL t� i N M A CONTRACTOR'S NAME/OWtJERS REPRESENTATIVE MARSHAL PHONE NO. A LEFT SIDE YARD 1,a PROPOSED MIN. �L,O`RD. PROPOSED MIN. Bjf•9ji0, SPECIAL CONDITIONS - C T N CONTRACTOR'S .ADDRESS CITY STATE ZIP HOME IMPROVEMENT LIC. NO. C DESCRIPTION OF WORK EST. VALUE ozl C 0� S 1 �e O�LC PERMIT FEE B T T I I BEDROOMS EXTERIOR FIN. FOUNDATION SIZE PORCH SIZE GARAGE SIZE CARPORT SIZE DECK SIZE N N EXIST. TOTAL r; Lk J/ 5 •� /O L NO. F LL BATHS NO. HALF BATHS UNITS EWER PUBLIC PRIVATE ❑ SEPTIC GAS ELEC. TYPE HEAT P AIR COND. 1 ��// Lj' ATER ❑ WELL Z O N N G .S T E P L CAUTION I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not. I further understand that to begin construction before a building permit placard has been issued and displayed on the job is a violation of t e law. A Use and Occup a cy permit must be received before permitting occupancy. 11�x, ��D JA URE A N 'YARD SETBACK BUILDING LINE VERIFICATION LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE - N SCRIBED BY ZONING ORDINANCE. F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS O R�_ M A 1 Q N FILE COPY 01 111 rI1111/" A f111�11111 [HT1") A TIMI rqnt ITL �JJV AGENCY APPROVALS NAMES DATE NEW ADDITION ALTERATION ONE TWO MULTI BUILDING FAMILY FAMILY FAMILY BD OF APPEALS BUILDING REFERENCE DEPT. NON RESIDENTIAL DESCRIPTION RESIDENTIAL DESCRIPTION HEALTH DEPT. LOT TRACT AREA OFF STREET PARKIN OPOSED MIN, BY ORD. PROPOSED BY ORD. ZONING Pc LOT AREA PER FAMILY SED MIN. BY ORD. PRO U�A LOT WIDTH PROPOSED MIN. BY ORD. OAO _ N) / /� A> iii 1 V (� FRONT YARD SETBACK REAR YARD PROPOSED MI BV nf1D. P OPOSED M N. Y.pRD. FIRE U v MARSHAL LEFT SIDE YARD RIGHT SIDE YARD PROPOSED MIN. �L,O`RD. PROPOSED MIN. Bjf•9ji0, SPECIAL CONDITIONS A N 'YARD SETBACK BUILDING LINE VERIFICATION LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE - N SCRIBED BY ZONING ORDINANCE. F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS O R�_ M A 1 Q N FILE COPY 01 111 rI1111/" A f111�11111 [HT1") A TIMI rqnt ITL �JJV I r -JAVJ4