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WASHINGTON COUNTY SANITARY "'STRICT WASHINGTON COUNTY, MO. Awb Project: /;r - ;F,- Puy Street (or location): 177,.rrc �'�Kclt 13 1 Contractor: - I , Date Installed SANITARY SEWER LATEF CONSTRUCTION REPORT MH - TO MH Wye Sta. On Main ` WYE SIZE- TYPE PIPE TYPE G.O. DEPTH C.0. TYPE LATERAL EXCAVATION LENGTH LAYING LENGTI Horiz. = Total STPD. Slope + Horiz. = To NOTES: DROP Depth of Cleanout at Flow Line Cleanout '' From Layed at �- Basement Service MH #. Amounts pertaining to work completed this period, reviewed and approved. BY WCSD INSPECTOR CONTRACTORS MH# REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT r AUGUST 13, 1984 FS Aw� WASHINGTON COUNTY SANITARY DISTRICT Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 # Telephone 301-223-9416 T7Permit to Connect to Public Water/Sewer System �'0 -1 1 1 1 Type of Permit RES Sewer Permit No. y 4101/92 Subdistrict Name Issue Date 3 3 t 93 Mainline Contract No. - Void Date 15 Building Permit No. `~ 1969 Subdistrict No. Permission is hereby given to: LJ BAER Property Owner: of address: I , ;'r j OLD YST I C CIRCLE Street Address For property located t: 48 FOUNTAINHEAD NORTH Phase Sec. �il-i iy Lot No. Subdiv. i HEODORE SHANK Owner's Agent: L T, HAGERSTOWfJ MC 21740 Agent's Address: y Previous Owner: ' ` ' Fees Paid in Full? YES Lateral with Mainline? 1 Date Fees Paid 41101 r" Residential EDU'S WCSD Dist./Coll. System Fee $ - Commercial EDU'S `y00 WCSD Ready to Serve Fee $ Gal/Day Allocation N1.4, WCSD Fee $ Building Number 1501526 City of tib+aEt7TOiNIi3 Fee $ �2 Utility Number Total Fee $ 1920 �jLL FEES MU§T- BE " D PRIOR TO FINAL CONNECTION TO SEWER Remarks -3YSTEM. 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 supersede 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 THEREWITIi REMAINS WITH THE PROPERTY OWNER. Signed: ,(, Date: INSPECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by Inspection Date: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Md. 21740 Phone: 791-307 �> 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 I� r WASHINGTON COUNTY SANITARY DISTRICT Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 UTelephone 301-223-9416 Permit to Connect to Public Water/Sewer System Type of Permit RES Sewer Permit No. SCP 150- 1 1 1 1 Subdistrict Name _ A OH Issue Date 4/01/92 Mainline Contract No. —335 _ Void Date Building Permit No. 1969 Subdistrict No. 15 Permission is hereby given to: Property Owner: RL & LJ BAER of address: For property located at: OLDE MYSTIC CIRCLE Street Address Lot No. 48 Subdiv. FOUNTA I NHEAD NORTH Phase 2 Sec. Owner's Agent: THEODORE SHANK Agent's Address: 519 N LOCUST STREET, HAGERSTOWN MD 21740 Previous Owner: N Fees Paid In Full? Lateral with Mainline? YES Date Fees Paid q IC Residential EDU'S 1 WCSD Dist./Coll. System Fee $ 15RE Commercial EDU'S 0 WCSD Ready to Serve Fee $ Gal/Day Allocation 200 WCSD Fee $ Building Number N/A City of HAGERSTOWN Fee $ 20 Utility Number 1-501526 Total Fee $ 1920 Remarks ALL FEES MUST BE PAID PRIOR TO FINAL CONNECTION TO 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, ST TE AND LOCAL, MUST BE OBTAINED PY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THE REWYrA)IWITH THE PRbPERTY OWNER. Signed: Date: W /liq 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: 791-3072 Inspection Date: Plumbing Inspector 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 WCSD Construction WCSD O&M Permits Office Plumbing Board City of Williamsport _ — WCSD Fite —._ - Plumbing Inspection Permit No: 92-1969 Applied: 03/31/1992 Permit Type: RES - NEW Approved: Status: PENDING 7cb Address: Location: S-88-184 E/S OLDE MYSTIC CIRCLE,LOT 48,FOUNTAINHEAD NORTH Parcel 11o: 024-1B-1128-00048 'oning Dist: RS. Applicant: SHANK THEODORE 519 NORTH LOCUST STREET HAGERSTOWN, MD 21740 Owner: BAER RONALD L & LOIS J ^cntractor: Phone Number: 301-739-0599 --escription: 32'X 44' 2 STORY DWELLING,FULL BASEMENT, 2 -CAR GARAGE,REAR PATIO/DECK,CHIMNEY FOR FIREPLACE Valuation: 110,000.00 Construction Type: STIC Foundation Size= 32'X 44' of Heat.... GAS '3ubllc Sewer...: Y =ublic Water. ....Y as............ �_'lectric.......: Y New Baths: 2.5 �'L''r'BACKS =ct Tract Area _ot Area Per Family 7ront Yard Setback Pear Yard Setback .eft Side Setback .ght Side Setback 'ct Width Exterior Finish.: BRICK/V SIDING Air Conditioning: Y Septic........... Time Existed..: Well ............. Time Existed..: Total Bedrooms: 4 New Bedrooms: 004 Proposed Minimum by Ordinance .356 ACRE 10,000 SQ FT .356 ACRE 10,000 SQ FT 50.00 25.00 73.00 40.00 17.00 6.00 17.00 8.00 155.00 .70.00 :e signature below by the reviewer is an indication that t1ie EPPIIicant '..a= signed the permit application signature sheet and thereby agrees to perform the work in accordance with the conditions of this permit. eO� -4)t© REVIEWED BY: CC�I,I, 1600 opk 01 160 SDI 50 - lit 1 I PE C E I V APR - I i �0 1 - gl` ' �Y s } a da P Noy t1 1!�! IN, 1-f ! jr -Ck) 1 NA L C,>, -r �P 5 NA 3 j