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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 1035
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE Oct 3 1989
P.O. BOX 571
SUBDISTRICT 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM ,�,� MAU ANS=LE/0�
c Permission is hereby given to: AlvejtvChurchev
Fountainhead Horth Lot 28 1351 1 � 1iw)
I1
For Property Located at: La �`
Owned by: _ Alyey Churchey Address: 864 Jefferson Blvd., I3agers
Type of Connection: To Service Connection XXX
Type of Service: Residential XXX (1 ) Units
Commercial
Meter Size
To Main Line:
Other _
Industrial
MD 21740
Connection Fee $1It920.00 _ Date Paid Oct 3. 1989
To connect to a public sewerage/water system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
This permit is issued with the condition that no connection is made to the public sewer
system until it has been inspected and completed.
Secretary -Treasurer
Building Permit No. 89_215,4_1414
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: Date (P -.25- -9t�
Plumbing Inspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
Date
WASHINGTON COUNTY SANITARY -STRICT
WASHINGTON COUNTY, MD. 901b,
Project: Fn,.nTAlrl UEa� 1�/7lZT►1 nor:- T
Street (or location): ')in 711ti,,..",k Lar q7 3577
Contractor: FAvt:TTS
SANITARY SEWER LATES
CONSTRUCTION REPORT
M H i0 , ^. TO MH /07,/
Date Installed h'`- Wye Sta. On Main ),41291/�
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
GO.
LATERAL
LENGTH
LAYING LENGTI-
yX4/x"41E
'
Horiz. = Total
QST D.
Pvc
A/C
NOTES:
DROP
I I Slope + Horiz. = To
_y)
3? ) 3`9 1 '
Depth of Cleanout y' at Flow Line
Cleanout' T" From t- 8"-s-evw -4—
Loyed at
Basement Service
I.
MH # , -) -J
MH t# i0g1
Amounts pertaining to/work completed this period, reviewed and approved.
BY : `moi' -� J� _49 ,
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 r
WASHINGTON COUNTY SANITARY "STRICT
WASHINGTON COUNTY, MD.
Project: n�nTr 4EA0 IV IT,
Street (or location): 01/) Sa. nkbpk i".,A?J Lot a7
Contractor: FgycTTEyi/1L
Date Installed 6-6-8'%
SANITARY SEWER LATEF
CONSTRUCTION REPORT
MH /070 TO MH /07,/
Wye Sta. On Main
WYE
SIZE-
TYPE PIPE
TYPE
C. 0.
DEPTH
C, 0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
SDr- 3S
I 1-;K -01�0'
yX�lX�1'
ya . �'
Horiz. = Total
ST D.
P/C
Slope + Horiz. = To
NOTES:
DROP
_... I
Depth of Cleanout P at Flow Line
Cleanout 3?' T' From It g",'Teow main L,^e
Layed at 1,0n Z,
Basement Service
M H #-
Amounts/p�ertainingg to/work completed this
8
WCSD INSPECTOR
S
period, reviewed and approved.
CONTRACTORS
MH#
REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
IS-