HomeMy WebLinkAboutLat_13513OldeSaybrookCircleWASHINGTON COUNTY SANITARY " ISTRICT
WASHINGTON COUNTY, MDQ
SANITARY SEWER LATER
AN* ' CONSTRUCTION REPORT
rrolect: Tiyi1,7 116,_) :9ry, -, -
Street (or location): 0/n 5"Ay00p ''jpjl<- or -? t-35-1 3
Contractor:
Date Installed
WYE SIZE - TYPE DEPTH
TYPE PIPE C. 0. C.O.
NOTES:
Depth of Cleanout ?' at Flow Line
Cleanout It, 9" From r rc JrK ,Y,a ., = -
Layed at 11, - i•
Basement Service
MH J12�2 TO MH 1091
Wye Sta. On Main _ ►+aWI--
TYPE I EXCAVATION
LATERAL LENGTH
'ST 'D.
3, Po
/6 -, 7
LAYING LENGTI-
Horiz. = Total
Slope + Horiz. = To
MH M H t# l0 9v
Amounts pertaining to. /work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
REPRESENTATIVE
WASHINGTON COUNTY SANITARY ^ISTRICT
WASHINGTON COUNTY, MD.
Project:
Fi u.�Tiiirl
f{c�9/� A104,r,�l 1,21 e
Street (or
location):
0/L) 5Aeg-ank C c!, LoT 3F
� �3
Contractor: fi,/LE<TE�/plc
Date Installed
SANITARY SEWER LATES
CONSTRUCTION REPORT
MH f n"' �TO MH 109 /
Wye Sta. On Main+�8 L
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. Co. LATERAL LENGTH LAYING LENGTI-
5�+�- 0C
yXy,�y Horiz. = Total
PUC S T D.
NOTES: DROP
Slope + Horiz. = To
1 1 3'
Depth of Cleanout at Flow Line
Cleanout /(, Ci' From ) >7'' xeuwe in Ain 1 -me
Layed at 9,00 /.
Basement Service
MH #
M H t#
Amounts pertaining to• /work completed this period, reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
REPRESENTATIVE
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
Reza Sewer
Permit No.
Subdistrict Name
Maugansv i 11 /OH
Issue Date
Mainline Contract No.
S-150-335
Void Date
Building Permit No.
90-0201-0162
Subdistrict No.
Permission is hereby given to:
SCP 150- 1056
5/29/90
15
Property Owner:
Mike Gouker
of address:
102 Woodland Way
Hagerstown, 21740
3151 S
For property located at:
Lot No.
Owner'sAgent:
103 Olde Saybrook
Subdiv. Fountain Head
Shenandoah Homes
Circle le Street Address
North Phase-Sec.-
haseSec.Owner's
Previous Owner:
Agent's Address:
P.O. Box 2044, Hagerstown, 21740
Fees Paid in Full?
Date Fees Paid
WCSD Dist./Coll. System
WCSD Ready to Serve
WCSD
City of Hag
Remarks
yS
10 /05 /p9
Fee $ 1500
Fee $
Fee $
Fee $ 420
Total Fee $ 1920
Lateral with Mainline? 1 es
Residential EDLI'S 1
Commercial EDU'S
Gal/Day Allocation 200
Building Number
Lateral Contract No.
This is a
reissuance of permit
issued on 3/:/90
NO cornnection gam be made until
sewer gonstruc,tion completed
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 SMAINS WITH THE P PERTY OWNER.
Signed:/(//1A Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
Washington Street
H ^ r
Hagege rstown, Md. 21740 Phone: 791-30724?a��
Inspection Date: Plumbing Inspector cam' -
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 File
Plumbing Inspk" X57
0�(J
C E 9 2 1 1991
WASHINGTON CO
SANITARY DISTRICT
A
x _
ar COUNTY COMMISSIONERS FOR WASHINGTON COUNTY
PERMIT APPLICATION & ZONING CERTIFICATE 7C PERMIT NO.
DEPARTMENT OF BUILDING PERMITS III INSPECTIONS DATE ISSUED
33 W. Washington Street, Hagerstown, Maryland 21740. 791-3070
0crx. / 7 L/62DESCRIPTION OF WORK
a44
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nVIVIC ,rvlrflVY1 L'l . IVU
'c3T. VALUE
11q'5y
N N EXIST. TOTAL
NO. FULL ATHS O. HAL ATHS UNITS LtQaEWER SEPTIC ELEC. WYPEEAT AIR
PUBLIC PRIVATE COND.
X
ATER ❑ WELL
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 the law Use and Occupancy permit must be received before permitting occupancy.
.90
IATURE DATE
I
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JOB LOCATION
J
DATE
NEW
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SUBDIVISION NAME/APPROVAL DATE LOT NO.
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PLAT NO. TAX MAP
BLOCK 40. PARCEL N0. ZONING DIST.
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ACCOUNT NO. IMPROVEMENT
ELECTION DIST. LIBER FOLIO ACREAGE LOT SIZE
FAMILY
OF APPEALS
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PROPERTY OWNER(S)
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PHONE NO.
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DEPT.
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RESIDENTIAL DESCRIPTION
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PROPERTY OWNERS) ADDRESS CITY
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CONTRACTOR'S NAME/OWNERS REPRESENTATIVE
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0crx. / 7 L/62DESCRIPTION OF WORK
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PUBLIC PRIVATE COND.
X
ATER ❑ WELL
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 the law Use and Occupancy permit must be received before permitting occupancy.
.90
IATURE DATE
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FILE COPY
AGENCY
APPROVALS
NAMES
DATE
NEW
ADDITION
ONE
TWO
MULTI
BU:LQ NG
JALTERATION
FAMILY
FAMILY
FAMILY
OF APPEALS
BUILDING
I/
V-1
18D
REFERENCE
DEPT.
NON RESIDENTIAL DESCRIPTION
RESIDENTIAL DESCRIPTION
HEALTH
DEPT.
LOT TRACT AREA
OFF STREET PARIONG
PROPOSED N. BY ORD.
PROPOSED MIN. BY ORD.
ZONING
9 77 0 0 0
LOT AREA PER FAMILY
LOT WIDTH
/yPROPOSEDMIN. BY ORO.
PROPOSED MIN. BY ORD.
STA
ROA
%O /0J 00Q
p
/CIL G 0,
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FRONT YARD SETBACK
REAR YARD
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY
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MAFIRE
RSHAL
LEFT SIDE YARD
RIGHT SIDE YARD
PROPOSED MIN. B ORO.
r
PROPOSED MIN. BY ORO.
SPECIAL
q.
CONDITIONS
.YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN CN SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE-
SCRIBED BY ZONING ORDINANCE.
❑ YES ❑ NO ❑ NOT APPLICABLE
INITIALS
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