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WASHINGTON COUNTY SANITARY DI �-
_ STRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795 a
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit RFC
SFwFp Permit No.
Subdistrict Name IM 1CAN
—
S f OH Issue Date
Mainline Contract No.
Void Date
Building Permit No. _- QA
--
- 0-%7^3 Subdistrict No.
Permission is hereby given to:
Property Owner: : IAF
T 7r_l ' i O
of address: 1 60 3 ROCKG t. T FF DR T V F
U t 1 Et,I OWN MD 21747
For property located at: 1 2134 O DF WATFRFORn ROAD HN Street Address
Lot No. Subdiv. FOUNTALNHEAD�,k NORTB `, Phase Sec.
A
Owner's Agent: _ TED / GO em
Agent's Address: _ 12917 AOTNT SA Fn a r
Previous Owner:
Fees Paid in Full?
Lateral with Mainline?
Date Fees Paid
Residential EDU'S
WCSD Dist./Coll. System
Fee
$
91-500 Commercial EDU'S
WCSD Ready to Serve
Fee
$
Gal/Day Allocation
000' WCSD
Fee
$
Building Number
City of HAGERSTOWN
Fee
$
5420 Utility Number
Total Fee
$_
A1,920
Remarks FEES MUS
RF ATD
RTQR
TO RUTT.nTNn PFRMTT R TNC TSSDIFD
_OWNER MUST QNTA
PR T OR TO QNN
T THE
WCSD ONS
RUCTTQN DF ARTMFNT AT 993-941
.CT T QN
HOUR
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 CRNA TEti)4= [.j Date: —05�/ 94
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 File
Plumbing Inspection
X
PRINTERS PRESS/7-92/5286
Ject No: PRJ94-0846
ctivity No: 94-2793
ermit Type: RES -NEW
ob Address: 19134 OLDS WATERFORD ROAD HN
Location: S-88-184 19134 OLDS WATERFORD ROAD
Parcel No: 024-18-1128-00025
oning Dist: RS"' RESIDENTIAL SUBURBAN
Applicant: TED/CO GROUP INC
129.12 POINT SALEM ROAD
HAGERSTOWN, MD
A'T'TN: TED WEAVER
Owner: VIAR R LEE IV ET AL
^ontractor: TED/CO GROUP INC
Status: PENDING
Applied: May 05, 1994
Approved,
Phone Number: 301-797-0886
21740
�3�d3 K�d�cl��� OR1U� 301-797-5889
301-797-0886
escription:
2 STORY DWE:LL_1NG,CRAWL SPACE,2-CAR ATTACHED GARAGE
FOUNTAINHEAD NORTH,PHASE II,LOT 25 33 S
aluat.ion: .140,000.00
00',.dation Size: 2 7 X 8 6
ype of Heat.... OIL FORCED AIR
ubl.ic Sewer...: Y
'ublic Water...: Y
-as............
iectric....... y
New Baths: 4
'SETBACKS
�t Tract Area
of Area Per Family
r.ont Yard Setback
ear Yard Setback
eft Side Setback
,ight Side Setback
of Width
Construction Type: STIC
Exterior Finish.: BRICK
Air Conditioning: Y
Septic...........
Time Existed..:
Well .............
Time Existed..:
Proposed
18,270 SQ FT
18,270 SQ FT
45.00
95.00
12.00
20.00
140.00
New Bedrooms: 004
Minimum by Ordinance
10,000 SQ FT
10,000 SQ FT
25.00
40.00
8.00
8.00
70.00
he signature below by the reviewer is an indication that the applicant
as signed the permit application signature sheet and thereby agrees to
erform the work in accordance with the conditions of this permit. e r
�Pl REVIEWED
r a.
MAY
6 1994
S 1,3
AR STRlCT
i
ww"'n'"'J I UN UUUNTY SANITARY r)ISTRICT
WASHINGTON COUNTY, MD.
Project:
Street (or location):_
Contractor: 1 (��f �'f�e' (,t,1� � j,r�i oeQ,
Date Installed
WYE SIZE- TYPE DEPTH
TYPE PIPE C. 0. G0.
NOTES:
SANITARY SEWER LATEF
CONSTRUCTION REPORT
J .r
MH 10,K TO MH IM -1
Wye Sta. On Main 0 t"z) L
TYPE EXCAVATION
LATERAL LENGTH LAYING LENGTF
Horiz. • Total
DROP I I Slope t Horiz. = Tc
•5"
x, i 7'
Depth of Cleanout 5 at Flow Line
Cleanout From r" ; `�•;r=�: rn� n _:,,;=
Layed at -
Basement Service
MH #
V •
MHS
Amounts pertaining to work completed
/this period. reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
WASHINGTON COUNTY SANITARY .DISTRICT
WASHINGTON COUNTY, MD.
Project:
Street (or location): !913q W �r b -f r -
Contractor:
Date Installed
WYE SIZE - TYPE DEPTH
TYPE PIPE C.O. QO.
PUC
NOTES:
Depth of Cleanout E :�
at Flow Line
Cleanout aT From
Loyed at
Basement Service
MH #P°"
SANITARY SEWER LATEF
CONSTRUCTION REPORT
l !�) b --3-A4
4
MH _Ogg TO MH 1099
Wye Sta. On Main
TYPE EXCAVATION
LATERAL LENGTH
STV
ROK.
LAYING LENGTI
Horiz. = Total
Slope t Horiz. = Tc
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
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