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PERMIT 1273 COMPLETED
WASHINGTON COUNTY ENGINEERING DEPT.
County Administration Building
100 W. Washington Street, Room 334
Hagerstown, Maryland 21740-4727
(301) 791-3133
PERMIT TO CONNECT TO PUBLIC WATER/SEWER SYSTEM
PRJ95-1185
Permit Type: SANITARY SEWER HOOK-UP Permit No: SAN95-0129
Application Date: 07/12/1995 Expiration Date: 07/06/1996
Sanitary No: SAN95-0129 Subdistrict No: 1VW IS
Sanitary Name: MAUGANSVILLE/ORCHARD HILL
Permission is hereby given to:
Property Owner: TEDS ENTERPRISES INC
C/O THEODORE SHANK
519 N LOCUST STREET
HAGERSTOWN , MD 21740
For property
located:
19207
OLDS WATERFORD
ROAD HN
Lot No: 67
Subd: FOUNTAIN
HEAD NORTH
Phase:',] Sect.
WCSD Dist/Coll
System:
S
1,500.00
Lateral W/Mainline (Y/N): Y
WCSD Ready to
Serve:
$
700.00
Residential EDU's: 1
WCP3111
$
.00
Commercial EDU's:
C1. of
$
.00
Gal/Day Allocation:
TOTAL
FEE DUE:
S
2,200.00
Utility No:
TOTAL
PAYMENTS:
S_
2,200.00
BALANCE
DUE:
S
.00
Comments:
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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 the Washington
County Sanitary District.
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 OCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND
AL\SPON�SIa,ILIT � NE TED THEREWITH REMAINS �WI� TH tTH7 PROPERTY OWNER.
Signature 1 Date
INSPECTION: AT LEAST 48 HOURS NOTICE IS REQUESTED PRIOR TO INSPECTION.
ON -SIT sp ctia w be made by Washington Co. Plumbing Inspector
Phon 1 7 -
Plumbing insplector
OFF SITE INSPECTION (In Public Rights of
Cc 7 y Sanitary District. Phone: (301)
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
9T7Qs'
Inspection Date
Way & Easements) b L Washington
223-9416 I n
Inspectio " to
Inspect ioir'Dlate
WASH
A
s
u _
N. 1
Tj
, L .7. W :S T =. R F 11 RD R G A D
Lica i0 n 184 1_,'_0" OLDE WATERFORD ROAD
Farce'_ i1e: 024-18-'_128-00057
'o^ _ g .st . RS RES DL"'T2
Ll A: SUBURBA.I
.
ApCl_cant. SHANK T H E C D C 2 E
4 N LOCUST $m
HAGERSTOWN, MD -
40
Owner: TEDS ENTERPRISES INC
Contractor_: SHANK THEODORE
at a. ?L,.tD
app_-�'�.
'N0rovad.
Phone Number: 301-739-0599
Description:.
CONSTRUCT 44'X32' TWO STORY DWELLING, ATTACHED 2
CAR GARAGE,FULL EXPOSED BASEMENT W/12'X8' GROUND
LEVEL PATIO SLAB,1 FIREPLACE IN FAMILY ROOM,CON-
CRETE BLOCK FOUNDATION,FRAME CONSTRUCTION W/BRICK
EX'TER:IOR, SHINGLE ROOF
FOUNTAINHEAD NORTH,P9AS4 II,LOT 67
/'''
Valuation: $150,000.00
Foundation Size: 44'X32'
Type of Heat...
Pubc Sewer...
Pub!.., Water....
.Gas............
E.ectric.......
NATURAL GAS
Y
V
Y
Y
New Baths: 2.5
SETBACKS
Lot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Lett Side Setback
Right Side Setback
Lot Width
301-739-0599
301-739-0599
�5ob7 -CIQ = wcsfl
Construction Type:-STIC q rm
Exterior Finish.. BRICK
Air Conditioning: Y
Septic...........
Time Ex.sted...
Well .............
Time Existed..:
The signature below by the reviewer is an indication that the applicant
has signed the permit application signature sheet and thereby agrees to
perform the work in accordance with the conditions of this permit.
REVIEWED BY:
�Illy
New Bedrooms: 003
Proposed
Minimum by Ordinance
.33 ACRES
10,000 SQ FT
.33 ACRES
10,000 SQ FT
50.00
25.00
54.00
40.00
12.00
8.03
14.00
8,00
100.00
70.00
The signature below by the reviewer is an indication that the applicant
has signed the permit application signature sheet and thereby agrees to
perform the work in accordance with the conditions of this permit.
REVIEWED BY:
�Illy
WA5tl1NG I UN COUN I Y 5AN1
WASHINGTON COUNTY, MD.
Project: S -/So - 33
SANITARY SEWER LATER!
CONSTRUCTION REPORT
Street (or
location) :
TYPE
C- 0.
1Vo e7 -1y" - P,,44.r45 ZZ
lee- o A,,f ARD
Contractor:
F,Q yEnE��LLE
5',p 4"f
I
COA,17=fCTaeJ
( "�a,,7
Date Installed S -/-4O
M FI _ f0 98 TO MH 14'79
Wye Sta. On Main t/OG
WYE
SIZE -
TYPE PIPE
TYPE
C- 0.
DEPTH
r- 0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
5',p 4"f
7.6'
leveF
�1�� Z!o
TE�*P.
35.0
Horiz. Total
STPD•
NOTES :D
P
Slope t H = Tot(
Depth of Cleanout 75' 7 -EMP• at Flow Line
Cleanout %�� From of ",4/A/
Loyedt
'"'� Basement Service
57?1. / -14/117 /
v
MH 11' /098
MHit/a9%
Amounts pertaining to work completed this period. reviewed and approved.
BY
- -WCSD INSPECTOR CORACTOWS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1964 FS
WASHINGTON COUNTY SANITARY DI&TRICT ,.SANITARY SEWER LATERr,
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: 5- /So - 33 5 _ I � ;�O 1
Street (or location):
0e4'v 'y f '4.0 /1/0'e �/ - /Dwy rE ZZ DG DE w.trr�e�,eD h'd,
e
Contractor: 6,gyE7Ey1c.44-r r�o,y7x,4cTzs4T
M {-{ /D 98 TO MH
Date Installed 5--/-qo Wye Sta. On Main
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
CO.
LATERAL
LENGTH
l._AYIN^ LENGTH
g'X4 o
4"
¢„
7. S'
P✓C P
�'I�R Z
I TEMP
ST D.
S O
Horiz. n Total
SPR Z�
�.O
NOTES
Depth of Cleanout 7 TEMP at Flow Line
Cleanout a%D From
Layedt oo '/
'l/FggVBasement Service
57;q. / -fVe L
MH 4 /o 76
Slope t H
M F-{ it /0 99
Tot
Amounts pertaining two work completed this period, reviewed and approved.
BY
—�WCSD INSPECTOR CO RACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1904
Fs