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WASHINGTON COUNTY SANITARY
DISTRICT q ��-
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
4
Type of Permit RES :;ewer Permit No.
Subdistrict Name i9'IJ(3ANS Issue Date
Mainline Contract No. Void Date
Building Permit No. ' ` Subdistrict No.
Permission is hereby given to:
Property Owner: i S & Mz"tRY CC, c.:
of address:
For property located at:
Lot No. ` Subdiv.
H
"" 1 5`+-- I 1 i5
Street Address
Phase Sec.
Owner's Agent: JOSEPH NEWL I N
Agent's Address: 105 STOUFFER AVENUE, HAGERSTO-0, ; 1741_:
Previous Owner: N A
Fees Paid in Full?
Date Fees Paid
I_" I(I."
WCSD Dist./Coll. System
Fee
WCSD Ready to Serve
Fee
WCSD
Fee
City of fi�,GEISTOWN
Fee
Total Fee
Remarks ALL FE
Lateral with Mainline? rES
Residential EDU'S 1
$ 1 x'00 Commercial EDU'S
$ Gal/Day Allocation 20Ci
$ Building Number .'A
$ i ` 0 Utility Number 15 0 4
i NAL CONNECTION TO SEWER S'Yr_:TFM.
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 BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWIT WITH THE PROPERTY OWNER/
Signed: Date:
INSPECTION: At least 48 hours notice prior to requested date is required. e
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-307
Inspection Date: %� G� 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
WCSD O&M
Plumbing Board
City of Williamsport
— WCSD File
_ Plumbing Ins
m ' V E
SFP 1:992
WASHINGTON CO.
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vy,"z) INU I oN COUNTY, MD.
JHIVI IkAnI .7G iIF-[ I L/41C
CONSTRUCTION REPORT
Project: S— /S0 - 335 -
Street (or location):P,�,4sE17- �E 4i.�Tx.�vrp Ra•
Contractor: yE776V/[-LE �o.�r7F',¢c� ( C?
Date Installed S /— 90
WYE SIZE - TYPE DEPTH
TYPE PIPE C. 0. C.0.
4" 4"
FVC P sol -f- z 4 TE1-•s�
SD/t'- Z (o
NOTES:
Depth of Cleanout 6• S �E.YP at Flow Line
Cleanout . o' From I 0,c-AtAlAl
Layed a 00 "%
N/A Basement Service
MH # /0 98
D f- 47R
M H to ?8 TO MH /0 99
Wye Sta. On Malh 07447iT
TYPE EXCAVATION
LATERAL LENGTH
ST ID. 30.0 '
3.0'
LAYING LENGT
Horiz. • Total
Z S, o -
Slope t tforti. = 1
V 11
MH tt /099
Amounts pertaining to work completed this period, reviewed nd pproved.
BY 9
WCS D INSPECTOR
CO RACTORIS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
wvw I T SnNIIARY DISTRICT
WASHINGTON COUNTY, MD. AM
Am SANITARY SEWER LATE
CONSTRUCTION REPORT
Project; S— /50 - -- 3�
Street (or location); (�a1
kcnrT�4ir� /�F�o /1/a,e5•.,y
Contractor: r4yE7-TE V/t-cE
Date Installed
WYE
SIZE •
TYPE
TYPE PIPE
0.
8'X4
4"
4"
P✓CP
SaR-z4
SD"P Z 6
NOTES;
DEPTH
C, 0.
TE.y�
Depth of Cleanout at Flow Line
Cleanout ,Z? >' From
Loyed of -F, oo
-- N14 Basement Service
MH #P /419g
o f 47R
MH —/ ?B TO MH
Wye Sta. On Mairi 0�`47R
TYPE EXCAVATION
LATERAL LENGTH
ST 'D.
D
i
.F. D
LAYING LENGT
Horiz. Total
Z r. n "
Slope t ` z, = I
U I.
MH tt /o99
Amounts pertaining to work completed this period, reviewed nd
pproved.
BY S1 � �;��
WCSD INSPECTOR CO RACTOR.S
REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984