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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 RES Sewer Permit No.S',P 1150-1144
Subdistrict Name MAUGANS OH Issue Date '
Mainline Contract No. 3�5 Void Date
Building Permit No.
92"8087 _Subdistrict No. 15
Permission is hereby given to: EW ! S & MARY COSS
Property Owner:
of address:
For property located at: i 9227 OLDS WATERFORD ROAD Street Address
Lot No. Subdiv. FOUNTAINHEAD NORTH Phase-Sec.-
Owner's
hase Sec.
Owner's Agent:
TED
SHANK
519
NORTH LOCUST STREET
Agent's Address:
Previous Owner:
N A
Lateral with Mainline? - E 5
Fees Paid in Full?
y j , ; f
Residential EDU'S 1
Date Fees Paid
Fee $
1500
Commercial EDU'S 0
WCSD Dist./Coll.
System
Fee $
Gal/Day Allocation 200
WCSD Ready to
Serve
Fee $
Building Number N / A
WCSD
HAG
31 N
Fee $
420
Utility Number i �C 1555
City of
Total
Fee $
19 2 C
ALL
r EES SHALL
BE PAID
PRIOR TO FINAL CONNECTION TO SEWER SYSTEM,
Remarks
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 supersede 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:
Date: ` 2 10 1 /Q
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:
1',79-9a 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 City of Williamsport —
WCSD O&M WCSD File
Plumbing Board Plumbing Inspection
PRINTERS PRESS/7-92/5286
,Pk ject No: PRJ92-2380
Acuivity No: 92-8087
Permit Type: RES -NEW �� S
Job Address: 19227 OLDS WATERFORD ROAD HN
Location: S-88-184 19227 OLDE WATERFORD ROAD
Parcel NO: 024-18-1128-00072
Zoning Dist: RS
Applicant: SHANK TED
519 N LOCUST ST
HAGERSTOWN, MD
21740
Owner: COSS LEWIS M & MARY L
Contractor:
Status: PENDING
Applied: Nov 30, 1992
Approved:
phone Number: (301) 739-0599
Description:
TWO STORY DWELLING, TWO CAR ATTACHED GARAGE,
FALL BASEMENT, PATIO
FOUNTAINHEAD NORTH, LOT 72
Valuation: 150,000.00 Construction Type: STIC
Foundation Size: 76X35
Imo'
T,_j of Heat ...: GAS
Public Sewer...: Y
Public Water...: Y
Gas .............
Electric........ Y
New Baths: 3.5
SETBACKS
Lot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback.
Lot Width
Exterior Finish.: BRICK
Air Conditioninq: Y
Septic...........
Time Existed..:
Well .............
Time Existed..:
Total Bedrooms: 4
New Bedrooms: 004
Proposed Minimum by Ordinance
.341 ACRES
10,000 SQ FT
.341 ACRES
10,000 SQ FT
50.00
25.00
68.00
40.00
11.50
8.00
11.50
8.00
99,00
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.
L-Cll, iSCo REVIEWED BY:
U,2rG
X41
(fib i55�
� 50
ECE!VE
I
DEC 11992
WASHINGTON CO.
SANITARY DISTRICT R
WASHINGTON COUNTY SANITARY DIS2RICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATERA
CONSTRUCTION REPORT
Project: -s- 156- 335-
DGDE wA�E-�2 �otD RD.
Street (or location): �Oc«/�'�
Contractor:
Date
Installed
WYE
SIZE -
TYPE
DEPTH
TYPE PIPE
C. 0.
CO.
PVCP
NOTES:
MH 1052 TO MH 1o46
Wye Sto. On Main /+4-/e-
L oT- '%Z
TYPE I EXCAVATION
LATERAL LENGTH
ST D. I �4. D
I
Depth of Cleanout 8•s' 7-eL' P at Flow Line
Cleanout a'%•0� From
Layeda .? oo
Basement Service
— 5-r4. / t 4 -71-
M
-%L
M H # /DBL
LAYING LENGTH
Horiz. • Total
Slope t Hor4----Toto
MHff/D94
Amounts pertaining/to work completed this period, reviewed nd approved.
BYS— /0/�
WCSD INSPECTOR C NTRACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 19134
FS -2
WASH INGTON COUNTY SANITARY DIctRICT
WASHINGTON COUNTY, MD.
JLIV I IMS
CONSTRUCTION REPORT
-'-
Project: -S- /SO- 33S
L.JA>En F'otD RD.
Street (or location):
Contractor:
MH /06z TO MH 1096
Wye Sta. On Main /+
Lo7- 7z
c 9aa7
Date
Installed
SIZE -
TYPE
DEPTH
WYE
TYPE PIPE
C. 0.
C.O.
4
PvcP
sp'e- z
T,�-gyp.
NOTES:
TYPE EXCAVATION
LATERAL I LENGTH
ST .D. I D
Depth of Cleanout 8•s' 7—EA*-eP' at Flow Line
Cleanout �! O" From
Layed
c/ Basement Service
M H It /SBL
LAYING LENGTH
Horiz. • Total
Slope t Horl Tota
.STA i t ,-7L-
M H
Amounts pertaining to work completed this period, reviewed nd approved.
BY- -
WCSD INSPECTOR NIS REPRESENTATIVE
TRACTOR
WASHINGTON COUNTY SANITARY DISTRICT FS - 2
AUGUST 13, 1984