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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.
Subdistrict Name FOUNTAINHEAD
Issue Date to -
Mainline Contract No. 335
Void Date
Building Permit No. 92-6743
_Subdistrict No. 15_ —
Permission is hereby given to:
Fee
Property Owner: 3R I AN S HOI
MES
WCSD Ready to Serve
Fee
of address:
Gal/Day Allocation ,nn
WCSD
Fee
For property located at: 19230 OLDE
WATEFIFORE ROAD Street Address
Lot No. Subdiv. FOUNTAINHEAD
NORTH Phase—Sec.—
hase Sec.Owner's
Owner'sAgent: 3R I AN S HOLMES
Utility Number 1 -501548 --
Total Fee
Agent's Address: 2114 BLUE
RIDGE ROAD
Remarks ALL FEES SHALL
BE PAID
Previous Owner: N/A
FINAL CONNEOTION T'• SEWER SYSTEM
Fees Paid in Full?
<
Lateral with Mainline?
Date Fees Paid
10- f 15: 1 y 2
Residential EDU'S
WCSD Dist./Coll. System
Fee
$ 1500
Commercial EDU'S n
WCSD Ready to Serve
Fee
$
Gal/Day Allocation ,nn
WCSD
Fee
$
Building Number
City of HAGERSTOWN
Fee
$ 420
Utility Number 1 -501548 --
Total Fee
$ 1920
Remarks ALL FEES SHALL
BE PAID
PRIOR TO
FINAL CONNEOTION T'• SEWER SYSTEM
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 k^^ T_� Y IN I I t Imo_ Date: 2fir? 1
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by
Inspection Date:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3072
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 City of Williamsport_
WCSD Construction WCSD O&M WCSD File
Permits Office Plumbing Board Plumbing Inspecllq.t;.
DEG 1 1992
WASHINGTC N CO.
" PRINTERS PRESS/7 �J21SZERs
3 Applied: 09i24.'-1
?pprcaed.
Status: PENDING
Jab Address: 19230 OLDS WATERFORD ROAD HN
Location: 5-88-184 19230 OLDS WATERFORD-RO-P.-D
Parcel No: 024-18-1128-00013
Zoning Dist: RS
Applicant: HOLMES BRIAN S
2114 BLUE RIDGE ROAD
HAVE._'. , I J '.�D
Owner: HOLMES 9RIA"I S
Contractor: HOIJMES BRIiAN S
P1•:cne Nurlber: 301-791-0587
301-791-0587
(301) 791 -05,9 -
Description:
2 STORY
DWELLING, FULL BASEMENT, ATTACHED 2 CAR
GARAGE,
1 FIREPLACE,
SUNDECK, BRICK AND VINYL
SIDING
EXTERIOR
LOT
13 - FOUNTAINHEAD NORTH, PHASE II
Valuation: 170,000.00
Construction Type: ST. IC
FOOP'zdatIon Size:
54'X52
Exterior Finish.: BRICK VISIDING
;.
Air Conditioning. Y
Type of Heat...:
GAS FURNACE
Septic..........:
p
Public Sewer...:
Y
Time Existed..:
Public Water....
Y
Well.............
Gas .............
Y
Time Existed...
Electric........
New Baths: 2.5
SETBACKS
Lot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Rig'it Sade Setbac'r
Lot Width
Total Bedrooms: 4
New Bedrooms; 004
Proposed
16,634 SQ FT
16,634 SQ FT
55.00
87.00
22.00
i
90.00
M1aImum key Or 11 1<<anca
10,000 SQ FT
10,000 SQ FT
25.00
40.00
8.00
9.00
70.00
The sly^nature below by tle reviewer 1s an indication that the applicant
has signed the permit app licat Ion signature sheet and thereby agrees to
perform tiae work in accordance with the canditlons of this Permit.
(QU I� REVIEWED BY:
CO i4 4 �0
rkr-
SEP 2 5 19�
i5d ►54 WASHINGTON CO.
SANITARY DISTRICT
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: $-15-D - 3
Street (or location): 4a ,yi*xy yEAe YaeCq-
Contractor: /�%YE7T�yil�trE
MH 1082- TO MH /094-
a94Date
DateInstalled 5 3-90 Wye Sta, On Malh z+3L2
Lar/3
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LAYING LENGT
5,A 4"X81,
y f�
- w
N
¢
,
Q
6 . ✓
Horl • Total.,
Pvep
SDe-Z�
� z
�D6
7�P
STV
e 10
Slope
NOTES: D
I U
Depth of Cleanout 13. STEMP at Flow Line
Cleanout /40' From 4 oF' -w-4-V
Layed at
Basement Service
M H # 1082-
srA. 2+3(-R
MHtt /D 96
Amounts pertaining to work completed this period, reviewed d approved.
WCSD INSPECTOR C RACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
IT
wHaHINGIUN CUUN VY SANI VARY DISI HIU I
WASHINGTON COUNTY, MD.
SANIIARY SEWER LATE
CONSTRUCTION REPORT
Project;
Street (or
location):
�ae�,rT,giy •yE•gD /1/o.�°TN- RX
Contractor:
1,0yerJ�y��-t.E
�✓re.4�rrx s
� �o��
MH 1082- TO MH /094
Date
Installed
5-- 3-90
Wye Sta. On Maih 7-424k
zar/3
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAVATION
TYPE
PIPE
C. 0.
C.O.
LATERAL
LENGTH
LAYING LENGT
8'x fOx8'�
�"
�"
8. S
Horiz. • Total '
PVe P
SD,e- 26
JI>,e-Z�
7Fi`�R
S T D.
l9 0
/¢ o '
NOTES:
10
//0"
Depth of Cleanout B. S" TE'Ae�P of Flow Line
Cleanout // o From 4
Layed of o?oo'X
,V% Basement Service
v
M H ## /082-
11
57'A . 243(-R
0 '
MH tt /)%
Amounts pertaining to work completed this period, reviewed Tnd approved.
13Y— _ 42," .
WCSD INSPECTOR C RACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
IS-