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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. SCP 150-1145
Subdistrict Name Issue Date / _ 1 r�3 _
Mainline Contract No. _8443 Void Date
Building Permit No. Subdistrict No. 15
Permission is hereby given to:
Property Owner:
of address:
_EWIS & MARY COSS
For property located at: Street Address
Lot No. Subdiv. NORTHFOUNTAINHEAD Phase-Sec.-
Owner's
haseSec.
Owner's Agent: IED SHANK
Agent's Address: bl& NORTH LOCUST STREET
Previous Owner: NIA
Fees Paid in Full?
-11'1%d E,_
Lateral with Mainline?
Y5
E
Date Fees Paid
Residential EDU'S
1
WCSD Dist./Coll. System
Fee $ - 15C
Commercial EDU'S
0
WCSD Ready to Serve
Fee $
Gal/Day Allocation
200
WCSD
Fee $
Building Number
N/A
City of uLhSTOWN
Fee $ 420
Utility Number
) 50 1556
T tal Fee $
Remarks
AL BE PA
FINAL CONNECTION TO
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: KATHY WILLIS Date: '/28/92
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: 791-307 /
Inspection Date: �'T9. 7 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 Inspection
PRINTERS PRESS/7-92/5286
FA
ProJect No; PR.J92-2458 �
Activity No: 92-8443
Permit Type: RES -NEW
Job Address: 19231 OLDS WATERFORD ROAD HN
Location. S-88-184 19231 OLDS WATERFORD ROAD
Parcel No: 024-18-1128-00073'
Zoning Dist : RS
Applicant: SHANK THEODORE
519 N LOCUST ST
HAGERSTOWN, MD
21740
Owner: COSS LRWIS M & MARY L
Contractor: SHANK THEODORE
Status: PENDING
Applied: Dec 22, 1992
Approved:
Phone IIUMber: 301-'139-0599
Description:
2 STORY DWELLING FRAME CONSTRUCTION FULL BASEMENT
ATTACHED 7. CAR GARAGE CHIMNRY(FIREPLACE.
FOUNTAIN HEAD NORTH PHASE II LOT 73
Valuation: 150,000.00
Fdation Size: 76'35
Type of Heat...; GAS
Public Sewer...: Y
Public, Water...; Y
Gas............. Y
Electric........ Y
Neer Baths: 2.5
SETBACKS
Lot Tract Area
Lot Area Per Family
Front. Yard Setback
Rear Yard Setback,
Left Side Setback
Right Side Setback
Lot Width
301-739-0599
C0I18t curt 1On 'type : STIC
Exterior Finish.: SRICK
Air Conditioning: Y
Septic..........:
Time Existed..:
Well .............
Time Existed..:
Total Bedrooms: 4
New RPdrr,oms : 001
Proposed M1111mum by Ordinance
.34 ACRES
10,000 SQ FT
.34 ACRES
10,000 SQ FT
50.00
25.00
62.00
40.00
17.00
8.00
17.00
8.00
100.00
70.00
The signature below by the reviewer is an indication that the applicant
has signed tha permit application gt.gnat,ure sheet and thereby agrees to
perform the work, In accordance with the conditions of this permit.
CCU, 1500 RRV.I.EWED BY:
0 1M
(10 1n moi- V
i�
I� I�56
6-D 150- 1145
DEC 2 21992
1OJ, 0
.CoT�` 73
rv"IJ1111'4V 1 VIV t/LiV�� 1 r v�r�• rte. • v•� •.••+
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: S -/So - 33S
Street (or location) : Ald^'r,,w - pH,,9,s 616,p--' C14 ��,Co.eD A:'0
Contractor: 1,�1 YE7T,!F t/ i e -e -e Co./r--"'-lc.7-o2j t
MH _/082 TO MH /096
Date Installed S-3'?0 Wye Sta. On Main ' 0f -47L
L o r 73
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
CO.
CO.
LATERAL
LENGTH
LAYING LENGTH
4„
4
g. S,
Horiz. 0 Total
Pt/GP
-S',P/P-Z(o
Spe-Z6,
TEMP
ST1D.
`T -/'D
44.0 i
NOTES
0
Depth of Cleanout 8. S TE/NR at Flow Line
Cleanout 40•0 From
Layed at a r 00
^/ 4 Basement Service
STA , o + 47L
M H 4 /08L
Slope t Hoo,zf Tota
M H I't /D 9( -
Amounts pertaining to work completed this period, reviewed nd approved.
BY 9•� /Jvir)*
/11 WCSD INSPECTOR 0 TRACTOR'S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 [S- 2
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERA
WASHINGTON COUNTY, MD. CONSTRUCTION REPORT
Project: S -/So - 3-36-
Street
3SStreet (or location) : `�lt-Arnl �/E.Qo �orrN PN.4SE� �DGOE �/�TE,eco,el� h�(J,
Contractor: �.� YETTE t/ 1 c-& e ConCT,�'Ac-To/ej C� `
Depth of Cleanout 8• STEs�fR at Flow Line
Cleanout 40•0 From
Layed at oo
Basement Service
3Tp . o 447L
M H # /o8L
v
M H
Amounts pertaining to work completed this period, reviewed qnd approved.
BY i� C
T WCSD INSPECTOR O TRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
MH /0B2 TO MH 1096
Date Installed 5-3- �?O
Wye Sta. On Main ' 0,(-47L
Lor 73
WYE
SIZE -
TYPE
DEPTH
TYPE
EXCAVATION
TYPE PIPE
C.O.
Co.
LATERAL
LENGTH
LAYING LENGTH
Horiz. a Total
Pt/CP
CD2-Z
STD.
-7
Slope t Hor - Tota
NOTES:
D P
Depth of Cleanout 8• STEs�fR at Flow Line
Cleanout 40•0 From
Layed at oo
Basement Service
3Tp . o 447L
M H # /o8L
v
M H
Amounts pertaining to work completed this period, reviewed qnd approved.
BY i� C
T WCSD INSPECTOR O TRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984