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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 259
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 9-26-94
P.O. BOX 571
SUBDISTRICT NO, 15
PERMIT TO CONNECT TO PUBLIC SEWERAG E*6&MSYSTEM MaugansVill .OPEhard
Halls
Permission is hereby given to: W i i i i am it ita nnP r
For Property Located at: 404 West Preston Avenue
Owned by: r�i 1 1 1 1 a iTi D a n n e r- Address: tt1
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $020 00 Date Paid 9-26 84
To connect to a public sewerage/3= system (with proper abandonment of previous private system). The installation
61 the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
e� kh!(4� __ —
Secretary -Treasurer Q_Q 10 5 ,/
Building Permit No.
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Final Inspection Made BY: ��,4.4z Date q
Plumbing Inspector,
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Final Inspection Made By:
DISTRIBUTION: Permittee Plumbing Boa
Field Offic
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
4
00`
/o" A"k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: West Preston Aven e J -j AIR 'n e- V)r1\f
MH 205 to MH 206 Dwg. #601-058
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
.c 4 365
8 ) (404 )
a I a E.5i&6
I I _ I I
/ w — POW
MH SD15-205 50' R/w g' SAN. f MH S[
.�� rnnnr un�w�
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive., the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
Date: /0� rn C,L 0. 4 /l' l G
Owner (Print
C4)
Owner s Signature
Attest: &
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SAND- DISTRICT VIA(, i, �AK N6,e..
UASHINGTON COU1JTY, MD.
Project:
uoansville/Orcherd Hills SD15-1--`.
z
SANITARY SEWER LATE .=;
CONSTRUCTION RECCr<<C
I-M-�- Wpir►t Drivt
Street (or location) : /spy f RC 5ToN 12'6 3
Contractor: Calfs Contractors; Inc.
MH Zo 5 TO MH Zo (o
Date Installed S- /3 - g 3 Wye Sta, On Main /-ASo .S �
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYI,";C:
LENGTH
�X &X 18
�., Pvc
_
*Horz.= Total. Y
sot zc�
P✓c
�•��
St'd.
3y'
3�• 9 '
SDk 3s
_
51ope+ Horz-To t
Drop—F—
NOTES:
iQ ig14 ►-1NG
w�t7E2
Q LEsl••I Cx. T
O O-�� /3 u PE cpf3 cC
5-z &4e -K
pp � CCEA.ycuT AO�Ro�
Q N119JAJ C L�A2A./CE 3 • AEC�o
Depth of Cleanout (v -O 4 GFIcul Line
Cleanout 3/ ' From
L a y e d O—z—L �
• No Basement Service
�So•s
mH Zo 5
MH;;' Zo (o
Amounts pertaining to work completed tris period, reviewed and approved.
eL
BY
L,C5b lr spcctor Contractors Rep.
17-- 1 i -' N.
— ~^• / J � b
7 �. AAk
�b
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
r
'Address
P' Signed
Property Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
Requested by Callas Contractors, Inc.
Approved by W.C.S.D, Inspe
Date