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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
fith, Telephone 301-223-9416
oqq Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. -- SCR 150-1 990
Subdistrict Name MAGANSMII.i.F Issue Date---`-'�?$�Aa
U
Mainline Contract No.
556 Void Date _— 05119 195
Building Permit No. 04-2904 —Subdistrict No. 156
Permission is hereby given to:
Property Owner: `
of address: 1 9733 r.FTTFRqE11RrF_R PIKE
t �� m .N, -t
Street Address
For property located at:
Lot No. Subdiv. 1�ttFt FHAROOK FRT&TF$• Phase Sec.
Owner's Agent:
Agent's Address: ' 07
PjjRG
Previous Owner:
Lateral with Mainline?
Fees Paid in Full? YFS
n 1 l
i
Q ,t
Residential EDU'S
Date Fees Paid �
Fee
$
<t1 5(}o Commercial EDU'S
WCSD Dist./Coll. System
Fee
$
Gal/Day Allocation
WCSD Ready to Serve
Fee
$
Building Number
WCSD
Fee
$
Utility Number
City of HAGERSTQWN
Total
Fee
$
t'`t'iAimn `i THE
Remarks (-TTY OF HAGERSTOWN
F 420 nn PRFPA T r'I f1WftiFR bdlj--'iWCSp
rr
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—�DANA TEMPLE Date: 94
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: 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 —
., WCSD Construction WCSD O&M
Permits Office Plumbing Board _
City of Williamsport
WCSD File
Plumbing Inspection., 0,
PRINTERS PRESS/7-92/5286
Protect No: PRJ94-0880
A`lvity No: 94-2904 J
Peit Type: RES - NEW
Job Address:
Location: S-91-054 US ORCH'
Parcel No: 039-02-0860-00042
7,oning Dist: RS RESIDENTIAL SUBURBAN
Applicant: OLI'IE'R JOHN R CO INC
19733 LEI'TERSBURG PIKE
HAGERSTOWN , MD 21742
Owner.: OLIVER JOHN R CO I14C
Contractor:
Status: PENDING
Applied: May 10, 1994
Approved:
Phone Number: 301-797-0000
301-797-0000
Description:
50'X34' 2 STORY DWELLING,FRAME CONSTRUCTION,FULL
BASEMENT WITH EXTERIOR STAIRWELL ENTRANCE,ATTACHED
2 CAR GARAGE,12'X.10' DECK ATTACHED TO REAR OF
DWELLING AT NOOK AREA,SHINGLE ROOF.
NORTHBROOK ESTATES,SEC A,LOT 42
Valuation: 135,000.00 Construction Type: STIC
Foundation Size: 50X34
TOP' of Heat...: HEAT PUMP
Pu -.LII Sewer...: Y
Public Water...: Y
Gas ............. N
Electric........ `1
New 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
Exterior. Finish.: BRICK/VINYL
Air Conditioning: Y
Septic...........:
Time Existed..:
Well .............
Time Existed..:
New Bedrooms: 003
Proposed Minimum by Ordinance
.239 ACRES
10,000 SQ FT
.239 ACRES
10,000 SQ FT
47.00
25.00
46.00
40.00
15.00
8.00
15.00
8.00
80.00
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.
REVIEWED BY:
g -,,j to, I qq4j-,
e—
ECEiQED
,JUN - 2 Iib
WASHINGTON COUNTY SANITY DISTRICT
WASHINGTON COUNTY. MD.
Project: A/OfR%A Gsr,125 Ca/>tcTics, -222757,~ S-2-0-2`66
ANk SANITARY SEWER LATERAI
CONSTRUCTION REPORT
Street (or location) : O'/*?c/{/O Di-, 0 e Lo7� ori Yz
Contractor: Fa.YT77fe1�I/E
I.,3Q261l30AZ
Date Installed 3 - s /- cf;;�
MH i%S's TO MH // S -G
Wye Sta. On Main z,,&57 4, -
WYE
SIZE-
TYPE PIPE
TYPE
r- 0.
DEPTH
CO.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
b"
r
Horiz. ' Total
s'
ST D.
8'xb"x g"
Pvc ti SOit`�6
t�.rasS
Slope + Horiz. = Tota:
NOTES:
DROP
Depth of Cleanout
Cleanout 3b Lt From
Loyed at 2- °/°
/V O Basement Service
MH # /i 6
at Flow Line
-L4-�S Cr
M H # // .Ss
c,or-Zr,l L0' #yz
Amounts pertaining to work completed this period. reviewed and approved.
13Y �✓/
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
0
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S 2