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WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
i Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit
Res Sewer
Permit No.
Subdistrict Name
Mauganvi1l /OH
issue Date
Mainline Contract No.
S-150-276
Void Date —
Building Permit No.
90-2106-1890
Subdistrict No
SCP 150- 1076
1 /1 / 96
Permission is hereby given to:
Property Owner:
Emmy Quality Crafted
231 E. Potomac Street
of address:
Williamsport MD
21795 j25i
For property located at:
Paradise Church Rd
Street Address
Lot No.
Subdiv. Fountain Head North
Phase 1
Sec.
Owner's Agent:
Emmy Quality Crafted Homes
Ass
Previous Owner:
Agent's Address:
231 E. Potomac St, Williamsport, MD 21795
Fees Paid in Full?
yes
Lateral with Mainline?
yes
Date Fees Paid
7/23/90
Residential EDU'S
1
WCSD Dist./Coll. System
Fee $ 1500
Commercial EDU'S
WCSD Ready to Serve
Fee $
Gal/Day Allocation
200
WCSD
Fee $
420
Building Number
1
-� City of Hagerstown
Fee $
Lateral Contract No.
_Total Fee $ _ 1920
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 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,RPMAlyS-lNITH THE PROPERTY OWNER.
Date: % 1&: "
INSPECTION: At least 48 hours notice prior to requested date is required.
`\ H ON SITE INSPECTION will be made by : Washington County Plumbing Board
\ e Washington Street
Hagerstown, Md. 21740 Phone: 791-3,(9
Inspection Date: �- - f Plumbing Inspector rJ e v_
J OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date: WCSD Inspector (Lateral)
Inspection Date: WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown City of Williamsport
WCSD Construction WCSD O&M WCSD File �17
Permits Office Plumbing Board Plumbing Inspe y
a
FEB 2 5 1991
WASHINGTON CO
SANITARY DISTRIC'
Id
CONSOLIDATED BUSINESS FORMS. INC. - HAGERSTOWN. MD 21740 GOOD BUSINESS IS A MATTER OF FORM,
COUNTY COMMISSIONERS FOR WASHINGTON COUNTY
PERMIT APPLICATION & ZONING CERTIFICATE PEP�]� "�
DEPARTMENT OF BUILDING PERMITS & INSPECTIONS / 7 1A I 1SSOf6
33 W. Washington Street, Hagerstown, Maryland 21740. 791-3070
I JOB L/O�CATION P'./J l
0 F _� / ,- 3 I (/� r C(_' �r .S 'E - /C C� I(
C R SUBDIVISION NAME APPROVAL DATE /fT
A M
T
IT
0 I -- ACCOOW No
N 0
N
O SEC. NO.
PL N0.
TAX MAP BLOCK NO.
T PARCEL NO i ZO
MULTI
BD OF APPEALS
N
BUILDI G
IMPROVEMENT
ELECTION DIST
LIBER FOLIO
ACRFAGF I OT
T
D
N
0 PROPERTY OWNERISI 1/�• ( L j G
N I �'�.iV�. (�ll�l-,l Ll1 ` rcf.K `e J
R F PROPERIv OWftIS DDHESS CIIV
0 2S4
N A ��ONIRACTOR
S NAME OWNERS REPRESENTATIVET T
R
C N CONTRACTORS ADDRESS CITY STAT
T
0
SIAIE ZIP
N� j X1795"
NIpLGSI
7GS�1.7f
I4—
`_ NO
PHONL NO
_-_-- - - - -- ZIP - - HOME IMPROVEMFNT III- r,
FA
N•0 FULL BATHS NOH FBATHSI UNITS L SEWER ❑SEPTIC GAS
I`-- % !- ------ -- h P PUBLIC E317A- PRIVATE
L1`A,ATER ❑WELL
Ems-
�% s9�,
! PERMIT FFf
5
DECK SIZE
TYPE HEAT AIF
CON[
CAUTION
I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all
provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not.
I further understand that to begin construction before a building permit placard has been issued and displayed on the job is
a violat'on:'
on of it law. A Use and Occupancy permit must be received before permitting occupancy.
�',
DATE
PPLIC T'S SIGNATURE
AGENCY �-----.-_-. 1;AMES
O
NEW
DESCRIPTION OF WORK
TWO
MULTI
BD OF APPEALS
N
BUILDI G
'!rAMILY
FAMILY FAMILY
RFFERENCE
D
N
lG.c. r
NON RESIDENTIAI. LIF SCHIPHON
S
F
C
0
OFF STRFFT PARK ,
O_
Q
��RU SLD MIN I"':111,
1'14UP11`,L0 MIN 111,11111
S
J R
0 I
R
M
7OPDSED MIN Hv OND
PROPOSED MIN BY ORD
T
FRONT YARD SETBACK
B P
T
I
A
T-
IFB�D-ROOMSEXTERIORFINN
PR POSED MIN Hv ORD
PROPOSED MIN BY ORD
1 FOUNDATION SIZE PORCH SIZE
GARAGE SIZE CARPORT
RIGHT SIDE YARD
NT
TOTAL lip,
PROPOSED MIN By ORD.
L
—T --
FA
N•0 FULL BATHS NOH FBATHSI UNITS L SEWER ❑SEPTIC GAS
I`-- % !- ------ -- h P PUBLIC E317A- PRIVATE
L1`A,ATER ❑WELL
Ems-
�% s9�,
! PERMIT FFf
5
DECK SIZE
TYPE HEAT AIF
CON[
CAUTION
I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all
provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not.
I further understand that to begin construction before a building permit placard has been issued and displayed on the job is
a violat'on:'
on of it law. A Use and Occupancy permit must be received before permitting occupancy.
�',
DATE
PPLIC T'S SIGNATURE
AGENCY �-----.-_-. 1;AMES
O
NEW
ADDITION ALTFRATIONI ONE
TWO
MULTI
BD OF APPEALS
N
BUILDI G
'!rAMILY
FAMILY FAMILY
RFFERENCE
NON RESIDENTIAI. LIF SCHIPHON
RESIDENTIAL DESCRIPTION
N
I OT TRACT ARFA
OFF STRFFT PARK ,
O_
Q
��RU SLD MIN I"':111,
1'14UP11`,L0 MIN 111,11111
S
-�
LOT AREA PER FAMILY
LOT WIDTH
7OPDSED MIN Hv OND
PROPOSED MIN BY ORD
T
FRONT YARD SETBACK
REAR YARD
E
PR POSED MIN Hv ORD
PROPOSED MIN BY ORD
P
LEFT SIDE YARD
RIGHT SIDE YARD
PROPOSED MIN By ORD
PROPOSED MIN By ORD.
L
N
*YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE -
N
SCRIBED BY ZONING ORDINANCE.
F
❑ YES ❑ NO ❑ NOT APPLICABLE
INITIALS
R
A
T
I
O
N
5�
- 1ST
BUILDING
DEPT
HFAI TH
DU' I
ZONING
0
FIRE -
MARSHAL Win,
SPECIAL T A` +'-Y 3' • r+` ��,,.
CONDITIONS
OCT 1 1� `0
M A Y MST.
�.
DA' -
WASHINGTON COUNTY SANITA90ftOISTRICT
WASHINGTON COUNTY. MD.
,.f,k SANITARY SEWER LATER/
CONSTRUCTION REPORT
Project: Q'JT r/'/ A0rm 56(S--�-27C0
Street (or location): i o t 3�/q f �2�ts� C*J2cA
Contractor:V0cwTIZAITO(LS
}X} �(�-TTE -IL.LE--
MHS l - 077 TO MIlb/C-/07r3
Date Installed - - 5 Wye Sta. On Main 17- S2M . 6 4 I'd
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. C.0. LATERAL LENGTH LAYING LENGTH
/%V(' / Horiz. ' Total
ST D. � 0 i IS,—
NOTES S/__
NOTES
Slope + Horiz. = Tot(
DROP A/A /04
Depth of Cleanout �� TE*'�>• at Flow Line
Cleanoutl,r _From��
Loyed a 11� 0A
IQ A —Basement Service
S-rA. 0+ lo
MH #
SDU- l07
MH#
5,N5-/078
Amounts pertaining t work completed this period, reviewed and approved.
BY
CSD INS CTO ONTRACTOR'S R RESENTA
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS - i