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IASHINGTON COUNTY SANITARY DISTRICT
33 w. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO. 441
DATE
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEW ERAG EP#XMSYSTEM I i.. _.;Ville Orchard
Permission is hereby given to: ('ons i n c e io- d r k i ,i s gn
i rl 1'33 Hills
For Property Located at: Reiff Cnaaen - Road
Ownedby: Constance Parkinson Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Rt 6, iox 169F, ,1age;,stown, MD 21746
To Main Line:—
Units Other
Industrial
,620•00 Date Paid
2/11/%66
To connect to a public seweragelVi3M system (with proper abandonment of previous private system). The installation
of 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.
Secret ary-Treasur
1
Building Permit No
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
Permit Fee
Final Inspection Made BY:
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspe r
Date
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permittee 1 Plumbing Board 4
Field Office 1
Date
'::t,SHi,dGTON COUiNTY S! NITAfA* ISTRi�T rr,.NITA Y S;_W ;'. L?,Yc=
UASHINGTON COUNTY, MD. CONSTRUCTION: ZCCCi;
Project: Mauonnsville/Orchcrd Hi'ls SD15-1-5
17933 Re- f� Churl jZolt.-1
Street (or location):_ 2.r 4 Sox I(,9 F GAz z35
Contractor: Callas Contrartors, Inc. --_Cnn
J. -AT. 007' 0ArNiH TO MHAJ14
Date installed� 1 13-- $a Llyr Sta. On 'Main 3+54
LIY SIZE- J TYPE DEPTH 1 TYPE j CXCAV. LAY1iNL:
. 1 3
5-1 7E z T��Pt-ni(,C C,D. C.O. L^TIRIL LE --- - �-,,�Ti, —..
- - .._ i_ E AN 4
�- - -
O•Ar of G" PJL *Hort.= Tc'tal
r414 3 8 C Sog_ ZL PSG $. 5 8 vF St I d . 31.33 LF &F
30.83
Two -F-4AA, cE.oRcs QG.Jov6o J 1`51upa+ Hcrz=
C-vL V%.0 A..(.. e.EP LA J Viejo Drop
NOTES:
G.o.
L�
Z S. 83 -
Depth of Cleanout A, ss v' Line
Cleanout 28.83 `r From .►��+ �.__�.._. ___
Layed 0
• /�y Basoment Service
s.»q�
OEJQ �"�i d p
MH;l 385 TERM
srI4 3t S4
Amount- pertaaini�g to work completed this peri d, reviewed and approved
8 Y �m d _ �'_s ._ .
WCSG inspac�tor Cont: -actors Fep.
(,A1WL, I MYO M 0
M� (o
� CO
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
i -I9-33 Contract No. SD1 5-1 S
Property Address: F Reiff Church Road
MH 385 to MH 386
Dwg. #601-061
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.
--; R/W --#—
own—
MH SD15 386 8� SAN
+--- R/
i 6WE L-ATERAL
rteroee-k) 041"t
r-
235
(RT 6 BOX
'I 169 F)
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: jj�" 10 ) --
av►�er K.irt Son _
0 r (Print)
Owner's Signature
Attest: a
Wash. C . Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
�3S ,e T. G Box /6 q,or)
A-6-
9 FT. � EElo
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:
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. Insp ctor
Date
t