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WASHINGTON COUNTY SANMT RY DISTRICT
33 W. WASHINGTON STREEI
P.O. BOX 571
H AG ERSTO W N, MARYLAND 21741-0571
(301) 791-3083/3084
PERMIT NO.
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAXER SYSTEM SUBDISTRICT 15
T
x Batu-,atffiville Orcnatrd
Permission is hereby given to: Irvin S Hills
For Property Located at: martin Road
Owned by: f r v f 0 2 a e r Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other _
Industrial
Connection Fee $620-(W _ Date Paid _
To connect to a public seweragel�t$r system (with proper abandonment of previous private system). The installation
of the connection and the aban onment 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.
Secretary -Treasurer
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:;�� ��3 ���L�a,! Date i
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Final Inspection Made By:
DISTRIBUTION: Permit
1 Plumbing Board 4
Field Off
i
Date
'U:�%SHINGTON COUNTY SANIT^ DISTRICT ^+ `f'� � rp c cn L TEF",
�! F.i�l 1 Yif\Y JEL;�„ Lh � Ci'.•!..
UASHINGTON COUNTY, MD. CONSTRUCTION! rRECCi;1'J
Project: Maunansville/Orchard Hills
Street (or location /�1 rr 15301 S�►0.w12y Dr;v�
q lzTz N R rl Gf1� 5"ZR Rox
Contractor: Calles Contractors, Inc.
MH Z 6 _TO MH
Date Instailec' T 3o.gQ . Wye Ste, Oil Miain 0tJ2,s 1�'
WYESIZE— I TYPE DEPTH TYPE EXCAU, __.._ LAYIi;i
S-IZE TYPE PIPE C.O. C.O. - LATERAL LENGTH LENGTH
co, N 6 P. CAST IIJJ *Horz.= Tota
i` a 56R - Z6 TRo&) St'd.
NOTES: Drop
8" Pvc,
5EW ck
LA
'Slops+ Harz=Tota
i
/ f. 77'
Depth of Cleanout q.pp ` '-F'T.oul Line
Cleanout /SFrom 4 Or' M6 N L INE - -- -- -.y-.--,__-�--
Layed 0��e
tA,NKNOQAy Basement Service
M H;'' 1 2 6
11
�STA�pt lam; 5" R
C.p
MH'= /Z7
Amounts pertaining to work completed this period, reviewed and approved.
B `'2'UCSD
7 c c t o r -- �--�Lo n "`fes
tractors Rep.
J, f 1
51
EA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: Rt. #6, Box 260 Mart,, n^aa
MH 12� to MH 127 Dwg. #601-055
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.
�� 8•s ° FH
8.. w
MH SD15-126 8`. SAN _M H
00
528
BOX 260) i I (2 OX
T.
_ — >
I' _ J
I I
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, /S /982 t — L % A � 19
�-'O n6' -Print –._-
Owner's signature-
--Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
(,e7. A7 OJT Z 4: o
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:
F T.
Address
Signed
Pro ertf Owner
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD1 5-1-S
Gentlemen:
We hereby request permission -IL-.-c 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 Con
Approved by W.C.S.D. In
Date