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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 567
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571 DATE r) '• i ''Q
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WkTf9 SYSTEM M3LIl6ansv1 lle/0rChard Hills
Permission is hereby given to:
For Property Located at: 153 Showalter Road iI L Q2.1
Ownedby: Kar! P. Weber Address: 133 Showalter Aoad, Haurstnwn, Nip
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee X620.00 _ Date Paid I -2
To connect to a public sewerageFjQ[MXsystem (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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No
Pa " a - h�e41
Secretary -Treasurer
R��
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
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing Inspe r
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 Plumbing Board -
Field 1 Office _ 1
Date
City of Hag. 1
':ASHINGTON COUNTY S11,N11TNRY PIISFRICT
UASHINGTON COUNTY. MD. Aakk
SANITARY SE;�;:? LI"TE=
ONCONSTRUCTION RECC;;I
Project: Maugansville%Orchcrd Hills 5015--1-5
/K0121
Street (or location) : v45; - SfbwHc.TER /00190 GA2 05,ff
Contractor:, Callas Contractors, Inc, t'nc' a1
Date Installer' 4- 25-8¢
MH
397
-TO MH
400
W; e
Sta .
On Main
WYC
5_1 __E
SIZE--
TYPE PTP[
I TYPE
C.O.
DEPTH
C .0.
TYPL j
LATERAL X11
EXCAV
LENGTH
LAY11"L.:��
�x 6x8
PvG
5.0 Fr.
S t' d .
� . O .
SDR Z!o
5DR.2(a
3$•O
NOTES:
Drop
`Slope + Horz= i
c M:m C.0.
Depth of Cleanout 5.0' rf low Line
Cleanout 32.5$' from COF"--
Layed 1.0
VWKNOwN Basement Service
MH ;397 �-LAr. �Ot ) 5R, MH# 40.0
Amounts pertaining to Work completed ti,is period, reviewed and approve
By
UCSD Inspector Contractors Fe
17— . I!^--..."
!r"
Property Address:
MH 397 to MH 400
4t, C. W,
00W. '"1#4
Washing,,n County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
I R)a i Contract No. SD15-1 S _
-1-53 Showalter Road
Dwg. #601-072
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.
DMH _ S 397
LINE of THROT OF WAY
H1GHWAy
8 "<`SqN
2w
ooQc40
I
x_ _
I
544 1
(153) -
aFF
I C 7-7�L-Tj -
%
CONTROL
7. SS-601PLAN
_090
IN SPEC IFI Cq TI ONS
ROHT�OFT�
NUMRFpL- _
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:
fluq(-P1S 6 . -k4c-41 (1 S
Owner (Print)
C�
Owner's Signature
n
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Owl 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:
1
Address -
Signed titin
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 v S . D, Inspector
Date