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WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT NO. V1 DATE SUBDISTRICT 11T0.1..5 PERMIT TO CONNECT TO PUBLIC SEWERAGEIVjfU SYSTEM ' n ivy �n�vill� j Or�h�rd Permission is hereby given to: George ''lle�r For Property Located at: 2t3 -Sunrise Drive maugansyilte, Maryland ?17o7 Owned by: Aor ie S. Keener Address: kL 2, jjx 362, Ha j _r'stown, NO 21 «( Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee ( ) Units To Main Line: Other _ Industrial Date Paid To connect to a public sewerage/water 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. f � Secretary-Treasr 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 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Date y- 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 Plumbing Board 4 Field Off Date WASHINGTON COUNTY SANITAR'WSTRICT WASHINGTON COUNTY, M0. or SANITARY SEWER LATER;"i CONSTRUCTION RECORD Project: Maugansville/Orcherd Hills SD15-1-S /38a(e Street (or location): --;4� 5U, -)p, , 2 ,9r L170) � 1 Contractor: Callas Contractors, Inc.____ _ _ ______ _ __ !�:'"hc✓._ MH T9 M! f Date Installer' A2ooLl % 7, /§ 8 3 Wye Ste. On Main WYE SIZE- TYPE DEPTH TYPE EXCAV. LAYINU SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH r 6'' _sDlr Z P,1lC. r *Hort.= Total Z9.Ss �F a , NOTES: ope+ fior Depth of Cleanout y, s i ' Vlow Line Cleanout -z :Z. 8S' From (t o l /►1H 33 9 Layed 0 6, 75- bNKtJpLJA1 Basement Service MH' 3 L/ 7 TERNA. MH# 33`i Amounts npertaining to work completed this period, reviewed and approved. WCSO Inspector Contractors Rep. l 339 13Zau Property Address: '-2" Sunrise Drive -9% Washing..on County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Dwg. #601-068 MH Aja= � 7,D MY- --- 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. I FX 329 40� RJw _Q 3 N C •+ 470 (2131 �_ © F4J I I F0 MH S015-361 't 811SAN. -111 .. o y �— I T F H�--T•B. M. 30 I qj 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. F S, Date: ,���/d % � � �� .o2�g ' `• -- ' .._ —? wner (Print) Ow'ner's Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 ,q76 r!,,-2.3 Sutie i & z AP-. - ..� ,,p„ 3� Plan- call for lateral to be WASHINGTON COUNTY SANITARY DISTRICT 11 /ii 33 West Washington Street, Hagerstown, Maryland 21740a (301) 791-3083 To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Address .218 Signed Z o e&6— Property Owner Date i/ —i-' -73 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-1-5 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.�� c���. Approved by W.C.S.D. In:!Mp—ector Date 1-11 1A,93