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WVASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: -----
For Property Located at:
Owned by:
Address: Box 82, Mau"ans,,7-' ' . - ;`4!t .t;"
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( ) Units Other .
Commercial Industrial
Meter Size __ Connection Fee Date Paid'
To connect to a public sewerage/waiter 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.
'-�D 3a Vkv<
PERMIT NO.
DATE
SUBDISTRICT
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: �p \JL, Date
4 - z- 9 47!
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Bo
Field Office
WASHINGTON COUNTY SANITARY DISTRICT
33 W. WA:HINGTON STREET
HAGERSTOWN, MARYLAND 21740
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at:
nwned bv: Address:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
(301) 791-308313084
To Main Line:
Units Other
Industrial
Date Paid
PERMIT NO.
DATE
SUBDISTRICT
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.
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
Final Inspection Made BY:
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Plumbing Inspector
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
Hagerstown, Maryland 21740
Final Inspection Made By: _ Date
DISTRIBUTION: Permittee Plumbing Boa
Field Offi
L. SAJoN 04'A
'2ASHINGTON COUNTY SANI'''_. DISTRICT '" SANITARY SEWER LAT& -:"J
UASHINGTON COUNTY, MD. I CONSTRUCTION RECORC.-
Project: Mauaansville/Orchard Hills
Street (or location): 3 5(7U �a12TI� m=T_# d -.•_.
�� V � l lace VYti� 1 l Dri vf.
Contractor : Calles Contractors , Inc .
Date Installed 5 Zi /(53
MH VZ -9 TO MH 13O
Wye. Sta, On I,]ain F -i- 1 �5 L
WYE
S7Z£
SIZE— !
TYPE PTFE
TYPE
C.O.—
DEPTH
C.O.
TYPE �
LI'�TEf t,L
EY.CAV.
LE NGT`!
LAYI(JC:
I LEP!GTI1
st
8"X0'7'61
Pvc,
S4-�
S�i2-2(v
NOTES:
Drop
1-7 LF.
Slope+ Harz=Totr.
4'+ I 1 ` = t S L.F.
�FrLo
Depth of Cleanout 5.�b� FIcta Line
Cleanout 14' From OF MAiq
Layed @ 2.0 __5 AF'7'laz Gitai
• 00 Basement Service
1,051
MH;;` 12 j
Amounts pertaining to work completed this
S Y _(%a.1N 1 VJ . 1=)'i G G
L1C35
(.H'` 130
period, reviewed and approved.
ConrPc.cLars hep.
AwG
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
SD##15
Contract No. SD15-1S
Property Address: O T 1 %o tu_--
M 1-1 12e) To M 4 130
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.
(n 090
0901
Z o (E45)
_ C31
rn
OD
1 MH SD 15-129 _ 8" SAN.
o [n 1 TT R/w
n T
01 rn C OD
_ cl� 1
t, _ ,�
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: 11 L+ Az - ---
-r� Owner
Owner
Attest: .
Us . Co. Sa itary EUstrict
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
33 West Wa
090 Ov'r)NuriA S*'
� �% /) S CGt // /'1'
9 / ocz.
COUNTY SANITARY DISTRICT
ngton 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:
Address
Signed,
._-Property Owner
Date ? i
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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:
Ok
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector �911ApQ
Date -'3 %-W8 i