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f y sv WASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT NO. 241 DATE - PERMIT TO CONNECT TO PUBLIC SEWERAGEMAXIMYSTEM I T>l ail yard Haven L Keller f 36AI x1118 For PropertyLocatedat: 3�1 SOUtiI id +h Street, wlau�ansvil.le, ',iaryland 2177 Owned by: Haven L. Keller Permission is hereby given to Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Address: P.O. Box 294, Route #4, Hagerstown., `.4D 21740 Connection Fee X Units $1,860.00 To Main Line: Other Industrial Date Paid 9 / 21/6 4 To connect to a public sewerage/vXMx 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. 1 Secretary-Treas re 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 r„ A A6--, Date 1 C) 2—,—A 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: Permittee Plumbing Board 4 Field Office 1 Date Date Installed 7- Z $ - 8 3 F1 l3/ TO MH; /3/-,4 Wye Ste, On Main�tQj UYE SIZE— I f-/AVEN L. Ke/%e DEPTH � :'ASHItIGTON COUit TY SAfJI '`Y("-57Ri-T J' . SANITARY SEl;E„ UASHINGTON COUNTY, MD.' 1 \\ CONSTRUCTION RECH�Z: LEN'GT4 LE NC T I! *Hort.= Total Project: Mauaansville Orchard Hills SD15-1—S Street (or location): 3J/ S. NokTi S7 -,e ET rr, 9 c-gyContractor: Callas Contractors Inc, w V1,11wif(Y III rive Date Installed 7- Z $ - 8 3 F1 l3/ TO MH; /3/-,4 Wye Ste, On Main�tQj UYE SIZE— I TYPE DEPTH � IYPE � EXCP.U. LAYIi-.0 _ SiZ.E _ - -- TYPE PIPE) 60.. PVC_ C,O,_ C.O. LATrRAL St, LEN'GT4 LE NC T I! *Hort.= Total pvcs.7y . SDR 35 Sok Z� 1 --- r'^`4IoPe+ Horz=Tota: Drop Z� NOTES: .o 5 + zo•Z5. _ ZT.Z5• g•. wgTt+� ,— — —/y-° g' Al q1A* J y s b 3EN� Depth of Cleanout 5.75/ C'Flow Line Cleanout ?1.0 From Layed 0 No Bascment Service C) +- VIHI."/51 C L€AA/oa T 14----1 Amounts pertaining to work completed this period reviewed and approved. S V !f', �' �. D .r. 1' rX P L. 1 - _. . , r-. - - . I ;2A 3HION CC ':T 5ANI&A r CISTH ICi Iwo UASHINGTON COUNTY, MDI SA.NITAFY SE;iLH LATE CONSTRUCTION RCCC:�^ Project: Maucnnsville/Orchsrd Hills S015 -1-S Street (or location): 311- SoUTW t�012T 6rrze�T C- AE 't 094 -�._. Contractor: Cal=.r %ontractcrs,_Inc. Cate install -cc— 54Z7/63 MH- 130 TO PIF! 1 3► Uye Sts. On Main 1+3'3.,5L WYE. Si7.E-• I TYPE_ DEPT H 7'YPi. j EXCAV. LAYI�;C: SIZE TYPE P.I'� C .0. C.O. �-1-^.TI:_RAL. 1i LENGTH LEMC. T H ` t." Pk!C 9.7�' ;t'd. i9.5 L.F. "'Hcrz.= Total 1G.G LF. I� 45 ope + H z=Tota D.o NOTES: -THIS &A -L -W IS SERV ICE -D -BY ON LINE MR 131-+-o MH 131-A -DUE TUt�?- EV IS Elm COwtSTR u cT l C)N ' SEE LATI= R,A.L_ 0SKEE i GAz * 094 -bAJ E -i) -7-2-B-85 -bLP Depth of Cleancut 13N '* 1 C)w E Cleanout_ 15.3 i rom 4- or LAME Layed C� 2 . YES ©nsoment Service 1 I X33.5 PIH ." 130 /' Amounts pertaining to Mork completed Lhis period, reviewed and approved. B Y W. 9L)i G L -r--_ WC 3u i r i ccr.or �f Contractors Rep. to 46 WhUe 46&144 A 9MUC WA -To Q W 46alm UMOW ` �6 ~ oi4wr Washington County Sanitary District Property Address: rru l zn +-n MN I'll SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Dwg. #601-037 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. 0 95I 096, 0 (2X (2 OX) II 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: t� i Attest: (Form WCSC-1) Replaces Form WCSC-56 A ,WASHINGTON 0 0941 (.3y>) Si, R/q n 5 Call ,evr L'zfera / 6,0. COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Callas Contractors, Inc. t - I hereby request the contractor to install the lateral in accordance with the following conditions: e� T -to" l j -Z40 4w- /6 � a -- Address e ; •-n e„ Property Owner Date 31 ? 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: �YYI �_.�✓ . _....,,.. /JC n in�� � (� �.f tet. �/ (? � � 16 <'Ap Requested by Callas Contractors, Inc. Approved by W.C.S.D. Inspec Date