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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 311 33 W. WASHIN ON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE 10/19/84 P.O. BOX 571 SUBDISTRICT NoTI 5 PERMIT TO CONNECT TO PUBLIC SEWERAGE/yam SYSTEM Maugaansvill®/Orehard .Donn E Permission is hereby given to: Barties ��J�ly- Hills For Property Located at: 12 South forth St., MaugaFlsy 1�; Maryland 21767 Owned by: john E tiarti es Address: P.O. BOX 67, Type of Connection: To Service Connection X Type of Service: Residential A Commercial Meter Size To Main Line: I ) Units Other Industrial Connection Fee $620.U0 Date Paid 101.19/84 To connect to a public sewerage/1= 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. 'V % 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 P umbing Inspector Date I i " q ^ n A 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 I Plumbing Board 4 Field Office 1 Date WASHINGTON COUNTY SANITAP DISTRICT WASHINGTON COUNTY, MD. Project: Maugansville Street (or location): !2 chard Hills SD1S-1- 13143 V1 I 1 SANITARY SEWER L„T&R. CONSTRUCTION RECORD e rn, it Dy. Contractor: Callas Contractors Inc. MH 3o 1 TO MH 3o Date Installed &oy Wye Ste. On f1ain 2+95[T-,� WYE SIZE SIZE- TYPE PIPE TYPE C.O.C.O.LATERAL DEPTH TYPE EXCAV. LENGTH LAYING LENGTH �x .. *Horz.= To PVC poc G, -&G VF Std. 1) P, 2G S ope + Hord Drop 29.50 L F j2,�� t 19.30 NOTES: 30 . q6 t- F' Qi. Z 1 Z�v Depth of Cleanout C.2 C ` SFlcu Line Cleanout 'Zy, i ' From ¢ or riA1N Layed C� S J4N KAu„j,D Basement Service MH ' 301 5i',24 C1 1.5 {tT o, MH,# 30L a n Amount/s� pertaining to work completed this period, reviewed and approved. BY 6 . 0 't. ZZ, —&- � WCSD Inapector ontractors Rep. Property Address: MH 301 to MH 302 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S 1 i S Nnrt h Ct _ 13 -74 3 _- Dwg. #601-039 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. X X if X ZZI R/W ,. w SAN. L MH SD15-302 g" SAS - r17 171 170 14173 I 11 fl m 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��-2 r�cal�i N T— Owner (Print) - Owner s Signature Attest: Was Co. Sanitar District (Form WCSC-1) Replaces Form WCSC-56 dto - ,r 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: 7n Pgoe r-KTY L itiF_ Address 2 Signe 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: Ca,,)fiituQ r:-- im - ©,,J -rHE 1lzfPiH of TNF tJ//�-z Requested by Callas Contractors, Inc. Approved by W. C. S. D. Inspector j, Date