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/'-Vj,.\SHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT NO. 9 1 ) DATE 11/21/36 SUBDISTRICT NO' " PERMIT TO CONNECT TO PUBLIC SEW ERAG EIWATER SYSTEM Q iii a ug an S:V 1 ! ! / u, C it a 1"d Iii i I y Permission is hereby given to: Leona id L. rief sen �3�OID For Property Located at: 17 N. North Street Owned by: Leonard L. Hens©Il Address: 17 IT. Nortil Street, Maugansvi i l e, •1b 2't /67 Type of Connection: To Service Connection Type of Service: Residential A Commercial Meter Size To Main Line: 1) Units Other Industrial Connection Fee $620.00 __ Date Paid 11 /'21 /85 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, Building Permit No. i i Secretary -Treasurer _L.-�� P -V of . C ` 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: Final Inspection Made By: DISTRIBUTION: Permittee Plumbing Board Field Offi Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date '..'nSHINGTON COUNTY SANITAO^ DISTRICT UASHINGTON COUNTY, MO. Project:_ Maugansville/Orchard Hills SO 60 1–S SANITARY SEWER L„TEy ? CONSTRUCTION RECORD Street or location): I3Mu V llcza f YYl; t! lir, 7 IBJ. 1y n R 7" is (-, Ai r Contractor: Callas Contractors Inc, MH 3o Z, _ TO ISH 3,Q 5/ Date Installed (5cT Z7 iS WYe .Sita. On Main.2- L, r � WYE SIZE– TYPE DEPTH TYPE EXCA1�. LA IPdC S7iE TYPE PiE'Ev C.0. C.0. LATERAL LENGTH LENGTH S 6'' 4c �Horz,= Tota 6 Cosi' S V F St'd. XS S �J2 2� rRO,) Drop S ope+ Horz--Total NOTES: 15.90 LF .83=O g, I7.t- G.83-- 0 © (. F Depth of Cleanout 8' CF'lo+w Line _...�..�.._� ... Cleanout /0.q ' From t pF riiA1/u j_,NE -- --~w�- Layed @ 3 -Ye-s Basement Service MR' 302 SrA s +.Zo Z l LT �7H:;' 30il y Amounts pertaining to Work completed this per od, reviewed and approved. 13 Y ¢e WCSD Inspector � ►----�—�---�---- Contractors Rep. r *AV'` ,.•. AMWA ('I st 5 R N ZN LksE Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: MH 302 to MH 304 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. U) O 0 o Z Q c� Z Q OD 1 10P.1 _ — J L /Wr 8SAN. MH SD15-302 8" SAN. N rT r 73 - H7? � � I -_1.71 -- - -1.70 . � U _ I69 I _ 1.68 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: X, / Owner (Print) 7 weer s Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 C7 0 T1 1 W WU) 10P.1 _ — J L /Wr 8SAN. MH SD15-302 8" SAN. N rT r 73 - H7? � � I -_1.71 -- - -1.70 . � U _ I69 I _ 1.68 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: X, / Owner (Print) 7 weer s Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 / ' /�► �WA, 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: Address Signed oper y weer Date Q 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: Requested by Callas Contractors, Inc,��� 41)• Approved by W.C.S.D, Inspector Date le -105--19-3 A wk ''o, Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD7--ru15 Contract No. SD15-1S Property Address: 17 N. North Street MH 302 to MH 304 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. 0 lo •dam' -JCI �5 F�o v �14 112 ✓ N� rn/V (17) a0 0 /x N r 173.7 -1 r---172 11; � I !1�-L-171 _1 ___(`_170'`1- i� I.1'691 i r _ 168 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: 2�- Z L /�' N S O A/ Owner (Print) Owner 's Signature Attest: k.I a Rd J� E Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56