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WASHINGTON COUNTY SANITARY DISTRI .-.((-1
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit Res Sewer Permit No. — SCP 150- 1079
Subdistrict Name Maugansvi l l /OH Issue Date 11/01/90
Mainline Contract No. SD -15-1-S Void Date
Building Permit No. 90-2309-2220 Subdistrict No. 15
Permission is hereby given to: '�
Property Owner: James Ebersole Q �� s
of address: _— 121 N North Street
MaugansviIle MD 21767
For property located at: 121 N North Street Street Address
Lot No._ Subdiv. Maugansvi 1 1 e Phase—Sec.—
Owner's
hase Sec.
Owner's Agent:
Tam b
rQo 1 P
Previous Owner:
Agent's Address:
1 27 North
North Street,
Maugansvil le, Md
Fees Paid in Full?
yes I
Lateral with Mainline? yes
Date Fees Paid
10/10/90
Residential EDU'S 1
WCSD Dist./Coll. System
Fee
$ 1500
Commercial EDU'S
WCSD Ready to Serve
Fee
$
Gal/Day Allocation 200
WCSD
Fee
$
_ Building Number 1
City of Figerstown
Fee
$ a�n
Lateral Contract No. 17-749-5
Total Fee
$ 11910
Remarks �d. i t i o„a 1
EDr? tC, oxist
ing Amount
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permit does not supercede any local ordinance that is in effect with regard t. \ road excavations, plumbing permits, etc. ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNEFVAND ALL RESPONSIBILITY CONNECTED
THEREWITH REMAINS WITH THE PROPERTY OWNER.
Signed: Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3072 / �% ,
Inspection Date: 1-zz'gl Plumbing Inspector zZ
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
WCSD Inspector (Lateral) —
WCSD Inspector (Connection)
Distribution: Permittee City of Hagerstown —
WCSb Construction WCSD O&M
Permits Office Plumbing Board
City of Williamsport
WCSD File f
VT
Plumbing Ins y
RPFE78222 6 1991
WASHINGTON CO
SANITARY DISTRICT
os �„ ///s � rlr >� i► ar rs � � as as as a� FIs ttr
CONSOLIDATED BUSINESS FORMS. INC. - HAGERSTOWN. MD 21740 GOOD BUSINESS IS A MATTER OF FORM!
COUNTY COMMISSIONERS FOR WASHINGTON COUNTY
PERMIT APPLICATION & ZONING CERTIFICATERMITN
-a 0 -aaa�
DEPARTMENT OF BUILDING PERMITS &INSPECTIONS DAILISSUED
33 W. Washington Street, Hagerstown, Maryland 21740 • 791-3070 r I� U
JOB LOCATION
O
C
F
O
SUBDIVI ON NAME/APPROVAL DA
LOT NO.
SEC. NO.
PLAT NO.
TAX MAP
PARCEL NO.
ZONING
A
T
R
MM1V-
TWO
MULTI
FAMILY
BD OF APPEALS
BUILDING
�B�LOCINO
:ALTERATI
I
0
A
ACCO`(U,'�NTn/NO. IMPROVEMENT
ELECTION DIST. LIBER FOLIO
ACREAGE LOT SIZE
N
O
1� 1
HEALTH
Nni-I
1 L.
DEPT.
PHO ENO
p
LOT TRACT AREA
P PE TY OWNER(S)
W
PROPOSED MIN. BY ORD.
ZONING
1
LOT AREA PER FAMILY
N
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY ORD.
E
R
/
I
F
PROPER 0 ER S) ADDRESS
CITY
STATE ZIP
E
C
O
R
R
r c(fe
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY ORD.
PHONE NO
N
A
CONTRAC OR'S NAME/OWNER REPRESENTATIVE
RIGHT SIDE YARD
SPECIAL
PROPOSED MIN. BY ORD.
T
R
T
ACITY
C
I
N
CONTRACTOR'S ADDRESS
STATE
ZIP
HOME IMPROVEMENT L
T
0
RIPTION OF WOJK ` en 0 ',� - 1',� j O I *c lr) e
I �11/�Iln` ii��Y 1 1i1�1 v C t 1
1 E
S+ ru 1�
v V" w�o�
EST. VALUE
o�
D I
` IS and nk'" f I oUr
PERMIT FEE
X20
R A
_ .�
�/1�
N j_ic"nc� residence 'In
1'
0P
A
151 0pd 2rid -R00(
B
T T
I I
BEDROOMS EXTERIOR FIN. FOUNDATION SIZE
PORCH SIZE
GARAGE SIZE CARPORT
SIZE
DECK SIZE
O O
N N
EXIST. TOTAL
NO. FULL BATHS
NO. HALF BATHS
UNITS
SEVER
❑ SEPTIC
GAS
ELEC.
TYPE HEAT
C
PU LIC
I FXATER
PRIVATE
❑ WELL
Z
O
N
I
N
G��
D[
S
I
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E
L
CAUTION
I have carefully examined and read this application and know the same is true and correct, and that in doing this work, all
provisions of Washington County Regulations and State Laws will be complied with, whether herein specified or not.
I further understand that to begin construction before a building permit placard has been issued and displayed on the job is
a violation of the law. A Use and Occupag;y permit must be received before permitting occupancy.
0
DATE
V
AGENCY
NAMES
D
APPROVALS
NEW
ADDITION
N
ONE
TWO
MULTI
FAMILY
BD OF APPEALS
BUILDING
BUILDING
:ALTERATI
FAMILY
FAMILY
REFERENCE
DEPT.
NON RESIDENTIAL DESCRIPTION
RESIDENTIAL DESCRIPTION
HEALTH
DEPT.
LOT TRACT AREA
OFF STREET PARKING
PROPOSED I MIN. BY ORD.
PROPOSED MIN. BY ORD.
ZONING
1
LOT AREA PER FAMILY
LOT WIDTH
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY ORD.
0
FRONT YARD SETBACK
REAR YARD
FIRE
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY ORD.
MARSHAL
LEFT SIDE YARD
RIGHT SIDE YARD
SPECIAL
PROPOSED MIN. BY ORD.
PROPOSED MIN. BY ORD.
CONDITIONS r
N 'YARD SETBACK BUILDING LINE VERIFICATION
LOT SHOWN ON SUBDIVISION RECORD PLAT NOTED ABOVE AND APPROVED BY PLANNING
COMMISSION REQUIRES GREATER SETBACK OR YARD REQUIREMENTS THAN MINIMUMS PRE -
N SCRIBED BY ZONING ORDINANCE.
F ❑ YES ❑ NO ❑ NOT APPLICABLE INITIALS
O
Ft Fr F S ba c
T SC(�- ISb- /()7
Io
tOcsV Acct .tf /7_7ya
N
WA I f 1%
WASHINGTON COUNTY SANITARY DISTRICT
N APPLICATION FOR SANITARY SEWER ALLOCATION
Subdistrict No. 15 Date /D 3o�9U
,,,,,r.— APPLICANT:
Name �aF
Address
1 co
Phone -12qo � q G-
OWNER: (If other than Applicant)
Name
Address
Phone
X DEVELOPER: (If other than Applicant/Owner)
Name
Address
Phone
PROPERTY TO BE SERVED:
Property Map/Parcel No. Acreage Zoned
PROPERTY LOCATION INFORMATION:
MnL)/
aPROPOSED DEVEMENT:
A. Residential
Type of Unit(s) Number of Units�2
B. Commercial
Type Floor Space/Number of Employees
gpd Process Waste
V C. Industrial
Type Number of Employees
gpd Process Waste
PROJECTED OCCUPANCY: (Date or Number of Years)
Initial / Total
NOTE: Acceptance of this application by the District does not
guarantee sewer service nor does the date received neces-
sarily establish any priority relative to service.
FOR SANITARY DISTRICT USE-- Estimated Flow
,ow- Service Area Affected
Remarks:
Approval Date Contract No.
Approved by
Alow
WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. NO �br
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE '� f
t P.O. BOX 571 No
- 15
-,aUgar$vir1� and
PERMIT TO CONNECT TO PUBLIC SEWERAGE SYSTEM Fills
Permission is hereby given to: t e t elbaugb 138210 -
For Property Located at:
1 i art t sri; r et," .Haug-,- F°aYi i I Maryi�f� '11 G
Address: P .I qn 37, Ma W) -2>17"
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other
Industrial
• Date Paid
To connect to a public sewerage/NNW 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
- r
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: Date1�21
2
Plumbing Ins for
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
Fie
Plumbing Board 4
Office
Date
WASHINGTON COUNTY SANITAR STRICT
WASHINGTON COUNTY, MO.
Project: Maugansville/Orchord Hill,
Street (or location): / Z/
SANITARY SEWER LATE ;;a
CONSTRUCTION RECGRu
SD15-1-5
Gq z V//0)`}v '-n► l ( 'Dr.
Contractor: Cabs Contractors, Inc. )�92
MH 3o S TO MH 3 2-7—
Date
7Date Installec,, //- /9. 83 Wye Ste. On Main 0*50.6, Lv-
WYE
Si%E
SIZE—
TYPE PIPE
TYPE
C.D.
DEPTH
C.Q.
TYPE.
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
*Horz.= T
$'X&'x all 6 ' Pvc- PVr_ S. 3 /
St l
Sr>2 35 SAe Z(m
ope + Horz=Total
i Dro p
/9. ys
NOTES:
R AiAIN ..-/
Depth of Cleanout 5.3/ CFlow Line
Cleanout /S.Zo' From ,- ,4,9,;v
Layed Z . �° 4 f TF -R- Dkop
Alb Basement Service
ZifSo. (. c
lYIHri � 3o
S
MHAF 3 0 7
Amounts pertaining to work completed this period, reviewed and approved.
By
WCS[U Ina ctor f�on"r ctors Rep.
j a �
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
Ids 13KV
Property Address: ---
MH 305 to MH 307 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
•
C
C
SAN. a" w _ -- - - — c
c
R/w — f
I
F590,000,
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: �, i� z
At t e s A aV
Wash o. Sanitary
(Form WCSC-1`�j
Replaces Form WCSC-56
strict
/� i
... '*N
WASHINGTON, COUNTY SANITARY
33 West
// 9 {AT) I1/o,eth S 7;
Iola n s Ca /l FVz
Z -O y-2'ea / 4�-a he
DISTRICT q /z F7,
ton 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:
�Ij
Address dg aA �11 � iL
Signed
Property Owner
Date Y 42±� 'y - � �)
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:
Requested by Callas Contractors, Inc.
Approved by W.C.S.D. Inspector
Date