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WASHINGTON
33 W. WASHINGTON STREET
P.O. BOX 57_1
COUNTY SANITARY DISTRICT
HAGERSTOWN,MARYLAND 21741-0571 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAG9NA14;i SYSTEM
Permission is hereby given to: Kenneth M. &
For Property Located at: 122 North Main-
Owned
laln
Owned by: Kenneth Vi & Barbara Address
R. f=oster
Type of Connection: To Service Connection _�_
Type of Service: Residential
Commercial
Meter Size
ara R. Foste,
t / 3g
122 I.'. Main Stree;.
To Main Line:
) Units
Other
Industrial
PERMIT NO. 434
DATE _
I&UBDISTRI No. 15
ugar�Wlercnard
Hills
Connection Fee $620,00 _ Date Paid_ 2/1/$5
To connect to a public sewerage/vsystem (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.
+ dJ
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: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plum ng Ins ctor
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 1 Plumbing Board 4
Field Offi
J
Date
WASHINGTON COUNTY SANITARI STRICT Am, SANITARY SEWER LATERI.;
WASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project: �laugansville/Orchard Hills SD'1 F- 1–S 1 3Ufl
Street (or location):_ / Z Z N. NoQTH S7R��7 �G� /' $ 7
Contractor:Cis Contractors Inc.
MH 3o7 TO ISH —�
Date Installed L3��e "eta, On ficin e Poo'
iNTo M q 3071
WYE SIZE-- TYPE DEPTH TYPE EXCAV. LAYING:
ZZ.E TYPE PIPE C.O. C,O. LATERAL LENGTH LENGTH
J *Hort.= T al
NbNt
NOTES:
to " pvc I
rVSt'
.'
c 58�
SDR Z
Depth of Cleanout S• 84 1DF101.1
Cleanout Zz.8o From MN # 307
Layed @ V e p�reQ neop
Nd Basement Service
H1H,;` 3 o S
Drop
wA TUL-
g% MA )Ad
ys* 13X-AYDS
,75,o f 5 o'
C C CAN o Lt 7
C LE.gvi9AvcC
ope + Horz= i o
+• iS.00: Z7. S5
Line
2700
Amounts pertaining to work completed this period, reviewed and approved.
1
B Y�
Cl WC 57 IWs" pcctor
/ r7 .,... i +r r, ....
51
LM69AL 1 N'tD14�? lnn ��ei �0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address:
M14 -�,6 4 MH ,07 Dwa. #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.
Et
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 -2 AZ �►4'RbYj YaoS�eR-
owner (Print)
Owner s Signature
Attest:
Was �CoSlanr���trict
(Form WCSC-1)
Replaces Form WCSC-56
is6� �iaa) Maeth sz;
/'la n s Coil Aar
,_/a, Cera / ®
• i� F
"- WASHINGTON COUNTY SANITARY DISTRICT
11 ►► _
• II
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 -/9 a
Signed `i• `�-
Property Owner
Date `f Re-"-cA�- \ 5 ; t`1 '� 3
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:
UM D Y ►7rueW L kJC-- WILL riZAWO QM OU4,yo IM(o Uu(,Pe--W WkTL-2 HAOJ .
Requested by Callas Contractors, Inc.
Approved by W. C . S . D. Inspector (�C� W.
Date 3 /18 /8:D