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WASHINGTON COUNTY SANITARY DISTRICT
+ 33 W, WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
SUBppISTRICT No. 15
Mauga___ S"ie/Oreha.rcTI is
PERMIT NO. 9CII5
DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIYSTEM
Permission is hereby given to: Aii n d u J y e r
For Property Located at: 136 North North Stree
Owned by: `know boyo ' Address: P -O- 13ox 353, tlaUgansv i l l e
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units
62U.UU
To Main Line:
Other
Industrial
Date Paid
To connect to a public sewerage 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.
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
Plumbing Insp or
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: Date
DISTRIBUTION: Permittee 1 Plumbing Board 3
Field 1 Office a- City effHag, I --
'WASHINGTON COUNTY SANITAR-STRICT
UASHINGTON COUNTY, MD.
SANITARY SEWfER LATER
CONSTRUCTION RECORD
Project: Mau ansville Orchord Hills SD15-1-5
13iis3IR V i ( I cxc� 171 tl 17r.
Street (or location) : l3� N Nn(�TiSt✓ S i l�E� meq= S3 i
Contractor: Canes Contractors Inc.
___.�r•___ MH 3 07 TO MH 368
/
Date Installed //— ZZ- 83 blye Ste. On Plain Z+oZ 2 `'
WYE
Sic'E
SIZE—
TYPE PINE
TYPE
C.O.
DEPTH
C.O.
TYPL
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
*Horz.= T 1
QX(0.XS..
(0"PVC
pve
5.gci
St'
SPe 3S
Sot 7-
jope+ Horz=Total
Drop
NOTES:
�j.3a + Zo.yo Z9.7o
qy
I
QC64NuuT
/•3S CCtAR,9,ve_b
Z/50
BENDS
Depth of Cleanout S 16CeFlci.j Line
Cleanout Z 5. JS ' From M_., 9,A.
Laxed @ 3 '� q• 7-6,Q Ono,J
• :/b Basement Service
2+ o 2 P-
M H 0 7
MHS 3 a g
Amounts pertaining to work completed this period, reviewed and approved.
BY -6-J. t _
CSG Inspecto. ont.actors Rep.
S
_O
M�9iM
QC64NuuT
/•3S CCtAR,9,ve_b
Z/50
BENDS
Depth of Cleanout S 16CeFlci.j Line
Cleanout Z 5. JS ' From M_., 9,A.
Laxed @ 3 '� q• 7-6,Q Ono,J
• :/b Basement Service
2+ o 2 P-
M H 0 7
MHS 3 a g
Amounts pertaining to work completed this period, reviewed and approved.
BY -6-J. t _
CSG Inspecto. ont.actors Rep.
.101►
Uld
L ! OOW AWA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: -1 36 Nnrt-h S1-rPet rn-59 VI
mu miT i n A Dwg. #601-040
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
j125
�'
� I
' R/ W
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 :j /v 0
—T Owner rin
.tt)
Owner s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form 14CSC-56
A
if►
Plans all for lateral to be t
WASHINGTON COUNTY SANITARY DISTRICT
• It
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
1 It
To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address_LVOV i n S �'
Property Own
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 217.0
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
Pate