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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET
P.O. BOX 571
HAGERSTOWN, MARYLAND 21741-0571
(301) 791-308313084
PERMIT NO. 2.85
DATE October, r
SUB DISTRICTN
PERMIT TO CONNECT TO PUBLIC SEWERAG E/W YSTEM Fle'1Lg81`lsville/Orchard.
1, OL� Hills
Permission is hereby given to: T i Blot h j(_ M- S W i s ZZI
For Property Located at: 215 N North S t r p e t
Owned by: Timothy M Swain Address: P-0- Rox 336, Maugansyi j i e, Jo % s i n 7
Type of Connection: To Service Connection
Type of Service: Residential '•
Commercial
Meter Size
�i
To Main Line:_
1) Units Other
Industrial
Connection Fee $620.00 Date Paid 10-9-84
To connect to a public seweragelwI system (with proper abandonment of previous private system). The installation
of the connection and the abandonment of the previous private system shall conform with the provisions of the
Laws of the State of Maryland and Washington County Sanitary District Specifications.
This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPON-
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
On
Secretary-Treasu r 142-0^- d S l
Building Permit No
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: ALA A Date
umbing Inspector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by:
Final Inspection Made By:
DISTRIBUTION: Permitt
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board 4
Field Offi
Date
WASHINGTON COUNTY SANITARY jSTRIC7 ASSANITARY SEWER LATE'„-
UASHINGTON COUNTY, MD. CONSTRUCTION RECORD
Project: Blau ansville Orcherd Hills SD15-1-S
Street (or location) :2-1 /U o�Tel s -r _�. _�(zi1�L2_s_�_
Contractor: Callas Contractors,-Inc.---
Date
ontractorsInc.
Date Installed g -c ? /-F8J
MH 3DA TO MH
Wye Ste. On (Main 6- 9y�,�,M�
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH,
gxC.xQ,
6°`Pvc
*Hort.= T
e
C'0 0 r
St'd,
SDR 2�
*S0 Pe Horz=Total
NOTES.
Drop
Zy 30 �F
114- ll.$b =
Depth of Cleanout .C) Flow Line
Cleanout /J.3” From or
Layed @ 41
0-fJKa. QW62 Basement Service
MH,'=' 3a8 STA' of -q'1.6 ' L iMH,#305
Amounts pertaining to work completed thin period, reviewed and approved.
WCS0 Inspector Contractors Rep.
rI f
0
Property Address: 215 North
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1 S
MH 308 to MH 309 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.
> ❑
Q
W X 0 op
I�
� I I 126 I I
124 q L
( ) , (Z 12-5) I L JI
OX)
8° SAN. DMH SD15-308 30' /W - 8" SAN.
T B. M.23
- - v
i
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/-,'/
Attest:
Owner(Print)
(� Owner's Signature
_ Jl
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Ankk
Plans all for lateral to 5e
/�� -N
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:
2- CAI llla6cr—
Address_ ��S lVoleT1f 41ble7l S-2--
Siarned—
Prop4rty Owner
Date `7-%Z- Y3
Tashington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. 5'15-1-5
Gentlemen:
We hereby request permission to install the house lateral
of greater than two (2) per^ent and/or in accordance with the
above conditions at no change in contract price at the foil -owing
location:
Requested by Callas Contract -,ors, Inc.
Approved by W.CI.S. . In ector
Date 9 1 r 0"