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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE --7-64 SUBDISTRICT N©• 15 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM �� ,a1ZS il1E% Orchard Hills Permission is hereby given to: Taawremeo Byron For Property Located at: P30 Nmrtb North- _C+y Maugaxisvli 11 ' Md 21767 #wned •_ - -r_-d(De 'RV ° 'r• " 'Rex_326 Malls= Aville U• 21 71u7 Type of Connection: To Service Connection Type of Service: Residential Commercial To Main Line: ) Units Other Industrial Meter Size — Connection Fee' __. Date Paid 9-7-84 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. Secretary -Treasurer J!C(z Building Permit No. INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: ��-t.� L� � ties.,% Date —9— Plumbing 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: Permittee Plumbing Boa Field Offi Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date WASHINGTON COUNTY SANITARV�ISTRICT WASHINGTON COUNTY, ISD. E Project: Mau,gansville/Orchard Hills Street (or location):_ X30 PU 02-r1q s SD1S-1—S SANITARY SEWER LATERi.L CONSTRUCTION RECORD yIckcv M1,11 Contractor: Callas Contractors, Inc, i Date Installed Nou E,l5'Pi3 MH 3 09TO MH 3 16 ✓ Wye Sta. On Main t S- R r o✓ WYE 'SiLE SIZE— TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH L YING LENGTH x 8 6" /° UC,'Horz,= ' To F St d, SOR 2G S ope+ Harz=Total Drop 6, I S"+ Z z, 80 = NOTES: 2�.yo Lt= ^ 28.gsF Depth of Cleanout 5', Sz '@Flog Line Cleanout 2N.tio' From C oi= InAiAil.iA/c Layed C 7. s` • lit, Basement Service SIH;;' 3 o S ,t- Z S R -r SrA It3?- MH# 3 to Amounts pertaining to Work completed this period, rpyvieWed and approved. By WCSU Inspector Contractors Rep, A Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: 239 Nnrt-h St -pi3g/7et �, t G,G e flit.► r . ____ MH 309 to MH 310 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. Ih.0 L -MIR -A10 w 0 z � Q z O 4' Wk EQG C CF: 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: / /Az LAw1�,rN cE :T. a3 RDA/ Owner (Print) Owr r s Signature Attest: Was o. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 t Plans all for lateral to 5e \V 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 ;:2 - Signed cL-L— Proper yt .,caner uy Date JI`-� 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. tia Approved by W.C.S.D. Insp� Date