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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. --
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741,0571 (301) 791-308313084 DATE
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE SUBDISTRICT "u • I.J
/SIV I�RSYSTEM >.Lciu&aiiuville/or chard
Permission is hereby given to: Paul R . Sig 1 t" j��Q Hills
For Property Located at: 233 S. Weaver Avenue, Maugansv lle, tlaryland 21767
Owned by: Paul R. Sigler Address: P.O. Boy: 335, Maugansvi l le, MD 21767
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
i ) Units
To Main Line:
Other
Industrial
Connection Fee `- • Date Paid 9/17/84
To connect to a public sewerage/\ya;tet 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.
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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 $ $ 3
Final Inspection Made BY: 9 Y. o , l c C'A�r-, A Date
Plumbing Inspector
OFF-SITE INSPECTION (in Public Rights -df -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 Plumbing Board
Field Office -
Date
�TtSHINGTON
WASHINGTON
COUNTY
COUNTY,
SANITIj#^ DISTRICT
ISD.
SANITARY SEWER LATERr':?
CONSTRUCTION RECORD
Project: Mau ansville Orcherd Hills SD15-1-5
13830e
Street
(or location): X3.3 ' wrAvEe .4✓F G, -T- 393
Contractor: Callas Contractors Inc.
w_.
MH 32Z - TO MH 3Y3
Date Installed 2 -ZS -63 Wye Ste. On Main ZV-S9.g
WYE SIZE- TYPE DEPTH TYPE EXCAV.
SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH
�XloX g
PVC pvc S yo St'd.
502 35 SDR Z40 5b
NOTES: Dr �i
_ LENGTH
*Hort.= Total
3oZS
op�e + Ho =To
Depth of Cleanout SAID �gFlou Line
Cleanout Z7. 95
Layed @ 8
No Basement Service
5 gig Imo.
MH,1 3y Z
MH, 3y3
Amounts pertaining to work completed this peri o , reviewed and approve
BY
WCSU Insp4n tor Contractors
ep.
Washington County Sanitary Distric,
tq ,� SEWER SERVICE LOCATION
p Subdistrict No. SD#15 -
�j r
Contract No. SD15-1S
1383i.o --
Property Address: -2-3 South Weaver Avenue
MH 342 to MH 344 Dw #601-062
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.
394B I
(219
. 393
(233) I a
1
R/W
01
8SAN. MH SDI5-343 8SAN.
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. p
Date: A 22 Z )ILL
caner (Print) -
d ^
Owner's Signature
Attest:
as Co. Sanitary D trier_
(Form WCSC-1)
Replaces Form WCSC-56