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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT NO.�
DATE
SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/SYSTEM MaugaaxvilliXrehard
Permission is hereby given to: At" - Ervin j. S to i n i a
d3� 1 lig
For Property Located at: 434 N. Weaypr Ayenue,?a)ganSVj 1$j_ 'Maryiafld 21766
Ownedby: Frvin i Stainla Address: P.O. Box 403, Mautansville, PC 21767
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential ( ) Units Other
Commercial __ Industrial
Meter Size _ Connection Fee , ii . -I J _ Date Paid November i S ,
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 RESPON-
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
J �O
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee 1
Final Inspection Made BY: W, (A -A-4 15nes J Date i III, - a L)
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:
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 Vii•
Field Office 1
Date
LI"•SHINGTON COUNTY S NITiaRY m SMICT
UASHINGTON COUNTY, MD.
Srf%'ITR RY SEWr;? LATE=,
1CONSTRUCTION
Project: Mauannsville/Orchr.rd Hills 5015-1-5
Street (or location): 1393s q7Z-`J- �JFAuL/? ,,I- OF
Contractor: CallGs Contrar.tors, Inc, 2,A
Date Installed f -2R a_ �z;_t.5'.8q_
ri H3 5 y —T 0 M H3 5,s-
WYE Sta. On
WYE
SIZE-
TYPE
DEPTH
TYPL
E__XTAV
�•---_
---TTA
S'TZE
TYPE' PI('C
C.0.
C.O.
LATERAL
LENGTH
YI;�.c.
7
LE N-_- T I!
8x 6 x1�
6,11570 R Z 6
PVC
`.�.._'
*Hcrz.= T --I.
P.
5-,// V
St'd,
NOTES:
Drop
3$,S- � F
*Slope+ Horz=To;.
io.Y� f -2 8, £3 s_
39. 3Z LF
-o 9 EA)P
j ,gs' 5Tc.B
Depth of Cleanout ii ' !"Flow Line
Cleanout 33.5- from 1C of A,091 ,,LrniE-----�--------
Layed 0 'i
Ilan Basement Service
f9H;J'� 3'71(STA '�tOG•Z ,! T
f"H;;=39S_
Amounts pertaining to work completed this period, reviewed and approved.
BY ��'-&
UCSD In3pec for Leyon 1`6_ ors F-ep. "���
r
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13835 Contract No. SD15-1S
Property Address: -4414 North Weaver Avenue
MH 394 to MH 395 Dwg. #601-063
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.
� � I
�11
IQ,�uor
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: %'/S 'Y? A '
Owner w(Print)
AA,Mjazem�, _
0 s Signature
Attest:
Wash. Co. Sanitarl District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
L �
3 9 q -39s -w-
��A v s e,A// Fa.e
�ATh�A� Ta /dr
/3 F -r 21S b a -p
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:
Washington County Sanitary
33 West Washington Street
Hagerstown, Maryland 21740
Gentlemen:
,Address
,,S�gned rZ-Ani-� V
',
roperty Ownerr
Date
District
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
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 C16",
Date
C