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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 179 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE J / 5/8 P.O. BOX 571 SUBDISTRICT Now 15 PERMIT TO CONNECT TO PUBLIC SEWERAGEIVfj9M SYSTEM il7augarisvi - e + rc and Permission is hereby given to: Ralph A. braver hills For Property Located at: 468 North Weaver Avenue, Mir lujj insvi l le, Marytiand 2 1767 Owned by: Ralph A. Weaver Address: P.O. Box 243, Ma»gansvi l le, MD 21767 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size A To Main Line: () Units Other Industrial Connection Fee $ 1 , 240.00 Date Paid �-' t ') / j + To connect to a public sewerage/Wkt-r 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-TreasGr�r C� Building Permit No. (V 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: A (h%► 4 g+ -,A 1 Date 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: Permit 1 Plumbing Bo Field Office 1 4 Date u�I.3XINGTON COUNTY S!`NITARY DISTRICT UASHINGTON COUNTY, MOO AOk SANITARY SEWER LATE-. CONSTRUCTION Project: Maugansville/Orchrrd Hills SD15-1-5 14 cr3 Street (or location) : q4-&- L,_3 U: Ao1 (R� • Ca `I l2 Contractor:Cillos Contractors Inc. o � f- Oate Installed 417y 41 MH 31 TO ISH / Ll; e Sta. On r1ain ©� so L.T' V WYE SIZE SIZE— TYPE P117C TYPE C.0, DEPTH C.O. TYPL LATERAL EXCA11. LENGTH LAYIN'L LEP!r.T1; $x6,cC C"sAR 2ro *Hcrz.= T Puc Pum C� vF St'd. NOTES: Drop 39 I, F 5lope + Horz= i o;. /3, 5'z + z� _ Yd. 9 z I F .Z167 -k a Depth of Cleanout G.Gi/ !=Flow Line Cleanout 3<1 ' from C OF' ,,,,9,A1 1-„4 Layed 0 7 Basement Service M' 353 .5TA 'r Of .i�'D t- T MHI" 35 30 Amounts pertaining to Work completed L�-.is period, reviewed and approved. WC5D Inspector Lniractorz Rep. /.. -..r' 1.ir'-r... % jo a // , Chi -D- Prop 33e��rty Address: MH ��3 to MH 3y dor 3 464 North Weaver PW , ftk Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1 S Avenue Dwg. #601-064 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. 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: A L P H _ V1EAyE\, __..._ Owner (Print) C1. Owner's Signature � Attest: s Co. itar DT --strict (Form WCSC-1) Replaces Form WCSC-56 y6 9' LA) 6- AV IF le PIANS GA// Fa/2 1A 7-9-A A/ To Q6' 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: 0-),- /' -,- E e i- .Z/ d C-7 /- Addre s s_ /m /1/ k %cam 3 0 CSL! Signed,.D��� Property Owner Date Washington County Sanitary District 33 West Washington Strut 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. e Approved by W. C . S . D. Inspector • v Date