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W.4SHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 217 3 1 t91-3083/3084
W
05 J�`
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYS
Permission is hereby given to:
For Property Located at:
Owned by:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address:
Connection Fee
DATE
U SUBDISTRICT
To Main Line:_
Units Other
Industrial
Date Paid
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 SF9cifications.
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
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: _ Date
Plumbing In ctor
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permitt
Plumbing B
Field Offic
Date
WASHINGTON
COUNTY SANITAF
DISTRICT
SANITARY SEWER LATE,,';_
WASHINGTON
COUNTY, MO.
LENGTH
CONSTRUCTION RECONI"!
Project:
Maugansville/Orchard
Hills Sanitary
Sewerage Collection System
*Horr.- Total
Street (or
location):
eAI 97f
_
`t
Contractor: Lisbon
Contractors. Inc.
Date Installed 6Ju&aEff4-
MH iz4 TO MH 7z'5-
Wye
zsWye Sts. On Main 2464 c--+.
WYE
SIZE
SIZE-
TYPE PIPE
TYPE
C 0
H
C.O.
TYPE
LATERAL
EXCAV
LENGTH
LENGTH
B"x6'ic8"
6 s�ez� we .6-so-ezt
*Horr.- Total
'N`"
_
`t
St' d.
*slope ♦ orz• o a
NOTES:
Drop:°:�
2.15
Depth of Cleanout _57 7,�( VII. ®Flow Line
Cleanout ZZ.d' from MAiA!
Layed • 9.a9LPrDrop
• Powlec.0 Basement Service
MH# 7', -
Amounts'tai o work completed this
8Y
Inspector
per:.od, reviewed and approved.
A
Contractors Rep.
Z
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address: Route 8 Box 2l-5
ISH 724 to MH 725 _ 15g5� ��� • DWG. #601-347
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.
Z
U); 4
r j
r�
m rQ �"3 m.
cc)
Go
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:
Owner
Owner
Attest: -& wzc Y Z�afk -
Wash. Co. Sanitaryy District
(Form WCSC-1)
Replaces Form WCSC-56
moo.= 97 I
-7Z+- 745
x
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 1���
PML ii V/- -1E,
;.-12 6 1984
WASHINGTCN CO.
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
s_
Addr e s s K -'a o -'t
Signed A
f ..
Wert e
M'wit�FCL a • • C
t2 --7
Date_
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-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:
IL -- -
� �1
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date I I ZG 4:--