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a l5HINGTON COUNTY SANITARY DISTRICT PERMIT NO. 730 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE 7/ 15/85 P.O. BOX 571 SUBDISTRICT No 16 - PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM M a u g a li s v i 1 l e/ 0 rc h a rd Permission is hereby given to: Anna L liovermale Hills For Property Located at: 2301 Grandview Drive, Hag ersTo 0 21 740 Owned by: Anna L. NOyermale Address: 2301 Grandview Dr., Hagerstown, MD 2.1740 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size To Main Line: X (1 ) Units Other Industrial Connection Fee $620.0Q — Date Paid 7/151/85 To connect to a public sewerage/\XWer 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water No. unavailable 14 r'� Secretary-Trea ur r it 1X-2 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 Permit Fee Final Inspection Made BY 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Date Plumbing I pector 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 1 Plumbing Boa Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date Field 1 Office i City of fag . 1 WASHINGTON COUNTY SAN RY DISTRICT WASMINCTON COUNTY, MO. Projects Mau ansvi Street (or location): Contractor: Date Installed /© S(g4- SANITARY SEWER LATEOPP CONSTRUCTION Moor) )Vltz v--� z� I lqN G L . -�-In l-�' ,RQ AN SA8 TO M Wye Sts. On llsi= e••x6••� e' c ••�oR z6 w.c. rs.. St1d. �� �.�_. 330'9 NOTES: l Drop I / I / A Z � 75iubf,G'�p { Depth of Cleanout -t 7 orlov Line ~� Clssnwt 7 t -- ...1 raw +- MAUA1 Laced •- d Basement Service 1-tZc'e ( 2 LJ 11 4C�p a Amount -"'-7n to work completed this peraodg reviewed and roved* j 7 Inspector Contractors map, o Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 130 Contract No. SD15- 3-S Property Address: 11 randyieL Drive. 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. R/W DMH SD15-591 811 SAN. T8, SPN MH SD15-590 D INV,,' i� ca 610 (2301) INV -679.70 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: i /Z <9f�_ — Owner Attest: Was C Sanitary District (Form WCSC-1) Replaces Form WCSC-56 i { - 5 (7 WASHINGTON COUNTY SANITARY DISTRICT /il 33 West Washington Street, Hagerstown, Maryland 21740 (301) 791.3083 RECEIVED IS!-II"GTO"'! COUNTY. SA111 ARY COM1101ISSION vale- 1511 -1 N PETo—To P, Uk�E To: Lisbon Contractors, Inc. wa� I hereby request the contractor to install the lateral in accordance with the following conditions: Address Signed Property owner Date �---- ze Vashington County Sanitary District 33 West Washington Street Hagerstown, . Ma.ryland 21710 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S J Gentlemen: We hereby request permission to install the mouse 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 Lisbon Contractors, Inc.�� 4pproved by W.C.S.D. Inspector - nA+A 2/1-3 � 8Y