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Lat_13402HighlaneStreet
„-,WHINGTON COUNTY SANITARY DISTRICT PERMIT NO. =ti_ •33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 DATE SUBDISTRI T PERMIT TO CONNECT TO PUBLIC SEWERAGE/W)M'p SYSTEM i,i1AUG1- ISVILLu��OTiC Permission is hereby given to: G l e,n n H. k i l n =� For Property Located at: 23 3 High S ree ! Owned by: Glenn M. Mine Address: Type of Connection: To Service Connection To Main Line: Type of Service: Residential Commercial Meter Size Connection Fee Units Other Industrial r . Date Paid - - -- 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. . 0. C �,M ' ' .1,d ” Secretary -Treasurer Building Permit No. INSPECTION: At least 48 hours notice prior to requested date of inspection is required. i 1 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 spector 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: Date DISTRIBUTION: Permittee 1 Plumbing Board 1 Field I C�--_-J= ©-f' Office WASHINGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATC,,':_ -INSTRUCTION RECf►i,," Project: MauQansville Orchard Hills Sanitary Seweracie Collection System 13yo2 . �9h Ia pu Sf. Street (or location) : e,,41 /oH Contractor: Lisbon Contractors, Inc. OUT o MH �TO MH 10.3- Mq 25' Date Installed:: Wye Ste. On Main 2� 45= N. fo35 ti WYL SIZE 3kLL— TYPE PIPE I TP L C.O.C.O. LPL ri n I rrL. LATERAL C.nlsnv. LENGTH L.n I lI'd u LENGTH ua�E -soe2r� *Horz.= TotaT7" To Tope + or2= 0 8 Drop NOTES MAIN I 2% 2'�TU/3 �J°B2RCI3 Depth of Cleanout 6.4gV•F ®Flow Line Cleanout i3.7' from A- ata /A.1 L a y e d 0 2 d 0TEFi Op—op • "17 Basement Service MHS Amounts pertaining to Work completed this period, reviewed and approved. BY W SD Inspector —Contractors Rep. (r-..- urcr-A ) Ob- f)uio F Inti 1035 Q ZC.00 CJ� Washington County Sanitary District \ SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: n e MH 1035 Terminal _ 1►,a-rb NI N Q 7260 DWG. #601-369 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. _ R Date: Owner Owner Attest: 11�CQ Wash. Co. Sanitary _strict (Form WCSC-1) Replaces Form WCSC-56 ,WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Signed_/'��vc, Property bier Date //- -/ y� 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: Requested by Lisbon Contractors, Approved by W.C.S.D. Inspector f-) Date Kfta - -7, 19lb ?=�