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tSHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 507
WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 4/22/85
BOX 571
SUBDISTRICT NE). 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIViAt;TER SYSTEM
Maugansvilie%Orchard Hills
Permission is hereby given to: John M. Hinkle lt5
For PropertyLocatedat: 2313 Indian Cotta4e Road. Hagerstown. Marvland 21740
Owned by: John M. Hinkle
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Address: 2313 Indian Cottage Road, Hagerstown, MD
X To Main Line: 21740
Connection Fee
Units Other
Industrial
620. UO ._ Date Paid
4/22/85
To connect to a public sewerage/WAtAr 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 Account No. 15-8350-6
Building Permit No.
Secretary -Treasurer
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
Plumbin 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:
DISTRIBUTION: Permittee i Plumbing Board 3
Date
Field
1 Office I City of Hag. 1
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWER LATE',
WASHINGTON COUNTY, MO. CONSTRUCTION REC(li"!
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection 5ystem
1 i56 7
Street (or location) : ti -i-3 :Z -,j 4-) /A^ ac, rrACiP� SAL 76 -
Contractor: Lisbon Contractors. Inc. �Iinkir
MH Z-3 TO MH� .s 7- Y ✓,
Date Installed
6
Wye Ste.
On Main 0-t cC•ti `it-
Y
—
Y -PE
DEPTH
TYPE
EXCAV.
LAYING
41ZE
TYPE PIPE
C.O.
C.O.
LATERAL
LENGTH
LENGTH
8 x 6 x S
�so2 z�
%'v'�
� , � v ��
*Horz.= Tota
� d.
0 P + orz= o a
Drop
:. 6 -7 -.,$. 2 0
NOTES:
16
3/. 5-7 1-
6"T�pnis
CTE
r %2 a M Ci -6A N
O
I•�'
r/?C,/' 5 I?VIC C
P,PF_'
tA
Depth of Cleanout C-.5 Flow Line
Cleanout 2 8. i O " rom CC r mrd , A�
L a y e d
tk_ �L) Basement Service
Amounts pertaining to Work completed this period, reviewed and approved.
B Y
D Inspector �_ Contractors Rep. `��
W
AM%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
I gSa-1 Contract No. SD15- 3-S
Property Address: 13 Indian Cottage Road
MH 523 to (SIH 524 DWG #601-320
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.
sq� MH SDI 5-524
4, MH SD15-523 8 SAN
09
VJ
{ (2709 23
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: ljr� kl;'l le
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56