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WASHINGT0N COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERST0WN,MARYLAND 21741-0571 (301) 791-3083/3084
P.O.'BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATtR SYSTEM
Permission is hereby given Mr, Harold R. Strite k,` 3511
PERMIT NO. 492
DATE 2'27/85
SUBDISTRICT No. -
Maugansville/Orchard Hills
For Property Located at: 2311 Indian Cottage Road, Hagerstown, Maryland 21740
Harold R. Strite Address: 2311 Indian Cottage Road, Hagerstown, i4D-
Owned by: 0
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
X
To Main Line:
(� ) Units Other _
Industrial
61"0.00 Date Paid February 27,
To connect to a public sewerage/*,A*?<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.
Meter No.016-83557
ecrefary-Treasurer
Building Permit No. ( /^�
i 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 l
Plu ing 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: Date
DISTRIBUTION: Permittee Plumbing Board o
Field Office l City of Hag . 1
WASHINGTON COUNTY SANITA!
WASHINGTON COUNTY, MD.
DISTRICT SANITARY SEWER LATE�'.,!-
CONSTRUCTION RU H`
Project: Mauypnsville Orchard Hills 5anitary auw Kowu ..���o��-�• ---
ri's(t Rel 6,9r 7/0
Street (or location): �-/ Ain��gj C�77AG
Contractor:, Lisbon Contractors, Inc. 111'�M
MH s Z y7— /CJ --MH�
Date Installed �, ;, s f Wye Ste. On Main 040")
WTt aLI-F--
IZE TYPE PIPE
NOTES :
F11
1'v
e 6)1(V\l�
=1.3 '--�-s--
gr"13ENAS
C.O. LATERAL LENGTH LENGTH
*Harz.- T4,t
6.q 1 VF St'd.
l
Wo pe + O --r V --T o t a
Drop 7. i + ?G. SB
3 ,30 �1= 33, Co LF
CLEAA) o u 1
I 1 5-' F2 OM 3ER0/cs !-/P[
2 `5 Tu,&
Depth of Cleanout G ®Flow Line
Cleanout_ 2= ram r A H 3"z q
Layed ® 1
liar.),< oo,il rJ Basoment Service
MH# ti >
0
1s 3' o
t4
Amounts pertaining to work completed this period, reviewed and approved.
BY
WLSD Inspector Contractors Rep.
NO
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
�1 Contract No. SD15- 3-3
Property Address: 2Zjf1 Indian Cottage.Road
ISH 52/� Lin MN 255° Owc. #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.
S4,1MH SD15-523
8° SAN MH SDI 5-524
6 W --- R / W
710
{ 3 (2311)
i
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:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791.3083
H C X17ED
to -I 11 PITY
Nl If'♦ii� vJ' t� fJl`I
1144�R
MI-AUK _ IEIArY
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
,t.. Address c 1 i
Signed
Property Owner
Date 1 q
,"Washington County Sanitary District
33 West Washington Street
Hagerstown, .Maryland 21710
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
J
• 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:
SC -/1.3 4 7-o t,14 i
I�■�■I��11■■I 11�■I I I I 1� I I ■I�I� � ■
Requested by Lisbon Contractors, Inc.
&&proved by W.C.S.D. Inspector -
Date