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Lat_18514IndianCottageRoad
HINGTON COUNTY SANITARY DISTRICT 33 W.t4VASHINGTON STREET P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571 PERMIT NO. (301) 791-308313084 DATE �L 2 1 L 8 b PERMIT TO CONNECT TO PUBLIC SEWERAGE/rlllATER SYSTEMSUBDISTRICT N Gi . 15 Maugansvi1le/Or6hard Hills Permission is hereby given to: James Hilton For Property Located at: 23u9 T nil i an Co age Road 1'�j5�L-. Owned by:JaInes Hi l.ton Address: 2309 Indian Cottage Road, Hagerstown, Type of Connection: To Service Connection A To Main Line: Type of Service: Residential K (1 ) Units Other Commercial Industrial Meter Size _ Connection Fee $620.00 ._ Date Paid _ b/ 21 /85 To connect to a public seweragelwa(tor system (with proper abandonment of previous private system). The installation of the connection and the abandonment of the previous private system shall conform with the provisions of the Laws of the State of Maryland and Washington County Sanitary District Specifications. This permit does not supersede any local ordinance that is in effect with regards to road cutting, etc. ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water.Acc©unt No. 15-8427-8 Secretary -Treasurer i Building Permit No. ` INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ;l ON SITE INSPECTION will be made by: Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Permit Fee Final Inspection Made BY: Date Plum g Inspector OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain ON-SITE INSPECTION in accordance with applicable approved construction drawings will be made by: Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741.0571 Final Inspection Made By: DISTRIBUTION: PermitteePlumbing Board d Field Office.. 1 Date City of Hag. 1 WASMINIiTQ''I COUNTY SANITARY 0 RICT 1NITARY SEWER LATE'. WASHINGTON COUNTY, MO. ..ONSTRUCT ION IIENivr', Projects 119/0 Street (or location): CAI -711 tis i Contractor:----- Lisbon Con rectors, Inc. i MH SSS TO MH 5"5'5" Date Installed 4)-3-04 Wye Sta. On Main 864b SIZE L—TYPE PLM--- C.O. C.0 LATERAL LENGTH LENGTH •Hor:.. Total St'd. Z I.00 I ea, 0$ NOTES: Drop Do Depth of Cleanout *flow Line Cleanout 144,32' MFr0M -L r»AIAJ •�— Layed NI 2-,5 % kJ1A Basement Service ` 15tA , I; ZM5 9:r N Amounts pertaining to work completed this per:odg reviewed and approved. f By 4f nspec oron rac ors ep. 51 nz ke� Co P' To D ('; ,J f- R w Washington Countyj Sanitary District LnTek9C To f36 45° SEWER SERVICE LOCATION ouT 0f Mq #N 13Ffok-t. Subdistrict No. SD#15 Mrt � sss �V� I, I Contract No. SD15- 3-5 Property Address: 2,-,,69 Indian Cottage Road MH 554 to SIH 555_ DWG #601-312 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. \ o 15-554 1i (2f*) (2/0-6 , I �- `, 721 (2309) .q 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 o-,rner'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. I Date:41 3 Attest: Was o. Sanitary DistrlCC (Form WCSC-1) Replaces Form WCSC-56 457SS->5(Q WASHINGTON COUNTY SANITARY DISTRICT � + 33 West Washington Street, Hagerstown, Maryland 21740 • (301) 791 3083 S i ec- r aw . i.. To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accord e with the following conditions: k' "Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21740 '4 0>> C� 0 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S Gentlemen: S 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, Inc. 'Approved by W.C.S.D. Inspector �tr •�. Date 3% / 5/ 6 y kc FL