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I HINGTON COUNTY SANITARY DISTRICT PERMIT NO 913
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.o. Box 571 DATE
SUBDISTRICT''
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM °
M'aug.ansv i i 11. /.(ji-ciia ,d i Is
Permission is hereby given to: %~7 g13(9P .T_ Rrv2-nt
For Property Located at:
Owned by: Claude J. Bryant Address: 2300 Indian Oottaxe Road, Hagerstown, 1v
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential ( 1) Units Other
Commercial Industrial
Meter Size
Connection Fee '0'62_0.00 Date Paid 11.11 �
To connect to a public seweragelwetef. 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.
Mater Account No.. 1 15-8300-8
Secretary -Treasure
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
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Permit Fee
Final Inspection Made BY: Date
Plumbing spector 10
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 Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field Office City of Hag 1
WASHING':ON COUNTY SANITARY D: RICT
WASHINGTON COUNTY, M0.
1NITARY SEWCR LATE„
,.ONSTRUCTION RECorri
Protect: Mauasney lle/Orchard H rSluerage Collection 31611m
-S .
Street (or location) : r -,a T '7 z.vP�AAl C'orraOvE �oA�
Contractors Lisbon Contractors._ Inc. ��au
MH 540 TO MH 5"53
Date Installed 5-14-$4 On . SteMain
Wye
as
X&-46' 16"gDeZ6 Pvc. .
NOTE S:
.
pVC 12.C�$ vF St d.
ors.• Tot
Drop 25, 60 13•50 + /4,? -,S=
2.75 •LF
H4�U
fa -9.5 1�.Z5 IZ,fo�'
i
"S�a R•<c_
0 0
a
Depth of Cleanout l z.68 VP OFlou Line
Cleanout 2-1-19" ,/%w�-.�'
Laced 1 2.� 7u 4FTEp� Deol-
A Basement Service
r -5-M Imo-,
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Amounts pertaining to work completed this periods reviewed and approved*
WCSD Inspector on rac orsRep.
6.
AM►
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
JS; 3� Contract No. SD15- 3-S
Property Address: Z2150 Indian Cottage Road
MH 548 to MH 553 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.
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: As
Owne
�Owner
(�,
Attest:i�l�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
nz
WASHINGTON` COUNTY SANITARY DISTRICT
;I
33 West Washington Street, Hagerstown, Maryland 21740 s (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Addr
M
Sign
Date
M
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
• Gentlemen:
Q
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-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:
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3 t
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•
9
a$
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Requested by Lisbon Contractors,
Inc. <
Approved by W.C.S.D. Inspector
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