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_.HINGTON COUNTY SANITARY DISTRICT PERMITNO.743
SHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE 6185
P.O. BOX 571
SUBDISTRICT n i
PERMIT TO CONNECT TO PUBLIC SEWERAGE TEA SYSTEM 2 M a ug a n s ,,,
Permission is hereby given to: Charles R Ro ugh �� �) 15
For Property Located at: .. . 16 Wept Longmeadow Read
Owned by: f''lnalrl eseImo. ough Address: 4189 Scott Read,,_Chambersburg. ME PA
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
X
Units
To Main Line:
Other
Industrial
Connection Fee :620.00 Date Paid 7/16185
To connect to a public sewerageNQ1tAr 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.
Building. Permit No
Secretary -Treasurer QQA ��"
F_ '
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 1-1
01
Final Inspection Made BY: Date
Plumbing lrxpector
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 Plumbing Board
—
Date
Field i Office 1 City Of Hag. .1
COOP Z.J oddE.tS 5,-st-83
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SDTarr15 _
Contract No. SD15- 3-S
Property Address: Longmeadow Road
MH 1029 to MH 1030 nun. #601-7 68
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.
-- -- '- —�
G.
-� 119'DMH SD15 -1030 MH SD15-10
RAW
1006 l 5 I 4 i 00�' I ,�
(16) LJ 'N
II
W'
O
c�
U o
0
\o = o
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 ow-ner'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
caner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY 'STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,.';_
CONSTRUCTION REC(ii21-
Project: Maugansville Orchard Hills Sanitary SeWera a Collection System
/q3
Street (or location) : �q.4.I ioo(o LOA1GME,4QQW PCO. _
Contractor: Lisbon Contractors. Inc.
Date Installed Z&HAa.8¢
MH lo29 TO MH 1o3o
Wye Ste. On Main 1-72 Fir, �-
WTL JILL' 1 TF'L ULt,in I TYC. LALMV. LMTINU
11ZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH
eX�,X�", �DR•26�G CD2 G� 8 a�*Hort.= Total
V.
St'd.
27.80L.
NOTE 5:
Drop
ope + morz=
Depth of Cleanout Vlow Line
Cleenout c-7.8 F ram q6 IYA)A-1
Layed 0 .f. C? %
�o�SiBL� 8asomen t Service
F'L GW
M H # i0z9
�,.. z4••R c.n. MH -
6" CO %,(C.,
02
� 2`S%UCS cc4P c . v
Amounts pertsi ing to work completed this period, reviewed and approved.
BY
UCSD Inspec'-tor Contractors Rep.