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WASHINGTON COUNTY SANITARY DISTRICT
33W WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEMAMR SYSTEM
Permission is hereby given to:
For Property Located at: 1
9 West Longmeadow Roao
Owned by: ,amies R. Brewer Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO. r"Y;
DATE
SUBDISTRICT.'(��'
Hills
19 West Londmeado., art,=,t .
) Units
To Main Line:
Other
Industrial
Connection Fee $620.00 _ Date Paid
To connect to a public sewerage/y" 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.
r
Secretary -Treasurer
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: DateV /
Plumbing IkV
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 4
Field Office 1
Date
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD.
Project: MauQansvi
Street (or location):
SANITARY SEWER LATE,',
"')NSTRUCTION
Contractor: Lisbon Contractors. Inc.
t -
MH lof? TO MH f030
Date Installed g /"IAA.54 Wye Ste, On Main 24-10 L-r'�
Y
IZ E TYPE
DEPTH
TYPE
EX AU.
I A Y I N G
SIZE
TYPE PIPE C.O.
C.O.
LATERAL
LENGTH
LENGTH
lc"AOR 2C� �•'�� Z41
4.82 i�. �.
*Horz.= Total -
8'kv'x s
Pvc . � c .
S t' d .
*Slope+ norz=Total
�Q"w�oc 3ttaVE r?ET. Wil[
Drop
V. c3 L . F.
a• .53 t- 2 2.0,5 = 3�. �'!
NOTES: 5'wr�e reswc.s.w.
(o "3'T'L C -.A5 0L? AJ
Z°BeRd5
a rAP
1�cia
Depth of Cleanout 482 VF ®Flow Line
Cleanout 26.5' Fromm 41u
Layed *____Lo 7ti L{FT�i� 6.�ROP Z'S7C�
1 Basement Service
iV L (Af C
MH# 1094 L0ti/GKE4001-4
-fir. Sr'4 4,5 Mni�/
MH# 1v34�
Amounts peiteinin o work completed this period, reviewed and approved.
UCSD I spector 'Contractors Rep.
AWA
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
lct-:SI$ Contract No. SD15- 3-S
Property Address: eTeLonQmeadow Road
H1H 1029 to ISH 030 DWG #601-368
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.
LONGMEADOW ROAD
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. �j
Date: X'1..
�--�` Owner
Owner
Attest: ,�, L1c&4 _
Wash. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56