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4 NASHINGTON 33 W. WASHINGTON STREET P.O. BOX 571 COUNTY SANITARY DISTRICT HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT TO CONNECT TO PUBLIC SEWERAGE/VOM SYSTEM Permission is hereby given to: Benjamin T. F i a cert PERMIT NO. 544 DATE SUBDISTRICT Zi©+15 Maugansville/0rehard— Hii=s For Property Located at: 1346 Marsh Pike Naaerstoan, Maryland 21740 Owned by: — e 11 arnJ n T F i ah_ert-yAddress: 2346 Marsh Pike, Hagerstown, Maryland � f Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee 1 ) Units $620.00 To Main Line Other — Industrial Date Paid M a r c n 19, 1961 To connect to a public sewerage/)Ekw 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. 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 l Final Inspection Made BY: Date y Z�L� .1 Plumbing I pector 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 1 Plumbing Board 3 Field Office 1 Date City of Hag. 1 WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATERAL WASHINGTON COUNTY, ISD. CONSTRUCTION RECORD CCSTfACT 5045-3-5 Pro jest: AQG4LI,J51JjLE QRCHARD NILL2 ':)Akji7AF2Y DehlERi 1--'RC1J6GT 1"3L} Street (or location): 6A io42 fro D 1 F9arZ>N P1�E Contractor: LI5B0u C0kj-rRACT0R*i������,����� -- MH /0,, TO MH /olz Date Installed % i- 21-2-6-f Wye Sta. On Main /454 R -r WYE SIZE- TYPE DEPTH TYPE EXCAU.� AYING IZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH ---------- 8ic6ic8 6.. of (o5�eZ46 �2.4ilV.� *'Hort.= Tot41-`- St1 d. Ts" Pe + 0r.3= o T I ( Drop 27L. Xr. 2.7�+/9.70=Z2.45C-.G NOTES: �I�«.I�� - MA 5.3' 20.45 4.2 I till L 2" I i `45• Bend 2 �TlJ6 �. CAS MAIN B"x(o"K a" wYE II Depth of Cleanout /2.4f V. ®Flow Line Cleanout 20.45' from •"A/N Layad 0 44. Z6 METER DROP 'Y c— fn . .8asoment Service r"1 MH#/0'1 ZhOukler ''� — — — ---- MH# /0:2 --- ' -- - Z 'SYV a Er C4P Amounts pe eining to work completed this period, reviwwed and approved. >000 8 Y WCSO Insp ctor Contractors Rep. t Oak Washington. County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S nLlo� Property Address: 2-7-4& Marsh Pike MH 1011 toMH 101? DING x#601-'� 64 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. 8" SAN (MAC. ) ' MH SD15-1012 I 4 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: c) -S % �� --- Owner Owner Attest : X- �! 5 Wash. Co. San ry District (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT /ll 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083 To: Lisbon Contractors, rnc. I hereby request the contractor to install the lateral in accordance with the following conditions: Address Signed �J l/ property uwner Date 1�4 .s / ye -3 Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S 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: Requested by Lisbon Contractors, Inc. 6 Approved by W.C.S.D, Inspector f::rL Date