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ASHINGTON COUNTY SANITARY DISTRICT W, WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 r.0. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAM SYSTEM Plau Permission is hereby given to: Robert & Aifredah Bui`e�Nbij�h For PropertyLocatedat: 24,05 Marsh Pike, tiagcrstutiwn, Maryland Owned by: Robert & Alf redah Buterbaugh Type of Connection: To Service Connection Type of Service: Residential Commerc al, - PERMIT NO. 570 DATE 4i 3185 SUBDISTRICT NO 1 - -ille f ©rcnatrd Hills 21741 Address: 2405 Marsh Pike, Hagerstown, MD 21740 ( ) Units To Main Line: Other Industrial Meter Size _ Connection Fee 620 .00 _ Date Paid 4/3/85 To connect to a public sewerageKsystem (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. Water Account No. Unavailable 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: Date Plumbin 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: Date DISTRIBUTION: Permittee 1 Plumbing Board 7 Field 1 Office 1 City of Hag. 1 WASHINGTON COUNTY SANITARY ISTRICT WASHINGTON COUNTY, MO. SANITARY SEUER LATERAL CONSTRUCTION RECORD CON TF AC T 50 4 5-.3 - 5 Project: Mn GgkJ5\/1L[-F- QRCHAR0 P1Lt5 54ml-TARY SE►NE+-� PR«Ec 13'Sl � Street (or location): C,d1 io7g ,��r-,yQp3ON���� /4!+,AJa44 LXZ1 Contractor: Li5eov ComTRACTOR�} Date Installed /2- 09 -8 - MH log 3 TO MH io/4- Wye Sta. On Main It89L77 UYE SIZE--- DEPTH TYPE EXCAV. AYING IZC PTYPE TYPE PIPE C.O. C.D. LATERAL LENGTH LENGTH 5'X6K5' -5D'e e -r. B.-5 V. �. *Horz. = Tota St ' d. L= k:1 o ps T 774 o NOTES: Drop 1-' 5.5ot �o!•5Z 8" wIL- • - I ! I� --- /7' ---+v- 2.2 % i M ARSM P I K F- 2'sruBFacsan �o "50F{ 26 'ANG. H,A 4M Depth of Cleanout 8.5 V ®Flow Line Cleanout &:5.6' Fromm nAw Layed 0 :0-:00 96 1-tGT6ROR04' _9"57UF3T!CAP <.o - Y2e` Basement Service -- -- I?ou/der ?i MH# /013 -40- MAR'5/4 MH# /0/4 - Pi KE Amounta pe r1j.ag to Work completed this period, rsviawagkand approved, BY �� WCL, - UCSD Inspect -dr Contractors Rep. AAA Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 _ 13G10- 3G10- Contract No. SD1 5- 3-S Property Address: _ 214 Marsh Pike MH 1013 to MH 1014 DWG. #601-364 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 nea-r`the property line. Date: Owner Owner Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56