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) ,A,SHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 858
W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 u c t 4 1985
P.O. BOX 571 DATE
PERMIT TO CONNECT TO PUBLIC SEWERAGEIV"TER,SYSTEM
Permission is hereby given to:
For Property Located at:
Owned by
Same
SUBDISTRICT MO.. 15 —
Maugansville 0rchard
,tills
(fit #6 Box 292, Hagerstown, M -d. `j Pvt
Address:
Type of Connection: To Service Connection X -
Type of Service: Residential (i ) Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection Fee 620-00 _ Date Paid 1-0-4-85
To connect to a public sewerage/WXtAr 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 NE
1
Secretary-Treasur
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: Lam/ Date01
/ v
Plumbing Insp or
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:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
DISTRIBUTION: Permittee 1 Plumbing Board 3
Field i Office 1 Vity of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT SANITARY SEWER LATEP
WASHINGTON COUNTY, MO. CONSTRUCTION ucm,M
Project: Mauamnsville/Orchard Hills Sanitary wsraas Collaction Svatea
Street (or location) :. C74 -f � !T5
Contractor: Lisbon
Oats Inatal led 10 1,9 /84-
MOME.
Cc "5 0 2 Z&�uV ?�lG 6.33 St 1 d.
Drop
NOTES:
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• 7-5
.4S° 3enc)s
z9 Z
WA ,
C
MH iM597 *$-W— -5f 9
�-
33 m 5 t -r.
� 3r
8.3
2'Sfu6 4C -P
Z.• TO
4,5t. Z8.85 33.31-F
Depth of Cleanout- *flow Line
Cleanout /Z 11 "
,,..From
Laced * l�.25 QG�-R 1�2pP
• Basement Service
-Q
'C'.`�u6 F, CoP r
Aoounte t nin to work completed this per:odg reviewed .1d approved.
8Y CA -f 61L
VCSD Inspector Contractors Pope
pr --W J-ocR T Ipw%
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
l �5011�
Property Address: Route 6 Box 292 (Maugans Avenue)
i UTD MH 58��9 ��+�+ Z(. DWG. #601-313
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.
AN T.B.M. 42 — —
Alk
MH SD15-589
- - 12"w
_\\ i R/W
J INV. 679.7
550
(I (RT. 6
I I BOX 292)
0
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.
r
Date: a J11k'
Owner —
A -k e
Owner
Attest:
Was Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Mrn740 a (301) 791.308
F C DIVED
1i1i7i�IJJ�JIV•
Con I
iv
#Lq
To: Lisbon Contractors, Inc. 9Cy�"vw �,--•--
I hereby request the contractor to install the lateral in
accordance with the following conditions:
/0 Cr' Lel
Address_'
Signed ��4
Property Owner
37/9- ��
Date
"Washington County Sanitary District
33 West Washington Street
Hagerstown,,Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-5
0
Gentlemen:
7
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.���
Approved by W. C . S . D. Inspector__ � � • �j�
Date