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V^S-H COUNTY SANITARY DISTRICT PERMIT NO. X24
33 WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 X301) 791-3083/3084
P.O. B 571 DATE8/30/85
SUBDISTRICT N o - i �
PERMIT TO CONNECT TO PUBLIC SEWERAGEMAIE✓TiISYSTEM M a u g a n s v i l:e 0Gil3 =I1 t S
Permission is hereby given to: Menno A. Mart i n
For Property Located at: K t • #6 , Box 272 1 V5iq 1' 1 WN Y1 S NQn(,(e
Owned by: 1enno A. Martin Address: f(t. 42 Sox 272, Hagerstown !1101 21740
Type of Connection: To Service Connection To Main Line:
Type of Service: Residential (i ) Units Other
Commercial Industrial
00 ' 2r)
Meter Size Connection Fee X620`Date Paid
To connect to a public sewerage/wat*r 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.
;dater Account No. 0-15-8726-9
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
Plumbing In 09ctor
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 Office City Of Hag. !
a
W
WASHINGTON COUNTY SANIT, DISTRICT SANITARY SEWER LATE
WASHINGTON COUNTY, MO. CONSTRUCTION REC(ii'i
Project: Mauo_ ansville 0
Street (or location):` oor
f 2 7
Contractor: Lisbon Contractors. Inc. Iie_M)o A
Oats Installed - /)�4--
MH '!"-2 � TO MH '`/moi I�
Wye Sts. On Main r�-
IE
TYPE PIPE
COO@ COO
H
C 0
TYPE
LATERAL
EXCAV.__
LENGTH
LENGTH
K(o
�_ *' _, ;1 '7eHorz.
St ' d.
• Total
Ops ♦ orzs
NOTES:
Drop
L / L, �;
6.7'4- )1.2 � = 19, 9
Depth of Cleanout -9 ®Flow Line
Cleanout 6• ' rom
Layed 0
• )VO Basoment Service
MH#
MH#
Amounta�s sininq to work completed this period, reviewed and improved.
BY—
Inspector Contractors Rep.
51
F "k
L_ Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
I $ at R rYl OIL" a ks /vQ
Property Address: - e)
MH 593 to MH 594 _ DWG #601-314
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.
MH SD15- 593 -- — 1
t
Ink
8" SAN.
565
(RT. 6 BOX 272 )
r, M
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.
r _
Date:
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
Owner
wner
WASHINGTON,,. !
S GTQ1V} COUNTY SANITARY DISTRICT
1
Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Addre88i/'T6 Rol Z7Z z
Signed u,s � ��l,_�re` � ,
roper y wner"�"�"
Date _
"Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 217 I. 0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
r
• Gentlemen:
ot
:ate
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.
Dat -M/-9y