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WAS"INGTON COUNTY SANITAR DISTRICT SANITARY SEWER LATLi',,;_ WASHINGTON COUNTY, MO. CONSTRUCTION REC(Jk," Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System Street (or location): r. T Contractor: Lisbon I07/0 L-« �iWy x-61' ax, \/a aao3o Date Installed 2-7AP,e1L 8¢ 1n C- z,zo MH C ZY TO MH Wye Sta. On Main 0-r0c) Y SIZE - TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EX AU. LENGTH LAYING LENGTH n c�vu ' �s� "O,eZG�. 6"�L6 99Y r St' d. *Horz.= Tota 13.50 L. F, ope + orz= o e Drop f3..�t3./6=/6.`/��•F. NOTES �%� r 6..Soezbi oqa //,Ortrs Z�� r Depth of Cleanout &.99VlF ®Flow Line Cleanout 11.8' From -.- eAma L a y e d 0 - 2 A*,"le, Drop Possic3c_E Basement Service MH# �s Amounts pert ng to Work completed this 8Y D Inspe for l E5 9 CK:s , MHJbzq •zs�,� 6Ccp period, reviewed and approved.' PT Contractors Rep. Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: Washington Center Pennsylvania A3,* -nue MH 629 Terminal DING.. Jul -334 — 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. lxk poi f '' C tr. 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. Date: Owner _LII -e Owner r~ Attest: kaln�; C �lg�,�s© �`- Was Co. Sanitary District )Ll, K ���� 7 c (Form WCSC-1) Replaces Form WCSC-56 _ 3 c� Z 0 cr w - 00 M e a U � LU z cn 0 0 ?: a 0 o US N,- -- __ v M 0 d 1 12 M o 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. Date: Owner _LII -e Owner r~ Attest: kaln�; C �lg�,�s© �`- Was Co. Sanitary District )Ll, K ���� 7 c (Form WCSC-1) Replaces Form WCSC-56 _ 3 c� .$JTON COUNTY SANITARY DISTRICT PERMIT NO 4GTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 1DATE PERMIT TO CONNECT TO PUBLIC SEWERAGEVATER SYSTEM Pr mission is hereby given to: Washington Shoppi n e For Property Located at: Pennsylvania Ay Owned by: Washington Shopping Address: Center Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size SUBDISTRICT Center 'zi900 1+'710 '_ee Highway, Fairfax, VA To Main Line: ( ) Units Other 9 Industrial Connection Fee $5,475.00 Date Paid To connect to a public sewerage/Water 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-Trry er 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 Ins for 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 Plumbing Board Field Office _ _ - _ Untitled Map n .. �. Legend U Write a description for your map. INT - � E 1, F,:w - 9 t� > �a '�'1 j•J e , x F ' „ n p� o w r t Ti A y �Y yww V).;a ,' a