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i-'VVASNINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 PXI. BOX 571 PERMIT NO. s DATE Aa mh 6, 1985 SUBDISTRICT NO - 15 ' PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM a u� a R s v� 1 nC r ( h e Permission is hereby given to: „r• actor L. Guilmin©, Jr. Ila)—i4-?> For Property Located at: 129 Northridge Dri tri 1;•;; perStnwn_,. rdf ry1 ,1nr•1 21740 Owned by: Victor L. Guilmino. dress: 129 Northridge Drive. Hagerstown. Tum 21710 Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size n To Main Line: Units Other Industrial Connection Fee $620.00 — Date Paid March 6, 1985 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Meter No. 0-15-6695*4 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: 7 1-3146 Permit Fee Final Inspection Made BY: % Ly Date Plumbing lnspjKor 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: DISTRIBUTION: Permittee Plumbing Board Field Office Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Date ;WASHINGTON COUNTY SANITARY DISTRICT ;WASHINGTON COUNTY, MO. Project: I Street (or location): Contractor: L /.580// Date Installed // - O 3 -6-5 Itt SANITARY SEWER LATERA=.! CONSTRUCTION RECORD r L. :� Lf , J rY, i h O. MH31:!ff TO MH lo,dO.✓ Wye Sts. On Mainotoo eAl,#64 WYE SIZE- TYPE DEPTH TYPE EXCAU. LAYING SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH e-~Al.Tb .565U47" *Horz.= Total /ludo St'd. /? �L '� /-7.¢ LF Drop NOTES: Q I xol I� r Depth of Cleanout ®Flow Line Cleanout 2 ' From 4lzp FENc_E Layed ® 2- M&r Fie Basement Service ANWLc &e -C-- MH# 639 e0ARD CAIS 2 -,;C P 2� $PARD LENGE i � C.O, LAN 30' MH# 44 O Amounts pe ning to Work completa.d this period, reviewed and ap roved. ��� .. BY C.:� � C-� WCSD ns ctor Contractors Rep. (Form WCSC-4) C. 0 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S t -1L4 3 Property Address: -'fes Northridge Drive MH 640 Terminal DWG. #601-361 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. — —'L -�°—'—.Qin=cz4 —x EY- X - 909 X_ X— Y 909 g (129) 0 =--� � COo000 BB -620-062 =J-1 8" SAN. MH SDI PERMANENT SEWER EASEMENT SEE DWG. BB -620-037--, 15' 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: Attest: (Form WCSC-1) Replaces Form WCSC-56 - I 15' 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: Attest: (Form WCSC-1) Replaces Form WCSC-56 WASHINGTON COUNTY SANITARY DISTRICT / 16� 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 CAr-0- )09 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21710 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: SAN r�a2� LA-rL---WAL -5&z,' LD- /1,40 Requested by Lisbon Contractors, Inc.f(�(`�'{�4.� e Approved by W.C.S.D. Inspector 2).( >-a[ Date r