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4II,NGTON COUNTY SANITARY DISTRICT
33 V�. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
(301) 791-3083/3084
PERMIT NO. 5 1 L
DATE March 5,: 1985
SUBDISTRICT dQ • 15'
' 1augansville/orchard.Hills
t
For Property Located at: 2520 Nerthmeadow Road, llagerstovnp Maryland 21740
Owned by: William J. Sarno Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
2520 Tyorthweadow Road, Hagerstown, T -M
21740
X To Main Line:
Units Other
Industrial
Meter Size _ Connection Fee 8620.00 Date Paid March 5, 1985
To connect to a public sewerage/Wat)ONsystem (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.
Dieter No. 0 15-6813*2
'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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumbing Ing ector
OFF-SITE INSPECTION (in Public Rights -of -Way and Easements) and certain
ON-SITE INSPECTION in accordance Wath 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: Permit
Plumbing Board
Date
Field Office 'I ICity Of Hag . 1
WASHINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, MO.
4
SANITARY SEWER LATERAL
CONSTRUCTION RECON'D
CUt.ITfW-T 5045-3-5
Project:MAUGAk1s1JiLL.E^-URC4ARQ PILLS 5L"rrARY SEWER PRU.IELT
Street (or location): GAS.' 918 25-t'07- WORTHMEADOW ROAD L,J,11'i ..j sarno,
Contractor: LI5eoN CowrRACTOR$
MH 65S TO MH Co&O
Date Installed 1Z/8183 +� Wye Sta. On Main ?-474.15R
WYE
V
SIZE—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EX AV.
LENGTH
LAYING
LENGTH
5.4MiTAQ
SDR-Z(o
Pv.c.
�.�'
st � d.
3Z
*Harz.= Total
30.5'
NOTES:
Oro
V91—ape t or.;= o i
8" 6 EWER
.8
C.O.
Depth of Cleanout Co. D' ®Flow Line
Cleanout 26.5' From I-nF 1,-I4Iu
Layed 0 10
NO Basement Service
2474.5
MH# 61, MH#(�,�0
in
Amounts pertaining to Work complets.d this period, rev' wed and approved.
8Y
UE—SDInsp6ttor Co actors Rep.
Property Address
MH 658 to MH 660
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1379
Contract No. SD15- 3-S
,2 '" orthmeadow Road
DWG. #601-336
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 near the property
line.
Date. 27 MA—/ 1yc9---' _
Owner
Owner
Attest: 1 "" X l/ 5
Was . Co. Sanitary strict
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
y.
11
� r if 91E5
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Mary
To: Lisbon Contractors, Inc.
WtD
y Si't� r` J _
t
I hereby request the contractor to install the lateral in
accordance with the following conditions:
V
�. Address_kZ 20 tJ
SignediX' .._ o
ro e y Owner
Date -Y. -
5a
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
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:
Requested by Lisbon Contractors, In�.
Approved by W.C.S.D.
Date,
1
Inspector (�.._