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Lat_13921NorthmeadowRoad
'IA _ ETON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/ -SYSTEM Permission is hereby given to: �paiii For Property Located at: PERMIT NO. DATE 2-/-65 SUBDISTRICT No- 15 Yiaugansvill a /Orchard Hills Owned by: barp Wood Address: 2523 �orthmeadow Road, iiaQerstown, ,'-fit'/ , Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee To Main Line: Units Other Industrial Date Paid To connect to a public sewerage/ 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. qua u-er Account -No. Unknowr 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: 791-3146 Permit Fee Final Inspection Made BY: Date Plumbi Inspector 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 Field Office Date WASHINGTON COUNTY SANITARY 'STRICT WASHINGTON COUNTY, MO. 40k SANITARY SEWER LATEi,,";_ CONSTRUCTION RECOEI"' Project: MauQansville/Orchard Hills Sanitary Sewerage Collection System a / Street (or location): Alot2T,-4 i✓tL,�r>o�' )2o p (GAY-- - `3' L j,'5q 1j Contractor: Lisbon Contractors Inc. Joan L.00A. MH C-60 TO MH --`r Date Installed -3J78Y Wye Ste. On Main b �c /N To M H WYE SIZE — TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL LXLAV. LENGTH LATINU LENGTH *Hort.= Total /t/ONC %Pvc r'vC �f.loZ St'd. so' LIZ.cc sr>2 72(oy2. o pe + o;t� o t a NOTES / tiAJE TjrLiz k! Qopq $Ue flgcc L' (Ep,�/o�T 0 M N b(c o / 'WAr Sr2v�eE 3.5' gclow AZoA0 5442�Ac6 Depth of Cleanout 0), ®flow Line Cleanout From e c- c� Layed 0 z u'W KNow N Basoment Service MH// (> S MH (6 0 y�. ccu0 Amounts pertaining to work completed this period, reviewed and approved. BY SD Inspector Contractors Rep. A^ AWN Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 Contract No. SD15- 3-S Property Address: ?,'E Northmeadow Road ISH 660 Terminal _ DWG. #601-338 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. .W of ) SAN. — -- MH SDI S-660 — R/W / I p 916 \ \ (2528) b© o / X .� 1-7 (2 ) .i 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: VIA,O a5 1983 J70 r: YL Owner Owner At t e s t: &4L al j ,az-.Q- Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 d olo ,WASHINGTON, COUNTY SANITARY DISTRICT 33 West Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 GST �- �i� To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: • Address ;�5�� •? le Signed Property Owner Date 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, Inc. //,/_'Z -y.,_._- J Approved by W.C.S.D. Inspector 0.00. eyt ug Date S -�{-