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05HINGTON COUNTY SANITARY DISTRICT PERMIT NO.
`33 W`WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 2/20/85
P.O. BOX 571
SUBDISTRICT 00- 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATFR SYSTEM M a u g a p S v i 1 1 {`U r c h a r d
Long
Permission is hereby given to: Virgil L. LOri
Ha erstown, MD 21740
a �m1,, t�mrthvallev Drive, g
For Property Located at:
Owned by: Virgil L. Longi_— Address
Type of Connection: To Service Connection x
Type of Service: Residential x
Commercial
Meter Size
Connection Fee
2504 Nertavalley Drive, Hagerstown, DO
2,1740
To Main Line:
1) Units Other
Industrial
3620,00
February 20, 1985
Date Paid
To connect to a public seweragelwater. 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.
Meter No, 1-15-6756-8
Secretary -Treasurer c—
Building Permit No. L
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:
Plumbing lnDate {� /2 Z
Plumbing Insp r
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 i Office 1 City of Hag.`_1
WASHINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATEO.
CONSTRUCTION REC(Jill'i
Project: MauQansville/Orchard Hills Sanitary Sewerage Collection System
04-7 N 0 RT H VA LL.F-:Ni -DR,y r i L Lcsnc�,_
Street (or loca ion .
Contractor: Lisbon_Contractors, Inc
MH Cn 4 S TO MH �A-T
Date Installed 2--3 MA\RC-H '84 Wye Sta. On Main h8� - 13
JYE
IZE
51LL—
TYPE PIPE
I TPL
C.O.
ULF in
C.O.
1 ►►'L
LATERAL
4-n�nv0
LENGTH
-..-.—
LENGTH
(0.1
,
*Horz.= Total
9"), Yi3
S171Z Z(o
�j.oC�
St1d.
2�0.
`
23. �,
�1l C
e+ orz=, ota
/
Drop
NOTES:
C-0.
2� STU6
CAP
i
L
Depth of Cleanout g' Flow Line
Cleanout 2-1--75'- from r'r1
Layed ® -z— %
uwKNOWu Basoment Service
MH# CD45
I -t 87, S R
ME
4' LDW
MH# (o-4-7
Amounts pertaining to work completed this period, reviewed and approved.
, j
O Inspoetor Contractors Rep.
A►.
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
13seue Contract No. SD15- 3-S
Property Address: 2514 Northvalley Drive
MH 645 to MH 647 _ DWG. #601-340
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.
I - R/W .
MH SD15-647
Aft
I
SAN
R/W —
0 o Oo o
947 (2 B)
(2504) Y"N
I
QFX X �`� L J
L V
i
o
0 O 0 �x i ❑
I 1 _
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. J -p L
Date. 00
caner
Owner
Attest: &hR-o�.
Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56