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A..P VASFIINGTON COUNTY SANITARY DISTRICT
✓r 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084
P.O. BOX 571
,PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
PERMIT NO.
DATE 2/22/85
SUBDISTRICT N o . 15 -
Mauga»svi11e/Orchard HiliF,
Permission is hereby given to: Ronald ,'. .line, Sr. 0L/23
For Property Located at: 2521 Northvalley Drive, Hagerstown, Maryland 21740
Owned by: Ronald E. Kline, Sr.Address: 2521 Northvalley Drive, Halters town, a
Type of Connection: To Service Connection
Type of Service: Residential x
Commercial
Meter Size
To Main Line:
1 ) Units Other
Industrial
Connection Fee $620.,00_ Date Paid t' ebruary 22, 1985
To connect to a public sewerage{vvAer 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 -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
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumbin nspector
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: Permi
Plumbing Board
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field Office v
WASHINGTON COUNTY SANITARY PISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,,,;.
'-ONSTRUCTION REC(ii;�:
Project: MauQansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location): Call 930 rfhyv//eel 4r1'�
Contractor: Lisbon Contractors. Inc.
Date Installed
MH y '' T O MH(,;. a ....—...
Wye Sts. On Main 2+50. �, Lr.✓
WTL JILL" 1 TYC ""r' 1 TI'L LA1.AV. LMTIrib
ZE TYPE PIPE C.0 C.O. LATERAL LENGTH LENGTH
8"x�k8' SDe.2(o .r::.c,5*Horz.a Tot
PYG. r,.� ��V St # d. /
'r5lope+ H
orz=Toti
Depth of Cleanout —z5 -5? -V --F-7 ®f lou Line
Cleanout 3Z • Z F rom 4.m4lki "
Layed O % ,G1 Vercj oP
6/e_ Basement Service
2'S4u6 4: C4p
MH 6W% �t/o,�7�ivnc.c.�
MH#
Amounts pert n nq o rk completed this period, reviewed and approved.
BY C` -v- c
UCSO Inspector Contractors Rep.
I �. • w L� _.A 1
C, 0),
Washington County Sanitary District
SEWER -SERVICE LOCATION
Subdistrict No. SD#15
13s3-3 Contract No
Property Address: 2-ffrl Northvalley Drive
SD15- 3=S
MH 647 to SIH 648 DUG, J601-340
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 J
J
930
(2521) 5�p1 �L
Un
O
( 5)
_ o V8 11W CO3
s�
(MAC.) n
8 SAN MH SDIS- 64811
aa
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 ox,m.er's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District -at or near th property
line.
Date:
caner
Owner
Attest:
ash. WCoSanitary District
(Form WCSC-1)
Replaces Form WCSC-56
I - Le '0-
WASHINGTON COUNTY SANITARY DISTRICT
ii
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Addre s sIV, /-�
Signed l'—'`,/
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.
---1 ,
Approved by W.C.S.D. Insp 17-
Date II !P�