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WASHINGTON
COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN. MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
(301) 791-308313084
PERMIT NO. �(J�
DATE March 1* 198`:1
SUBDISTRICT 1"'0 • 1
Maugansr <:r Ali'. _r,
Permission is hereby given to: ,';r. A D• HOrine 1 ��✓ ✓``
For Property Located at: 2528 Northvalley Drive, Hagerstown, MD 217440
A. D. Horine 2528 Northvalley Drive, Hagerstown, M
Owned by: Address: — 40
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
To Main Line:
..) Units Other
Industrial
Connection Fee 0620,00 ._ Date Paid March 1, 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 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: Washington County Plumbing Board
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date i
Plumbing I ector
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: Permitt
Fie]
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Plumbing Board 3
Office .+
Date
City Of 'lag. 1
WASHINGTON COUNTY SANITARY ISTRICT
WASHINGTON COUNTY, MD.
SANITARY SEWER LATE, -
CONSTRUCTION RECffi�i"
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location):
1310-0 -A
Contractor:_,_____ Lisbon Contractors, Inc.
MH 6D4�3 TO MH
Date Installed 22- MAROA X34 Wye Ste. On Main
SIZE
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAU.
LENGTH
LAYING
LENGTH
!
*Hort.= Total
g��
Si�R 2l0
,.
g.%(,
St'd.
i.
pe + AM.
Drop
NOTES:
-\
C.o•
2' STO B
CACI
Ch
L
Depth of Cleanout .to ®Flow Line °
Cleanout_ l ,S'-rom ri
L
Layed ® 2- %
- VNKNOWN Basement Service
FLOW STA. [ t48
.01
MH# (A-16
C.U,
MH# 6049
Amounts pertaining to work completed this period, reviewed and approved.
By
UCSD Ins ctor Cd'ntract rs Rep.
7 cr .
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
{ 57 3o
Property Address: 25L Northvalley Drive
MH 6,18 to MH G49
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.
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: 6 __
Owner
Owner
Attest: Oa L"
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
--v
0
WASH INGTON
4.
33 West
(9ti8- CC -+9
COUNTY SANITARY DISTRICT
ton 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:
Address_ 2s z% Al. 04)-, F/ .�,e/✓E
Signed
roper y 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.
Approved by W.C.S.D. Inspector
Date