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111 ASH1NGTON COUNTY SANITARY DISTRICT PERMIT NO.
.33 . YJASH4GTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 10/15/85
P. 0%
OX 571
SUBDISTRICT No. 10
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WA-TER SYSTEM Ma ug an S v i I e i u. - �A& r d i I. i S
Permission is hereby given to: San t i n (3 l)OV.i
For Property Located at: 1304 Old Colony Lane
Owned by
Santino G. DOVi
Address: 1304 Old Colony Lane, Hagerstown, MD
Type of Connection: To Service Connection !
Type of Service: Residential
Commercial
To Main Line:
Units Other
Industrial
Meter Size Connection Fee 020,00 Date Paid 10 / x b/ b
To connect to a public sewerage/Mater 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.
Building Permit No.
Secretary -Treasure, 0 .
I
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
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: Permittee Plumbing B
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
Field Office City of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTYp MO.
SANITARY SEWER LATV-
CONSTRUCTION RECoitft
Project: Mauamney lle/Orchard M r
ri ILI
Street (or location) : , ,N r X705 C/4,0+ ��� Coco�u?' ROAD)
Contractors Lisbon r-^ntlactors- Inc. �
Date Installed 0"10"04'
WYE 51ZE— TYPE DEPTH TYP
,IZE TYPE PIPE- C.O. C.0 TER
MOMS Co -6 DQ Z& 4VC.
�LTV
E`• Std.
I
D op
NOTES:
V&.50
(o'• n DR Z6RvC-
jj
.4S° 3encls
MH 55'lb i� TaZM
Wye Ste. On Main o�o�ZAf.
ors.• T
5lev.r.
D
2'Siub 4 Gap
•13=
....rte.... ,
Depth of Cleanout vr- aflov Line
Cleanout 33- s� row
Layed 0--Z-10--% aFr(�-:R nrzoP
;!Basement Service
-Q
M# NA M�SsS
w
w
0— G.O.
2'SEubE:Gop -•--•• •'
Amounts pertaining to work completed this period, reviewed and approved.
BY tom`
napec or Contractors Rep.
C}o
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
' Contract No. SD15- 3-S
tgs�
Property Address: 4 Old Colony Lane
ISH 558 DWG. #601-312
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:
T—T Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
0
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791-3081'.
CEI ED
WASijii'lGTO
Y COW*,;' i:ird
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
AddressQQ(C?/
Signed
roper y wner
Date 1 , 19 91�c-
Vashington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
0
• 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:
��..:w�w� �.�■��i rte■ �■�� r r i rr r ■r r■r+w��..n ■�■ ■ ■ ��r... � r� ■��
w. �r����rr Illrrlrr �r�■r�rll�r■M ��� ■■rl■r��. rl��rr■�■r��.�■■■■r��rr■��r
Requested by Lisbon Contractors, Inc.
-
Approved by W.C.S.D. Inspector � lu
Date