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'VI�A'SHINGTON COUNTY SANITARY DISTRICT PERMIT NO. ,4-
33 w. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 7 91-3083 1 3084 DATE 9/ 24/85
P.O. BOX 571
SUBDISTRICT No • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAITER SYSTEM MaugaosvziicjOrchard Hil -5
Permission is hereby given to: Robert G. Bonebrdk ' l
For Property Located at: 1303 Old Colony Lane, Hagerstown, Maryland 21740
Owned by: Robert G. Bonebrake Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
1303 Old Colony Lane,.Hagerstown, ME, 21740
X To Main Line:
1 ) Units
Other
Industrial
Connection Fee Date Paid
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.
Water ;?V,,). 0-15-8380-8
Secretary-Treasui r
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
Xqe /)r<
Final Inspection Made BY: Date
Plumbing lnspe 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: Permit
Plumbing Board
Date
Field Office
City of Hag. 1
WASHINGTON COUNTY SANITARY Dl AICT
WASHINGTON COUNTY, M0.
NITARY SEWER LATE'.
t.uNSTRUCTION nECon, r!
Project: Mauamnaville/Orchard Hills Sanitary Sewerage Collection Svetam
Street (or location): e,.4I X03 (-f3e-3 v� eoco�vr 'e�n� .
Contractor: Lisbon Contiggtors _ Inc.
Date Inatalled S"7' 84
8"9c:'k 6" W'60R Z& RW c..
NOTE S:
p vc.
2'S�ub�►P
d
57,50 VF' I St' d.
Drop
MH
554
TO MH
558
Wye
Ste.
On Main
H 85 8 -"r 4.
36,r -?C
--- Z9.7 5
r- 3.Z
' SDR
i
MAIkf
z.• Tot
,&7 + 31,-7G=
36.-42.,
.
Depth or Cleanout 5"'50 vP. 4Flow Line
Cleanout 32.02From `_mA1#11
Laced • Z APTER D2o»
• �-J,A' Basement Service
A"#554
v
Amounts pertaining to work completed this periodo reviewed and approved.
BY Gf% G'• �y t t S,�
MW nspec or Contractor*-- Rep,
� � � � nom►
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
r 8faa3 Contract No. SD15- 3-S
Property Address: 13 Old Colony Lane a --
MH
H1H 55 4 to MH 558 _ DWG. #601-312
Place an 'Y' 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
z
Q
d
O
I
703
(1303) �J,
CD
to
to
L
�0
—
z
y�
40
R/W
fl. -
to to
T
LO
1�
3//z/ E3N
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 oigner'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.
f
Date:_760
Owner
Owner
Attest: &4'gej
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
lr .11
ngton Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
R E C EID
ry
_ C� - ----- 1 E .
To: Lisbon Contractors, Inc. --
0
I hereby request the contractor to install the lateral in
accordance with the following conditions:
f
l r J-
K }.
• . •� 4i�..... �V L� 4�V� �q ^a.ZiG `, 3iily.
l^ .
`
Address J` ,�j 6 '3
Date_sZ�'
�9 31
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 21710
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. r
Approved by W.C.S.D. Inspector �-
Date 3/ 11 / 8Y