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806
WASHINGTON
33 W. WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Eu ene E Stout �j a
PERMIT NO.
DATE 81 1 5J 8b
SUBDISTRICT I 1
Mauga, Aard viii is
Permission is hereby given to: ZI-
For PropertyLocatedat: 1312 Orchard Hills Pkwy, Hagerstown, Maryldn6 ��i40
Owned by: Eugene E. Stout
Type of Connection: To Service Connection
Address:1312 Orchard Hills Pkwy, Hagerstown, MD 21740
X To Main Line:
Type of Service: Residential %+ (1) Units
Commercial
Other
Industrial
Meter Size _ Connection Fee 44620.00 Date Paid 8/15/85
To connect to a public sewerageAgt4r 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 No. 1-15-8040-8
Secreta -Tre r C `
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
Final Inspection Made BY: Date
00,
Plum41ector
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:
i 3
DISTRIBUTION: Permittee Plumbing Board
Field Office
Date
City of Hag. 1
WASHINGTON COUNTY SANITARY D' RICT `NITARY SEWER LATE,','_
WASHINGTON COUNTY, M0, INSTRUCTION REC(li%(-
Project:.Maua� ills/0rchard Hills Sanitary Sewerage Collection System
i�5 its
Street (or location) : C7A r &i7 0,,;��//4R,0 /-/ILcam Pkwy
Contractor:. Lisbon Contractors Inc.
ourc�
Date Installed_ i_2 _ ed
MH TO MH 55/ c�-' 264
Wye Ste. On Main ofoo PTA
WYE 5IZL— iTF'L ULF'1n 1I1 -t. 16^.09v9 ••".a-
11ZE TYPE PIPE C.0. C.O. LATERAL LENGTH LENGTH
ai'fw�DGiZ6 ov,G. 6"5r,oP.
CA;zVG *HOrZ.= Total-
:�k-,kj.; 6. St1d.
ly H
st �✓�
NOTES:
Drop
pe♦ "orz-10ta
Depth of Cleanout 6./B ✓F. •Flow Line _
Cleanout d ' From4-M� H.H.
L a y e d•
-(�o55i5LE Basement Service
MHS
6, WIL _ 651
2'Sf�,bC�p
Amounts per �rininW to work completed this period, reviewed and approved.
BY /
WCSD Ina ector Contractors Rep.
c. IJ
/983 -
✓ adv p-�Qi- '� Washington County Sanitary District
SEWER SERVICE LOCATION j
(_,4-t-1=.t2.�L, I mT'o M41 °
Subdistrict No. SD#15
f Contract No. SD15- 3-S
Property Address: 1'3� Orchard Hills Parkway
H 55J nl,ir,, JF, n1 -.-12n
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.
—529
1 H SD15-53
�o Z
�. 697
(1312)
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. ZA3 ,
-Owner
(� q Owner
Attest: %4
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
77a /ass
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
-wasningzon uounzy Sanitary District
33 West Washington Street
Hagerstown, . Maryland 21740
Re: M ugasnsvi lle/ 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:
0P"`
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector �-