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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: X49 Pennsylvania Ave M -H 361-362 Page 61 of 70
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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.
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The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside the property line at the
location indicated above, said ten (10) feet to include five (5) feet of
lateral installation beyond the cleanout, plus an additional five (5) feet
of excavation beyond the terminus of the lateral to facilitate, and make
less expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the District in those areas where
rock is encountered.
Date:
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-56)
(110878)
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The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside the property line at the
location indicated above, said ten (10) feet to include five (5) feet of
lateral installation beyond the cleanout, plus an additional five (5) feet
of excavation beyond the terminus of the lateral to facilitate, and make
less expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the District in those areas where
rock is encountered.
Date:
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-56)
(110878)
S,
Washington County Sanitary strict
Washington County, Md.
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
56
Project: SD6-1-S Fountainhead
Street (or location):2®-95 PEA) A3 AvE ? t MH2Gt_ to MH 3�z_
Contractor: Corson and Gruman Company
R,'fe,/}R , !- 4E -E , Inspector
Depth of Cleanout y.3 @ Flow Line
Cleanout q,, From
Layed @ A 01
YF_ s . Basement Service
IM
Amounts pertaining to work completed this period, reviewed and approved.
By---
nspector sin & Gruman Superintendent
0
(Form WCSC - 4)
1 a .9 v
WASHINGTON COUNTY SANITARY DISTRICT
Lu__� Elliott Parkway
C�Cwy)
70/81 Industrial Park
Telephone 301-223-9416
Williamsport, Md. 21795
Permit to Connect to Public Water/Sewer System
1 I Comm Sewer Permit No. SCP 150- 1073
Sub is ric�me Mauganvi l l /OH Issue Date 8/10/90
Mainline Contract No. S -150-3-S Void Date
Building Permit No. 90-1642-1421 Subdistrict No. 15
Permission is hereby given to: 1
Property Owner: James Kercheval J
of address: 125 Peacock Trail
Hagerstown MD 21740
For property located at: 2049 Pennsylvania Ave. Street Address
Lot No. Subdiv. Johnnie's Restaurant Phase Sec.
Owner's Agent:
James
Kercheval
Previous Owner:
Red's
Twin Kiss
Agent's Address:
125 Peacock Trail, Hagerstown,
MD 21740
Fees Paid in Full?
Date Fees Paid
WCSD Dist./Coll.
WCSD Ready to
WCSD
City of
Remarks ,'xisting
nb
System
Serve
Total
account
Fee $
Fee $
Fee $
Fee $
Fee $
(060-18-7355).
Lateral with Mainline? yes
Residential EDU'S
Commercial EDU'S
Gal/Day Allocation
Building Number
Lateral Contract No. SL -150-1016
Grease trap required for
drain
from out door
cooking area.
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permit does not supersede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH EMAINSWITTH THE PRQPERTY OWNER. �
Signed: ��iI./ (JV Date:
e410191)
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3072
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Inspection Date: (. -- ,-GIJ Plumbing Inspector C
2)P_CL"�
CGr,- `to 2Xi`5 SPtvQ, I,. - F
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date:
Inspection Date:
Distribution: Permittee
WCSD Construction
Permits Office
WCSD Inspector (Lateral) —
WCSD Inspector (Connection)
City of Hagerstown City of Williamsport —
WCSD O&M WCSD File
— Plumbing Board Plumbing Inspection