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WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.0:BOX 571
D
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWAfiT€}i SYSTEM
Permission is hereby given to: V i rq i n i a riot/ i t,ifla 1. e
PERMIT NO.
DATE
SUBDISTRICT NO.
(' augansvi i lerchard hi i is',
For Property Located at: 2429 Penns yIvania Avenue 1SIM2
H0verfeale ?429 P'`nnsyit'ania, Avenue, lacip ^s!
Owned by: V Y� � ' n 1 aAddress:
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
To Main Line:_
Units Other
Industrial
Date Paid
To connect to a public sewerage/SW2at9e;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.
Wa-Ler Acuount iw.; z5.-i'I5a
Secretary-Trdasurer
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: ate
Plumbing Inspect
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: Permittee Plumbing Board
Field i Office '
Date
City of Hay. 1
WASHINGTON COUNTY SANITAP-"DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE,"";-
CONSTRUCTION
ATE,"" _CONSTRUCTION REChi;;"
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
Street (or location) : f 7
Contractor: i Lisbon Contractors. Inc.
Date Installed
MH 7f TO MH (,,7z-
Wye
,72Wye Ste. On Main
Y
SIZE
—
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EX AU.
LENGTH
LAYING
LENGTH
g"zf x8'
�022�PVC.
"sD22C,
* Horz.__ Tota
Pvc.
4 4`'�V.
St'd.
ope + orz= o a
111'5.4ff
NOTES:
I
Drop
l9.30L, F
�4.Gz�= �9.4fL.F.
I Q. 25
1
Co"SDR 2G P.v.G. � ''2'Sk.6�Cop
45° F3erndn '
Depth of Cleanout 4.49vIc�. ®f low Line~�
Cleanout �5' ram ,,eHAJ&I
Layed 0 G.25 %,ANerDrop
'> Basement Service
MHS f 7�
MH# N%
C. -.
Z` ub Cap -
Amounts perta�,g4ng to Work completed this period, reviewed and approved.
BY J
UC-S
D Inspe for Contractors Rep.
` 4 - r
Re✓4oy )Del't(E o �T SI�0 6IZn w
Fpm13 ����1[
."ll, 16 1984
WASHINGTON CO.
SANITARY DIST.
p �T �
��i 1 0 Washington County Sanitary District
6 SEWER SERVICE LOCATION
Subdistrict No. SD#15
1, baa,
Contract No. SD15- 3-S
Property Address: 2429 Pennsylvania Avenue
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.
B.M. 47
F
I
807
(2429)
r
I (20 7) I
I� I
O
I �
HV -77
EL. 640.05
NO
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: S -'/g / B
r- Attest:
4yr-,�
Owner -
t/U
Owner
n�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
...
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington 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:
i
Address � 9 )OI -el
r
Signedje
rope y weer
Date
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:
04
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector
Date 3018 y