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WASHINGTON COUNTY SANITARY DISTRICT
W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P,.�. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGEP"ER SYSTEM
PERMIT NO. 4z4
DATE FQ?b1'Ud1'y 1'
SUBDISTRICT Na. 15
mau g as svi l l e/ O r chard
Dills
Permission is hereby given to: }' t 1 x i mo i'' t,
For Property Located at: 2 �' e �� n y i '' an 3 P, ,,l e n u 2
Owned by: Yd iL itl KU�iI Address: 2437 Pefinsylvanie 'Ayerl'_iP.. Hagers-tawn, rAd,
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
Connection Fee
Units
To Main Line:
Other
Industrial
Date Paid 2 % 4 f 8
To connect to a public sewerage 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.
Secretary-TreasureVJ
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
Plumbing spector
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: Date
DISTRIBUTION: Permittee Plumbing Board
Field Office
WASHINGTON COUNTY SANITAF DISTRICT
WASHINGTON COUNTY, M0.
SANITARY SEWER LATE,',,;
CONSTRUCTION REC(d
Project: Maugansville/Orchard Hills Sanitary Sewerage Collection System
13S --�LP
Street (or location): C,AI 8Cx? -P43q PenngLiiyaniri Ave. _
Contractor: Lisbon Contractors. Inc.
Date Installed �4Mau-
MH G// TO MH &,7z
Wye Sta. On Main Zf�f.S Rr.
SIZE
-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EX AV.
LENGTH
LAYING
LENGTH
Q, g4V.F
*Hori.= Tota
—
stud.
*sl6pe+ M- o a
Drop
3L.F,
5.o5+f3.cn=fB.o5L.F
NOTES
Depth of Cleanout �V F. ®Flow
Cleanout 1.5' rom 7-7 71,47
Layed crop
No Basement Service
MH# Co7/
Line
c.o.
z'54u6<,Cap .._ _.
Amountsainin0�)
1gto Work completed
r""
�-
SO Insoector
/I-___ r.ren R\
;'• p
MH# 67Z
this period, reviewed and approved.
Contractors Rep.
Idd
Washington County Sanitary District
V" SEWER SERVICE LOCATION
Subdistrict No. SD#15
-- Contract No. SD15- 3-S
j3SaL-(
Property Address: PPnnsYlvania-Av.Rnue - -
MH 671 to MH 672 DWG. #601-331 —
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
1
x
I (o
i�
00
I >
r
oy� ,
�� I
809
I (2437) 1
I0
I l
HV -77 I
EL. 640.05 i
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 ow-ner'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:
•`J 1 Z n'
Attest
ashV-N�o. Sanitary
(Form WCSC-1` )
Replaces Form�fCSC-56
Owner
strict
WASHINGTON COUNTY SANITARY DISTRICT
X141%, 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:
Dat6-;D
Washington County Sanitary District
33 West Washington Street
Hagerstown,.Maryland 21740
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:
u t-- ---
Requested
--
Requested by Lisbon Contractors, Inc.
Approved by W. C . S . D. Inspector
DateS�-