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rr� . AASHINGTON 33 W. WASHINGTON STREET P.O. BOX 571 COUNTY SANITARY DISTRICT PERMIT NO. 54 HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 3/19/85 SUBDISTRICT No. 1 -• PERMIT TO CONNECT TO PUBLIC SEWERAGE/W—A" SYSTEM``� Maugansville/Orchard Hills Permission is hereby given to: john li & Edna L Martin 1'N� For Property Located at: 2452 Pennsylvania Avenue, Hagerstown, Maryland 21740 Owned by: Joon D. & Edna L. Mar"ass Type of Connection: To Service Connection Type of Service: Residential X Commercial Meter Size 2452 Pennsylvania Ave ,Hagerstown, MD 21740 X To Main Line: 1 ) Units Other Industrial Connection Fee $620.00 Date Paid 3/19/85 To connect to a public sewerage/Ksystem (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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water Account No. Unavailable Building Permit No. i n Secretary-Trea .user u,�' 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 In pector 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 71 Plumbing Board Field 1 Office 1 City of Hag* 1 WASHINGTON COUNTY SANITARY ISTRICT WASHINGTON COUNTY, MO. SANITARY SEWER LATERAL "% CONSTRUCTION RECORD Project: _ 4ui4�rlw%//e, ©•-cf�� f/. %/s - Street (or location). OSI 4 vc C-�41' X06 k na L . r� 1. w n Contractor: Z- 1500A.l MH 6 -3'7 TO MH 64-b v Date Installed 1/— 03 -6-3 Wye Ste. On Main lt�9' RT WYL 51 LL— I T1•'L UL 1' 1 n 1 r rc &-^L.r+v. �.� • +••+ SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH gx "- e z6 6's0ezG *Horz.= Total Jp t5.6V.F_ St1d. 2�i .3L.F 2/ L. A=: NOTES: LANE ceouNo �. M41V 1 0 Drop I Ets,��•-��rr e- -STV NS 4rCi'P Depth of Cleanout ®Flow Line Cleanout_ 16.7' Fromm'MAJkc r-INEANC>aN FA5MMEN-r-LJ#,J Layed ® Z MAY F3 F--- . Basement Service GiaLA04-e MH#6-:2y9 art , it 39 c.n Z `�TVQO,GAp' ope + hor.z= MH#(4C7 Amounts pe ming to work completed this period, reviewed and ap roved. BY UCSD Ilispector Contractors Rep. (Form WCSC-4) Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-S Property Address: 24.9 -2 -Pennsylvania Avenue ISH 639 to MH 640 DWG. #601-361 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. 1066 ( 2452) D TEMPORARY f o CONSTRUCTION EAS _ — PERMANENT St. EASEMENT SE( —� --7-[DWG. B B - 620- G ___ X S-1); =6-4L:;�F 8 I SAN. CX o • X - will 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. / s, Date: < �J Owner Owner Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56