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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 304 � 3�'�� gppHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE U/ 1485 �P17. BOX 571 SUBDISTRICT i PERMIT TO CONNECT TO PUBLIC SEWERAGEMtiAZERSYSTEM��//�� Maugansvi l le/Orchard+ Hills Lee d'72T Permission is hereby given to: Rosa , For Property Located at: 2543 Pennsylvania Ayenue_- Hagerstown Maryland 21740 Rosalie Lee Address: 2543 Pennsylvania Ave., Hagerstown, Mb Owned by: Type of Connection: To Service Connection Type of Service: Residential X. Commercial Meter Size Y, 1 ) Units To Main Line: Other Industrial Connection Fee $620.00 — Date Paid 8/14/85 To connect to a public seweragelwat.Rr 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 RESPOW SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER. Water No. Unavailable Secretary-Treas re 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 P tubing Wspector 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 3 Field Office I Date City of Hag. 1 WASHINGTON COUNTY SANITA' DISTRICT WASHINGTON COUNTY, MO. Project: Mau4ansville/Orchard Hills San i�•a Street (or location) : C,c1I 82! Contractor: ` Lisbon Contractors, Inc. Date Installed i ltbt4 8¢ SANITARY SEWER LATE';''_ CONSTRUCTION REClii C e MH l075 T 0 MH (76 Wye Ste. On Main Z;�SRf UYE SIZE— TYPE DEPTH TYPE EXCAVLAYING SIZE TYPE PIPE C.O. C.O. LATERAL LENGTH LENGTH 8X6'x8 ",'�DEZropvc. 6"5De2(o *Harz.= Total, + orz=, a Iape Drop NOTES: � , MAiM "5D22(o P.V.C. 4� Depth of Cleanout /V®Flow Line Cleanout /7.1 ITam MAI7 Layed 0 2.`76 9� po5sl�L� Bas©mont Service MH# (75 MH# 4,74o Z' Z)4u b<4x.P Amounts pert 1 ing to Work completed this period, reviewed and approved. BY VCSD Inspector Contractors Rep. Cly Washington County Sanitary Distri �rF pWNf,(Z SEWER SERVICE LOCATION 7 F�� Subdistrict No. SD#15 t 3q aq Contract No. SD15- 3-S - Property Address: 2,54-S Pennsylvania Avenue MH 675 to MH 676 DWG. #601-332 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. 5-- -- B"SAN ---- DMH (2 5 35 ) 8 CT n r l DO --I f � r � D. 819 8 821 8 (253 �2 `) ) (25�3) ( y'n (2 J ) �I 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 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: -1 FF -9 S'+ -1- �L- Owner ij ir Owner Attest: Wash. Co. Sanitar District (Form WCSC-1) Replaces Form WCSC-56 (7>` �.► .., 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:' r Address Signed 4- Property Owner Date //= le —Fy Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 21710 J J Gentlemen: Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-S 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: Requested by Lisbon Contractors, Inc. /Off.Vc�,.b Approved by W.C.S.D. Inspector L �.