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HomeMy WebLinkAboutLat_14568PennsylvaniaAvenueWASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 875 le 3'3 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 101 14/85 P.O. BOX 571 DATE SUBDISTRICT Wo- 15 PERMIT TO CONNECT TO PUBLIC SEWERAGE/"TER SYSTEM Permission is hereby given to: LC For Property Located at: Route 8 V r(v�.'Ii N Orchard Hilis Box 213, Hagerstown, Haryiand , 21740 (Route 11 Owned by: Lewis J. Ruth Address: Route 5 Box 213, Hagerstown MD 21740 Type of Connection: To Service Connection X To'`Main Line:If Type of Service: Residential n Commercial Meter Size Connection Fee 1 ) Units $620.00 Other Industrial Date Paid 10/14/85 To connect to a public sewerage/Wjgt r,, 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. Water No. Unavailable 027, . 5, 1 -r\ Secretary-Treas l� 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 C/ Plumbing Ins or 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 1 Plumbing Bo Field I Office - J i City of Hag. 1 WASHINGTON COUNTY SANITARY 1STRICT WASHINGTON COUNTY, MO. SANITARY SEWER IATEO: CONSTRUCTION REC(w%r.! Projects Mauaaneville/Orchard Hills Sanitary Sewerage Collection System Street (or location): r7Qz A 13 Contractorst iebor- Contrggtors- Inc. --- ,/' i MH TO MH 633 Date Installed_,_ „L/' Wye Sts. On Main /-ri 67d 0. . 6"x6'x8' 4,'SDR26P.vc- *Hort.• Total St1d. _a I/, , I Drop NOTES: L .,...._.._ . Depth of Cleanout Flow line Cleanout /(5•5 FromMe�� Layad • :i `J Baaeaent Service 254ub60P MH# "n-? i 3 Amounts pertaining to work completed this period, reviewed and approved* BY nspec or Contractors Rep. C' U). Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-3 Property Address: Route 8 Box 213 (Pennsylvania Avenue) MH 832 to MH 833 DWG. #601-356 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. 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: Ow r J Owner Attest: as . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56