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,NASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. _
33 Ak.. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 8/6/8b
P.O. BOX 571j-' °
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
SUBDISTRICT
Maugansvi 1 .. e►/Orchard Edi 1'.s
Permission is hereby given to: Earl L. Hykes
For Property Located at: kt #8, box 186
Owned by: Earl L. Hykes Address: Rt, / box 186, Hagerstown,
Type
Type of Connection: To Service Connection
Type of Service: Residential X
Commercial
Meter Size
To Main Line:
Units Other
Industrial
Connection Fee $620.00 Date Paid
u /
To connect to a public sewerage/v4t6r 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.
dater Accownt No., 0-15-9225-4
Building Permit No.
oil I
Secretary-Treasur r
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:
DISTRIBUTION: Permittee Plumbing B
Field Office
Date
WASHINGTON COUNTY SAN1 3Y DISTRICT SANITARY SEWER LATE
WASHINGTON COUNTYp MO. CONSTRUCTION REC(Ii;r
Project:_ Mouamnsville/Orchard Hills Sanitary geueraoe Collection System
Street (or location): CjAT 5oi3
/ (,aq ennsvar\c\•
Contractors Lisbon �fgntractors.Anc.
MH V i C TO RN q0
Date Installed i 194 Wye Ste. On Mainet3�i.8�,,
WYE 51ZE— TYPE DEPTH TYPE EXCAV LAYING
SIZE JXPE EI.ML---- -LATERAL LENGT; NTH
8,.i`„xe,, 6~sD�zca �vG �vG W/ I *Norz.• T 1
-rEE e.=. chi' St ' d.
Oro
ops ♦ orz•
NOTES: �A P P �3,e t 54.5 = (,Z.51 -r•
WATt %Z-
4 4
W1A ti7
o �.
30 14”
• 5.
Depth of Cleanout 5.5' arlou Line
Cleanout 59.5 rrom—
Layed • Z..5
• Nc Basement Service
v
Amount pertaining to work completed this periodo reviewed and approvedC
By
napec or ConArsc ora Rep.
obGRd" e AJ155.5
f- n 7 - 5aZ 4X5'7
AOW AWk V
Washington. ;ounty Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
t�enns�l�an,,�ontract No. SDI 5- 3-S
Property' .Address : l2DUTE_f g (3OX T) 4- Fiz-iu A jF_
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.
4 �;' ':•. -,::t•,. :,... pay.,.:.• b-".. .,... _ .J,,.':i,,.: .-:w.., _ .. :. ♦., r.
f5ox - (przorgzw
w
X,?
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:
Attest:
(Form WCSC-1)
Replace§ Form WCSC-56
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