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COUNTY SANITARY DISTRICT PERMIT NO 7220C
3,' WASHVNGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 1 2'/UJ
P d: BOX 571
- SUBDISTRICT No. 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE/-W"ER SYSTEM Mau 9 a n S v i 1 ;' d H 1 1 1's
Permission is hereby given to: 1 V8 J - C 0
For Property Located at: Rt. e, B o X 189
Owned by: E I V a CU01 Address: t ;;R,Rox 1814, Hagerstown, MU 2174,0
Type of Connection: To Service Connection ^ To Main Line:
Type of Service: Residential (i) Units Other
Commercial Industrial
Meter Size
Connection Fee $620.00 Date Paid 7111 21AS
To connect to a public sewerage/WV§kr 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 Accou.nt No. Unknown
Building Permit No
Secretary -Treasurer
V°'�p•�'
INSPECTION: At least 48 hours notice prior to requested date of inspection is required.
ON SITE INSPECTION will be made by
Permit Fee
Final Inspection Made BY
Washington County Plumbing Board
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date Irks -
FOE
Plumbing Ins p for
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:
Final Inspection Made By:
Washington County Sanitary District
33 W. Washington Street-P.O. Box 571
Hagerstown, Maryland 21741-0571
Date
DISTRIBUTION: Permittee Plumbing Board
Field Office City- of Hag. 1
E
to
Of t-1' I-)
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15 _
Contract No. SD15- 3-S
Property Address: Route i Box 189 (Pennsylvania Avenue
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: Q��L, /1_ % % 9'3
Atst;4as,
Co. anitary
(Form WCSC� )
Replaces FortACSC-56
strict
(1 �6:� __
Owner
Owner
WASHINGTON COUNTY SANITARY DISTRICT
/ II
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
R ,cEivED
W-SHINGTON COUNTY
r'VSANITA��Y COM�yIISSION
To: Lisbon Contractors,
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Washington County Sanitary District
33 West Washington Street
HagerstoiNm, 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- taocorriance �..i+,, +v_
.. v.l V11 C.
abuve cundxtions at no chang% in contract price at the following
location:
0 K
Requested by Lisbon Contractors, Inc.z�L
Approved by W.C.S.D. Inspector,
Date
WASHINGTON COUNTY SANITARY STRICT
WASHINGTON COUNTY, M0.
SANITARY SEWCR LATE'.
CONSTRUCTION nEConrf
Project: Mouaonsv_ille/Orchard Hills Sanitary Sawarage Collection Syatgm
Street (or location): (7AI
Contractor: Lisbon
Date Installed 10
t
MH907 T 0 MH
Wye Sts. On Main_�f9/ 5.
WYE
SIZE
31 JM—
T p p
1 TVL
C a 0
ULF i n
C.0
1 T1116
LATERAL
Lna.nv.
LENGTH
%.n I aIw
LENGTH
&"SOR2(oF?r.C..
3) \/L
•Hort.• Tots
'J 14-T
4.,5
Stud.
GA
�j��
Drop
Sd
5:5 106.6 = 3�•
NOTES:
4�5
0'�:Aub4CaP
• 30� 5
6"SDR 2(o O.uL
45" Be rncJ
1
I
.S -S1
M4iht
Depth or Cleanout 4.5 *flow Line
Clesnout 30o5 From +.MAW
laced AFTER p20A
Basement Service
qV?
908"
Aeounts rtaininq to work completed this per,odg reviewed and approved.
By
JJCSD nspector Contractors Rep,