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HomeMy WebLinkAboutLat_14727PennsylvaniaAvenueWX'SHINGTON COUNTY SANITARY DISTRICT PERMIT NO. # 3� W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE P.O. BOX 571 PERMIT TO CONNECT TO PUBLIC SEWERAGE/WJfCTEFt SYSTEM 1 SUBDISTRICT No 15 Maugansvidle/Orchard Hills Permission is hereby given to: Richard L.. Hart..e For Property Located at: Rt. #8_. BOX 193 4121 Owned by: Richard L. Hartle Address: Rt- d8, sox 193, Hagerstown., MD 21.74-E Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size X 1 ) Units To Main Line: Other Industrial Connection Fee $620-00 - Date Paid 1-0/15/85 To connect to a public sewerage/i/ztt*p(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. 04LM Qd_ 0C2AA1QANN Secretary -Treasurer 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 xx F�_ f� Plumbing Insp r 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 Date Field Office City of Hag. 1 WASHINGTON COUNTY SANITARY STRICT WASHINGTON COUNTYt MO. SANITARY SEWCn LATE0. CONSTRUCTION REC(utf! Project: Mauoaneville/Orchard Hills Sanitary Seuaraos Collection Syatew_ Street (or locations el,,41 5 L ��• 30 0_3 - /Y7a7 cnn s diva n� u� Contractors-Liebon Conix ^ m—, Inc. MH T O MH �I aCa Date Installed /C $ Wye Sts. On Main a. xc,"x B" V 5OR 2(o F7YC. NOTES: St # d. Drop 1 '2 4- < Depth of Cleanout �. 7 1 Cleanout From +—MAIAJ Layed 19 2 APTER o20r- t r Basement Service lou Line I. Z Slub GuP LATH r.• To 5, o r Amountssi g to work completed this period, reviewed and approved. BY/ Q 1,,..�_,,.._,....�- 477 nspec or Contractors Rep, Lo Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 _ Contract No. SD15- 3-3 11/7a7 Ave.. Property Address: ^-- - Bra5 Tex 4 3 MN 905 To MW 90(a - DWG. #601-357 Place an 'X' in the sketch below to owner wants the service connection property. Place a wooden stake in indicate where the property (lateral) to enter the the ground at that location. 6M P� Y�z 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 r near the property line. 0 ner —" 0 ner Attest: j /t Was . Co. Sanitary 'strict (Form WCSC-1) Replaces Form WCSC-56 I tj aP WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083 i ,i- .4 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: 0)I'F- FST A7-.- 1'PTzZ>-Pe Address 9 5 • Signed Property OwneY Date Y -"Washington County Sanitary District 33 West Washington Street Ha erstown M land 21740 g s . �'Y 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 accordance with the r above conditions at no change in contract price at the following ocation: 1 � B i3 w.l�-� � �1 r��w PI ■ ■. ■P Imo*■ 1 -■■I I P III■ulw .■ ■ Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector Date 5-/ `// 8 V .