HomeMy WebLinkAboutLat_16811PetmarCircle33'W. WA$1
P.O. BOX 571
-HiNGTON COUNTY SANITARY DISTRICT
1UN 51NEE1
HAGERSTOWN, MARYLAND 21741-0571
PERMIT TO CONNECT TO PUBLIC SEWERAGE{WATE)B SYSTEM
(301) 791-3083/3084
PERMIT NO. 794
DATE 8/9/85
SUBDISTRICT (do • 1 S
Riau ansviil /()
Permission is hereby given to:
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For Property Located at:
227 Petma r
Circle
Owned by: Ralph E. Buckle w
Address: 227 fletmar Circle, Hagerstown M0
Type of Connection: To Service Connection
Type of Service: Residential X
Commercial
Meter Size _ Connection Fee
To Main Line:
Units Other
Industrial
$620.00 _ Date Paid 8/9/85
To connect to a public sewerage/WVRr 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.
Tater Account No, Unknown
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Secretary -Treasurer nQA
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 -�
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:
DISTRIBUTION: Permittee 1 Plumbing Board 3
Field t Office
Date
City of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, 140.
Project: Mauoanayi
Street (or loostion):
SANITARY SEWER LATE',":
CONSTRUCTION RECORD
Contractor:.._ Lisbon Contractors, Inc. - - —
MH 5-74 TO ISH .5'75 ►�''
Oats Installed T -tom -a4- Wye Ste. On Main
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NOTES:
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Drop 33.3
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1,(00 t 30,/&�
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Depth of Cleanout -7-(O � Vlou Line
Cleanout 623 z6 r��M•A�
Loynd • Z-10--% AFTER DeOn
I -S Basement Service
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Amounts pertaining to work completed this period, reviewed and approved.
BY
Inspector contractors Op.
-Ask
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
VA I
( Contract No. SD15- 3-S
Property Address: Petmar Circle
MH 574 to ISH 575 DWG. #601-308
Place an 'X' in t e 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.
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� 751 � � t'
(227)
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 . S�;—
T— Owner
--3 Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56