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111 SHINGTON COUNTY SANITARY
33W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to: Earl F. St r
DISTRICT PERMIT NO. 660
(301) 791-3083/3084 DATE
SUBDISTRICTN0' 1
Maugansville/Orchard Hills
For Property Located at: 22$ Petmar C ICC 1 e
1(&a
Owned by: Earl F. Strang Address: 228 Petmar Circle, Hagerstown, MD 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
) Units
To Main Line:
Other
Industrial
Connection Fee $620.00 Date Paid 10/15185
To connect to a public sewerage/*X%O(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.
Secretary -Treasurer V
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 I " pector
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: Permit
Plumbing Board
Date
Field Office City of Hag. 1
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWER LATE',"-
CONSTRUCTION REcoor?
Project: Mauoinsvil a Urch ra MI
a
Street (or location) : _ rAI 740 ( r FTMgR C�e�c ��rl F j�"r�ro�
Contractort- Lir Coo ractOr■ tnc-
MH 575 TO MH 57(,o
Oats InstalledWye Ste. On Main
"x (f,' J("S DF226 Y. vC. .
NOTES:
�','," 1 10,4-3 St' d. 1 z 9,'-o L,:F.
Drop
z.o Total
2 ( . 43 L.F.
Depth of Cleanout�ta,43*flow Line
Cleanout 24.33' �Powi►tiai�i f.�
Laced • Z. S x
1J /A Basement Service
SrA .0+13.5 crT
Mq 57C�
Amounts pertaining to work completed this psr:od, reviewed and approvede
BY A -e
nspec or Contractors Rep,
Washington County Sanitary District
X n�
1 SEWER SERVICE LOCATION
Subdistrict No. SD#15
�\ �\
o Contract No. SD15- 3-S
Property Address: 8 Petmar Circle
MH 575 to MH 576 DWG. #601-308
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.
i
cD
U11 r-
r- I� LO
X(2 0
I
811 SAN.
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: 3 Owner
Owner
� - P�O�
Attest: i
Wa Co. Sanitary i_strict
(Form WCSC-1)
Replaces Form WCSC-56