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Y '.AraHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 863
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083 1 3084 DATE '10/7/85
P.O. BOX 571
SUBDISTRICT No. 15 —
PERMIT TOCONNECT TOPUBLIC SEWERAGEI*OXERSYSTEM Maugansvi 1'ie/Orchard
(�
Permission is hereby given to: Edward Q. E u i p i tt ho U(E; Hills
For Property Located at: 223 Pltma r Circle
Owned by: Edward G. BuIpitt Address: 223 Petmar Circle, Hagerstown} %,D 21740
Type of Connection: To Service Connection
Type of Service: Residential X
Commercial
Meter Size
A To Main Line:
( ' Units Other
Industrial
Connection Fee $620.00
Date Paid 10/7785
To connect to a public sewerage/"& 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.
Building Permit No.
Pal,' LA_ a, 0 a"��
Secretary-TreasureV
°0
914-1,
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 � Q
Final Inspection Made BY: �e Date
Plumbing Insorector
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
Date
Field i Office 1 City of Hag. 1
11.
WASHINGTON COUNTY SANITARY^ STRICT Aft SANITARY SEWER LATE'-
WASHINGTON COUNTY, MO. CONSTRUCTION moi;fr
Project: _M,au_ ig„ney lie/Orchard Hills Sanitary Ssuaraos Collection_ Srslgo
IL2`6 t5 t 1,-��
Street (or location): J I",
Contractors, Lisbon
Date Installed -9 - zo -,B 4-
WYE 51ZE- TYPE DEPTH TYP
ME PIPE C.0 TER
6"x6'n8�"�022(�L�iG.
IAJ VIE ''` St'd.
S0e. 35
NOTES: 0""A s s.8 ''� Drop
MH- 5 .T 0 !MI S � `A'
Wye Sta. On Main O + 4 -r R
.
:. 4-5 ' C
I, -MMMEW
Noma Total
Lz._ SO k-r,
p
Depth of Cleanout .41 •Flow Linewoo
~«
Cleanout 19, Z row I-- 0."Layad • Z.00 x '
< _Basement Service
5-1- W. 0+4-1
I PW
r
Amounts artainin9 to uqr completed this period, reviews approved.
ay
Inspector Contractors Rep,
a
1Z-14-"
Washington County Sanitary District
SEWER SERVI LOCATION -'
Subdistrict No. SD#15
It, gIS- Contract No. SD15- w!,S
Property Address: Petmar Circle
SIH 576 to MH 577 nijr _ inR
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.OK
Date: � ?--�-
.•_,
w r
caner
Attexte
Vash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
Jt?7
(G- P 1 75-0)
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
MAl-f7G a -P d/ A ,Al71 .
�sp>E�1. S�JI�►AW:/� ��tZ>�C� ta'�n,.�J,���.
Address --
.777
Signed
o er y er
Date /Z- / 4/- 8.T
Washington County Sanitary District
33 West Washington Street
Hagerstown, 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 accordance with the
above conditions at no change in contract price at the following
location:
Requested by Lisbon Contractors, Inc.
Approved by W.C.S.D. Inspector Qy aj&Le�
Date i 1'b�8`f