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011'ASPINGTON COUNTY SANITARY DISTRICT TW. AS NIHGTON STREET P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT NO. 862 DATE 1 U/4/85 SUBDISTRICT No • 1 PERMIT TO CONNECT TO PUBLIC SEWERAGEIW,A7ERSYSTEM i,augansville orcllu'. J Permission is hereby given to: Dennis C. Ludy itoo « +1i11S For Property Located at: 219 Moetma.r Circle, Hagerstown, Maryland 21.740 Owned by: Dennis C. Loing Address: 219 Petina r Circle, Hages1town - ;+i 1174o Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Units Connection Fee $620.00 To Main Line:_ Other Industrial Date Paid 10/04/85 To connect to a public sewerage/W*,(r 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 No. Unavailable Secretary-Treas fe fk Building Permit No. j' - 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 v Plumbing Instor 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 i Plumbing Board Field Offi Date City of Hag. 1 WASHINGTON COUNTY SANITARY L TRICT WASHINGTON COUNTY, MO. IANITARY SEWER LAT[i-:;_ CONSTRUCTION nEC(unr! Project: Mauoanaville/Orchard Hills Sanitary Sewerage Collection Svstam ��4 C1 Street (or location): r7,4- 74.9 PETK4A(z- Gig: Contractor:Lisbon Contrgr_tors_ Inc, I Data Installed_ 9 - 13 - $4 ©"X(� Mm S 7L T O MH Wye Ste. On Main Depth of Cleanout �� 3� 41Flou Line Cleanout From +.MA►u Layed 0 Z•a AFTER C20� • Q/q __ Basement Service 2'S1ub%-Gap N MHS 573 Amounts pertaining to work completed this period, reviewed and approved. 8Y � i�S/Ca nspec or Contractors Rep. 00,1.. &OPY Ar PEOI Jr 0002 AON4 -9 - 63 '04k t Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15- 3-5 Property Address: 2 Petmar Circle SIH 572 to MH 573 DWG. #601-309 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. 749 (219) �h � s coc ) M M -� 0 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. 3 f Date:_- L.�l�'JG�'1-,cam Owner Owner Attest: ci Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56