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S4
VASHINGTON
33 W. WASHINGTON STREET
P.O. BOX 571
COUNTY SANITARY DISTRICT
HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWA.TER SYSTEM
Permission is hereby given to: Mary t. Kneppe,
PERMIT NO.
DATE
SUBDISTRICT "
For Property Located at: =3U7 Rockcliff thrive, Hagerstown, Maryland 21740
Owned by: Mary E Kne,pper Address: 2307 Roc.kc l i f f Ur. , Hagerstown, MD 21741:
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential
Commercial
Meter Size
Units Other _
Industrial
Connection Fee :620 • UU Date Paid
To connect to a public seweragelwAter 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
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
oe
Final Inspection Made BY: ot Date
Plumbing In ector
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
Field Off
Date
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTYp MD.
Projects Mauaaneville/Orchard will"
13 Lx tQ
Street (or location): x-,41 65,Z4
SANITARY SEWCR LATE';
CONSTRUCTION REC(iiui
ter- ivF-
Contractor t Lisbon Cont. actgra Inn__ P,r-o r
MH Srh S TO MH56(0
Date Installed 9-2.I-$4 Wye Sts. On Nein 0+57.2- L4.
8-x("'x 6" IV.5OR 26 Rf.(-
•Hors.• Tot
6"'56 {- P-3, 50::.
NOTES: I i I
8.51 vF I St I d.
Drop 31►lO �� 30.oQ t -,v
Depth of Cleanout el,51 VF *Flow Line
Cleanout ZlL 10 --- row 77717 -*-own"
Layed �-o AFTER 020P ,
N jA Basement Service
SS5
1`Jlub
N
O_
d -- 1J
s'rA- 0+57.ZLT. MHS S
r
Amounts pertaining to work completed this period, reviewed and approved.
B Y Ge4 4V
-Inspector on rac ore ep.
I.a►,-r ►�`- ,
.' Washington County Sanitary District
�i► �� SEWER SERVICE LOCATION
/f:•`�� Subdistrict No. SD#15
L Contract No. SD15- 3-S
Property Address: 2�7 Rockcliff Drive.
MH 585 to MH 586 DWG. #601-315
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.
s
d
s
6 624 '
(A
) ( 0 (2307) '
1
� /W —�
MH SD15-584 8" SAN. DMH SD15-585 SAS:
— — --�— I R/ W 2 W
• I � I� � I I � � I
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.
/04her
Owner
Attest:
ash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
S 5'S'n
Alk
[1-
WASHINGTON COUNTY SANITARY DISTRICT
11
33 West
ngton Street, Hagerstown, Maryland 21740 • (301) 791.3083
MECEIVED
WASMNUM Cu 3Y
To: Lisbon Contractors, Inc. k. -I., `.:' n_m,_�_ _ T'
I hereby request the contractor to install the lateral in
accordance with the following conditions:
/s z
Address
Si¢ned 77/,"?,,.
"Washington County Sanitary District
33 West Washington Street
Hagerstown,•Maryland 21740
Gentlemen:
I
0
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-3-S
We hereby request permission to install the house lateral
of greater than two (2) percent and/or 'r. 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
Date