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HomeMy WebLinkAboutLat_13502RoyalRoad`ivASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-308313084 DATE P.O. BOX 571 _ \ PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM SUBDISTRICT ' �\��.., i°idUc�ctnSVl Permission is hereby given to: Nevin C. Penner �,j�' i ieiurcria - " For Property Located at: LLU i Royal goad, Hagerstown, Maryland 21740 Owned by: Nevi n C. Penner Address: 2201 Royal road, Hagerstown, SID 21-, Type of Connection: To Service Connection _ Type Of Service: Residential Commercial Meter Size To Main Line: 1 ) Units Other Industrial Connection Fee $620.00 __ Date Paid To connect to a public sewerage/water 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. 14;� ter No, 1-15-3790-0 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 Final Inspection Made BY: _ Date 0 Plumbing Insp 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 Fie] Date Plumbing Board Office City of Hag. 1 WASHINGTON COUNTY SANITARY L TRICT SANITARY SEWCR LATCi-' WASHINGTON COUNTY, MO. CONSTRUCTION nECohn Project:� Mauo�_iIle/Orchard Hills Sanitary Sewerage Collection Svstaa.___ r iso-� Street (or loostion): r -,a r 1Z& (/Z;&dl rZOYAL- ROAD Contractor:LLgbgn Contractors. Inc. Date Installed "3 -l4-04- MH 56& TO MH 507 Wye Ste. On Main 1+00,5,c34. *Hors.• Tota �'VC- S. oe Nr St d. i Tor �-7,ri©s o a Drop 11. NOTES: Zo.zo Ll= 21&,60.L;� ._.ter. . Depth of Cleanout S, GS ' •Flow Line Cleanout Z3,z 3' row � mA� ""— Loynd • S, 71i AFTER DepT- N/PA Onsewent Service I STA• 1+0v.Srtr Slob a 2o, 7u6QC4f - Amounts pertaining to work completed this 8Y e - inspector MH# 56 7 r periods reviewed and approved. � s a contractors Rep, 0 D A N^ F- To 4A I'z AMk TWp- Co 2,v1E(2 o F IR L No.15. Washingi.,)n County Sanitary District II BE l-oo Property Address: 4A5EMr"T 3 So 'D— SEWER SERVICE LOCATION Subdistrict No. Contract No. SD#1 SD15- 3-S -BH R66 fn MH R67 D ,ir -I' 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. 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: Attest: �.9J as . Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 wner S'7 W s 'e re_. r . "� �uuso►.� ���a�g4 Age - WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083 0 To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Date of - / - � y Washington County Sanitary District 33 West Washington Street Hagerstown, . Maryland 21740 Re: Maugansville/Orchard Hiiis 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, Ince. /-- Approved by W.C.S.D. Inspector Date Z` Z- 0 / y