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W'$HINGTON COUNTY SANITARY DISTRICT
4
rON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O.
PERMIT NO. i 2
DATE 7/1585
SUBDISTRICT No • 15
PERMIT TO CONNECT TO PUBLIC SEWERAGEIWaATERSYSTEM Maugansvi i ie/orchard Hills
Permission is hereby given to: Frank J. Pe? c '"'_5lY
For Property Located at: 2311 Roydl Road, Hagerstown, Maryland 21740
Owned by: Frank J. Pe.lc Address: 2311 Roy2l Road, Hagerstown, MD 21740
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
h
X To Main Line:
1) Units
Other
Industrial
Connection Fee $620.00 ` Date Paid 7/15/85
To connect to a public seweragely *oXr 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.
r
Water Account No.015-7990-8 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
Plumbing In for
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: Date
DISTRIBUTION: Permittee 'i Plumbing Board i
Field office ? City of Hag. 1
WASHINGTON COUNTY SANITARY 01 AICT
WASHINGTON COUNTY, MO.
NITARY SEWER LATE'
�,ONSTRUCTION RECoilu.?
Projects Mouoanevil g Orchard Hills SanitlLry 5euareas collection svetem
13�1�Street (or location) : 1, -,4 -r1, -,4-r&39 �- + 1 oYAL. ROAD
Contractors Lisbon Contractors, Inc.
MH 559 TO MH 561
Date Installed - 3 l- Wye Ste. On Main o+=_
51ZE- TYPE DEPTH TYPE -EXCAV* MING
P C.O. 600TERA LENGTH NGTH
P xb �g �DeZ6 pvc �,.-c' S•�5. y.*: *Horz.• Tota
Stud.
pe ors• o a
NOTES:
Drop Zro►3o �,�. H' Z 57, 75� , F.
HAW
Ss�c� (o Rvc
by 45 $end �
P
Depth of Cleanout 5.-75' V. . eflov Line
Cleanout row 4 MAW �--
E a r e d A F-rEA DiZo A
• N.� Basement Service
�- 5rA0+ 25,2 A,T.
P
Amounts pertaining to work completed this periods reviewed and approved.
/ --
8Y C� G
Inspector contractors Rep.
A--.-
BASfE1nENT SFRU(cc
L' L06
01*1 ..gyp
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13Lta� Contract No. SD15- 3-S
Property Address: 2 1 Ro al Road
559 .50
ISH 544 to MH 559 DWG X601 -'i07
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.
1
.o B" SAN
d) —
0
(2
_ = " SQ
C 1 X
G I� g
l � l
I ► I
0000 000 '
639
(2311)
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. f
Date: Owner —
Owner
Attest:
AliasJam Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 m (301) 791.3083
3 1984
WASHINGTON Co..
SANITARY DIST.
To: Lisbon Contractors, Inc.
I horAby request the contrcctcr to inctal.& ta,a istciai ir,
accordance with the following conditions:
Address A I I R 0*z
" Signed f f°
Property Owner
Date
"Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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,�—
Approved by W.C.S.D. Inspector i
Date -3/ / �; / 8,(
icL