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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 621
33 W. WASHINGTON STREET HAGERSTOWN,MARYLAND21741-0571 (301) 791-3083/3084 r
R.o.eox571 DATE 425/85
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATERSYSTEM SUBDISTRICT "10 '15
i 1e10rcrtard Hi 1 is
Permission is hereby given to: v e r' y L. Sowers
For Property Located at: 2320 R o y a) Road
Owned by: .` e r i' y 3- S o w p r S Address
Type of Connection: To Service Connection t
Type of Service: Residential
Commercial
Meter Size
To Main Line:
) Units Other
Industrial
Connection Fae $620.00 Date Paid 4/25/85
To connect to a public sewerage/mtaX, 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 Aceuur Li No. 1-15-/860-8
Secretary-Treasur
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
Permit Fee
Final Inspection Made BY
33 W. Washington Street
Hagerstown, Maryland 21740
Telephone: 791-3146
Date
Plumb' Inspector
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 3
Field ; Offi
Date
City of Hag. 1
WASHINGTON COUNTY SANITARY 0? 41CT
WASHINGTON COUNTY, MO.
`NITARY SEWER LATE0,-:
_INSTRUCTION nEC(mm
Projects Mauoaneville/Orchard Hills -Sanitary Sewerage Collection Svstem
3707 - --
Street (or location): -2-3ero EC'141_ &0,44
ContractorsLisbon Contractors. Inc.
MH fd3 TO !I!l�53
Data Installed z, A11w S4Wye Sta. On Main o�i4. 3 R4
2:51ub16C4p
Depth of Cleanout �-3 3 •Flow Line
Cleanout Z9 roam � mr. A�� •---
Laced • f x
•
0o55,F3" Basement Service
t -3
z ^ w/L
Amounts pertsLning to work completed this
9Y
nsp c or
MO x.31
c•o
•••2Sfu6 t;�p
period, reviewed and approved*
Contractors Rep.
Al%k
Washington County Sanitary District
fir► SEWER SERVICE LOCATION
Subdistrict No. SD#15
1
3-707 Contract No. SD15- 3-S
Property Address: _ 23,21 Royal Road
SIH 543 to H1H S3� D , #601-306
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.
x
9
648 _41
(2320) (� 8) z
a N
co
i
I i
15 43 0
8 SAN DMH
-�- -- - - 36"X22"S -
-I R/W
Z N
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:
Owner ,.
wner
Attest: c
Wash. Co. Sanitar istrict
(Form WCSC-1)
Replaces Form WCSC-56