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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO. 571
y33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 DATE 4/3/8 5
P.O. BOX 571
SUBDI T IC Nm, 15
PERMIT TO CONNECT TO PUBLIC SEWERAGE> R SYSTEM MaugaL1sV• �1: E/T� 1US
Permission is hereby given to: Lillie M. Wa s1; l et^
For Property Located at: 11 i Venue I "(1)
Owned by: Lillie ti. `4astler Address: i 1 Rowland AVenue, Hagerstown, MU 21.-,140
Type of Connection: To Service Connection
Type of Service: Residential ( 1 ) Units
Commercial
Meter Size
Connection Fee .$020.00
To Main Line:
Other
Industrial
Date Paid -
To connect to a public sewerage/xX 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 RESPOW
SIBILITY CONNECTED THEREWITH REMAINS WITH THE PROPERTY OWNER.
Building Permit No.
1 f1t/1 • Da44-a�
Secretary -Treasurer V
AA j I 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
Plumbin spector
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 1 Plumbing Board 3
Date
Field 1 Office 1 City Of Hag. 1_
WASHINGTON COUNTY SANITARY "`STRICT
WASHINGTON COUNTY, MO.
Project: Mauoansville/Orchard Hill
Street (or location): -4,4-T 102(0
Contractor:i Lisbon Contractors.
Date Installed 26 M.QFic�4 C•t
SANITARY SEWER LATE,.":
CONSTRUCTION RECORir!
initary Sewerage Collection System
Oo /w�a'oic/ T
(�%ER• VO✓7 U F
MH -103d TO MH lU3 i45 �
Wye Ste. On Main Dfoo LZ
W I L
aL&.L—
T 1
uLr�n
I TeL
LALAV.
LATINO
3 z
TYPE PIPE
C.0
C.O.
LATERAL
LENGTH
LENGTH
&10AJE
6
6'5t74R 26
5.4 1 V. �.
*Horn.= Tota
Go I •
�Y.G •
P�/G.
t
St d.
/
M. 0,
%
1 Dren 1 ..- 1
ope + Morz�T ota
L. F
Depth of Cleanout �5..49v r, ®Flow Line
Cleanout 34.90' Fromt-- M, u. c o,&lA,r
L a y e d 0_ _Z 4F -TER r3e0o
,_v Basement Service
F"L o W.
MH# lo3Q
kled9 2 Ro yv
70
1
145' MHS
Amounts pertai ing to- k co plated this perlod, reviewed and approved.
BY`--
0 Inspector Contractors Rep.
I
0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
9 300 6�" Q Or C'xle)'-1 7arr,
DWG. #601-369
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 1o�ation.
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: � -�, �����.�.�Z� • • --
� Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
er
Proper r ess:
MH 1035 Terminal
0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
9 300 6�" Q Or C'xle)'-1 7arr,
DWG. #601-369
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 1o�ation.
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: � -�, �����.�.�Z� • • --
� Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
er
,WASHINGTON
.�
�. 33 West Was)
0
Gni -r*. 6 ,
COUNTY SANITARY DISTRICT
ngton Street, Hagerstown, Maryland 21740 ■ (301) 791.3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
Address �)+
Signed
roper y wrier
Date��
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 2171.0
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:
T y—
Requested by Lisbon Contractors, Inc>. 1, r
Approved by W.C.S.D• Inspector 0.4). E�-&L-C--
Date 1 —5-934-