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I ` - WASHINGTON COUNTY SANITAPY- DISTRICT 33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 P,O. BOX 571 PERMIT NO. 321 DATE October 23. SUBDISTRICT NQ 1 PERMIT TO CONNECT TO PUBLIC SEWERAGE/, 1V SYSTEM Maugansville/Orchard Permission is hereby given to: H a ro 1 u „. _, i I a (• ' Hills For Property Located at: n% NV n i (� ��cd Owned by: Harold A. Shank Address Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size 10 Rowland AVv,nl.P IAagPrsi-uw wa_r i1 Ad, To Main Line` Units Other Industrial Connection Fee $620 (JU Date Paid 1.0-23-84 To connect to a public seweragelwZW 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 padilIL,0a"_4_L_ Secretary -Treasure moo„ $ V INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by __020(D Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 ':;), Final Inspection Made BY:�a�+. .\ t_Ua,4 � �i Date Plumbing 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 Plumbing Board 4 Field Office 1 Date WASHINGTON COUNTY SANITARY"^'STRICT WASHINGTON COUNTY, MO. Project: NAQG41j5V! E -- Street (or location): 'SANITARY SEWER LATERA! CONSTRUCTION RECORD CCNTRACT 5D45-3-5 4A117ARY 9eVJEPk PROD ECT 193os Sma! ('X--Oc ' IPreel � Contractor: L15eoN ow-rRACTUR MH TO MH Date Installed LZ -IW - Wye Ste. On Main©roo=N 1oz_-' WYE IZE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EX AU. LENGTH LAYING LENGTH g'ic6'k8" "sD2z6P�G . 6sAezb *Hort.= Total St d. �8 �. �. �7 45 �• r-- *11-ope!7 HOF � Or op NOTES: I 0 'sru o' (D pQ Depth of Cleanout 4. t5ou.,= ®Flow Line Cleanout From -qt� m-; N tira�r Layed easement Service 2 srv�4A MH# Boz¢ MH# loZ5 Amounts pert 'ag to Work completa.d this period, reviewed and approved. a Y ALL WCSD Inspe for Contractoru Rep. i101k Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD##15 Contract No. SD15- 3-S Property Address: 19305 5mct 11 wood -77� rrccP ISH 102 LA7eJ;?AL 1KJ'ro MN a% DWG x#601-366 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 ow-ner'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. �3 Owner Attest: a al A 3 Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56