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Lat_13505SpriggsRoad
WASHINGTON '33 W. WASi'ANGTON STREET P.O. B„n-fiit COUNTY SANITARY DISTRICT PERMIT NO. 793 HAGERSTOWN, MARYLAND 21741-0571 1301) 791-3083/3084 O /Q / Q a DATE SUBDISTRICT N 1 PERMIT TO CONNECT TO PUBLIC SEWERAGEIWATER SYSTEM h a u g a n S v i 1 l e; O rG i1rd k i i i s Permission is herebv given to: CharleS E. Horh For Property Located at: 2200 Rowland Road 19 �f' ..LJ Charles E. Horn , Owned by: Address: 2200 �©Wldtld Roael, Haqrar¢i-nWt1., MD z17t1.i1 Type of Connection: To Service Connection f Type of Service: Residential X (1 ) Units Commercial To IVl,gin Line: Other Industrial Meter Size Connection Fee $620.QO Date Paid 8/9/85 To connect to a public sewerage) &lir 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 Account No. 0-15-7272-5 Secretary -Treasurer Building Permit No. z - 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: 10 Date Plumb g 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 1 Plumbing Board Field Office ' Date City of Hag. 1 A OW s 6e; :j4� a 1p JOA Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SDI 5- 3-3 . Property Address: e rl-caaC P0ctc4 ISH 615 to MH 616 DWG # 601-302 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. r II 761 1 I 3 I I I (22 00) I (2 8) I (2 ) I Cs I 3 t N -- H SD15-615 8 SAN. n 1 - 5, t (2 ) '� I 7 II 7 8 (2 i I I I ( I) L i 3t. O Cl 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 oGmer'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 :S f3 c�i AQ %e.S F _ Pa V —. Owner Owner Attest: LQ�0�- ��/nlli c�SWas . Ca istrict (Form WCSC-1) Replaces Form WCSC-56 3 WASHINGTON COUNTY SANITARY DISTRICT 33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083 a To: Lisbon Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: ... Address " Signed Property Owner Date T "Washington County Sanitary District 33 West Washington Street Hagerstown,.Maryland 217.0 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-3-5 r • 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 locatior. : Requested by Lisbon Contractors, Inc. Approved by W.C.S.D. Inspector �5 (�J Date_`__ �f e WASHINGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY, M0. s SANITARY SEWER LATE`': CONSTRUCTION RECiivrt s______ Collection �.•+_tnn Sv�te�_ Projects Mauatneille/Orchard Hills San tart Sgu ce Collwt - i h2r�e�i Street (or location) t, r -,d l 7101 �Z --- 1 Contractors Lisbon Contiact2r1t. Inca- Data installed 9-+-,0-+ 8"xC -x 8 - 1(o"SOR Z(, RYL- MH &15 TO MH &'0 Wye Sts. On Main 1+ 53 L4. s.• T 36 VF St 1 d. / Drop 6.19+ z4.o{ x NOTES: 3o-40 L.F. 3©.19 L.f�. 6 • •' 45'Bcncl •�• •,g' I 2 ,amu b�'aP. Depth of Cleanout 6.0(ovP * Flow Line Clesnout z(o.37' FromNNOMMONNIMPEEND i Layed • ✓?'o '� ArTER 02or� A Basement Service .0 54LJ b E: C. P SMA, r Amounts pertaining to work completed this periodo reviewed and approved. BY ZLZ Inspector Contractors Hope