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*-A IINGTON COUNTY SANITARY
3"S W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
P.O. BOX 571
DISTRICT r,
(301) 791-308313084
PERMIT TO CONNECT TO PUBLIC SEWERAGE/Vlr<AT,EB SYSTEM 1 2)5010� ila u{g ai .
Permission is hereby given to: Robert T. Smi t4'? �Itl
PERMIT NO
DATE
SUBDISTRICT
For Property Located at: 2204 Rowiand Rodd, Hagerstown, MaryiApld 2U40
Robert T. Smith Address: 4851 Lonq Towne Colari�, Glen Durnle, MD
owned by: 21061
Type of Connection: To Service Connection X
Type of Service: Residential X
Commercial
Meter Size
Connection Fee
To Main Line:
Units Other -
Industrial
620.00 — Date Paid of 10/85
To connect to a public sewerage/*AtAr 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 No. 1-15-7275-8
Secretary-Treasu er
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 Inspoetor
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 Boa
Field Office
-
0
Date
City of Hag. 1
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No.
Contract No.
Property Address
MH 615 to MH 616
SD#1
SDI 5- 3-3 .1
DWG. # 601-30
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.
L t
� t
II I 762
( 0) 1 4J/
) I
NX/3
(2204) �
1 11 II I I
H SD15-615
8 SAN. 2 W
n _ _ n
n �
2 9)
I I ( (2�) I (2 I) Cl ( K3 f
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 e property
line.
VDate: G' l51 �--
Owner
Owner
Attest: A,,a Xa4fj 44a/T-3
Wash. Co. Sanitary District
I
(Form WCSC-1)
R pl a e Form WCS C-
WASHINGTON COUNTY SANITARY DISTRICT
r 1}
33 West Washington Street, Hagerstown, Maryland 21740 a (301) 791.3083
, r �.
Tj
1984
VIAISIPHINGTON
To: Lisbon Contractors, Inc. SANITARY DIST.
I hereby request the contractor to install the lateral in
46' accordance with the following conditions:
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, .Maryland 21740
ne : i�cci,i�&i�� v'illc j iii C.hai u ri i ii :i ScWet'S
0
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, Inc.
Approved by W. C. S. D. Inspector f'JX.4.
Date
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD,
SANITARY SEWER LATEO,'
CONSTRUCTION REC(inr.,
Projects„ Mau"nevills/Orchard Hills Sanitsry Sou rocs Collection Sr temp_„'
Street (or location): x,41 O Lsa&�D -Ptz S+►i►-�i,
r'Seff Spr,. Jas
Contractors Lisbon Coatlactors.Inc. -
Date Installed 9-4-84
B..xG..x 8-
NOTES:
R 1z RYU-
f "+ 1 9,05
MH &j 5 TORN 61(0
Wye Sts. On Min /*Z 5 L4.
St1d.
Drop I -41 -7r, A .F,
s.• T
Z'6, 65
Lt��
Depth of Cleanout41flow Line
Clesnout ► r From +-MA-- ••�
Loynd Z '0 % AFTER 0200
,.;_Q�/A Besseent Service
Mf -;�' ' �'
/71
c.•n.
SrA. It ZS LT. "61(0
r
Amounts pertaining to work completed this period, reviewed and approved*
BY
Inspector Contrac ore e57-
Drop
p.