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-WASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571
(301) 791-3083/3084
P.O. q0?( ¢Z 1 - .
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WAaTEA SYSTEM
Permission is hereby given to: Otto C. Rauschenberger
PERMIT NO.
DATE
SUBDISTRICT 0 • ' o
%laugatisv llel0 chard Hills
Sams e
t . 1356 Saxt
For Property Located at: 2201 Rowland Road., Hagerstown, Maryland 21740
Owned by: Otto C. RauschenbergAb'dreslr. 2201 Rowland Road, Hagerstown, fit) 21740
Type of Connection: To Service Connection X To Main Line:
Type of Service: Residential (1 ) Units
Commercial
Meter Size
Other
Industrial
Connection Fee $623.00 — Date Paid 10/18/85
To connect to a public sewerag elWXt)§Vsystem (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. 0-15-7250-4
Secretary-Treasqr
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 v�
Plumbing 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: Date
DISTRIBUTION: Permittee ) Plumbing Board
Field Office
City of Hag. 'i
14aCP AS C -b5E 7'00'M=.3E AS P-S3-e-
iM
C �
Washington County Sanitary District
fir.. SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Property Address:
MH 615 to MH 616 DWG v# 601-3n?_
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 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. q
Date:
Owner
n
Uw—nerf r(T
Attest: V
Was'h. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 (301) 791.3083
0
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
J" -..)t12
Date
Washington County Sanitary District
33 West Washington Street
Hagerstown, . Maryland 217.0
r
Gentlemen:
Re: Maugansville,/Q_rchard Hills Sewers
Contract No. SD15-3-5
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
Date 3z) Z �/- e i/
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MO.
SANITARY SEWCR LATCi-'
CONSTRUCTION nEVIRP
Project: _Mauo_nsvillel0rchard Hills Sanitary auaraas Collection SvstgAL..
Street (or looetion) : r 757
Contractor:„LJMbg;Cggntroctors. Inc. cJ
MH ,5 TO MH
Date Installed 9-4-$4 Wye Sts. On Iain, 1*67R4.^
�k.9o1 7.Z5
Depth of Cleanout 5. �b4"
Cleanout tz-,15' romt-w,s1k1
L a y e d• Z o 4 FTEi� Dep n
N A% Basement Service
low Line
r srA. 1-x87
5,184"
2'Sfc, 6 C� P
7+9.ZS=
15, 92 LJ=
N v
G.U.• ••.
?dub �fap'
r
Amounts pertaining to work completed this period, reviewed and approved.
BY
'J
WCSIJ
Inspector ContractorsRep*