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.. HSHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
PERMIT TO CONNECT TO PUBLIC SEWE RAG E/WA.T•ER SYSTEM
Permission is hereby given to:
For Property Located at: 1 1 7 Sunrise Drive 3&)2_
Owned by: L c +hap E. —gY— Address
Type of Connection: To Service Connection
Type of Service: Residential
Commercial
Meter Size
PERMIT NO. `� 1
DATE -
SUBDISTRICT-
...dagansv i i le/Orchard
S
1.0. Box 38,, INau�jansyi I I M 2i ^
To Main Line:
Units
Other
Industrial
Connection Fee Date Paid 1 1,_19-jJ4
To connect to a public sewerage/Wa;Wt 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.
po—" �-
Secretary-Treasu A
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 C
Final Inspection Made BY: Date
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:
DISTRIBUTION: �Permitt
Field
Plumbing B
Offic
Date
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13�Ory Contract No. SD15-1S
Property Address: -14'7 Sunrise Drive
MH 326 to MH 327
Dwg. #601-050
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.
M
VJ
z�
�LU
LU
MH SD15-326 8" SAN. MH SD15-327 ,y
77
W
O
M
to
M
U Z
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: I2 8 Z
Owner (Print-)
�J
0 er's Signature
Attest: t�
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
:U'ASHINGTON COUNTY SANITARY is�hee L ,� y� STRICT SANITARY SEWER LATE-;'?
WASHINGTON COUNTY, MD. CONSTRUCTION RECGRD
Project: Riau ansvillc Orchard Hills SD15--1- 5
3 802
Street (or location): hL2 eSyrt,e/SE -R� ve G.Q- -" Yee&
Contractor: Callas Contractors Inc.
Date Installed F> -/5-b3
MH 3Z (o TO MH 3Z 7 ✓
Wye Ste, Oil Main C>+?-
WYE
}�
WYE
S-IZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
�Horz.= Total
8x 6 X 6
� pVc
P�lC
y•6z
S t' d,
SoR. 35
sot aG
51ope + Ho=Total
Dro
NOTES:
Depth of Cleanout Y-6 C;,E'low Line
Cleanout /6.7o From
Layed @ z
UNgNown/ Basement Service
0�V).8
MH' 3Z
MH13z 7
Amounts pertaining to work completed this peri , reviewed and approved.
By
WCSU irl5p cr Contractors Step.