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WASHINGTON COUNTY SANITARY DISTRICT PERMIT NO.
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21740 (301) 791-3083/3084 DATE -
SUBDISTRICT _
PERMIT TO CONNECT TO PUBLIC SEWERAGE/WATER SYSTEM
Permission is hereby given to:
For Property Located at: } j`r. i,aox'th Strcoot,
Owned by:'M:tr#j_t Address: N.n 'SOX
Type of Connection: To Service Connection
Type of Service: Residential _ ( ) Units
Commercial
Meter Size
To Main Line:
Other
Industrial
Connection FeeDate Paid 'Of y Sip, 1984
To connect to a public sewerage/water 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.
Secretary -Treasurer
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 nn
Final Inspection Made BY: y 4Date
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
Hagerstown, Maryland 21740
Final Inspection Made By:
DISTRIBUTION: Permit
Fiel
Plumbing Boa
Offi
Date
rj-L_ A r- PT14 -.k
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: T25`'rtr ctrg t 13G��� �1 ��c�aP l�� li ��'✓/� �_
MH 308 to MH 309 Dwg. #601-040
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.
126 F_
�i E ) I I*_Iab 129 (i 7
Awe. I (225)
�- I I
-U R/W
so'R/W 8" SAN. MH SD15-309 8°SAN.
R/W
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. �c /,�
Date: �� i/ a L t6eel ��i / "/ G /r' 11 / �l
Owner (Print)
Owner's Signature
Attest: % � & 102
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56 Z 'z
'elnSHINGTON COUNTY SANITA a DISTRICT
UASHINGTON COUNTY, MO.
Project: Maugansville Orchard H.
015-1-5
1391 Vi l ctoe ►'Yti 1l pry
Street (or location) :_ z zs- A). A)c _T H S'T/ y� �._.
i' SANITARY SEWER LATE .;L
CONSTRUCTION RECORD
Contractor: Calles Contractors, Inc.
Date Installer; d CT
H
30;
TO ISH
310
Wye
Sta.
Ori Main
o+ o 5- Wt
Pvc,
WYE
SIZE
SIZE--
TYPE PIPE
I TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH
Sx6x$
Pvc,
I
�Horz,= Total
.vc
�o. �l i �i r
St'd.
�4. I o LF
S ope + Horz=T
Drop
NOTES:
Ip,-tl 5.�u,Q
S. Lk
Depth of Cleanout 10, y CP -Flow Line
Cleanout 18,46' From o r- M/9 / N I- //vF`.'—�--
Layed 2
• Y�5 Basement Service
SIH'. 30 5 oto ' 4 7 -
MH# 3 10
Amounts pertaining to Work completed this period, reviewed and approved.
B Y /�IjLq
W MIT Inspector Contractors gep.'