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Home My WebLink AboutLat_13921VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT 33 W. WASHINGTON STREET P.O. BOX 571 HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084 PERMIT NO. DATE SUBDISTRICT -0• ' PERMIT TO CONNECT TO PUBLIC SEWERAGE/90a>rR SYSTEM Permission is hereby given to: K 1 c ii d rd L. 611, 1 i i1 For Property Located at: 318 'M north Street Owned by: Richard C- Sia i i i, Address Type of Connection: To Service Connection Type of Service: Residential (X)(A Units Commercial Meter Size �nvv�svilie, M9 21 To Main Line: Other Industrial Connection Fee $5, Safi no Date Paid To connect to a public seweragelvD 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 I'bcal 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. Secretary-Treasu4r Building Permit No. INSPECTION: At least 48 hours notice prior to requested date of inspection is required. ON SITE INSPECTION will be made by Permit Fee Final Inspection Made BY Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Date 1 `� �J O — 94 - 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: Final Inspection Made By: DISTRIBUTION: Permittee 1 Washington County Sanitary District 33 W. Washington Street-P.O. Box 571 Hagerstown, Maryland 21741-0571 Plumbing Board 4 Field Office 1 Date :.'ASHINGTON COUNTY SANITARY STRICT UASHINGTON COUNTY, ISD. Project:- Ma-unansville/'Orchard Hillav----5_D15-1-5 SANITARY SEWER LATE:=„? CONSTRUCTION RECOR2. /3c/21, 13923, /39'26 /lac, yt�: Il tri✓{ -- --- Street(or loca 4Lio.n) : o T EFT Contractor: Calks Contractors Inc. Date Installed //-/7-8-3 MH__ o0 TO MH Wye Ste, en Main of�Q. P" 14To Al N * y o y WYE SIZE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYIi'JC: LENGTH *Horz.= Total /VoN� 6„ pvc pvc Stud. , 7. SZ` /5•yo• SOO 7(- -4.opo + Z -Tota NOTES: Z- M9 ityay $e6P.g?c pi �� ,,v►rH y" «F -z p,n� Depth of Cleanout 7. SZ ' sf low Line Cleanout /Z.')o' from � MN Layed C� Z• S Q,ykA ow Al Basement Service PIH;'; 3(p(o 242° MH -,N, oy Amounts pertaining to work completed Uhis period, reviewed and approved. BY ll�� V UCSL) Tna- c;,or 'rontractors Rep. I�Id,E: GAT* 144,A)14�a ,145 wh MN 4o4 OP'' 40 0 Q -4-Z! Auk qtA) Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 LATr-.QM INTO MN 4 I Contract No. SD15-1S Property Address: North Street (GAI #144A) /39V, 13`7 3, 139 5 Dwg. #601 - 04 MH 3&� to MH 4-o+ N/M a o e— -m i// Dr,'✓e 601 - 032 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. 0 1 I R/w - -� MH SD 15-37 3 14 (3 g" — SAN I� L� Baa a" 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. Date: / 2 �_ A Z &,-.0 C --�, i -,-74 —� Owner (Print) Owner gnature Attest: /f.}J Asim �_ D.o� Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 7L 4#rL : (Amit L 604r W+A fe- l r► -[IE AL I Miro MN 4.04 Q Ve Property Address: 318 North Street 60 %U) Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Dwg. #601-041 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/W DD -601-040 MH SD 15-37 : -� a1 41(4 i— z 0 0 D.. 5 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 �✓Yti�� Date: /2 ( �G/h0�� _ Owner (Print) Owner Signature OOW Attest: % lT�''L�ti a� .fir !�/Q..�► .� Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 fph S&p- utrr* : tarrsaxI<tA KA, At /114 , L.ATsRAL 1 Alto MH 4c+ C AD c/U) Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: East Preston Avenue (GAI #145) wg.#601-041 MH �( to MH 4t #601-032 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. DD -601-040 T MH SD 15-37 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: /?/?[In Owner (Prin ) r Owner's Signature Attest:A`hC`o.Sa�nita`ry istrict (Form WCSC-1) Replaces Form WCSC-56