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Home My WebLink AboutLat_13927VillageMillDriveWASHINGTON 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: `_1A'Z- For Property Located at: Owned by: Address: Type of Connection: To Service Connection Type of Service: Residential Commercial Meter Size Connection Fee _. To Main Line: ) Units Other Industrial Date Paid 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 Permit Fee Washington County Plumbing Board 33 W. Washington Street Hagerstown, Maryland 21740 Telephone: 791-3146 Final Inspection Made BY: _ to �°'`)a-.�,Aipn�`) _ ___ Date 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: Permitte Plumbing Board Field Office Date Imo" 40 Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#15 Contract No. SD15-1S Property Address: 322 North Street 1390% vat- a V I'l I I MH 378 to MH 373 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. MH SD15-373 _7 1- 146A R/W 81' —SAN I ew , ,. t I� 1 (322) I �' �A El 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: wR�N�P, G IM aR7`► ty O�w,ner�} (Print) Owners Signature Attest: �7j. (�Ib� Was o. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 SNi'dGI'0 COU?:TY :,�AN ITARJ$O;IS ii;iC T UASHihuTON COUNTY, MO. C0NSTRUCT10N 'ECC; D Project • Mauannsvillc,/Orch,,rd Hills � , Street (or location) :_ IZZ'Npalu �'I i (C��,.� N-20/392-7 �%��Aa r�;/JJ-,- Contractor: Caller Cnntractors, Inc. M+H 3'1Z_ TO M.H_3-13� Date Installed-�'7 JA j &4 _ -- Wye Sta. On Main 1.4.14.9 Ll Y.'1 t-- TYPE DEQ' T H J TYPE_ � EXCAV. LAY PJB: L i SI_7E TYPL PIPE! C.0. - C.O. L^TERAL L E r-4'lr' T P. L E Nj,T 1 *Hcrz.= Total. 93.41 VF Std. �Z Soy ape + Hord i o 11 Drop P�0T`5: I Depth of Cleanout 9.4' vF `FIow L i n Cleanout Z8.50 F" r o m p 00 Layed C ' J 4AJ©asoment Service 1W PLOW 8 A 1440,00 i'iH;,� 3'1 Amounts pertaining to Work completed this peri reviewed and approved. Y- =- - LiCSu in,-�peC mor Contractors Rep.C7 �.