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°T°" C,WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
A 16232 Elliott Parkway
��� Williamsport, MD 21795YL
98
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCF
Subdistrict Name MPFUGANS,,, OH Issue Date 04 2 4 J 38
Mainline Contract No. :ill Void Date 014! 24; 301
Building Permit No. PRJ58-0V6_X' Subdistrict No.
Permission is hereby given to:
Property Owner: .-R I CAN HOMES
of address: 3230 B nNY LANE SUITE
`_.LLICOT '_'ITY ML� 2,iO4
For property located at: CHAPS a TER,RAC�. Street Address
Lot No. Subdiv. 4AUGAa.45 MEADOWS Phase Sec.
Owner's Agent: AMERICAN HOMES I N .. .
Agent's Address: 3230 BETH 4Y LANE ELLIC,�T'T CIT' MD :,`'.10-12
Previous Owner:
Fees Paid in Full? ES Lateral with Mainline? YES
Date Fees Paid _9 4 1 t R;d t' I E
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Total
Remarks
Fee $
esl en la DU s
Commercial EDU's
Fee $
Gal/Day Allocation
Fee $
Building Number
Fee $
" , - Misc. Number
Fee $
-
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPER/TTY OWNER.
Signed:, rv4 Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: 'S /s .gg Plumbing Inspector:
RECEIVED
MAY 2 0 1994
WASHINGTON COUNTY
WATER & SEWER DEPT.
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD. Jolk
Project: A4,4 Gf%Ns M,E,4po�g
1.3 L/ t `i
Street (or location): C,"c?'s T�?-g%xcic oT 4S
Contractor: $0tiao ricLJ C0/V'.;k
Date Installed 4- /7- e y
WYE
NOTES:
SIZE -
TYPE
DEPTH
TYPE PIPE
C.O.
C.O.
y"
ev
CaSr
5V e•2 G
ANWA SANITARY SEWER LATEF
CONSTRUCTION REPORT
MH.Sais-iiia TO MH Svis-ii i
Wye Sta. On Main 2 rio ,C7 -
TYPE EXCAVATION
LATERAL LENGTH LAYING LENGTH
ST 'D. Horiz. • Total
Depth of Cleanout F v 1-" 7', P at Flow Line
Cleanout 12 ef= From el'N6
Loyed at 2yo
Basement Service
MH # sO1sF-Mo
Slope + Hariz. = Tot
M H # sm��=�>��
Amounts pertaining to wor completed this period. reviewed and approved.
BY
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE {
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984