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WASHINGTON C
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
SEP 26 2001 J01,91101
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PERMITS AND
INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1637
Subdistrict Name MAUGANS70H Issue Date
Mainline Contract No. Void Date
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21/40
For property located at: 18 7 b DILLER DRIVE Street Address
Lot No. 57 Subdiv. FOUNTAINVIEW Phase Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWO D CIRCLE
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 0 9124101Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ $2,100_ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee
Remarks A FEE DikFERENTIAL WILL BE CHARGED 10 RtLt;C'1 ALLOCATION FEE
I PROPERTY IS NOT CONNECTED BY IHE PERMI7 VOID DA11Z.
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 E PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WI THE PROPER OWNER.
Sign te:
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 217404727
11 -16 --dl
_
Phone: (301) 791-3070
Inspection Date: I1'1 -v/ -J/ Plumbing Inspector:
..s
PROJECT NAME: Vl&-kl PROJECT NO:
PROPERTY ADDRESS: or 57 e, , DRAWING NO: 12"�
MAIN LOCATION: T/EASEMENT &3b„Qn T6w0WkSE5 DATE INSTALLED:
PROPERTY OWNER NAME: MH /23,"S TO MH _ /24t8
PROPERTY OWNER ADDRESS: MAIN STATION: Z +y 1 Fzr
SINGLE: DOUBLE: X
CONTRACTOR: .o 14 ✓%%42 i -7"i __ CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
B
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
laza' soa 3S
A
I
A
w(z-•4" STur3->
A
D
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGH T
MH # /238 T���rto
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: nlo* 5,me�j
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY MAR)LV0
WATER AND SEWER
DEPARTMENT
UPSTREAM
MH.# 12`,5
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEINER SERVICE
CONNECTION SHEET
MARCH 1996 1 S-13.2
B
C
B
A
I
A
A
D
E
D
E
D
E
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGH T
MH # /238 T���rto
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: nlo* 5,me�j
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY MAR)LV0
WATER AND SEWER
DEPARTMENT
UPSTREAM
MH.# 12`,5
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEINER SERVICE
CONNECTION SHEET
MARCH 1996 1 S-13.2