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HomeMy WebLinkAboutLat_18757DillerDrivesa�.T°N c WASHINGTON COUNTY c WATER & SEWER DEPA -EWE 16232 Elliott Parkway 'f�RYWilliamsport, MD 21795 �nN�� (301) 791-3083 SEP 2 6 2001 � 11191101 Permit to Connect to Public Water/Sewer System PERMITS AND Type of Permit RES SEWER Permit No. SCP SNS 0 E C TIONS Subdistrict Name MAUGANS OH Issue Date 09/24/01 Mainline Contract No. Void Date 09/24/02 Building Permit No. P2001-2044 Subdistrict No. 150 Permission is hereby given to: Property Owner: DAVID of address: HAGERS'TOWN MD 21740 For property located at: 18757 D I LLER DRIVE Street Address Lot No. 58 Subdiv. FOUNTAINVIEW Phase I Sec. Owner's Agent: DAVID SHAOOL Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740 Previous Owner: SHAOOL Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid 097241UI Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ _ Gal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Misc. Number Total Fee $ Remarks A FEE DIFFERFNTIAL WILL BE 7=1ED TO RELECT ALLOCATION FEE INCREASES IF PROPERTY IS NOT CONNECTEDBY THE PERMIT VOID DATE. 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 TH THE PROPERTY OWt�R. Sig ate: 9 lr� /(0 ( 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:/moPlumbing Inspector: PROJECT NAME: V�l) ► r-' A'ug PROJECT NO: PROPERTY ADDRESS: 6.0: S%¢59 DRAWING NO: I MAIN LOCATION: /EASEMENT ?2EE-1-1,Asn DATE INSTALLED: PROPERTY OWNER NAME: MH 1 2 3 t) TO MH LZ`Q, PROPERTY OWNER ADDRESS: MAIN STATION: L �'1 pr SINGLE: DOUBLE: X CONTRACTOR: vQ- /Z- A 4P -1-7d CONNECTION ® MH: SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP B C SERVICE PIP, MAIN (A) C/O (B) DEPTH (C) D E F rTEE/WYE C- `E A eA 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 MH # LIST OLIANTITIES FOR PAY ITEMS HERE: b RIGHT UPSTREAM MH,# jZ_4? WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS p` WASHINGTON COUND, RAR)L4N0 WATER AND SEWER DEPARTMENT GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 1 S-13.2 B C LB A eA A D E D E D E SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM MH # LIST OLIANTITIES FOR PAY ITEMS HERE: b RIGHT UPSTREAM MH,# jZ_4? WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS p` WASHINGTON COUND, RAR)L4N0 WATER AND SEWER DEPARTMENT GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 1 S-13.2