HomeMy WebLinkAboutLat_18760DillerDriveWASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
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Permit to Connect to Public Water/Sewer System
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Type of Permit RES SEWER Permit No. SCP
Subdistrict Name MAUGANT7MF Issue Date 09/20700
Mainline Contract No. Void Date 09120/01
Building Permit No. P2000-1847 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21'14U
For property located at: Street Address
Lot No. 36 Subdiv. FOUNTAINVIPhase Sec.
Owner's Agent:
DAVID SHAOOL
HAGERSTOWN MD 2174U
Agent's Address:
29 PLUMW D CIRCLE
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
0
Residential EDU's
Fee $
Commercial EDU's
200
WCWSD Alloc./Conn.
Fee $
Juu Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee $
'
Remarks
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 WIT PROP TY OWNER.
Sig 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: I Plumbing Inspector:
akJECT
PROJECT NAME: FOL- FAIiyul F -w
F NO: ISO- 61e5
PROPERTY ADDRESS: 1 14 36 Lind TN 37
DRAWING NO: 1 a oir .20
MAIN LOCATION: STREET ASEMENT
DATE INSI Awl LE :
PROPERTY OWNER NAME:
MH 50- 4- TO MH fso- 063
PROPERTY OWNER ADDRESS:
MAIN STATION: r+.5•5 CST
CONTRACTOR: ('vm4e.-Ia" I
CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
A
B (LT)
C (LT)
T�E
DOUBLE TEE
SERVICE PIPE
MAIN
C/O
B (RT C (RT
(LT)
A
c.
B C
(RT)
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
O� Fed ci{f /Yid%✓
DOWNSTREAM RIGHT
UPSTREAM
MH # 1$0- 704
MH # 1-50-063
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
DOUBLE GRAVITY SEWER LATERAL
WATER AND SEWER
CONNECTION SHEET
DEPARTMENT
d� pt0
MAY 2001 S-1 3.2A