HomeMy WebLinkAboutLat_18763DillerDriveCT°N C,WASHINGTON COUN CtIV&P��III
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c a WATER & SEWER DEPARTMENT
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16232 Elliott Parkway SEP 2 6 2001
' Williamsport, MD 21795
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(301) 791-3083 PERMITS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1639
Subdistrict Name MAUGANS70ki Issue Date 0 912 4101
Mainline Contract No. Void Date u 912 4102
Building Permit No. F20uI-2U41 Subdistrict No. LbU
Permission is herebyIven to:
VAV
Property Owner:
ID SHAOOL
of address:
HAUE.K.5TUWN
MD L 1/40
For proper%y located at:
16 7 63 DILLER
DRIVEStreet Address
Lot No. b0
Subdiv. ruUNIAINVIEW
Phase Sec.
Owner's Agent:
DAVID SHAOOL
Agent's Address:
11029 FLUMWOOD CIRCLE;
HA(3EX5'1'UWN MI) 21/40
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
Residential EDLI's
Fee $
Commercial EDLI's
WCWSD Alloc./Conn.
Fee $
_ Gal/Day Allocation 200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee
$3 300
Remarks a FEE
DIF'FERENTIA WILL
BE CHARGED 70 RELEC7 ATMOCAMON FEE
IN
.
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 U D BY E PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE -
MAI THE PROP R Y OWNER.
Sinned: Date: 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: Z l/" Plumbing Inspector: 01
J
CI
.0►
PROJECT NAME: ►:,-�Ao-� PROJECT N0: SO ISS --1u0(�
PROPERTY ADDRESS: Ili k0lUal DRAWING N0: iZ-- ?S
MAIN LOCATION: STREE T/EA5f*LlE-T ��e+- V le OfkVC, DATE INSTALLED: / Z - ? -19
PROPERTY OWNER NAME: MH I Z 37 TO MH iZ3?,
PROPERTY OWNER ADDRESS: MAIN STATION: 0-4.60 i
SINGLE: DOUBLE: x
CONTRACTOR: ID t�-• gpentj CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
X0 SG'43S'
�" �Q� c 6,
lZ `r
89
j4'
INUIUA IL I YHE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
')rIUW LAILHAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
r
DOWNSTREAM
MH # L3 1
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
INGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
,g� WASHINGTON COUNT), MAR)LWD
WATER AND SEWER
DEPARTMENT
RIGHT
Z-1-60
UPSTREAM
M H . # 1 Z3(S
61 (o0
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
MARCH 1996 I S--13.2
I