HomeMy WebLinkAboutLat_18764DillerDriveT N06 WASHINGTON COUNTY
3 t WATER & SEWER DEPARTMENT
16232 Elliott Parkway J 1013�oi ny&"-r
Williamsport, MD 21795
��RY�No (301) 791-3083
Permit to Connect to Public Water/Sewer System I SO — I y 9 9
Type of Permit
RES SEWER
Permit No.
SCP 9
Subdistrict Name
MAUGANS OH
Issue Date
09/20/00
Mainline Contract No.
Void Date
09/20/01
Building Permit No.
P 2 0 0 0 -18 51
Subdistrict No.
010
Permission is hereby given
to:
Property Owner:
DAVID SHAOOL
of address:
1102 PLUMWOOD CIRCLE
HAGERSTOWN
MD 21740
For property located at:i�'t'ilrt/
Street Address
Lot No. z t1
Suly. FOUNTAINVIEW
bd
Phase r Sec.
Owner's Agent:
DAVID SHAOOL
Agent's Address:
11029 PLUMWOOD
CIRCLE HAGERSTOWN
MD
Previous Owner:
Fees Paid in Full?
Date Fees Paid
YES Lateral with Mainline? YES
Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ S2 30 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 supersede 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 HE PROPERTY OWNER.
Sign i 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 217404727
Phone: (301) 791-3070
Inspection Date: / /f G / Plumbing Inspector.
PROJECT NAME: yS�IA/i/1E1� EJECT N0:____ lS0-1016
'rSi u PROPERTY ADDRESS: TH -30 and TH 39 DRAWING NO:
MAIN LOCATION: STREET EASEMENT
} / DATE INSTALLED:
PROPERTY OWNER NAME:MH 1STO MH l Sty -1)
PROPERTY OWNER ADDRESS: MAIN STATION: �� Of S-- 2 -
CONTRACTOR: 0.7/4y CONNECTION ® MH:
I " SI TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH
DOUBLE TEE/WYE SERVICE PIPE MAIN C/0 A B (LT) C (LT
Osae- 35 sbe -z� (�" S�ie- Z(- GS(, 5"r S
B (RTC (RT)
S'
A
I:
_ ���,• r lulu, U iiu i r I,KUONINUb ANU
FLOW LEFT '
DOWNSTREAM
MH # %SD -loci
c.o. ;s L` Rite,#rac
%9' c A"
RIGHT
LIST QUANTITIES FOR PAY ITEMS HERE:
m
WASHINGTON COUNTY INSPECTOR
DII/ISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
r, WATER AND SEWER
DEPARTMENT
(LT)
m
(RT)
2,7-
DOWNSTREAM
2
TINENT ITEMS I
UPSTREAM
MH # 160-16.3
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 S-1 3.2A