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HomeMy WebLinkAboutLat_18767DillerDriveWASHINGTON CO L WATER & SEWER DEP 16232 Elliott Parkway Williamsport, MD 21795 SEF 5 (301) 791-3083 2001 Permit to Connect to Public Water/Sewer System PERMITS AND INSPECTIONS Type of Permit RES SEWER Permit No. SCP 150-1641 Subdistrict Name MAUGANS OH Issue Date 09/24/101 Mainline Contract No. Void Date 1 Building Permit No. P2001-2049 Subdistrict No. Permission is hereby given to: Property Owner: DAVID SHAOOL of address: _ HAGERSTOWN MD 21740 For property located at: 18 7 67 D I LLER DRIVE Street Address Lot No. - - Subdiv. FOUNTAI NV I EW Phase Sec. Owner's Agent: DAVID SHAOOL Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid Residential EDU's T Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ TD-aGal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Misc. Number Remarks Total Fee $F Total Fe AL INCREASES IF P . 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 WITH THE PROPERTY< -OWNER Sig,6e -F"v r I AT), 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 ff � Inspection Date: "u Plumbing Inspector: PROJECT NAME:Fr'l&rry," UAB%) PROJECT NO: �SQ 150 - ,d t PROPERTY ADDRESS: 71+ 4,2163 DRAWING NO: /Z-Zg MAIN LOCATION: STREET EA- _.'.'E7;T jit �A� 0 ,✓e- DATE INSTALLED: . PROPERTY OWNER NAME: MH12-37 TO MH lZS�S PROPERTY OWNER ADDRESS: MAIN STATION: i� T o P.;T- SINGLE: DOUBLE: X CONTRACTOR: �-�.I�fiP71J" f'nNNFrT1nM ra AAW. SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP C JA TEE/WYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F c xCo sv( 35 .5or- L7- ' q3' A D , t i irC. Or LAILKAL UT UNU55ING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE, AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE). u E fn SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM MH # JZ J "7 RIGHT Zfzo UPSTREAM y MH,# jZ3 LIST QUANTITIES FOR PAY ITEMS HERE: \I 1 C INGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTi, 1rL4R)L4lJD WATER AND SEWER DEP.4RTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 S-13-2 B C JA A D E D E SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM MH # JZ J "7 RIGHT Zfzo UPSTREAM y MH,# jZ3 LIST QUANTITIES FOR PAY ITEMS HERE: \I 1 C INGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTi, 1rL4R)L4lJD WATER AND SEWER DEP.4RTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 S-13-2