HomeMy WebLinkAboutLat_18769DillerDriveWASHINGTON COU�
WATER & SEWER DEPAWEVED
NT
16232 Elliott Parkway SEP 2 6 2001
4" Ll
Williamsport, MD 21795
Nl'I A
(301) 791-3083 PERMITS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1642
Subdistrict Name MAUGA , Issue Date
Mainline Contract No. Void Date
Building Permit No. - Subdistrict No.
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address:
H G �
For property located at: Street Address
Lot No. Subdiv. Phase Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: PL
Previous Owner. -
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid UY124jUi Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ 1 _ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $
Remarks A FEE =FERENTIAL WILL ksh; -CHARGET—To RE
INCREASE
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 PROPERLY OWFi�� r
Si �ed7:, ��7' �._ 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 21 74 0-4 727
Phone: (301) 791-3070
Inspection Date: 2.6 d2 Plumbing Inspector:
PROJECT NAME:
PROPERTY ADDRESS: _714- &A
PROJECT NO: _510 I5-0 ( )
_l02
MAIN LOCATION: 5TREE T E
J `^/
DRAWING
PROPERTY OWNER NAME:
DATE INSTALLED: Z -i' 9
PROPERTY OWNER ADDRESS:
MH 12-37 TO MH lZ;;k
MAIN STATION: zo p -q -
CONTRACTOR: Q 4. MAP_n i l
SINGLE: DOUBLE: X
SIZE & TYPE SIZE & TYPE
INVERT ®
CONNECTION ® MH:
DEPTH
TEE/WYE SERVICE PIPE
MAIN (A)
DROP
C/O (B) DEPTH (C) D E F
KCc SDP 35 �o'SOr✓ Zro
Z' ,
INDICATE TYPE OF LATERAL BY CROSSING
OUT OTHERS.
FOR CONNECTION TO MANHOLE, CHECK
AND LIST INVERT DIMESION 'B' AND DROP
DIMENSION 'C'
A
(IF APPLICABLE). BOVE,
FLOW
ANL) uIMENSION ALL PERTINENT ITEMS
LEFT
DOWNSTREAM
MRIGHT
H #
/Z 3 % UPSTREAM
J MH-# lZ3
LIST QUANTITIES FOR PAY ITEMS HERE: 6 3 Z
A 11
;—
IL-
INGTON COUNTY INSPECTOR
Lllvljluiv ur- 1-USLIC WORKS
WASHINGTON COUNT% kMR)UN0
WATER AIVD SF'WE.R
DEPORTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
MARCH 1996
S-13-2