HomeMy WebLinkAboutLat_18771DillerDriveWASHINGTON CO
WATER & SEWER DEPWEDX4
16232 Elliott Parkway
Williamsport, MD 21795 SEP 2 6 2009
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(301) 791-3083
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1643
Subdistrict Name MAUGANS OH Issue Date 09/24701
Mainline Contract No. Void Date09/24/02
Building Permit No. P2001-20 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address:
HAGERSTOWN MD 21740
For property located at: 18771 DILLER DRIVE Street Address
Lot No. - Subdiv. FOUNTA I N V I EW Phase C.
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
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ r Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $
Remarks A FEE =FERENTIAL WILL SE CHARGEDLALLUCATIUN VEE
INCREASES IF PROPERTY IS NOT CONNECTED BY THE PERMIT VOID DATE.
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
Date:
s
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
!nspection Date: Z -CP 0 2' Plumbing Inspector:
CI
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PROJECT NAME: PROJECT No:
PROPERTY ADDRESS: -774-64//,s DRAWING NO: /Z -7A
MAIN LOCATION: STREET/LASJT '-cJa— 777V iZ Ck,v& DATE INSTALLED: /2=-/ 1Gi
PROPERTY OWNER NAME: MH 1237 TO MH /Z36
PROPERTY OWNER ADDRESS: MAIN STATION. L77 4z-
'D
DOUBLE:
CONTRACTOR: Q- 4. N(�71� rnNNFr nnm a kiw.
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
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(a� „5(v
i2.
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5.a
•+ �� � yr LA I LKNL UT UKU55ING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
477
DOWNSTREAM RIGH
MH #� UPSTREAM
MH. # /Z3
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: 7,, `.�
7 WAS INGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
WASHINGTON COUNri,
t,rob
WR)7 V4o GRAVITY SEINER SERVICE
WATER AND SEWER CONNECTION SHEET
DEPORTMENT
MARCH 1996
S-13-2