HomeMy WebLinkAboutLat_18773DillerDriveWASHINGTON COUNTY
WATER & SEWER DEP oJE&YED
16232 Elliott Parkway
Williamsport, MD 21795 SEP 2 6 2001
(301) 791-3083
Permit to Connect to Public Water/Sewer System PERMITS AND
RES SEWER SO�NSPECT�IIONS
Type of Permit Permit No.
44
Subdistrict Name MAUGANS70H Issue Date 09124101
Mainline Contract No. Void Date 139124102
Building Permit No. Subdistrict No.
Permission is herebygiven to:
Property Owner: DAV I D SHAOOL
of address:
HAGERSTOWN HD 21740
For property located at: 18773 DILLEX DRIVE Street Address
Lot No. �@U (,, Subdiv. YOUNTAINViEW Phase Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21/4U
Previous Owner:
c�
Fees Paid in Full? YES Lateral with Mainline? YE`'
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation `
00
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1, 200 Misc. Number
Total Fee $ ,
Remarks A FEEFERENTIAL E
r'EZ-
INCREASES IF PROPERTY 15 NUT CUNDIECIED bY UHL FERMiT VUIJ JJAIZ.
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.
Sine" d: _ � 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 izze:;5(e
Inspection Date: " �� D� Plumbing Inspector:
PROJECT NAME: �Zz���ic'1�L7.cl PROJECT NO:��-ir:�
PROPERTY ADDRESS: 774-61105 DRAWING NO: _ /Z ZF�'
MAIN LOCATION: STREE T/&kS;Tawc DATE INSTALLED:
PROPERTY OWNER NAME: MH 1237 TO MH /Z-36
PROPERTY OWNER ADDRESS: MAIN STATION: 14-77 P-7—
SINGLE: DOUBLE: ?-
CONTRACTOR: f�(+�2-i,J - CONNFr_.nON (a KAP -
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
J/TEE/WYE
F) v�12 J
cSE^RVICE!-PIPE
iit r j)t z4p
(�
1Z,
><
/
�(p
65
5. a
uvui�-,mlL I Trt Vr LAILNAL HY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
J"vY LFLOW L LUI,A IIUN, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
r LEFT
DOWNSTREAM
MH #12-�I-
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
INGTON COUNTY INSPECTOR
uw157UN OF PUBLIC WORKS
/J`43� WASHINGTON COUNTi, MAk)WO
WATER A.ND SEWER
DEPARTMENT
77
RI
lag "
UPSTREAM
MH. # /Z38
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SERVER SERVICE
CONNECTION SHEET
MARCH 1996 S-13-2