HomeMy WebLinkAboutLat_18777DillerDrive`;°" °°2 WASHINGTON COUNTY
WATER & SEWER DEPAR ICIV
3� E
16232 Elliott Parkway
Williamsport, MD 21795
SEP 2 6 2001
(301) 791-3083
Permit to Connect to Public Water/Sewer System PERMITS AND
Type of Permit RES SEWER
Subdistrict Name MAUGANS OH
Mainline Contract No.
Building Permit No. P2001-2056
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address:
4NSP 4CTIONS
Permit No. SCP 50-1 46
Issue Date
Void Date
Subdistrict No. L OV
_ HAGERSTOWN MD 21740
For property located at: 18 7 7 7 D I
Lot No. 67 Subdiv. FO NTAINVIEW Street Address
Phase Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE Ii?�G
Previous Owner.-
Fees
wner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $� Misc. Number
Total Fee $
Remarks A FEE a, I ERENT I AL WILL BE CHARGE:D TUREL is
INCREASES IF PRO
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 TH PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THEPROPERTY OWNER. t
Date: � d
INSPECTION: At least 48 hours notice prior to requested date is required
ON SITE INSPECTION will be made by
inspection Date: 2 6 ot,
Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Plumbing Inspector: `
L
L I PROJECT NAME: PROJECT NO:
PROPERTY ADDRESS: DRAWING NO: /Z -Z8
MAIN LOCATION: STREET/E�,��T e2i��rr�pvC DATE INSTALLED:
L PROPERTY OWNER NAME: MH LZ1 _
TO MH ! Z3
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: DOUBLE:
CONTRACTOR: CONNEC-TION ®MH:
SIZE & TYPE
SIZE & TYPE
INVERT @ DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A) C/0
(B)
DEPTH (C) D
E
F
pQ
INDICATE TYPE
OF LATERAL BY CROSSING
OUT OTHERS. FOR
s.o•
CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT
DIMESION 'B' AND DROP
DIMENSION 'C' (IF
APPLICABLE).
LifFW L LUI,HtIUN, 5OAT10N, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOLEFT
DOWNSTREAM RIGHT
UPSTREAM
MH # •Zi .37
MH, # /L3
67 r 47ln
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
NGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
UIW31UN OF PUBLIC WORKS
WASHINGTON UA " MAh)1AND GRAVITY SEWER SERVICE
r-6)
CONNECTION SHEET
WATER AND SFWER
DEP,4RT 4 T
MARCH 1996 S-13.2