HomeMy WebLinkAboutLat_18780DillerDriver,—
C'T°N 0WASHINGTON COUNTY
WATER & SEWER DE
16232 Elliott Parkw Y..'
Williamsport, MD 21 95
(301) 791-3083 JUN 1 1 2001
Permit to Connect to Public Water/Sewer SysteTERMH- S AiND
Type of Permit RES SEWER Permit No.
it E
Subdistrict Name MAUGANS/OH Issue Date 06/06/01
Mainline Contract No. Void Date 06/06/02
Building Permit No. P2001-1100 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD C I RLCE
HAGERSTOWN MD 21740
For property located at: 18780 DILLER DRIVE Street Address
Lot No. 45 Subdiv. FOUNTA I NV I EW Phase 1 Sec. TH
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD C I RLCE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline?
YES
Date Fees Paid
06/06/01
Residential EDU's
1
Fee $
Commercial EDU's
0
WCWSD Alloc./Conn.
Fee $
$2,300
Gal/Day Allocation
200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
$1,2 0
Misc. Number
Total Fee $
T3, 500
Remarks A
FEE DIFFERNTIAL
WILL BE CHARGED TO REFLECT
ALLOCATION FEE
INCREASE
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 WIT E PROPERTY OWNER.
SigneDate:
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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 217404727
,,ff�� ,/ Phone: (301) 791-3070
Inspection Date: !(J ` -7 'a/ Plumbing Inspector:
PROJECT NAME: ouljfzj' PROJECT NO: r507(014
PROPERTY ADDRESS: 5�5'� 57 7 I e 7,F� LIle 'Z Di- DRAWING NO: `� "��`�
MAIN LOCATION: STREETf As�� DATE INSTALLED:
PROPERTY OWNER NAME: MH lZ63 TO MH c .0,
PROPERTY OWNER ADDRESS: MAIN STATION: /4/6 Z -
CONTRACTOR: zimseta A•AID I -&-L zq CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
TEE
DOUBLE TE(56MB
SERVICE PIPE
MAIN
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QUnu/ I A Tr' I] A I
��,J , -Dh llUiv, U ilu T ANU DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
y
DOWNSTREAM RIGHT UPSTREAM
MH # r303 MH # G. o.
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
AL
DIVISION OF PUBLIC WORKS
,aro WASHINGTON COUNTY MARYLAND
WA TER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13.2A