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`' `°" ,oG WASHINGTON C
WATER & SEWER DE T
16232 Elliott Parkway
Williamsport, MD 21795UUN 1 1 2001
RY`,"N` (301) 791-3083
PERMITS Al D
Permit to Connect to Public Water/Sewer System
INSPEC FIONS
Type of Permit RES SEWER Permit No. SCP 150-1542
Subdistrict Name MAUGANS OH Issue Date 06/06/01
'
Mainline Contract No. Void Date 06/06/02
Building Permit No. P2001-1101 Subdistrict No. 150
Permission is hereby given to
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 18782 D I L L ER. DRIVE Street Address
Lot No. 46 Subdiv. FOUNTA I NV I EW Phase 1 Sec. TH
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 $ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $
Remarks A FEE D I FFERNT I AL WILL
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 Wlj6THE PF�OPVRTY OVNER. w
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 217404727
Phone: (301) 791-3070
Inspection Date: /0,0_p/ Plumbing Inspector:
Ask
PROJECT NAME: °kms � ' v� eco _ PROJECT NO:
PROPERTY ADDRESS: �' , y DRAWING NO:
MAIN LOCATION: STREET�� DATE INSTALLED:
PROPERTY OWNER NAME: MH t 30 3 TO MH 'S '-
PROPERTY OWNER ADDRESS: MAIN STATION: O 4 S4 Lcff
CONTRACTOR: i! rumnrnC.l- 6m A i -,y CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
A
B (LT)
C (LT)
TEE
DOUBLE TEE
SERVICE PIPE
MAIN
C/0
8y-& "C6
!on„Cy/i
.5��49;
ti7. '96
S�
7
B (RTC
(RT
(LT)
A
B*(RT)
JHUW LAIERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # 1,703 MH # c. �.
LIST QUANTITIES FOR PAY ITEMS HERE:
L* -B
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
(a--
WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 S -13.2A