HomeMy WebLinkAboutLat_18784DillerDriveryr -
WASHINGTON COUNTY
s WATER & SEWER D4
16232 Elliott Park
' Williamsport, MD 2 95
A�gRYLrNO
(301) 791-3083 JUN 11 2001
Permit to Connect to Public Water/Sewer System
PERMITS AVID
Type of Permit RES SEWER Permit No. IN$FECIAD3
Subdistrict Name MAUGANS OH Issue Date 06/06/01
Mainline Contract No. Void Date 06/06/02
Building Permit No. P2001-1102 Subdistrict No. 150
Permission is hereby given to
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 18784 D I L LER DRIVE Street Address
Lot No. 47 Subdiv. FOUNTAINVIEW Phase TSec. TH
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21.740
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
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $ $3,500
Remarks A FEE D I FFERNT I AL WILL BE CHARGED
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 W THE P P TY OWN R.
Signe Date: Wim" Ij�
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
Inspection Date: /I) L7'd Plumbing Inspector:
PROJECT NAME: F-10 a17 f -1 of et-% _ PROJECT NO:
PROPERTY ADDRESS: -j-Y 4G 6 4 -; iff/�'�: l $��y DRAWING NO:
MAIN LOCATION: STREET _ASEMFNT DATE INSTALLED: ► o -' (' 0
PROPERTY OWNER NAME: MH .-.130 3 TO MH Cy -SL
PROPERTY OWNER ADDRESS: MAIN STATION:
CONTRACTOR: C�)M12LAVD IA.( FV CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH A B (LT) C (LT)
TEE DOUBLE TEE SERVICE PIPE MAIN C/0
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B (RT C (RT
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^� �. %,m l will, J i M i iUN, V I ILI I T L KU551NG5 AND DIMENSION ALL PERTINENT ITEMS
FLOW
DOWNSTREAM
MH If 1,;?03
UST QUANTITIES FOR PAY ITEMS HERE:
B Y:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
p ,arm +' WASHINGTON COUNTY, A4ARYL4ND
' i WATER AND SEWER
DEPARTMENT
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LEFT
RIGHT
UPSTREAM
MH # e.
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13.2A