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;°" ° WASHINGTON COUNTY
3 WATER & SEWER DEPAIff '7�7
16232 Elliott Parkway
Williamsport) MD 21795 �1UN �iiii
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00 (301) 791-3083
Permit to Connect to Public Water/Sewer System j
INSPEUI-IONS
Type of Permit RES SEWER Permit No. SCP 150-1544
Subdistrict Name -,MAUGANS/OH Issue Date 06/06/01----
Mainline
6/06/01- Mainline Contract No. ' Void Date —06/06/02
Building Permit No. P2001-1103 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address:. 11029 pLUMWOOD CIRCLE
HAGERSTOWN 4 MD 21740
For property located at: 18786 D L LER DRIVE , Street Address
Lot No. 48 Subdiv. FOUNTA I NV I EW Phase 1 Sec. TH
Owner's Agent:
Agent's Address:
Previous Owner:
VID
UMWOOD CIR
TOWN MD
40
Fees Paid in Full? YES - Lateral with Mainline? YES
Date Fees Paid 06/06/01 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1, 2W Misc. Number
Total Fee $
Remarks A FEE DIFFERNTIAL WILL BE CHARGED TO REFLECT, ALLOCATION FEE
INCREASE IF PROPERTY ISNOT 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 WIWHE PROPERTY -OWNER.
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
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Inspection Date: Plumbing Inspector:
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PROJECT NAME: ����
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PROPERTY ADDRESS: -FO `tr �� /�`�� - PROJECT N: 15a "� I
/� 1�'Y �'f�e2 DRAWING NO:
MAIN LOCATION: STREET ASEME
PROPERTY OWNER NAME: BATE INSTALLED:MH I 303
PROPERTY OWNER ADDRESS: TO MH CC --0-__
MAIN STATION: 4-0 4,,-.7q
UUN IRACTOR:
SIZE &
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SIZE & TYPE
DOUBLE TEE/
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SIZE & TYPE
SERVICE PIPE
6" s 8 k,- zG
CONNECTION ® MH:
INVERT ® DEPTH
MAIN C/0 A
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(LT)IC (LT
H�� FLH IINENT ITEMS
FLOW
DOWNSTREAM
MH # �G
4NTITIES FOR PAY ITEMS HERE:
'INGTON COUNTY INSPECTOR
OF PUBLIC WORKS
'INGTON COUNTY, MARYLAND
ER AND SEWER
_",-RTMENT
LEFT
RIGHT
UPSTREAM
MH#C,o;
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 S— 13.2A