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"r0N coG WASHINGTON COUNTY h � 2 3 WATER & SEWER DEP NV711 . 16232 Elliott Parkway Williamsport, MD 21795 �r7RYl. HNO APR 29 2003 (301) 791-3083 ✓ i©f 4 JO3 Permit to Connect to Public Water/Sewer System PERMITS AND `MW-) INSPECTIONS Type of Permit RES SEWER Permit No. SCF 150-173 1 Subdistrict Name S OH Issue Date 04/23/03 Mainline Contract No. Void Date 04/23104 Building Permit No. P2003-0417 Subdistrict No. 150 Permission is hereby given to: Property Owner: FOUNTAI NV I EW LLC of address: For property_ located at: L D I L LER DRIVE Street Address Lot No. I Subdiv. FOUNTA I NV I EW Phase Sec. Owner's Agent: CREATIVE HOME BUILDERS Agent's Address: 370 VIRGINIA AVE HAGERSTOWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid Residential EDU's 1 Fee $ Commercial EDU's 0 WCWSD Alloc./Conn. Fee $ $2,800 Gal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ $1,201) Misc. Number Total Fee $ $4,000 Remarks A 11EE FERENTIAL WILL BE CHARGED TO REFLECT ALLOCATION PER INCREASE vPROPERTY—IS NOT CONNECTED BY THE PERMIT VOID DAT 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 - 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 L3 3 GZ u� Inspection Date: '7 "j Plumbing Inspector: El PROJECT NAME: i07V4 4 �;"' A -NN, . — f k�/ C_(�)_, PROJECT NO: PROPERTY ADDRESS: Z- 0 r -s 5-44 DRAWING NO: MAIN LOCATION: SIRE EASEMENT DATE INSTALLED- 4;? --2- pa PROPERTY OWNER NAME: MH Z2�3— To MH PROPERTY OWNER --ADDRESS: MAIN STATION: P±'TAX Z-7-. CONTRACTOR: rrv"14e- <:�ws 6-, CONNECTION ®MH: SIZE & TYPE TEE SIZE & TYPE SIZE is TYPE INVERT 0 DEPTH DOUBLE DOUBLE T-EEACg) SERVICE PIPE MAIN C/o F7'X tom t* - as I )( f- 11 &q -f6 R - 2- ca— — A 18 (LT)IC (L (RTC (R] FLOW LEFT DOWNSTREAM RIGHT MH #Z LIST QUANTITIES FOR PAY ITEMS HERE: BY: 1"lk WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS stat (. co�" WASHINCroN CoUjvry, MARYLANO )- "'5 WA TER AND SEWER -l�DEPARTMENT ANN L)IMEN51ON ALL PERTINENT ITEMS UPSTREAM MH CONTRACTOR'S CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2ooi I S-1 3.2A