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HomeMy WebLinkAboutLat_18935DillerDrive6 -To N C, WASHINGTON COUNTY 00 SEWER DE 3 � WATER & S 16232 Elliott Parkway i Williamsport, MD 21795 JAN 3 1 2003 03 '�'RYLnN" (301) 791-3083 ✓!lg Permit to Connect to Public Water/Sewer System PERMI-fS ASD SPE-SI Type of hermit RES SEWER Permit No. SCP 'N150 -1710 1/13/03 Subdistrict Name MAUGAN S / OH Issue Date 1 Mainline Contract No. Void Date 15 Building Permit No. 22759 Subdistrict No. Permission is hereby given to: Property Owner: CREATIVE HOMES of address: For property located at: 18935 D I LLER DRIVE Street Address Phase Sec. Lot No. G S 5 Subdiv. FOUNTA I NV I EW Owner's Agent: CREATIVE HOME BUILDERS AVENUE HAGERSTOWN MD 2174 RGINIA Agent's Address: V Previous Owner: YES Lateral with Mainline? YES Fees Paid in Full? Date Fees Paid 01/13/03 Residential EDU's Fee $ Commercial EDU's 200 WCWSD Alloc./Conn. Fee $ 2 Gal/Day Allocation WCWSD/Other Fee $Building Number City of Hagerstown Fee $ $1 , 26-0— Misc. Number $4,000 Total Fee $ WILL BE CHARGED TO R THE PERM IT VO Remarks A FEE DIFFERENTIAL iNcREAs IF PROPERTY IS NOT CONNECTED BY 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- MhW,S-WITH THE PROPERTY OWNER r 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 21740-4727 Phone: (301) 791-3070 Inspection Date:/ �� 3 Plumbing Inspector: ROJECT NAME: 'tom✓ T PROJECT N0: r�� (e.1 JROPERTY ADDRESS: ° T 5.DRAWING NO: JAIN LOCATION: STREET ASEMENT 0i�J � 2 � DATE INSTALLED. MIT TO MH 3ROPERTY OWNER NAME: 3ROPERTY OWNER ADDRESS: MAIN STATION: SINGLE: DOUBLE: CONTRACTOR: CONNECTION 0 MH: � - � e`�' r� SIZE k TYPE SIZE do TYPE INVERT ® DEPTH DROP D E F TEE�SERVICE PIPE (� MAIN (A) C/O (B) DEPTH (C) g,iX � " sage. 35 .5-54 - 2 6 �.5 .. 2 INDICATE T iPE Or Lf-TEHAI B', (P05' -III(- OUT i 11111? ; FOR COHNEC 1101+ TO MAIdF10LE. CI1EC1: ABOVE. AND IISI Ilr-jl.1;1 I�I►.a.j1,)II 'R' AIA) (11'01' DIMLN*-10rl C (If - AND SHOW LATERAL LOCAT:-dl, ;TA11Orl. �illllh 9-10Ti'1 DOWNSTREAM MH # J LIST QUANTITIES FOR PAY ITEMS HERE: BY: CROSSIr�i;; AND FnMFINIS;(SII ALL PER111111,11 ITEMS LEFT /1 RIGHT UPSTREAM MH # CU!,I!rAC1rII;�S R[PRf.S[NIA1(VE. CO. NAME: DIVISION SOFT�PUBLIC A�^WORKS ( �� �f GRAWTY SEWER SERVICE s- ' WATER AND �SEWER CONNECTION SHEET �iMrUAo DEPARTMEW JANUARY 1999 5--13.2