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WASHINGTON COUN . Y
WATER & SEWER DEPAR
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer
Type of Permit RES SF=WER Permit No. `� SCP
Subdistrict Name MAUGANS/DH Issue Date 05
Mainline Contract No. Void Date 05/
Building Permit No. P2003•-0495 Subdistrict No. 150
Permission is hereby given. to:
Property Owner: FOUNTAINVIEW LLC
of address:
MAY 12 2003
✓ -7IS /03 rrn�l r
PERMITS AND
INSPECTIONS
150=1.138
For property located at: 18936 D I L LER DRIVE Street Address
Lot No. S 6'0 Subdiv. FOUNTA I NV I EW Phase Sec.
Owner's Agent: CREATIVE HOMES
Agent's Address: 370 VIRGINIA ' AVENUE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
05/06/03
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
$2,800
Gal/Day Allocation 200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
$1,200
Misc. Number
Total Fee $
S4,000
Remarks A FEE
DIFFERENTIAL
WILL BE CHARGED TO RE
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 WITH THE 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 21740-4727
Phone: (301) 791-3070
Inspection Date: �i Jy �3 Plumbing Inspector:
I
PROJECT NAME: O'V4 PROJECT NO:
PROPERTY ADDRESS: DRAWING NO:
MAIN LOCATION: STREE EASEMENT DATE INSTALLED:
PROPERTY OWNER NAME: MH 1,244 TO MH
PROPERTY OWNER ADDRESS: MAIN STATION: �-30t�� AL
rnmTPArTnP- CONNECTION 0 MH:
I I
SIZE & TYPE
-- - -- -
SIZE & TYPE
-
SIZE & TYPE
INVERT 0
DEPTH
I
A
B (LT)
C (L
TEE
DOUBLE TEE
SERVICE PIPE
MAIN
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8 (RT'C
(RT,
(LT)
BC
*(R T)
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGHT
MH # /� qy
LIST QUANTITIES FOR PAY ITEMS HERE:
UPSTREAM
MH # (A -5
BY:
COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
WASFfINGF®N COUNTY MARYLAND
'' WATER AND SEWER
DEPARTMENT
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
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MAY 2601 1 S-13.2 A