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NCoe, WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
V 16232 Elliott Parkway
Williamsport, MD 21795 /�/qq0C
M-uLL,_�
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RFR sRNFR Permit No. SCP 150-1460
Subdistrict Name MATIC-ANS l n14 Issue Date 08108/00
Mainline Contract No. X85 Void Date 08108/01
Building Permit No. P7000-7 S33 Subdistrict No. 1 50
Permission is hereby given to:
Property Owner: NORTH VILLAGE
of address: -�
For property located at: I Street Address
Lot No. Subdiv. NORTH VTL.L.A(;F Phase Sec.
Owner's Agent: HT,,ur ARID HOMES
Agent's Address: 1057 HAMILTON RT VI) HAC. _RSTOWN MT) 21740
Previous Owner:
Fees Paid in Full? YFS
Lateral with Mainline?
YES
Date Fees Paid 08/08/00
Residential EDU's
1
Fee $
Commercial EDU's
0
WCWSDAIIoc./Conn.
Fee$
$2,300 Gal/Day Allocation
20C,
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
$1 '200 Misc. Number
Total Fee $
$3,500
Remarks
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shall
conform with the provisions of Maryland State laws and County policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits, etc. ALL OTHER PERMITS,
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER.
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: '2 DO Plumbing Inspector:
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MD.
Project: 5b�!50-SRS
Street (or location): El ��C--G
Contractor: CuKGCr(A-i VAL14
Date Installed L5/93
SANITARY SEWER LATEF
'm* CONSTRUCTION REPORT
MH 17k -b TO MH IZZo
Wye Sta. On Main I to L
/ T #=..2 R
WYE
SIZE -
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
Horiz. = Total
ST D.
ExyX16
5DR-ZbPUC-
4 " RA mrLA$
-rcr.P
Z8,
4
Slope + Horiz. = To
NOTES:
DROP
�..... 4 .
N --
Depth of Cleanout of Flow Line
Cleanout 2L' From(-Q—cw w\tc-:
Layed at -2 °/o
Basement Service
MH # MH#
IZIb I ZLO
Amounts pertaining to work completed this period, revie nd pro
BY
S INSPECTOR CONT AC OR"'REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984