HomeMy WebLinkAboutLat_13549HalifaxDriveF
WASHINGTON COUNTY SANITARY DISTRICT
Elliott Parkway 70/81 Industrial Park Williamsport, Md. 21795
Telephone 301-223-9416
Permit to Connect to Public Water/Sewer System
Type of Permit EES SEWER Permit No.
Subdistrict Name MAUGANS . / OH Issue Date
Mainline Contract No. 150-585 Void Date
Building Permit No. 94-6520 Subdistrict No.
150-1235
Permission is hereby given to:
Property Owner: -.TH VILLAGE DVLPT.
of address: 18174 NORTH VILLAGE
HAGER�- _WN , MD 1 J
549
For property located at: HALIFAX DR1vENORTH VILLAGE Street Address
Lot No. Subdiv. Phase Sec.
4
Owner's Agent: G.M. CONTRACTING
?�f}201. MAHOGANY CLE,
Agent's Address: 4c. , > Put -
Previous
tPrevious Owner:
t.:tt t:r
' . t"ZI
Fees Paid in Full?
Date Fees Paid !
WCSD Dist./Coll.
WCSD Ready to
WCSD
City of
Remarks
Serve
°"p vf5 Lateral with Mainline? Y
F-tv, Residential EDU'S
m Fee $ A - Commercial EDU'S
Fee $ Gal/Day Allocation
Fee $ Building Number
MN Fee $ Utility Number
Total Fee $'6 6
OF 05 PER LOT
When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system
shall conform with the provisions of Maryland State laws and WCSD policy.
This permit does not supercede any local ordinance that is in effect with regard to road excavations, plumbing permits. etc. ALL OTHER
PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED
THEREWITH REMAINS WITH THE PROPERTY OWNER.
Signed
Date: ' -1 ^ r, '9 4
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board 9��i/�/
33 W. Washington Street
Hagerstown, Md. 21740 Phone: 791-3
Inspection Date: 7__ IQ'!?7 Plumbing Inspector
OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD
Inspection Date.
Inspection Date:
Distribution: Permittee
WCSD Construction
Permits Office
d+
s
WCSD Inspector (Lateral)
WCSD Inspector (Connection)
City of Hagerstown City of Williamsport
WCSD O&M WCSD File
Plumbing Board Plumbing Inspection
k
RECEI`.
APR 2 4 1997 x,
WASHINGTON C" '"` '' X
WATER&Sf:�ar._�
t
THE PRINTING PLACE
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. MD. —
SANITARY SEWER LATERAI
CONSTRUCTION REPORT
Project:$l� 150-585
Street (or location): i-1ADlZ�`
Contractor: C„Mao2atguk VA[Lgy
MH I Z(q TO MH
Date Installed 5.1-7193 Wye Sta. On Main 17.14 HA„Hol 7 L
h -r'5 171 Aj&`-
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. C.O. LATERAL LENGTH LAYING LENGTH
Horiz. 2 Total
6"
ST 'D.
gK6x4� SAS-2b'P✓c- LA a\ 1EMP 3Z1 Z
NOTE`.
Depth of Cleanout at Flow Line
Cleanout .3Z From ►r=
Layed at Z°/o
NIA—Basement Service
MH #
122 9
.N.
Slope + Horiz. = Total
KI
WYE
Zsym
Amounts` pertaining to work completed this period, re 'ewed Q a roved._
BY J
SD INSPECTOR CO TRACTOR REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT j 1
AUGUST 13, 1984 S - 2