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HomeMy WebLinkAboutLat_19634MarigoldDrive�T°N o WASHINGTON COUNTY 3 = WATER & SEWER DEPARTMENT 16232 Elliott Parkway ' Williamsport, MD 21795 (301) 791-3083 Permit to Connect to Public Water/Sewer System 'v Type of Permit RES SHEW EF Subdistrict Name MAUGNAS 0H Mainline Contract No. Building Permit No, P2001-0237 Permit No. SCR 150-1503 Issue Date 02722701 Void Date 02122702 Subdistrict No. Permission is hereby given to: Property Owner: OLIVER HOMES of address: 19733 LEITERSBUT7,3 PIKE HAGERSTOWN MD 21140 For property located at: 19634 MARIGOLD JJX:VZStreet Address Lot No. ` J Subdiv. Phase Sec. Owner's Agent: OLIVER HOMES Agent's Address: 1='7313 LEITERSRL IKE .. _Y... DWN Z1140 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? yESO Date Fees Paid 0 2 ' 2 % ` `1 Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ Gal/Day Allocation ~ WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ ~ - ° Misc. Number Total Fee $ Remarks Iz ) 1IS 0 KZL-1=1 1=0k-;,ft1i0N FEE . 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. i Date: 2 Z O 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 217404727 `1 Phone: (301) 791-3070 , Inspection Date: �7 (9y� Plumbing Inspector: / WASHINGTON COUNTY SANITLA,RY DISTRICT WASHINGTON COUNTY, MD. Project: A'/ -j, Driorg L'.STN**S callic-ri'h -syu t -m S-iro-i 66 Street (or location): Mari 6atJ Df fv-e Contractor: f a. Y0/760i/lE C a-,Trsr.7'ars `3 Date Installed I - l i - q -L SANITARY SEWER LATERAL CONSTRUCTION REPORT MH 1163 TO MH 6'y Wye Sia. On Main 0' 47- WYE r WYE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAVATION LENGTH LAYING LENGTH y c " r Itq0„ 'D. Horiz. = Total f ST t gA ss Zx. 3 L. -C Slope + Horiz. = Tota NOTES: DROP Depth of Cleanout at Flow Line Cleanout /Z 3 From MWn 4i�✓� Layed at °/o /Vd Basement Service 1-1� - MH # /i`3 v MH# //6y Amounts pertaining to workcompleted this period, reviewed and approved. BY �/ awi t G� WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 FS - 2