Loading...
HomeMy WebLinkAboutLat_19649MarigoldDrive.•--,, 1,1}. li ".. '=�!Y ''d ••' , t fir: `.. Y, _.` WASHINGTON COUNTY SANITARY DISTRICT Elliott Parkway r 70/81 Industrial Park Williamsport, Md. 21795 Telephone 301-223-9416 Permit to Connect to Public Water/Sewer System Type of Permit SdW SEW' Permit No. _---_ SGP 150-_1242 10/05194 Subdistrict Name MAUL/ CiRCH T3 Issue Date 10/05/95 Mainline Contract No. 150-566 Void Date — 150 Building Permit No. 2 - 7,1 Subdistrict No. Fees Paid in Full? Permission is hereby given to: Property Owner: L! k `/ -f\ HN R . CO. of address: L9733 i.: TERSBURG PIKE. (PAGERS :, iN 14D, 740 For property located at: .49 MAR 1130LD UR I VE Street Address Lot No. 15 Subdiv. NORTHBROOK ESTATES Phase—Sec.- Owner's hase Sec. Owner's Agent: OLIVER JOHN R. 0"". , INC . Agent's Address: 19733 LE I TERSBURti PIKE Previous Owner: Fees Paid in Full? Lateral with Mainline?— Date Fees Paid N Residential EDU'S WCSD Dist./Coll. System Fee $ Commercial EDU'S L WCSD Ready to Serve Fee $ Gal/Day Allocation WCSD Fee $ Building Number City of HAw7ER.STOWN Fee $ $700 Utility Number Total Fee $ $ 2 2 0 a Remarks LATER: , REIMBURSEMENT OF.$ 92.70 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. _ e,RNF-:,'1` Ir; i__hi ii Date: .l 0r 05// 94 INSPECTION: At least 48 hours notice prior to requested date is required. ON SITE INSPECTION will be made by: Washington County Plumbing Board 33 W Washington Street cc�� (y Hagerstown, Md. 21740 Phone: 791-307 Inspection Date: L;I`I! l Plumbing Inspector OFF SITE INSPECTION (in Public Rights of Way and Easements) by WCSD Inspection Date: Inspection Date: Distribution: Permittee WCSD Construction Permits Office WCSD Inspector (Lateral) WCSD Inspector (Connection) City of Hagerstown — City of Williamsport — WCSD O&M __ WCSD File Plumbing Board Plumbing Inspection THE PRINTING PLACE WASH INGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY, M�- Project: Street (or location): A74e�1GoCca1 piiu� Cels �o[`i - Contractor: /:z-? % ?& Date Installed -'/- -Z s- - r -Z WYE ISIZE- I TYPE I DEPTH TYPE PIPE C.0 J Co. & ' Cas r Pvc- sow - zr_ rr,,, NOTES: 901'0'/-C 10Y4 4 - SANITARY SEWER LATEF CONSTRUCTION REPORT MH //G 3 TO MH 4'.- s/ Wye Sta. On Main ztz2 /?,7 - TYPE EXCAVATION LATERAL LENGTH LAYING LENG7} ST 'D. Horiz. = Total 6 "- 4(7 u= e.,'=- zo C.F DROP TS ope + Horiz. = To y2 Depth of Cleanout at Flow Line Cleanout Q -L c,' From 7[ h9 .t i y Li.Vt Layed at a'fio /V n Basement Service ZfZZ 97— MH #1= //6 3 MH#l:i/�S� s Amounts pertaining to work completed this period, reviewed and approved. BY4122- WCSD tom, INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984 IT