HomeMy WebLinkAboutLat_19723MarigoldDriveWASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit
SEWED. Permit No.
Subdistrict Name
_
f S / OH Issue Date _
Mainline Contract No.
Void Date
Building Permit No.
J 9S -ate Subdistrict No.
Permission is hereby given to:
J,//t_rn� 5� q/9 ?,
19
03
I
Property Owner:
._-R CO
of address:
ERSBURG PIKE
s MD 21740
For property located at:
Lot No.
Owner's Agent:
2 3 MARIGOLD DRIVE Street Address
Subdiv. NORTHBROOK ESTATES Phase Sec.
:j R. OLIVER CO. INC.
Agent's Address:
J3 LEITERSBURG PIKE,
HAGERSTOWN ME
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown
Remarks
Fee $
Fee $
Fee $
Fee $
Total Fee $
..;GERSTOWN FEZ- ?REPAID
Lateral with Mainline?
Residential EDU's
Commercial EDU's
Gal/Day Allocation
Building Number
Misc. Number
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.
Signed:
Date:
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: Plumbing Inspector: —�-
RECEIV%
ED
APR Z 9 1998
WASHINGTON COUNTY
WATER & SEWER DEPT.
WASH INGI UN UUUN I T JHIVI IHKT UID I NK. 1 �H'v"''"" %JL.. -I "k L- i
WASHINGTON COUNTY. MD. CONSTRUCTION REPORT
Project: tit
CST, `i`" A5F' L SEG 1 c m f�
Street (or
location): 8Z is BI
�i�R1C70(d� �2IL)�
DEPTH
C. 0.
Contractor:
FAgeiT'sytu
C ?7231 / 9
7Z 7
Date Installed _Atj&clty-
M H 11-70 TO MH ILL
Wye Sta. On Main ( t ZI Ri
WYE
SIZE -
TYPE PIPE
TYPE
C. 0.
DEPTH
C. 0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGT'
ST D.
� �,
HorZ3 Total
Slope + Horiz. = To
NOTES:
DROP
'x) I - (' " x W x 4',
Depth of Cleanout 13.S' at Flow Line INu. F_�LtE4.)• c� T£� -15 12-Fq
Cleanout Z-3 From e?5"MAIA1
Loyed at -
Basement Service
MH * SDISo-1171 MH t# SMS -0-1172
Amounts pertaining to work completed this period, reviewed and approved.
8 Y
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 �'