HomeMy WebLinkAboutLat_19724MarigoldDriveWASHINGTON COUNTY
S °G
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
4, Williamsport, Williamsport, MD 21795
7RYLrN
(301) 791-3083
Permit to Connect to Public Water/Sewer System
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Type of Permit S .W .R Permit No. RrP S, 0... 140?
Subdistrict NameaANS4OH Issue Date 1 1 i Raj Af#
Mainline Contract No. 5 r, b Void Date
Building Permit No. PR39P-22nI Subdistrict No. 7 K,n
Permission is hereby given to:
Property Owner: Jv_gN F
of address: 19733 LE TERSEUgG PIKE
`tAQERSTQWN ML Z 1 i 4O
For property located at: 19724 MARIGOLn DRTVE Street Address
Lot No. _1,^L/ Subdiv. _ NORTHBROOK ESTATES Phase Sec.
Owner's Agent: JOHN R CLIVER
Agent's Address: !S,73-3 r. . T TF'R SRr gc,, PTKE HAC,RR STQWN Mn 21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline?
YES
Date Fees Paid
11!i$/ 98
Residential EDU's
1
Fee $
Commercial EDU's
0
WCWSD Alloc./Conn.
Fee $
$2,050 Gal/Day Allocation
200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number
Total Fee $
$2,050
Remarks CITY
OF HAGERSTOWN FEES
WHERE PREPAID PER AGREEMENT
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:
eye�e�Ny g�M-wM b X �,' •cam � ,vqy�
YW� L i ,1V � bv'
JAN 2 81999
WASHINrTr?nA Cp►JNTY
WATER & Sty =pi I
i
PROJECT NAME: AJOP'u'74 '&WIL C=W-A;� Amu= -4: 6 r'R0JECT N0: --10 60 -Say
PROPERTY ADDRESS: A).M DRAWING NO:
MAIN LOCATION: STREET/EASEMENT j2,Cj✓c DATE INSTALLED: 6--Z4-9e,
PROPERTY OWNER NAME: f q 7i -!KZ 74V MH 0 71 TO MH //72
PROPERTY OWNER ADDRESS: MAIN STATION: its c.7'
SINGLE: DOUBLE: >(
CONTRACTOR: CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
AND UST
INVERT DIMESION
'B' AND DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
41
(,., zw/ z -ir" ..
c ,
�l
3 v
-�2L io
3.5
INDICATE
TYPE OF LATERAL
BY CROSSING
OUT OTHERS.
FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND UST
INVERT DIMESION
'B' AND DROP
DIMENSION 'C'
(IF APPLICABLE).
B
C
cbooua Wye
B go3�
TOIL
Ai '
A A A
i
D F D E D E
4
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW �4 LEFT
Lvro--
DOWNSTREAM
MH #II � i
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: ;
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASNINGrON COUNTY, A4 Rn.,WO
WATER AND SEWER
DEPARTMENT
RIGHT UPSTREAM
MH # 11 7
el�CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
MARCH 1996 1 S-13.2