HomeMy WebLinkAboutLat_19732MarigoldDriveC" °" WASHINGTON COUNTY
_ WATER & SEWER DEPARTMENT
3
16232 Elliott Parkway
�f7Ry��NWilliamsport, MD 21795 `.
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit a1# t'wFR Permit No. F
Subdistrict Name n; z_rtrz iti _UDB B
Mainline Contract No. 1119 Issue Date 2 j a
_
Building Permit No. Void Date i J 2 2 97
PRT 9 fi � � � P Subdistrict No. f'
Permission is hereby given to:
Property Owner.
of address: Q7,11 T ,PC1p
For property located at:0 --
Lot No DRIVE
SStreet Address
—. ubdiv.—Nt1�THflRQOK E " "'AYES
Phase Sec.
Owner's Agent: ----
Agent's Address: TOrWoonrinG
Previous Owner: 3ERSTOWN , r' 2_L 7 4'_1
Fees Paid in Full? yi"
Date Fees Paid"/26Lateral with Mainline?
1 1 Residential EDU's
WCWSD Alloc./Conn. Fee $ Commercial EDU's
WCWSD/Other Fee $ $2 , 054 Gal/Day Allocation
Fee $
City of Hagerstown Fee $ Building Number
$ 7 p{4
Total Fee $ Misc. Number
Remarks " 2 , 7 54
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
STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THEREWITH RE-
MAINS WITH THE PROPERTY OWNER. Permits, etc. ALL OTHER PERMITS,
Signed: i ! 7
--*� 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: yi � 9197
Plumbing Inspector:
RECEIVED
APR 3 0 1997
WASHINGTCt':
WATER & SF4�'F%i i�: P"i.
PROJECT NAME: Ajo27H k-
c3
r'ROJECT N0: Z>D 13-z� 57oCa
PROPERTY ADDRESS: LOT S * 620 0('o7
DRAWING NO: -7 e e aC)
MAIN LOCATION: STREET/EASEMENT
DATE INSTALLED. 8 - to jif-
PROPERTY OWNER NAME: 7 `� 73,2—,
/ 9736
MH //72 TO MH //7,3
PROPERTY OWNER ADDRESS:
MAIN STATION: D�- Zy.5 c.Z-
SINGLE: -1A DOUBLE: x_
CONTRACTOR: MqerTF-wiux-
CONNECTION 4 MH: _n4l/A
SIZE & TYPE SIZE & TYPE
INVERT ®
DEPTH DROP
TEE/WYE SERVICE PIPE
MAIN (A)
C/O (B) DEPTH (C) D E F
&' 502 Lt�
t 5172 -
INDICATE TYPE OF LATERAL BY CROSSING
OUT OTHERS.
FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP
DIMENSION 'C'
(IF APPLJCABLE).
A
C
17
C
F D E
L7
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
60c;7 LEFT
r
J
DOWNSTREAM RIGHT
MH # /17
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: 1t F Jacng1 rj
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASH omv COUNTY, A64K)2f o
WATER AND SEWER
DEPARTMENT
UPSTREAM
MH ## //7-5
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
0
MARCH 1996 1 S-13.2