HomeMy WebLinkAboutLat_19740MarigoldDrive"I O*T°"CIO& WASHINGTON CO
3 _ WATER & SEWER DEP*4%ED
16232 Elliott Parkway
Williamsport, MD 21795
A�gRy�rNO SEP 0 7 2001/
(301)791-3083 ✓ y/IS Q� n7ib_s
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTIONS
Type of Permit R FS SEWER Permit No. SCP 150-1593
Subdistrict Name MA GAN. /OH Issue Date 09/04/01
Mainline Contract No. Void Date 09/ 0 4/02
Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: _ OL I VER HOMES
of address:
HAaRRSTOWNMD 21740
For property located at: 19 7 40 MARIGOLD DRIVE Street Address
Lot No. Ag Subdly. NORTHBROOK ESTATES Phase A Sec.
Owner's Agent:_ ()LIVER HOMES
Agent's Address:
Previous Owner: 1 1973LEITERSBURG PIKE HAGERSTOWN MD 21740
Fees Paid in Full?
Date Fees Paid
YES
Lateral with Mainline? YES
09/04/01
Residential EDU's 1
Fee $
Fee $
Commercial EDU's 0
$2,100 Gal/Day Allocation 200
WCWSD Alloc./Conn.
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
$1 200
Remarks
—_ Mlsc. Number
Total Fee $ $3,300
�ZXZNTIAL WILL BE CHARGED TO RELECT ALLOCATION FEE
TN.R.A IF PROPERTY IS NOT CONNECTED BY THE PERMIT VOID DATE
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 WIT L-T;l-IE PROPERTY OWNER.
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
t Phone: (301) 791-3070
Inspection Date: Plumbing Inspector:
PROJECT NAME: %��7k �cr, PROJECT NO: Wi -Sln
PROPERTY ADDRESS: 1075 G%S &9 DRAWING NO:
MAIN LOCATION: STREET/EASEMENT v= DATE INSTALLED: 30/j�7
PROPERTY OWNER NAME: %97ya r9 7yy( MH /i7 -!) TO MH i/7
PROPERTY OWNER ADDRESS: MAIN STATION: LLL t r
_ SINGLE: DOUBLE:
CONTRACTOR: (,nmNFrTinm ® uw- A//'Q
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
BtC� so/2-1 3s
ca" Sot nv
�: L Z
a -
" lbas
INUILA It I YHt Or LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND UST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
�i ivrt Lii i LRh1L LVC,!A I IVI'4, J I A I IUN, U I ILI TY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
By.
WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUSLIC WORKS
WASHINGTON COUNTY, ,icallo GRAVITY SEWER SERVICE
WATER AND SEWER CONNECTION SHEET
DEPARTMENT 7
MARCH 1996 S-1,3-2