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HomeMy WebLinkAboutLat_19744MarigoldDrive`'T°N °L WASHINGTON COUNTY 3 WATER & SEWER DEPARTMENT 16232 Elliott Parkway Williamsport, MD 21795 MAR 07 2001 � R Y L ANO (301) 791-3083 PtRMtla AND ✓�f Permit to Connect to Public Water/Sewer System INSPECTIONS f)/3 %0 ) Type of Permit SEWER Permit No. SCP 150-1506 Subdistrict Name UGANS/OH Issue Date Mainline Contract No. Void Date Building Permit No. P2001-0316 Subdistrict No. Permission is hereby given to Property Owner: OLI MES of address: 1973:; i. ERSBURG PIKE HAGERST: rI MD _174 For property located at: 9744 MARIGOLD DRIVE Street Address Lot No. 69 Subdiv. NORTHBROOK ESTATES Phase Sec. Owner's Agent: ' " "rER '-_70MF II Agent's Address: ? "TE— E HT SFT'OWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? - Date Fees Paid 0 3 / 0 01 Residential EDLI's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ S 2 . Gal/Day Allocation zuu WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ $1, 200 Misc. Number Total Fee $ S 3.50 Remarks A DIFFERENTIAL :LL BE CHARGED TO F'. 3F PROPERTY IS NOT CONNECTED BY THE '=EVOID DATZ. When connecting to a public water/sewer system, the installation of the connection and the abandonment of the previous private system shalt 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: D /.ycI Plumbing Inspector: PROJECT NAME: IJO27N 6PUM E -'52-z? z -7-n PROJECT NO:, PROPERTY ADDRESS: 4075 GAS ¢ &1q DRAWING NO: MAIN LOCATION: STREET/EASEMENT )�V oYP�i/C!,n L-)e«/r DATE INSTALLED: PROPERTY OWNER NAME: % 9 740 ,� /9 7�f `{ MH //7-3 TO MH % / 7 PROPERTY OWNER ADDRESS: MAIN STATION: G+149 SINGLE: DOUBLE: K-_ — rn►.iTAerrnR• �A4�-i-17=7//f!,e CONNECTION @ MH: LSA SIZE & TYPE TEE/WYE SIZE & TYPE SERVICE PIPE INVERT ® MAIN (A) DEPTH C/O (B) DROP DEPTH (C) D E F ' s 8)u,s©r3 8 ��� 50/%Z� 5(8. 33 �' r> ;`7 a-�o INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK At3UVt, AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE). B C / B A A A D � F D E D i SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM MH#/I%5 LIST QUANTITIES FOR PAY ITEMS HERE: BY. WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS ,49" WASH/NGMIV COUNTY AL4 nMD WATER AND SEWER DEPARTMENT RIGHT UPSTREAM MH # / !sGCI �Tl CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 S-13.2