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Lat_13011MaugansvilleRoad
r,�°TaN WASHINGTON COUNTY 3 WATER & SEWER DEPARTMENT 16232 Elliott Parkway Williamsport, MD 21795 =01 IIV y LnNU (301) 791-3083 ✓6/a9/01 Permit to Connect to Public Water/Sewer System FEB 22 MT PERMITS AND Type of Permit COM SEWER Permit No. SCp INPPtgCT Subdistrict Name MAUGANS OH Issue Date - Mainline Contract No. Void Date 11/28/01 Building Permit No. P2000-1-631 Subdistrict No. 1 Permission is hereby given to: Property Owner: HUMANE SOCIETY of address: 13011 MAUGANSV I LLE RD HAGERSTOWN MD 21740 For property located at: 13 011 MAUGANSVIL-LE ROAD Street Address Lot No. Subdiv. Phase Sec. Owner's Agent: HUMANE SOCIETY OF WASH. CO. Agent's Address: 13011 MAUGANSV I LLE RD HAGERSTOWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? Date Fees Paid Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ Gal/Day Allocation 1400 WCWSD/Other GRINDER Fee $ Building Number City of Hagerstown Fee $ SS, Misc. Number Total Fee $ Remarks A FEE DIFFERENTIALWILL ., L E INCREASES IF PROPERTY IS NOT CONNECTED - THE E . . MU CONTACT DENNY ENGLE _ )- _ HNS. _N AL)VANCE (JF M-qKI11N7-7_M=CTI 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. Sioned:�'C)tzl,s 1 13L'o' , ✓► / nates• 111'7,4'1 © lJ 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: e C / Plumbing Inspector: JIM 8)5140P'5 c,oPK PROJECT` NAME }tUmFJ1V£ _Soc PROPERTY ADDRESS: 13o I I - h V& INS V1LLE MAIN LOCATION: STREET/EASEMENT _--- PROPERTY OWNER NAME:------.--___ PROPERTY OWNER ADDf�ESS: PF 'QCT NO: ScP 160 - I �9y DRAWING NO. OF MAIN STATION: UNIT TYPE: rRld,lF A MANUFACTURER: E ml — -- ---------_----_____-.__ DATE INSTALLED: 5-2'/- Zoo 1 CONTRACTOR: $RA K>Eo-NT►TO_t�---- _ _- SINGLE __ DOUBLE SIZE & TYPE SIZE & 1)'[,[ SIZE & 1YI'E FOP ELEV TEE SERVICE P114 TANK & DEPTH SKETCH PROFILE AND PLAN VIEWS SHOWING MAIN, SERVICE, VALVES, TANK, CONTROL PANEL, UNDERGROUND UTILITIES SIZE & TYPE PUMP(S) IMPELLER SIZE SERIAL NO. STRUCTURES, STREETS, ETC. SHOW LOCATION TIES, ANGLES, DISTANCES TO ALL PERTINENT ITEMS. JIE W A • IS 7g J. f�V-A&G10 =6$ A ;t,- GPT= 2-1 p t G PT = 2-0 -T F- PLt,le,-lp S& LIST QUANTITIES FOR PAY ITEMS IILI?E AMOUNTS PERTAINING TO WORK COMPLETE[) THIS PERIOD, REVIEWED AND APPROVED. BY: S HANS F8F-NGH WASHINGTON COUNTY INSPECIOR Tom BR ASH EARs DIVISION Of- PUC-IUG W01 -eh ,4611, WASHINGTON COONIY, APWYlANO : MWATER AND SE31ER DEPARTMENT CONTRACTOR'S REPRESENTATIVE LOW PRESSURE SEWER SERVICE CONNECTION SHEET MARCH 1996