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�WASHINGTON COUNTY
�G WATER & SEWER DEPARTMENT
16232 Elliott Parkway
r Williamsport, MD 21795 V, I it G 8
M1 RYLANO (301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RRA SEW FR Permit No. SCP 150-1391
Subdistrict Name MALLt.ANs /,1)14 Issue Date 08/21/98
Mainline Contract No. 3 *1 5 Void Date 08/21/99
Building Permit No. PR .T g g l 6 7 7 Subdistrict No. 150
Permission is hereby given to:
Property Owner: ArgnREW ('T.EMMER
of address: 101r14 T. T NT)SAY LANE
HAGFRATQWN ..max' MD 21740,
For property located at: 1 9 a 1 4 OLDE IPSWICH CIRCLE Street Address
Lot No. 5 Subdiv. FOUNTAINHEAD NORTH Phase I iSec.
Owner's Agent: F Nri nFW .T _ C:T.EMMFR
Agent's Address: 1;3 4 T. T NnsAY LANE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YE3
Date Fees Paid 08/21/98 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ S2 , 050 Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1,000 Misc. Number
Total Fee $ $3,050
Remarks
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.
k
_`, + L
Signe 4�+i� �J / Date:
4-11r
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:
Street (or location): CA CA [ q Z( t(
Contractor:yF'TT��J1l-!�
Date Installed :-'�O '1C)
6«sr
MH SDtS- foal TO MH SDtSVA
-
Wye Sta. On Main SS
WYE
SIZE-
TYPE PIPE
TYPE
C. 0.
DEPTH
G0.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
Q�lr/ICBN
N
5L -YL -4 -5L -YL -4-T
!' ��
l��
�
Horiz. = Total
STPD.
S-7-0/
/
Slope + Horiz. = To
NOTES:
DROP
Depth of Cleanout S•O ' —1-'Z7AR at Flow Line
Cleanout_ 50.0 L -F. From ¢, MO.&A
Layec� t a• °O vb
V A Basement Service
MH #1cytiq
rzr
MH 41081
CF� t %7 -
Amounts pertain g to work completed this period, reviewed an approved.
BY
WCSD INS ECT R CO ACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984
WASHINGTON COUNTY. MD. CONSTRUCI ION REPORT
Project:i-r��.r� A., &I -ems �� T�-1�N�Tc�c� S- lSu-33S
Street (or location):
Contractor:
Date Installed So -j-y\kAzzt"\ Ct
Igak�
GA%sr
MH 5b6-% aI TO MHSa1SILA
-
Wye Sta. On Main SS
WYE
SIZE -
TYPE PIPE
TYPE
C. 0.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTI-
911v/' y
x� x 8
�`1ssbt- -
T'`Fvc-
5.O/
'D.
Q /
S�.
Horiz. = Total
/
FVC--
pvc-
502 �(o
----T�t�•
ST
sq- 0
Slope t Horiz. = To
NOTES:
DROP
Depth of Cleanout S•0 -T FZAE- at Flow Line
Cleanout SO.O t—F From t htatrl
Layet a.0' '/,o
Basement Service
MH #lockq
Amounts pertain g to work completed this
8Y
<W CSD INS ECT R
Lo -j -"G 3
MH t#1pgl
period, reviewed an approved.
CO11r, \
ACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 is-