HomeMy WebLinkAboutLat_13530WellspringDriveWASHINGTON COUNTY SANITAR`' DISTRICT
WASHINGTON COUNTY. MD.
Project: -T-14e Mau>pu,s, IS -SI I)
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Street (or location): _A2Cl[s �r^'.P,;>g ���i�l Lot #/z4
Contractor: i�IZI ►.1� Elm a��y�,g
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
I I 1I 7-(='
Date Installed �u'�`7' MH TO MH /�� Wye Sta. On Main / f A444 (c_
WYE SIZE- TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. r- 0. LATERAL LENGTH LAYING LENGTH
411 411 T17 -M P
BKL.}x8 S�2ZCo Sch} LAO 1 ' 1 Horiz. Total
SO ST D. �O 0Z.�_�1
NOTES :
Depth of Cleanout at Flow Line
Cleanout Z5' From of g"
Loyed at Z
�(„A Basement Service
Lo-r#1Z4
C. O.
MH #
//Z5
Oe + Horiz. = Tota
M H i#
//Z G
Amounts pertaining to work completed this period, reviewed and
, /approved.
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e
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 FS - 2
WASHINGTON COUNTY
3 WATER & SEWER DEP w �'
16232 Elliott Parkway
Williamsport, MD 21795
gRrt, rN (301) 791-3083 AUG9 2002
i
Permit to Connect to Public Water/Sewer System
PERMITS AND
Type of Permit --RES SEWER Permit No. S&`SZFE k
Subdistrict Name MAUGANS OH Issue Date 07/0
Mainline Contract No. Void Date 07/25/03
Building Permit No. P2002-1569 Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER
of address:
HOMES
HAGERSTOWN MD
For property located at: 13!
Lot No. 12 4 ; Subdiv.
Street Address
Phase Sec. '
Owner's Agent:
OLIVER HOMES
Agent's Address:
19733 LEITERSBURG
PIKE HAGERSTOWN MD 11740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YES
Date Fees Paid
Residential EDU's
Fee $Commercial
EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
Misc. Number '
Total Fee $
Remarks A , FEE
D FFERENT I AL
INCRE4SE IF
PROPERT ISECTED
BY THE PERMIT VQTU-U=
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 RESPONSIR11 ►TY cnNNFnTFn TUFnc1AnTu Dr-
ON
C
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: �Ti 'Jlo 'p;r-- Plumbing Inspector: