HomeMy WebLinkAboutLat_13537ParadiseChurchRoadWASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RE : wyWEF,
Subdistrict Namek`TU,1"T'-1C' If`F'
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner: 2;'..LE.=
of address:
Permit No. _
Issue Date _
Void Date
Subdistrict No.
For property located at: Com' Street Address
Lot No. Subdiv. °`F','` "' Phase Sec.
Owner's Agent: qtr= 13CKt'.
Agent's Address: g 3 f at �D I SE _ ;ir�GEk.. 21,31Wd
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSr) Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Remarks
Fee
Fee
Fee
Fee
Total Fee
Lateral with Mainline?
Residential EDU's
Commercial EDU's
4 Gal/Day Allocation
Building Number
'- Misc. Number
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.
Signed Date:
r
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:—,l'''` `%moi Plumbing Inspector:
DROJECT NAME: /�A
DROPERTY ADDRESS:
,1AIN� LOCATION": STREET/EASEMENT
PROPERTY OWNER NAME:
PROPERTY OWNER ADDRE-'�'
4
-�/�4-sS �ti PROJECT N0:
rte- 3'
� v
DRAWING N0: qq
ATE INSTALLED: ld'Z7 -
all Q511\ rt MH0�7 TO MH A 07�1
MAIN STATION, -f- Z a
SINGLE:
gboj-A�-
DOUBLE: I,
i
CONTRACTOR:
SIZE & TYPE SIZE & TYPE INVERT ® DEPTH
TEE/y�YE SERVICE PIPE MAIN (A) C/O (B) D
CONNECTION ® MH:
DROP
EPTH (C)
D
E
I
F
F
7.-s 0
Nsxf G.o
/
sp2--3�I
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
D t
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM
MH # lD 7Z
LIST QUANJTIT!ES FOR PAY ITD.IS DERE:
D 1 .
WASI WN' GTC I CC1 ",17; NSPECTOR
tJi 4
1-1-
JicJr PU'c! rt, VVl �Ki1J
qui, i1tii1JtY7/YV !'V/V �v�iv . i1.+n}"r.,'vvu
RIGHT
UPSTREAM
FAH r# /6 -7,9
CC 1-7 "TOR'S PEP RESENJTATI`,E
CO. NAME:
GRAV!TY SE-%'T'`R ,SE -7F" VilCL
C1-\1 I ,. I i- ^ TI n,. I C-' 1 I r r T
ki1,4r I— I IIJIV J1-1LG I
MARCH 1996 1
F
D
E
D E
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM
MH # lD 7Z
LIST QUANJTIT!ES FOR PAY ITD.IS DERE:
D 1 .
WASI WN' GTC I CC1 ",17; NSPECTOR
tJi 4
1-1-
JicJr PU'c! rt, VVl �Ki1J
qui, i1tii1JtY7/YV !'V/V �v�iv . i1.+n}"r.,'vvu
RIGHT
UPSTREAM
FAH r# /6 -7,9
CC 1-7 "TOR'S PEP RESENJTATI`,E
CO. NAME:
GRAV!TY SE-%'T'`R ,SE -7F" VilCL
C1-\1 I ,. I i- ^ TI n,. I C-' 1 I r r T
ki1,4r I— I IIJIV J1-1LG I
MARCH 1996 1