HomeMy WebLinkAboutLat_13001PrimroseLane°T N cloc WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway 1p a
w Williamsport, MD 21795 /yy� �
• . / K/\�/
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1613
Subdistrict Name MAUGAN67 Oki Issue Date / 1
Mainline Contract No. Void Date j 2
Building Permit No. - 2-75S Subdistrict No. !)
Permission is hereby given to:
Property Owner: OLIVER
of address:
HOMES
For property located at: 1 FRIM
U56 UStreet Address
Lot No. j 02 Subdiv. Phase Sec.
Owner's Agent: OLIVER HOMES
Agent's Address: L5BUKj FlKt A-DiUESMINL r"
Previous Owner:
Fees Paid in Full?
YE`'
Lateral with Mainline? YES
Date Fees Paid
0 910 4101:
Residential EDU's
Fee $
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
' j00 Gal/Day Allocation
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee
' ` Misc. Number
$$
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F�REN�' I AL
Remarks
w y : .LUN
INCREASES IF
PROPERTY IS NOT
C-omn..
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:
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: i t, � l= Plumbing Inspector. _
PROJECT NAME: , V or661-6o k- / ha se 2 PROJECT NO: /-5-0 `(-`/
PROPERTY ADDRESS: L oT (02- DRAWING N0: 8'
MAIN LOCATION: STREET/ ASEM DATE INSTALLED:
PROPERTY OWNER NAME: MH 7- TO MH�9�_
PROPERTY OWNER ADDRESS: --300/� FP-/ r7l'oS'E MAIN STATION: 074 05'
SINGLE: DOUBLE:
CONTRACTOR: ��� 1J (A. M a4i n CONNECTION ® MH:
SIZE do IYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE6�t>
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
S Oh-_ - 3 2—�{'�
S PSP - 2 6
5-1 'le,
.i
INDICATE TiPE OF Lt.TERAL B'i CROSlINC• 0I)1 OJHER S FOR CONNEC11ON TO MANHOLE, CHECK ABOVE.
AIJD l IS l :tvA R 1 D,n•!_ 1;>rJ 'P' AN() I)U0P DIMENSION C. (11 APPLI(-A,It.E )
I 1 1"114. �� � �� �IVI�,, ��� II:_I � i LKU-�tiIN(;� AND DIMFNS;01N ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH/i MHS/
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGIOIJ _�UIJI r IIJSF E T,"N;
{ DIVISION OF PUBLIC WORKS
t 41ToN r WASIIINGTON COIINI i. MARYLANO
f ` WA7ER AND SEWER
DEPARTMENT
C010RACION'S REPRESENIATIVE
CO. NAME:
GRAWTY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S-13.2