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HomeMy WebLinkAboutLat_13004PrimroseLaneWASHINGTON C \ WATER & SEWER DE TMEN 16232 Elliott Parkway SEP 0 7 2001 Williamsport, MD 21795 rJ1 i7r6 a (301) 791-3083 PERMITS AND �dlk� Permit to Connect to Public Water/Sewer System INSPECTIONS Type of Permit' RES SEWER Permit No. SCP 150-1615 Subdistrict Name .-'MAUGAV§/OH Issue Date Mainline Contract No. ,' j Void Date 0 9 Building Permit No. Subdistrict No. 15 Permission is hereby given to: Property Owner: OLIVER 'HOMES of address: For property located at: 13004 PRIMOSE LANE Street Address Lot No. Subdiv. NORTHBROOK ESTATES Phase Sec. Owner's Agent: OLIVER HOMES Agent's Address: 19733 LEITERSBURG PIKE HAGERSTOWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid 09/04/01 Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ $2,100 Gal/Day Allocation WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ $1,200 Misc. Number Total Fee $ , Remarks A FEE DIFFERENTIAL WILL BE CHARGED INCREASES IF PROPERTY IS NOT CONNECTED BY THE PERMIT VOIV VATZ. 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 WIT E P OP RTY OWNER. Sign Date: B 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: ` i PROJECT NAME: PROJECT N0. =w'��° L�'rs PROPERTY ADDRESS: 10 3 �` /o DRAWING NO: MAIN LOCATION: STREET/EASEMENT �'-3 U"" �� DATE INSTALLED: PROPERTY OWNER NAME: MH X41- TO MH il! � PROPERTY OWNER ADDRESS: MAIN STATION: U * (,� Rant CONTRACTOR: Dfit1, i) Y. CONNECTION ® MH: SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH E/WYE DOUBLE TEEM SERVICE PIPE MAIN C/O A B (LT) C (LT) She -35 5138- 2-(, G" s/,2, Z( .Db 5- 2-' % B (RT C (RT) FLOW - - "Wju UlmLNNUN ALL PERTINENT ITEMS LEFT DOWNSTREAM RIGHT MH # Ile UPSTREAM 16 7 - LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR 4 DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MARYLAND WATER AND SEWER DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 1 S- 1 3.2A