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WASHINGTON CO
WATER & SEWER DEP �KV
16232 Elliott Parkway
Williamsport, MD 21795 SEP 0 7 2001
(301) 791-3083 V H/(5/0'a rrr L,_ -
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1616
Subdistrict Name MAUGANS/OH Issue Date 09
Mainline Contract No. Void Date 09 04
Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address:
For property located at: 13008 PRIMOSE LANE Street Address
Lot No. 105 Subdiv. NORTHBROOK ESTATES Phase Sec. B
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/ 0 4 O 1 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $ 3,
Remarks A FEE DIFFERENTIAL WILL BE CHARGED O
INCREASES IF PROPERTY IS NOT CONNECTED BY THE PERMI
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 WITF�E PROPERTY OWNER.
Signed: Sae 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
Ha ersto MD 21740 472
g wn, 7
'J Phone: (301) 791-3070
Inspection Date: Plumbing Inspector:
- - ---1 • • -"ll HNU UMLN510N ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM
MH # I l S' -
UST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
RIGHT
UPSTREAM
MH #
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13-2A
PROJECT NAME:
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PROJECT NO:
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PROPERTYADDRESS: LATS /05' , 106
DRAWING NO:
MAIN LOCATION: STREET/EASEMENT
DATE INSTALLED:
PROPERTY OWNER
NAME: Val' ��0 2-
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PROPERTY OWNER
ADDRESS:
MAIN STATION: O f Ifo Rf6hf
CONTRACTOR: %Av7-6
/W.
CONNECTION
® MH:
SIZE & TYPE
(TEE WYE
SIZE & TYPE SIZE & TYPE
DOUBLE TEEXP! SERVICE PIPE
INVERT ® DEPTH
MAIN
A B (LT) C (LT
C/0
k "
6,X��X
35
.S ae - z (o -bp- - 2 6
5-17,20
'
B (RT) C (RT
- - ---1 • • -"ll HNU UMLN510N ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM
MH # I l S' -
UST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
RIGHT
UPSTREAM
MH #
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13-2A