HomeMy WebLinkAboutLat_13009PrimroseLaneT°N WASHINGTON CO EIVE
R 3 WATER & SEWER DEP TMENT
16232 Elliott Parkway SEP 0 7 2001 V/8/,9/03
Williamsport, MD 21795
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(301) 791-3083 PERMITS AND MV --w
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1611
Subdistrict Name MAUGANS/OH Issue Date 09/04/0 4
Mainline Contract No. Void Date 09/0-4/02
Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address:
For property located at: 1300 9 PRIMOSE LANE Street Address
Lot No. 100 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
1
Fee $
Commercial EDU's
0
WCWSD Alloc./Conn.
Fee $
$2,100
Gal/Day Allocation
200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
$1,200
Misc. Number
Total Fee $
$3,300
Remarks A FEE
DIFFERENTIAL WILL BE CHARGED TO RELECT ALLOCATION FEE
INCREASES IF
PROPERTY IS NOT
CONNECTED
BY THE PERMIT VOID
DATE.
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 r`0NNFr.TFn TWF:PMAnTU DC
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
1
Inspection Date: 1 / l Plumbing Inspector:
I
v
PROJECT NAME: 14,40 1 loAaSe 2 PROJECT NO:
PROPERTY ADDRESS: Gars <79 � X 00 DRAWING NO:
MAIN LOCATION: STREET/EASEMENT /���r,�ase Gd"�- DATE INSTALLED:
PROPERTY OWNER NAME: MH IIY--) TO MH Ile V
PROPERTY OWNER ADDRESS: X136? /3009 MAIN STATION: 0 + 70 Leif
CONTRACTOR: /e>o' 6 9• Edi'/�;,) CONNECTION ® MH:
SIZE & TYPE SIZE & TYP SIZE & TYPE INVERT ® DEPTH A B (LT) C (LT)
E� WYE DOUBLE TE SERVICE PIPE MAIN C/0
5Z)R- 7 j 2 ,(. CS e` si4 - ZLo �1 d 21
(LT)
A
B C
(RT)
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FLOW
(RTIC (R
LVU14, J I H IMV, u lie i T AND DIMENSION ALL PERTINENT ITEMS
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # II J13 MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
B Y:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
/d"qm WASHINGTON COUNTY MARYLAND
WATER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
1 \�Y-6- MAY 2001 1 S-13 2A