HomeMy WebLinkAboutLat_13012PrimroseLaneCT0ry WASHINGTON COTY
3 WATER & SEWER DEP
16232 Elliott Parkway
' Williamsport, MD 21795 SEP 0 7
gRYLrN 20/
(301) 791-3083 V I Q71 lea
Permit to Connect to Public Water/Sewer System ERMITS AND , rnLb_U_
INSPECTION
Type of Permit RES SEWER Permit No. SCP 150-1617
Subdistrict Name MAUGANS / OH Issue Date 09/04/01
Mainline Contract No. Void Date 09/04/02
Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address:
For property located at: 13012 PRIMASE LANE
Lot No. 106 Subdiv. NORTHBROOK ` TATES Phase
Owner's Agent: OLIVER HOMES
Agent's Address: 19733 LE I TERSBURG PIKE HAGERSTOWN MD 21740
Previous Owner:
_Street Address
Sec.
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 $
$3,300
Remarks A FEE
DIFFERENTIAL WILL BE CHARGED TO RELECT ALLOCATION
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 CONNECTED THEREWITH RE-
MAINS WITU THE PRpPERTY OWNER. ,
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: /p/�� Plumbing Inspector:
PROJECT NAME: / 4, 2 PROJECT N0: ���� - 6 kJ4
PROPERTY ADDRESS: GC7'S /U5 106 DRAWING NO:
MAIN LOCATION: STREET/EASEMENT DATE INSTALLED:
PROPERTY OWNER NAME: 1200,?l t 012- MH TO MHIf
PROPERTY OWNER ADDRESS: MAIN STATION: 0 +'F0 gff ht
CONTRACTOR: - %i14L,' i) /W. CONNECTION ® MH:
SIZE & TYPE
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SIZE & TYPE
DOUBLE TEE
SIZE & TYPE
SERVICE PIPE
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DEPTH
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FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # i 1 y=am MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
�� WASHINGTON COUNTY. MARYLAND
WATER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
1 1 MAY 2001 1 S-1 3.2A