HomeMy WebLinkAboutLat_13013PrimroseLaney.aC- °N °°2 WASHINGTON CO;,
3 WATER & SEWER DEP
16232 Elliott Parkway
Williamsport, MD 21795 SEP 0 7 20
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(301) 791-3083 -1'1 /03L
Permit to Connect to Public Water/Sewer System PERMITS ANDINSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1610
Subdistrict Name MAUGANS OH Issue Date
Mainline Contract No. Void Date 09/04
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: OLIVER
of address:
HOMES
For property located at: 13013 PR IMOSE LANE Street Address
Lot No. 99 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 $ Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1, 200 Misc. Number
Total Fee $
Remarks A FEE DIFFERENTIAL WILL BE
INCREASES IF PROPERTY IS NOT CONNECTED .
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.
Signe ate:
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: a� Plumbing Inspector:
m
PROJECT NAME: PROJECT N0:
PROPERTY ADDRESS: Cl rs �7 �j /00 DRAWING N0:
MAIN LOCATION: STREET/EASEMENT /�i�r��ase Gane DATE INSTALLED:
PROPERTY OWNER NAME: MH 11Y3 TO MH
PROPERTY OWNER ADDRESS: MAIN STATION: O f 90 Leo•
CONTRACTOR: Z),qy, 6 4/- 17?dr1i;1 CONNECTION ® MH:
SIZE & TYPE
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SIZE & TYP
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SIZE & TYPE
SERVICE PIPE
INVERT ®
MAIN
DEPTH
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�- —�Iiviv, J i n AVIV, U IILI I T UKUJJINUb ANU UIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
UST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
�f WASHINGTON COUNTY, MARYLAND
R WATER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 ` S-1 3.2A