HomeMy WebLinkAboutLat_13020PrimroseLaneC.T°" °° WASHINGTON CO
WATER & SEWER DEP
16232 Elliott Parkway y%10 03
Williamsport, MD 21795 SEP 0 7 2001
�RYLrN (301) 791-3083`'`
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTIO S
Type of Permit RES SEWER Permit No. SCP 150-1619 �c
Subdistrict Name MAUGANS/OH Issue Date 09/04/01
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: 13020 PRIMOSE LANE Street Address
Lot No. -108 Subdly. NORTHBROOK ESTATES Phase Sec. B
Owner's Agent:
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 $
$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 WITATHE PROPERTY OWNER.
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by:
Washington County Plumbing Boan
100 W. Washington Street, Room 3
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: !�:,2illk 3 . Plumbing Inspector:
PROJECT NAME: Al,,Ab--� Pease 2 PROJECT N0: (,-O
PROPERTY ADDRESS: Z -O T (ec�? DRAWING NO: 9'
MAIN LOCATION: STREET/EASEMENT DATE INSTALLED:
PROPERTY OWNER NAME:- MH f/ 77 TO MH I V2-
PROPERTY
ZPROPERTY OWNER ADDRESS: MAIN STATION: d 4-3L R aU
SINGLE: DOUBLE:
CONTRACTOR: ` 'f %� /� ll�lar�!n CONNECTION ® MH:
SIZE _& TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TE WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
-i-oe - 3 5
mak'. - 2.L
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # j MH # ��-
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
OMS/ON OF PUBLIC WORKS
%aG�ON� WASHINGTON COUNTY, MARYCANO
WATER AND SEWER
DEPARMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S-13.2