HomeMy WebLinkAboutLat_13021PrimroseLaneWASHINGTON CO
G
WATER & SEWER DEP
16232 Elliott Parkwa
ort, 1795
Williams MD 2
A�9 �?YLPN" p SEP 0 % 2001 �� yla ►�b3
(301) 791-3083
Permit to Connect to Public Water/Sewer System PERMITS AND
I NSPECTIO N5
Type of Permit RES SEWER Permit No. SCP 150-1608
Subdistrict Name MAUGANS/OH Issue Date 0 1
Mainline Contract No. Void Date 9 0
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address: 19733 LEITERSBURG PIKE
HAGER TOWN MD 21740
For property located at:
Lot No.
Owner's Agent: _
Agent's Address:
Previous Owner:
13021 PRIMOSE
Subdiv. . NORTHB
733 LEITESBURG PIKE HAGERSTOWN
Street Address
Phase Sec.
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 09T-0-147-01 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 $ Misc. Number
Total Fee $ -�.
Remarks A FEE DIFFERENTIAL WILL BE CHARGED
INCREASES IF PROPERTY IS NOT CONNECTED BY H .
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 T}iE PROPERTY OWNER. A
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by:
Washington County Plumbing Bo
100 W. Washington Street, Room
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: 3 A:--:-1V—J-3 Plumbing Inspector
i
PROJECT NAME: o, -AZ k Phase Z _ PROJECT NO:
PROPERTY ADDRESS: L°Ts 97� 9F DRAWING NO:
MAIN LOCATION: STREET/EASEMENT ��rr��os� Ganem DATE INSTALLED:
PROPERTY OWNER NAME:. /-90 2-77t-30 j 7 MH // 7 7 TO MH
PROPERTY OWNER ADDRESS: MAIN STATION: 0 4- OS SFr
CONTRACTOR: 1-)'qLc' f f . /%')d/f ji CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH
�W'E DOUBLE TEE SERVICE PIPE MAIN C/0 A
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FLOW
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MH # (/-J 7 UPSTREAM
MH # /%kz-
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
,+ �� WASHINGTON COUNTY, MARYLAND
(U
WATER AND SEWER
DEPARTMENT
CONTRACTOR'S Rt PRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 I S -13.2A