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HomeMy WebLinkAboutLat_13024PrimroseLaneWASHINGTON CO WATER & SEWER DEP 16232 Elliott Parkway Williamsport, MD 21795 SEP (301) 791-3083 2001 J ie'a,�a3 Permit to Connect to Public WateriSewer System PERMITS AND INSPECTIO Type of Permit RES SEWER Permit No. SCP 150-1620 Subdistrict Name MAUGANS OH Issue Date Mainline Contract No. Void Date V 9 Building Permit No. Subdistrict No.150 Permission is hereby given to: Property Owner: OLIVER HOMES of address: For property located at: Lot No. Subdiv. Street Address Phase Sec. Owner's Agent: OLIVER HOMES Agent's Address: 19733 LEITERSBURG PIKE HAGERSTOW MD 21 14U Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ $2, Gal/Day Allocation WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Misc. Number Total Fee $ , Remarks A FEE DIFFERENTIAL WILL INCREASES IF PROPERTY IS NOT CON 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 WI THE PROPERTY OWNER. 1) Signe Date: i.IF 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 217404727 Phone: (301) 791-3070 Inspection Date: _ 7s% (/3 Plumbing Inspector: - viVJJIIVVJ IMNU UIMtN51UN ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM RIGHT MH #-//'77 UPSTREAM MH # /<7,k' LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS g �f WASHINGTON COUNTY, MARYLAND WATER AND SEWER L DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 S -13.2A CONTRACTOR: Dl7-Ui-6 /7'�- CONNECTION ® MH: SIZE & TYPE ��� ' �f sr�" saw -- gs SIZE & TYPE DOUBLE TEE �rz - z� SIZE & TYPE SERVICE PIPE � ,� �d2 - 2-(, PROJECT NAME: DEPTH C/0 A B (LT) PROPERTY ADDRESS: Z OTs %D 9 s� // O PROJECT NO: MAIN LOCATION: STREET/EASEMENT DRAWING N: DATE INSTALLED: A' F� PROPERTY OWNER NAME: B (RT ff' MH `/ 77 TO MH /i7d` PROPERTY OWNER ADDRESS: /30 130 -12 $" MAIN STATION: O 4- ! - viVJJIIVVJ IMNU UIMtN51UN ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM RIGHT MH #-//'77 UPSTREAM MH # /<7,k' LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS g �f WASHINGTON COUNTY, MARYLAND WATER AND SEWER L DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 S -13.2A CONTRACTOR: Dl7-Ui-6 /7'�- CONNECTION ® MH: SIZE & TYPE ��� ' �f sr�" saw -- gs SIZE & TYPE DOUBLE TEE �rz - z� SIZE & TYPE SERVICE PIPE � ,� �d2 - 2-(, INVERT ® MAIN Z DEPTH C/0 A B (LT) C (L 7/ 9' B (RT ff' C (R' 5-, - viVJJIIVVJ IMNU UIMtN51UN ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM RIGHT MH #-//'77 UPSTREAM MH # /<7,k' LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS g �f WASHINGTON COUNTY, MARYLAND WATER AND SEWER L DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 S -13.2A