HomeMy WebLinkAboutLat_13025PrimroseLaneC,0" WASHINGTON CO
' ' 3 WATER & SEWER DEP
16232 Elliott Parkwia#"R
Williamsport, MD 21795 SEP 0 7 2001
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(301) 791-3083 M1LLAJ
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTION
Type of Permit RES SEWER Permit No. SCP 150-1606
Subdistrict Name MAUGAN$ OH Issue Date
Mainline Contract No. Void Date
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address: 19733 LEITERSBURG PIKE
HAGERSTOWN MD 21740
For property located at: 13025 PR IMOSE LANE Street Address
Lot No. 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 $ 152 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 CHARGED TO RELECT ALLOCAIION F.
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 PRQPER,TY OWNER_
Signed:
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:��Plumbing Inspector: �,
PROJECT NAME: _-A,-A4, /,�: t Z PROJECT NO: /J 0
PROPERTY ADDRESS: �� �s 9 S `�� DRAWING NO:
MAIN LOCATION: STREET/EASEMENT P�'^'�ase La,/� DATE INSTALLED:
PROPERTY OWNER NAME: 3 .$ (3o z 3 MH TO MH
PROPERTY OWNER ADDRESS: MAIN STATION:
CONTRACTOR: -Aoit, N. CONNECTION ® MH: ISD- I(7eq
SIZE & TYPE
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SIZE & TYPE
DOUBLE TEE/ YE
SIZE & TYPE
SERVICE PIPE
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—11 Lr LRNL LUUN I !U114,J 1 H I TUN, U I ILI I Y CHUSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
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WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
/a'"_,o,\ WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 S -13.2A