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°T°"06 WASHINGTON COUNTY
c WATER & SEWER DEPARTMENT
3 � �
16232 Elliott Parkway
Williamsport, MD 21795 I
(301 ) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1605 a d I
Subdistrict Name MAUGANS/OH Issue Date 09/04 01
Mainline Contract No. Void Date 09/04[0-2
Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address:
For property located at: 13027 PRIMOSE LANE Street Address
Lot No. 94 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 $
$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 ALIO,-ATION FEE
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 WITH THE PROPERTY OWNER. Q
Signed f. ra Date: t!
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: Inspector: -^+�
1
�.�TON c°2 WASHINGTON COjV
3 WATER & SEWER DEP MEN
16232 Elliott Parkway SEP 0 7 �2ql
Williamsport, MD 21795 i a �/ 0 3
(301) 791-3083
PERMITS A D`�``'
�Q Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150-1605
Subdistrict Name _ MAUGANS/OH Issue Date 09/04/01
Mainline Contract No. Void Date 09/04/6-2—
Building
9/04/02Building Permit No. Subdistrict No. 150
Permission is hereby given to:
Property Owner: OLIVER HOMES
of address:
For property located at: 13027 PR IMOSE LANE Street Address
Lot No. 94 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 $
$2,100
Gal/Day Allocation 200
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 FEE
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 WITH THE PROPERTY OWNER.
Date:
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
9 Inspection Date: /7W,3 Plumbing Inspector:
w
PROJECT NAME: ��I ri16�o0�� �%jdSe Z PROJECT N0: 'y
PROPERTY ADDRESS: L 6 T 94f DRAWING NO:
MAIN LOCATION: STREET/EASEMENT Pr-li7124e DATE INSTALLED:
PROPERTY OWNER NAME: 130-17 MHIli TO MH l 77
PROPERTY OWNER ADDRESS: MAIN STATION: C' f 36 xe�e
SINGLE: DOUBLE:
CONTRACTOR: I)LII/i6 / 1%3,' 1;'? CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
Qff�WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
9-x V"
q -
oi
_
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).
-Ivn E-+ILnrNL L_Vl.rNIINjlA, -31!NIILn4, VIILII l..fCVJJINhJ ANI_) VIMt_N51VN ALL Y'tKI Nt-NI IILM
FLOW
LEFT
DOWNSTRE�AM RIGHT UPSTREAM
MH # J170/MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
m
WASHINGTON COUNTY INSPECTOR
OMS/ON OF PUBLIC WORKS
sov WASHINGTON COUNTY, A4ARY AND
WATER AND SEWER
DEPARMEW
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 I S-13.2