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06 WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 ✓ ��a3f d3
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(301) 791-3083 rel
Permit to Connect to Public Water/Sewer System
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Type of Permit RES SEWER Permit No. SCP 150---1604 F
Subdistrict Name MAUGANS/ OH Issue Date r 1
Mainline Contract No. Void Date
Building Permit No. ,2 - ?, Subdistrict No.
Permission is hereby given to:
Property Owner: OLIVER
of address:
HOMES
For property located at: 13031 PRIMOSE LANE
Lot No. 93 Subdiv. NOR HBROOK ESTATES Street Address
Phase Sec.
Owner's Agent: OLIVER HOMES
Agent's Address: 19733 LEITERSBURG PIKE HAGERSTOWN MLI 21740-
Previous
1 4Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $ $3 3uo
Remarks A FEE DIFFERENTIAL WILL BE CHARGED TO RELECTO
INCRE SES IF 0V 5Y 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.
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Signe �, Q
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
I Phone: (301) 791-3070
Inspection Date: Plumbing Inspector:
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PROJECT NAME:--f�o- i c ease _PROJECT N0:
PROPERTY ADDRESS: Lo-rs q3 q*
DRAWING N0:
MAIN LOCATION: STREET/EASEMENT. DATE INSTALLED:
PROPERTY OWNER NAME:_ MH %f 7 B TO MH -77
PROPERTY OWNER ADDRESS: MAIN STATION:
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���r 3 1H iiUN, U iiu i r UKU55INUS AND DIMENSION ALL PERTINENT ITEMS
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # -749 MH # i 79'
UST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIMS/0N OF PUBLIC WORKS
WASH1NGrON COUNT); MARYLAND
WATER AND SERVER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13.2A
CONTRACTOR: CONNECTION ® MH:
q
SIZE & TYPE
CTE
SIZE & TW
SIZE & TYPE
INVERT ®
DEPTH
A
B
DOUBLE TEE
SERVICE PIPE
MAIN
C/0
(LT)
C (L
g°
,s'
�1>2-2 L
35
B (RT
C (R-
FLOW
���r 3 1H iiUN, U iiu i r UKU55INUS AND DIMENSION ALL PERTINENT ITEMS
LEFT
DOWNSTREAM RIGHT UPSTREAM
MH # -749 MH # i 79'
UST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIMS/0N OF PUBLIC WORKS
WASH1NGrON COUNT); MARYLAND
WATER AND SERVER
DEPARTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 2001 1 S -13.2A