HomeMy WebLinkAboutLat_13103PrimroseLaneWASHINGTON COUNTY
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3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
' Williamsport, MD 21795
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(301) 791-3083 qs 1CG3
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Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCI' 150-160'
Subdistrict Name MAUGANS OH Issue Date 0 V7047
Mainline Contract No. Void Date
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: OLIVER HOLIES
of address:
For property located at: 13103 Street Address
Lot No. 90 Subdiv. NORTHBROOK ESTATES Phase Sec.
Owner's Agent:
OLIVER HOMES
Agent's Address:
19733 LEITERSB :RG
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline? YEZ'
Date Fees Paid
Residential EDLI's i
Fee $
Commercial EDU's 115
WCWSD Alloc./Conn.
Fee $ $2,J.VV
Gal/Day Allocation `
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $ $1,200
Misc. Number
Total Fee $
Remarks A FEE
DIFFERENTIAL WILL ISE CHMUEL)
TO RISLECT ALLOCATION FEE
INCREASES IF
PROPERTYx
.
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 WITKTHE PROPERTY OWNER.
Date: 4
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: b%!/J3 Plumbing Inspector:
WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY. MD
Project: % �a�, It Qi1avk-FS� ftw, � T see _ {a
i
Street (or location):
elt✓a,2L�Se 1%a�� / 3/01
Contractor:.Q�CrTctliUG
Date Installed R " < < -c?(n
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
90 9l
MH TO MH 0'4
Wye 'Sta. On Main (04�Z- R --
WYE SIZE - TYPE DEPTH TYPE EXCAVATION
TYPE PIPE C.O. CO. LATERAL. LENGTH LAYING LENGTH
Gn Sod to Horiz. To I/
NifA 10' Tewe STV
NOTES : WC,. -r-> MAN Notes I DROP
NA
Slope t Horiz. is Total
WYE
we,so
CY MHN NOLO
W�
Depth of Cleanout of Flow Line
Cleanout From
Laxed at`
IVA Basement Service
# ki
1180 MH#
Ler 90 9 i
Amounts pertaining to work completed this period. reviewed and approved.
8Y�� r
WCSD INSPECTOR CONTRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT �� tj L
AUGUST 13, 1994
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