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HomeMy WebLinkAboutLat_13119PrimroseLaneWASHINGTON COUNTY WATER & SEWER DEPARTMENT 16232 Elliott Parkway Williamsport, MD 21795 (301) 791-3083 Permit to Connect to Public Water/Sewer System / �. 31, o I Type of Permit REST '= Permit No. SCP 150-1500 Subdistrict Name y9F+UG�,J Z. ; Issue Date Lateral with Mainline? ES 0 9 i 01 Mainline Contract No. Void Date v 9; G -2-F0 2 Building Permit No. F-2000-139', Subdistrict No. 150 WCWSD Alloc./Conn. Permission is hereby given to: Fee $ • Property Owner: CjL I VER HOMES City of Hagerstown Fee $91,200 of address: 19733 .,E,TTER3PURG PIKE Total Fee $ rAGERw TOWN I;D 2117 -1U Remarks :A FEE For property located at: 13119 PP IMRGSE LANE PROPERTY TS NOT CONNECTED Lot No. - ,-; . Subdiv. a� P.'i�R ;.,.E ESTATES Street Address Phase Sec. N Owner's Agent: Agent's Address: ? Previous Owner: _QHN F. OL T v'ER Co. _37 7TTt,RS$t7R F 1 HE HAGERST0Wid V, D 2D 217 4 Fees Paid in Full? = Date Fees Paid Lateral with Mainline? ES Residential EDU's Fee $ Fee $ Commercial EDU's WCWSD Alloc./Conn. �2 3 WCWSD/Other Fee $ • Gal/Day Allocation City of Hagerstown Fee $91,200 Building Number Misc. Number Total Fee $ 53 .500 Remarks :A FEE DIFFERENTIAL- FT I L L BE CHARGED TG REFLECT ALL T i�:REFiSES TF PROPERTY TS NOT CONNECTED By THE PERMIT VQ1D 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 PR6PgRTY 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 Inspection Date: _ -a4-(,16// Plumbing Inspector: WASHINGTON COUNTY SANITARY DISTRICT WASHINGTON COUNTY, MD. AMI Project: Street (or location): Piz---,XosC- Los 7�-:V 7S'(.31a,'113�) Contractor: :;, -ee T7--y,LAZ Date Installed 9-2-3s3(o WYE SIZE- TYPE DEPTH TYPE PIPE Co. Co. 8 X (v SO2 3s - NOTES - bNOTES: D& wrE + I SANITARY SEWER LATERA CONSTRUCTION REPORT M H / / 74- TO MH J/ 7(a Wye Sta. On Main 0/-57 )ET - TYPE I EXCAVATION LATERAL LENGTH ST 'D. DROP I NIA LAYING LENGTH Horiz. 2 Total Slope t Horiz. = Tota Depth of Cleanout' at Flow Line Cleanout From Loyed at .21Po `— Basement Service MH#11-4 4 75- 74 M H t# //,( Amounts pertaining to work completed this period, reviewed and approved. BY Je�- SJ4 i7 ,J WCSD INSPECTOR CONTRACTORS REPRESENTATIVE WASHINGTON COUNTY SANITARY DISTRICT AUGUST 13, 1984