HomeMy WebLinkAboutLat_19001RockMapleDrive�+ T �°" WASHINGTON COUNTY
�co
G WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
�7RYL HNA `
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit
RES SEWER
Permit No.
_3CP 150-1321
Subdistrict Name
MAUGANS/OH
Issue Date
08/29/96
Mainline Contract No.
584
Void Date
7 i 29i97
Building Permit No.
PRJ 96-1621
Subdistrict No.
Permission is hereby
given to:
Property Owner:
H yROLD HORST
of address:
13811 COUNTRY SIDE
DRIVE
MAUGANSVILLE
MD
For property located at: 19001 ROCK MAF RI `.
Street Address
Lot No. _
Subdiv. MAPLE
VALLEY ESTATES
Phase Sec.
Owner's Agent: H.APOLD HORST
Agent's Address: COUNTRY SIDE PR
Previous Owner:
Fees Paid in Full? = r'S Lateral with Mainline?
Date Fees Paid '29/96 Residential EDLI's
Fee $ $2.050, Commercial EDLI's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation )0
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 700 Misc. Number
Total Fee $ 1,75C
Remarks
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.
Signed: >!1 \ I T„ 'R 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
A Phone:(301)791-3070 /
Inspection Date: L Plumbing Inspector:
REC t:JELJ
APR Z - 1V
)' I
wpSHIN& SES ER COLE Fo�NTpT. � f7
MATER
AWN LL
PROJECT NAME:-'�'����`'-`�' L='A- PROJECT NO:
PROPERTY ADDRESS:tar- i7 DRAWING NO:
MAIN LOCATION: STREETSL CC�4;F T P-�r-k-.�n"L �R` -� g�� DATE INSTALLED: �O-/�-9lv
PROPERTY OWNER NAME: MH TO MH
i
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: X-- DOUBLE: - -
CONTRACTOR: F29W: TE=S w CONNECTION @ MH:
SIZE & TYPE
TEE/WYE
SIZE & TYPE
SERVICE PIPE
INVERT @
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
i
INDICATE TYPE OF LATERAL B'Y CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIME14SION ALL PER TiiNEiNT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPSTREAM
MH Zo-72 MH ;# 16M
LIST QUANTITIES FOR PAY ITD.!S HERE:
V-! I.JCOUNT';'^d�A1Vl I -j I1-
DilviSiON or FUBL tr WORKS
_ y�+�+ .ia ��'r1J17!%YV! il%V vvvivi ; , ti1,�iRi;`riivu
`t 1VATF"R ,4/1?n ccll%F.R
r �^44'TAJr,grr
EPRE1,r-n T 71 ,E
��IV II\l1LIV\..J I\ 1 I _:LIV 1!"�IIV
Cu. NAME:
nnnlr Ir.�TI ��r I ("I Irrr
i IJIVIVC' Il'IV JI-iCC I
MARCH 1996 1 5-113.