HomeMy WebLinkAboutLat_19005RockMapleDriveT 0 N WASHINGTON COUNTCEIVE
WATER & SEWER DEPARTUT JL�D
16232 Elliott Parkway SEP 14 2001
Williamsport, MD 21795
A'gRyLnN�(301) 791-3083
PERMITS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No. SCP 150 -162J -j
Subdistrict Name MAUGANS7UH Issue Date QW 11 / 01 7'
Mainline Contract No. Void Date 2
Building Permit No. P2U01-1929 Subdistrict No. 150
Permission is herebyggiven to:
Property Owner: W I LL I AM KING
of address:
For property located at: Street Address
Lot No. i b Subdiv. MAPLE VALLEY ESTATES Phase Sec. --
Owner's Agent:
HENRY CONSTRUCTION
Agent's Address:
13902 SUNRTSE DRIVE HAGERSTOWN
MD 21740
Previous Owner:
Fee -s Paid iFull?
YES _
_n
Lateral with Mainline? YES
Date Fees Paid
09/iResidential
EDU's
Fee $ q1NA
Commercial EDU's
WCWSD Alloc./Conn.
Fee $
Gal/Day Allocation 200
WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $ $1,200Misc.
Number
Total Fee ' 300
Remarks
ERENTIA W I L1, BE CHARGED
'I'L) KELECT ALLOCATION FEE
IN
.
W -
When connecting to a public water/sewe lem, 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 locpl dirdinance 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.
�ne 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: Plumbing Inspector:
Amw
PROJECT NAME: 1'`A VA4c--ev ----s4A4f-S �� � • � r PROJECT NO: �5 D 150 - .584
PROPERTY ADDRESS: 6 DRAWING N0:
Pv1AIN LOCATION: STREET/EASEMENTL�--_ /`IAPIe- DATE INSTALLED:
PROPERTY OWNER NAME: 3 MH �� 7 Q TO MH
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: X DOUBLE:
CONTRACTOR: :f2%vi �lG _ CONNECTION @ MH: &J1A
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
CE-11iF,4
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
8X4 K
4"svz Z.6
63�
u1
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).
F D E
SHOW LATERAL LOCATiON, STATION, UTILITY CROSSINGS AND DIMENSION ALL FERTINENT ITEMS
FLOW LEFT
DOWNSTREAM
MH # 10-71?
LIST QUANTITIES FOR PAY !TDAS HERE:
RIGHT
UPSTREAM
P.+H # /o'Ro
6'I-,4'); d 1'4�- ',')
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Cu. NAME:
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MARCH 19?6