HomeMy WebLinkAboutLat_19028RockMapleDriveN�?0'0N "o2 WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
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Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit C;FWF • Permit No. S IC P 150-1372
Subdistrict Name r- Issue Date --",2/12/98
Mainline Contract No. Void Date 2/99
Building Permit No. r= ;.i ca _Qt S7 Subdistrict No.
Permission is hereby given to:
Property Owner: R 7r)t4 )Nn
of address: Rz':Ar
MD 21 83
For property located at: ':. 0 )A Po t<._ MAPLE ERI" Street Address
Lot No. Subdiv. MAr.•r F vAr,LRY ESTATL- _ Phase Sec.
Owner's Agent: TCtZ;p RRT)NnNy
Agent's Address: ; j4 T rNVR9 ROA;, :�t.�TTBSEURG MU
Previous Owner:
Fees Paid in Full? ,rr rz
Date Fees Paid
Fee $
WCWSD Alloc./Conn. Fee $
WCWSD/Other Fee $
City of Hagerstown Fee $
Total Fee $
Remarks
Lateral with Mainline?
Residential EDU's
Commercial EDU's
Gal/Day Allocation J
Building Number
Misc. Number
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.
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: moi`✓ Plumbing Inspector:
RECEIVE® f
�� h
MAR - 6 1994
WASHINGTON COUNTY
WATER & SEWER DEPT.
PROJECT NAME: MAA`--\JAU'''. C�')TEll ��` 'A' PROJECT NO: �D tSo S
PROPERTY ADDRESS: L0T t`a DRAWING N0:
MAIN LOCATION: STREET, EASEt�1EfJT P^� uv,-
1902-S' DATE INSTALLED: Cck /O, 122
PROPERTY OWNER NAME: MH TO MH �oi7
107
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: K— DOUBLE:
CONTRACTOR: �` ellvI "':E-
SIZE
"L CONNECTION ®MH:
SIZE & TYPE
SIZE & TYPE
INVERT @
DEPTH
DROP
D
E
F
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
ILICPECT(1f.�
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WORKS
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INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR GUNNLU I IUiN I U NIHIVrIVLt, Vntt�rn "NOV ,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
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SHOW LATERAL LOCATION, STAT10N, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT i IEIv1J
FLOW LEFT
DOWNSTREAM
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RIGHT
UPSTREAM !
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LIST QUANTITIES FOP PAY !Ta
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CO. NAME:
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WORKS
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SHOW LATERAL LOCATION, STAT10N, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT i IEIv1J
FLOW LEFT
DOWNSTREAM
LoTIFZB
RIGHT
UPSTREAM !
MH ,#(o -7(o
MH #
I
LIST QUANTITIES FOP PAY !Ta
-IS HERE:
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CO. NAME:
D/lv JICJN OF YU,✓L/t,
WORKS
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-MARCH'
.y
1996