HomeMy WebLinkAboutLat_19032RockMapleDrive06/10/96 08:39
06/10/98 08:40 WASH CO WATER & SEWER DEPT 4 PERMITS & INSPEC
NO. 005 901
WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway /
Williamsport, MD 21795
(301) 791-3083 Co//o�lq g
Permit to Connect to Public Water/Sewer System
Type of Permit tlrs SEWER
Permit No. SCE 160-1376_—
Subdistrict Name MAU(QANS�0H
Issue Date 03/11199
Mainline Contract No. _ 584
Void Date 0.3j1-1j9,9—
Building Permit No. pg"A-t329(Z
Subdistrict No. ISO
Permission is hereby given to:
Property Owner ARO D HO ST -- -----------
ofaddress: 13811 CO(jNTRYSIDE DRIVE
trxUGANeV r r r to XD 21767
For property located at: 19039 ROCK MAPLE DRIVE _Street Address
Lot No. 79 Subdiv. KAFI.r VAi.LEY E$TRTE Phase Sec.
Owner's Agent: ti haat tS qAR ST --- —
Agent's Address: 13811 CAQNTRY32 DE DR MAU13RKSYxy win 217tb7
Previous Owner
Fees Paid in Full?
YES
Lateral with Mainline?
YES
Date Fees Paid
Q31 11 / 98
Residential EDU's
1„—
Fee $
Commercial EDU's
0
WCWSD Alioc./Conn.
Fee $
$2,050 Gal/Day Allocation
200 —
�WCWSD/Other
Fee $
Building Number
City of Hagerstown
Fee $
S1.000 Misc. Number
—
Total Fee $
$3,050
Remarks
When connecting to a public wateNsewer 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 WI THE P O RTY AW R.
Sig T Date: RECEIVED
QQ
[, i
INSPECTION: At (east 48 hours notice prior to requested date is required. JUN 12 19yb
ON SITE INSPECTION will be made by: Washington County Plumbing Board VtIAS14INGTON COUNTY
100 W. Washington Street, Room 304WAS & SEWER DEPT
Hagerstown, MD 21740-4727
Phone: (301) 791.3070
InSpection Date: Plumbing Inspector:
Df,, 6 �J ���•—
poate st-It• Fax Note 7671 tY
From
To —
ColOeot t4
Phone 0
Phono e
Fax #
Fax # –
PROJECT NAME:
M , ,._ _ - t-5nt�r�s ��=- '/4PROJECT
PROPERTY ADDRESS: L07—%t zcl DRAWING NO:
�•- �
b1All�1 LOCATION: STREET �EASEP�IENT r!"wn.. �►'%���� �2�uE DATE INSTALLED:
PROPERTY OWNER NAME: MH o7 TO MH 107Co
PROPERTY OWNER ADDRESS: MAIN STATION: 1f70,er —
SINGLE: X DOUBLE:
CONNECTION @ MH: AJ
IJIV IfCHI.,IVI\.
--
BY
CROSSING
OUT OTHERS.
FOR
CONNECTION TO MANHOLE, UHLUN AbUyr-,
AND LIST
SIZE &TYPE
SIZE &TYPE
INVERT CSD
DEPTH
DROP
D
E
F
-)-EE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
by -4 Sot 55
41' soz Up
� t 1. 36
ZO
=J,
=AJIA
w I -re
INDICATE
TYPE OF LATERAL
BY
CROSSING
OUT OTHERS.
FOR
CONNECTION TO MANHOLE, UHLUN AbUyr-,
AND LIST
INVERT DIMESION
'B'
AND DROP
DIMENSION 'C'
(IF
APPLICABLE).
D E
D E
n
12
11,;!d1m
D E
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTiNENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT
MH # to -p+
LIST C)LIANTITIES FOR PAY ITEA4C HERE:
D I R
D/IvG O1V Or PUCLAt, vVc. RKS
;-h 2p I4A5 WVVf V%Y vVVIV, ;, h7. -11t 1L.-i/Mil
( cid
PTA ir7l +T_
LorI*L9
UPSTREAKI
k^H # 40��
1�1 T•�T:1r?',^ C` D_\E.c..rnlTnn\,,E
11 \:'IL IL' \ J I\Ei I r ,'71 .II
CO. NAME:
r� r� e 1• ^ �T I � , C" I I r r T
MARCH 1996 '1—