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HomeMy WebLinkAboutLat_19035RockMapleDriveJ WASHINGTON COUNTY /�/ q 3 WATER & SEWER DEPARTMENT r ' 16232 Elliott Parkway Williamsport, MD 21795 "RPL.", (301) 791-3083 Permit to Connect to Public Water/Sewer System Type of Permit RES SEWER Subdistrict Name MAUGANS/CH Mainline Contract No. 587 Building Permit No. 797 2354 Permission is hereby given to: Permit No. Issue Date Void Date Subdistrict No. 150-1366 i , .✓ -7 Property Owner: HER I TAGS QUALITY of address: 39 KIMBERLY DRIVE :' STOWN MD 21 u For property located at: '9035 ROCK MAPLE DFIVE Street Address Lot No. Subdiv. MAPLE VALLEY ESTATES Phase Sec. Owner's Agent: riLAGE QUALITY BU I LLERS Agent's Address: 19139 KIMBERLY DP IG E , HAGERSTOWN , MD 21 7 40 Previous Owner: Fees Paid in Full? YE, Lateral with Mainline? Date Fees Paid 11j IU 97 Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ $2,050 Gal/Day Allocation WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ 1 , 0 ' Misc. Number Total Fee $ $3,050 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:C &1,� Date: E r 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 J f Inspection Date: �/ Gam'%.}' Plumbing Inspector: PROJECT NAME: IVIAP c/Ac.(E r c=.5TrATEb Zy— .'A" PROJECT N0:1�1Or50 PROPERTY ADDRESS: Lor *`i DRAWING N0: MAIN LOCATION: STREET, EASEP�4ENT RR«'k#AAPL--- Q2wc. I?o35" DATE INSTALLED: ©el 9. IQQ(,- � PROPERTY OWNER NAME: MH Iog4 TO MH 10-7(o I i PROPERTY OWNER ADDRESS: MAIN STATION: b 180 u SINGLE: — t DOUBLE: CONTRACTOR: 1-,AkE-l-rGy,uc= CONNECTION ® MH: N/A SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP TEE/WYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F 8X4 `D17-35 t{" 50R- Z(o 6 !D. � 'j (.� Q/A W YL 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). 8 C B #�A ( A A 7.1 D E D E D E SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERiiNENT ITEMS FLOW L�ortt9 LEFT DOWNSTREAM RIGHT M H 11 10-14 LIST QUANTITIES FOR PAY ITD.IS HERE: BY. Fr a4eTrzo"A VV+: SI IiivVTVir �.VVi'rT IN'S ECTVf\ LiViSiON OF FUC`L/L- WORK 4ASriiNGiOlV w ivi;, tib ni ri1yu `t ! �t/J TFi-? 4 A! r) c c i.1/FR UPSTREAM MH # (07(o CC"JTRACTCR'S REPRESEfJTATI`.'E CO. NAME: GR!` V! TuI l i l t �.J L_YYLI\ JLI\ YIVL UivivtU i iUiv JCILG i MARCH 1996 �— J