HomeMy WebLinkAboutLat_19036RockMapleDrivePERMITS AND
INSPECTIONS
Type of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner:
of address:
For property located at:
Lot No. _
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Remarks
WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway nyo W
Williamsport, MD 21795
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Subdiv.
Fee
Fee
Fee
Fee
Total Fee
Permit No. _
Issue Date _
Void Date
Subdistrict No.
Street Address
Phase Sec.
Lateral with Mainline?
Residential EDU's
Commercial EDU's
Gal/Day Allocation
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. � (�
Signed: 751V''4 -.t. Date:
- 1
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:
REC
SEP 6 1997
WASHINGTON COUNTY
WATER & SEWER DEPT.\
i
Aalk
PROJECT NAME: kVI*PLaJA�� 'A PROJECT NO:
PROPERTY ADDRESS: Lof * 30 DRAWING NO:
MAI�� LOCATION: STREET/EASEMENT
,IL fnkpE
9 �6 DATE INSTALLED: CU
PROPERTY OWNER NAME: MH 67 TO MH l07�o i
PROPERTY OWNER ADDRESS: MAIN STATION: 078 oCT
SINGLE: DOUBLE:
ONTRACTOR: CONNECTION ® MH: Nf i
J SIZE & TYPE
SIZE & TYPE
INVERT CSD
DEPTH
DROP
E
F
TEE/WYE
SERVICE PIPE
MAIN (,
C/O (8)
DEPTH (C)
D
Lill Z(v
/A)
tune
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, UHEUK AbuvL,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
I
g C
B
A A A
D E D E D E
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
L'r�w3o
DOWNSTREAM
MH # ion
LIST ,i'XIAHTITIES FOP PAY ITD.IS HERE:
RIGHT
UPSTREAM
MH # lol(o
D I
17yfA CI llhlr'�Trt 1.1 ^�^I IhIT`. INISPECTIOR AITT)Ar�T;"� n Crt,ITA TI\'
MM l-�...1 IIvl7 lJl9 �...VVIVI i ;I v...l LLrIL/l CcIV If\.`1 llfVR _J REI-RI_..:.LIV 1/'�IIVE
CO. NAME:
vi'tvi, iuiV OF PUELC WORK
4ASi-i;;VGT vi i CONT." tiJ n' tri vti
i
GRAV!Tv
II I JI.YfLI\ LI\YI L/L
f'1h 1. Ir '� TI ^!. I
CUIN1'4L- i iv1N Jr -ICC. i
MARCH 1996 1— j 3.