HomeMy WebLinkAboutLat_19101RockMapleDriveType of Permit
Subdistrict Name _
Mainline Contract No.
Building Permit No. _
WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway,.._
Williamsport, MD 21795 1;�-wo
'
(301) 791-3083
APR
Permit to Connect to Public Water/Sewer System 199�
Permit No.
Issue Date
Void Date
Subdistrict No.
Permission is hereby given to:
Property Owner: ,.r T
of address:
TLIW N
For property located at: 1 Cl f� �t•__ t,;_ Street Address
Lot No. Subdiv. lAA1*,VAr.(JKY ESTATL Phase Sec.
Owner's Agent: -
Agent's Address: rr
Previous Owner:
Fees Paid in Full?
Date Fees Paid
WCWSD Alloc./Conn.
WCWSD/Other
City of Hagerstown_
Remarks
Fee $
Fee $
Fee $
Fee $
Total Fee $
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:
Date:
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
100Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070
Inspection Date: % Plumbing Inspector:
RECENE
MAY 2 0 1997
WASHINGTON COUNTY
WATER & SEWER DEPT.
V SIZE & TYPE
A,,,
.=k
DEPTH
DROP
t e- A k E5
A e - Sec, A' PROJECT NO:
!
PROJECT NAME:
L. e)-� -*
DRAWING N0:
S? -
PROPERTY ADDRESS:
--�Koc.�
DATE INSTALLED:
MAIN LOCATION. STREET/EASEPv1ENT
Z
MH X0.74'
TO MH /081
PROPERTY OWNER NAME:
ZZ
2 `
PROPERTY OWNER ADDRESS:
MAIN STATION:
It/
DOUBLE:
SINGLE:
rrn?\iTD A rTo P, �A cR�t.
�U -c,
CONNECTION O MH: IL YA
V SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
D
E
F
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
s -D2--2 6
Go4•��
/�
ZZ
2 `
i
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLL, UHEUK Abuvt,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
i
l
C
tB
i
a
A :FD7
D E D E E
SHOW LATERAL LOCATION, STATiON, UTILITY CROSSINGS AND DIMENSION ALL PERiiNEN T ITEMS
FLOW Lo -f -vtr3 [ LEFT
DOWNSTREAM
MH # to 74
LIST QUANTITIES FOP PAY !TEnnS HERE:
4b`AC'f II1 11Tj J CCL', T' ^JSPECTCR
D/lliSl'O v" oF PUC` ; WORKS
�,1vh �p i�riJI77iVVliIIV iiV v -i+ `, .YI.1R l LH/YU
It TF -,P 4A" c 7I:J/�,R
1 (1 r�7' ,A PTS. "=
RIGHT
UPSTREAM
MH r# f08�
ori v 'c P- cct.iTAri -
RE,-RE.:�� � , � � � . E
CO. NAME:
GR AV! TYC�L1v�rr��
l^VIVIVCI IMV Sri=I
MARCH 1996