HomeMy WebLinkAboutLat_19102RockMapleDrive�.� °" °°� WASHINGTON COUNTY
3 WATER & SEWER DEPARTM, ]XT ,
A 16232 Elliott Parkwayj �j
y�RyLANo Williamsport, MD 21795 l a_
(301) 791-3083 JUN 0 2 1997
Permit to Connect to Public Water/Sewer System PCER ITS %
INSPEC11,m;5
Type of Permit RES SEWER Permit No. SCP 150-134=9
Subdistrict Name MAUGANS OH Issue Date 05/28/97
Mainline Contract No. 584 Void Date 05/28/98
Building Permit No. PRJ 97 - 0 80 is Subdistrict No.
Permission is hereby given to:
Property Owner:
of address:
VALLEY
Pili O
For property located at: _ ,:SCK MAPLE Street Address
Lot No. Subdiv. MAPLE VALLEY ESTATES Phase Sec.
Owner's Agent: rtr:LMtliVl 'GOOD
Agent's Address: 12274 I TNYRE ROAD, SM I THSBURG MD 21
Previous Owner:
Fees Paid in Full?
Date Fees Paid
YES Lateral with Mainline?
218/ Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ $2,VbU Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Si, Misc. Number
Total Fee $
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.
t"
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
100 W. Washington Street, Room 304
Hagerstown, MD 21740-4727
Phone: (301) 791-3070 e
Inspection Date: lZ 7 Plumbing Inspector:
SEP 6 1991
WASHINGTON COUNTY
WATER & SE:NNER %�o
AP*"
PROJECT NAME: / 'AP(`e'yx( PROJECT NO:
PROPERTY ADDRESS: 1/-0-+ g DRAWING NO: ��-
wlAliv LOCATION: STREET/EASEMENT-4RaGy- DATE INSTALLED:
PRDPERTY OWNER NAME: MH /40 74 TO MH 10
PROPERTY OWNER ADDRESS: MAIN STATIC:
r SINGLE: DOUBLE:
rnn.lTOArTOP, -�I,�-tem V� � -tom F+►i _.• CONNECTION ® MH:
--
SIZE & TYPE
v
SIZE & TYPE
INVERT ®
DEPTH
DROP
E
F
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
.,
SpZ- 3s
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).
SHORN LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM
MH f Q7`r
LIST OUANT!TIES FOR PAY ITE^AS HERE:
tib'ASIIII a 1u', COUwT' INSPECTOR
RIGHT
UPSTREAM
MH # loB(
COIITRACTCr'S, REPRESrE TATvE
CO. NAME:
Dl'v'ISION Or PU,5LIC WORKS
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CIJI�IJtI. I �nIV VJI-lCC I
'�.R'�`� IAVd4TER AAln cF-�lFR
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11, MARCH 1996 S-13-7