HomeMy WebLinkAboutLat_19106RockMapleDrive�.�CIT °N°2 WASHINGTON COUNTY
3 WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795
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(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1462)
Subdistrict Name MAUGANS,10H Issue Date I
Mainline Contract No. 584 Void Date U S 7 Z
Building Permit No. P Subdistrict No. 1150
Permission is hereby given to:
Property Owner: itE.BECCA
of address:
PLAVCAN
For property located at: 19106 ROCK MAPLE DRiVE Street Address
Lot No. 32 Subdiv. MAPLE VALLEY ESTATES Phase Sec.
Owner's Agent: HAROLD HORST
Agent's Address: 111126 RCCK MAPLEDRIVE
Previous Owner:
Fees Paid in Full? YEa Lateral with Mainline?
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $ 53,500
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:
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 %jam
Inspection Date: !� ' 226 • on Plumbing Inspector:
AVlk//
PROJECT NAME: MA I S'S-� A s 5��. � PROJECT Na:SZ2 j
PROPERTY ADDRESS: �^ 0 � 't -3 DRAWING N0:
PADA LOCATION: STREET/ EASEMENT �0 C -L /Y'A -D DATE INSTALLED:
PROPERTY OWNER NAME: MH /0 74 TO MH d 8 I
PROPERTY OWNER ADDRESS: MAIN STATION:
f 40 i
SINGLE: ✓ DOUBLE:
CONTRACTOR: "E-A CONNECTION @ MH:
I
SIZE & TYPE
SIZE & TYPE
INVERT CSD
DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
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).
SHOWY LATERAL LOCATiON, STATION, UTILITY CROSSINGS AND DIMENSION ALL PER i INEN T ITEMS
FLOW LEFT
DOWNSTREAM RIGHT
MH # /O %¢
LIST QUANTITIES FOR PAY !-TD.^•S HERE:
4�fAC 1n. In!'• nI.I '�.^�1 n1T`.' IAICn CT"'
i —1 14L.2 t' r LvlJly . -j EL IOR
Dilvisl'ON OF WORKS
UPSTREAM
MH # /
CCLIT7Af''C P— C1-DIT.A T�
I r 11 �„>rTOR � REI-RE��I r 1 n I I Y E
CO. NAME:
GRAVITY C�1Af�C� CG -IFI �I^C
I. 1 1 1 ..,l L_YTLI. �lLI. v1 �1...
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uIVI1Jr—l. I I U I V 1:)1-lCt I
MARCH 1996 I �_ 1