HomeMy WebLinkAboutLat_19110RockMapleDriveOT ON WASHINGTON COUNTY v1 -7/3/01
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WATER & SEWER DEEB''{
16232 Elliott Parkwa���t= �
Williamsport, MD 217 ��� ���
't'RY`"" (301) 791-3083 MAR 13 2001
Permit to Connect to Public Water/Sewer System PERMITS AND
INSPECTIONS
Type of Permit RES SEWER
Subdistrict Name MAUGAN
Mainline Contract No.
Building Permit No.
Permission is hereby given to:
Property Owner: MAPLE VALLEY
of address:
Permit No. SCP 150-1507
Issue Date
Void Date
Subdistrict No. 15 0
For property located at: i9110 ROCKStreet Address
Lot No. Subdiv. MAPLE VALLEY EbTATZ6 Phase Sec.
Owner's Agent: CONRAD HOMES
Agent's Address: 714 POTOMAC STREET R
Previous Owner:
Fees Paid in Full? "ES Lateral with Mainline? "-"
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ $2,3Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 1 2 0 U Misc. Number
Total Fee $ S3r
500
Remarks A FEE: =;E? 1AL WiLL BE CHARGED TO REFLETI
INCREASES IF PROPERTY
IS NOT CONNECTED BY THE eERMiT VU11) I)Xit-
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: ate: I . 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
Inspection Date: Plumbing Inspector:
Aphh� 'm%A
�S-�A PROJECT NO:
PROJECT NAME:
PROPERTY ADDRESS: �-� '-'� 33 DRAWING N0:
v1nIN LOCATlOiJ: STREET]EASEMIviENT�a�-�' M��t'� —DATE INSTALLED: ��'�g"
/9111) MH TO MH (Dc�
PROPERTY OWNER NAME: 0{ Z( �.{.
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE: DOUBLE:
-=r v. 7I CONNECTICN @ MH:
w c
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).
D t
F D E
D t
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPQTPEAM
MH # (DA (
m H # 16821-
LIST
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LIST OUANT!T!ES FOR PAY ITEMS HERE:
D'1.
4b'A-) IINGTO I CO�IJT'r' INSPECTOR
Dlly SIGN OF YUBLA: WORK
x:1,111' , 4AS ;NG ON 1-0liM! f, MAR tLAND
1/ATEP .AA!n Q4"jVFR
0- f -?4 j,?TVf—,P'T
2A T Imo' ITA T\�C
COAT C C\ ZEPRE �LIVIn IIVL
CO. NAME:
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CVI INEECT�O'N JHIGE
MARCH 1996 1 C—� J, ' 1