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HomeMy WebLinkAboutLat_19114RockMapleDriveNva°'°N 006 WASHINGTON COUNTY 3 WATER & SEWER DEPARTMENT 16232 Elliott Parkway Williamsport, MD 21795 �RYLwN (301) 791-3083 OCT 2 X44 Permit to Connect to Public Water/Sewer System PE- I N rSP E C EINrSPEC ►'i0111G T f P RES ype o V1111 SEWER Permit No. SCP 150-1490 Subdistrict Name MAUGANS/OH Issue Date 10/20/00 Mainline Contract No. Void Date -10/20/01 Building Permit No. P2000-2154 No. Subdistrict 15 0 Permission is hereby given to: Property Owner: MAPLE of address: For property located at: Lot No. 34 VALLEY ESTATES 9114 ROCK MAPLE DRIVE Subdiv. MAPLE VALLEY ESTATES Phase Owner's Agent: BROTHERS CONSTRUCTION Agent's Address: 14423 HIGHROCK ROAD CASCADE MD 21719 Previous Owner: —Street Address Sec. A Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid Residential EDU's 1 Fee $ Commercial EDU's 0 WCWSD Alloc./Conn. Fee $ Gal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Misc. Number Total Fee $ Remarks A FEE DIFFERENTIAL WILLBE CHARGED TO REFLECT ALLOCATION FEE IN OP RTY IS NOT CONNECTED BY THE PERMIT VOID DATE. 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. Sign : lltiLQ 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 Inspection Date: /L� `� Ga' Plumbing Inspector: AWN PROJECT NAME: MA <- U �e ��-� ��-5 amu. A' PROJECT N0:' PROPERTY ADDRESS: DRAWING N0.F' MAIPJ LOCATION: STREET/EASENIENT DATE INSTALLED: PROPERTY OWNER NAME: �9�� / `I// MH / (( TO MH iDZ PROPERTY OWNER ADDRESS: MAIN STATION: L+ SINGLE: DOUBLE: CONTRACTOR �Af:� �1� ori ���. Cb,,>-Ern�.•�a �,vC CONNECTION ® MH: -�-' SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP TEE/WYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F X 6 Z 6 iivui�,yit irrL Ur LAILKAL Br CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE, AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE). B IE B A I A A D E D ED SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERiiNENT ITEMS FLOW LEFT r DOWNSTREAM RIGHT UPSTREAM MH # SOB ( LIST OUANPPES FOR PAY ITDAS HERE: WASIIINJGTCN CCluNT'r' INSPECTOR Dl'ViSIO v OF P&BLIC WORn,5 1�W �;r1J17!!VVl V%V l.VV/•V!!, M,tiic •7tr+rvu FTP4RTq,�EA rT CONJTRACTCR'� REPRE�E J i TI`D'E CO. NAME: GRAVITYd"VV'ER SER`.'ICE Cu"NIvECTIVN SHEET MARCH 1996 1 IS— I '�. r)