HomeMy WebLinkAboutLat_19211RockMapleDriveWASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway /1/
Williamsport, MD 21795 61a y
(301) 791-3083 rro-Lkl-F
Permit to Connect to Public Water/Sewer System
Type of Permit -RES S WEP Permit No. SCP 150-1723
Subdistrict Name MAUGANS/OH Issue Date 04/04/03
Mainline Contract No. Void Date _ 04/04/04
Building Permit No. 003-0003 Subdistrict No. 150
Permission is hereby given to:
Property Owner: MA R r. F VA IBI I N C
of address:
For property located at: 19211 ROCK MAPLE DRIVE Street Address
Lot No. 4 7 Subdiv. MAPLE VALLEY Phase Sec. B
Owner's Agent: MA TFRCRAFT BUILDERS INC
Agent's Address: 1 c t ;3 F; Rrnrk MAP LF nR I VE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full?
YE
Lateral with Mainline?
YES
Date Fees Paid
04/03/02
Residential EDU's
1
Fee $
Commercial EDU's
0
WCWSD Alloc./Conn.
Fee $
$2, 80Q
Gal/Day Allocation
WCWSD/Other
Fee $
_
Building Number
City of Hagerstown
Fee $
$1,200
Misc. Number
Total Fee $
$4,000
Remarks R FEE
DIFFERENTIAL WILL BE CHARGED TO REFLECT ALLOCATION FEE
INCREASE IF
PROPERTY 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 WITpI'fRE PROPERTY OWNER. e
Signed:
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
p• � Phone: (301) 791-3070 _
Inspection Date:6Z-J0-3 Plumbing Inspector:
r
AIS. CC l
PROJECT NAME: MAPc J.AuI,�Y .5�4 o��L PROJECT NO: f SID
PROPERTY ADDRESS: Ls, T- 4-7 DRAWING NO:
MAIN LOCATION: STREET/EejE i ALMA PLF. DATE INSTALLED: I 1- 5- 0'
PROPERTY OWNER NAME: /' 9a2// MH -13 1Z- TO MH i -3 1 5_
PROPERTY OWNER ADDRESS: MAIN STATION: 14-39 K2., i
SINGLE: ri DOUBLE:
CONTRACTOR: _ Cz , lA)Zf/ LfE% Z CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
L'3x Lf" 'z ..
" S 0Z Z
37.5'
5, G'
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS FOR CONNECT, O,, TO MANHOLE, CHECK Ac�VE.
AND LIST INVERT DIMESZiori 'B' AND DP,'OP DIMENSION 'C' (IF APPLICAFELE
B
A
D E
2'7v
:I-Jn1A/ I A=rJA n 17 rr.
-•• -••111-1-- "• I . -) ivr;, _ !ILI1 r l„fCVJ)IIV��.� HIND UIN'ti��'`�; r,LL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPSTREAM
MH #
I Z l �r 47 M H# i?
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: I LE Ftoki D
WASHINGTON ::vUN I INSPECTOR
DMSION OF PUBUC WORKS
't�cn WASHINGTO', L-JUNTY, MARYL4ND
WATER AND SEWER
DEPARTMENT
,-'1-,-70R'S REPRESENTA7iVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 ' S—'13.2