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INSPECTIONS
WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway
Williamsport, MD 21795 /
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER
Subdistrict Name MAUGANS, OH
Mainline Contract No.
Building Permit No. P2003-0005
Permission is hereby given to:
Property Owner: MAPLE
of address:
VALLEY
Permit No. SCP 150-1725
Issue Date 04/04/03
Void Date 04/04/04
Subdistrict No. 150
For property located at: 19220 ROCKStreet Address
Lot No. 4".) Subdiv. MAPLE VALLEY ESTATES Phase Sec. -
Owner's Agent: MASTERCRAFT BUILDERS
Agent's Address: 19126 ROCK MAPLE DRIVE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full?
YES
Lateral with Mainline?
Date Fees Paid
0470370i
Residential EDU's
Fee
$
Commercial EDU's
WCWSD Alloc./Conn.
Fee
$
$2,800 Gal/Day Allocation `
WCWSD/Other
Fee
$
Building Number
City of Hagerstown
Fee
$
Misc. Number
Total Fee
$
$4,UUU
Remarks A FEE
DIFFERENTIALALLU�;P,11051
FEE
Z Pd ,.'REASE IF
PROPERTY 1S
NOT CONNECTED
BY THE PERMIT V011)
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 -
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: TJ-ze_ 2l�"'�' Plumbing Inspector:
PROJECT NAME: ,q P Ari l 's ,5�4� E5 �Z- PROJECT NO: 152-692L62
PROPERTY ADDRESS: *q3 DRAWING NO:
MAIN LOCATION: STREET/E #T OkkE (�/l'4At �i�w�� DATE INSTALLED:
PROPERTY OWNER NAME: / 9� MH 13i3l TO MH (liq
PROPERTY OWNER ADDRESS: MAIN STATION: Q+48 Ute`'
SINGLE: DOUBLE:
CONTRACTOR: C LQ `/ 4E X12. CONNECTION ® MH:
SIZE & TYPE
TEE/WYE
SIZE & TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
x -
4" oiZz(,.;
)3,0
5,0,
NDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNEC-,O;, TO MANHOLE, CHECK ABOVE.
AND LIST INVERT DIM=SiON 'B' AND DROP DIMENSION 'C' (IF APPLICA2,E',
=HUW LAILKAL LUI-4!—)N, `)IA IIUI'd. 'J IILI I Y LI(V»INh� HIVU UIrVt;',-- r'LM IIIVLN I I It -MJ
Lor (1 3
FLOW LEFT
DOWNSTREAM
MH # i3�3
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: Y Vll i�►J;�
WASHINGTON C"'UNTY INSFE- 1
OMSION OF PUBUC WORKS
WASHINGTOtd COUNTY, MARYLAND
WATER AND SEWER
DEPARMB T
RIGHT
UPSTREAM
MH j%
-"0', TPL-,--70R'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S-13.2