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WASHINGTON CO INp
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WATER & SEWER DEP
16232 Elliott Parkway
Williamsport, MD 21795 FEB 2 2pD3 �3�� 4 3
(301) 791-3083 rte'
PERMITS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit RES SEWER Permit No.&__
SCP 150--1713
Subdistrict Name MAUCAN S / OH Issue Date
Mainline Contract No. Void Date
Building Permit No. P2003-0117 Subdistrict No. 150
Permission is hereby given to:
Property Owner: NORTH VILLAGE
of address:
For property located at: 13506 SOVEREIGN TERRACE Street Address
Lot No. 30 Subdiv. NORTH VILLAGE Phase Sec. i
Owner's Agent: ADMAR CUSTOM HOMES
Agent's Address: 5705 INDUSTRY LANE FREDERICK MD 21704
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 02/10/03 Residential EDU's
Fee $ Commercial EDU's
WCWSDAIIoc./Conn. Fee $ 2, 800 Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 1 , 20OMisc. Number
Total Fee $ 4,000
Remarks A 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 WITH THE PROPERTY OWNER.
Date: /V
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: �/� w3 Plumbing Inspector:
WASHINGTON COUNTY SANW*QY DISTRICT
WASHINGTON COUNTY, ML.
Project:
Street (or location): iEQRAs:E
Contractor: &,,.0VAU-C- 4
Date Installed � /517 3
WYE I TYPTYPE
E PIPE I C.O. SE- TYPE DCO. H LATERAL
STV
8�tiu�" SU2-Z�-Puc. W X-CILA 5
NOTES: I DROP
-Am% SANITARY SEWER LATERAL
CONSTRUCTION REPORT
MH M6
TO MH ,1 e Z o
Wye Sta. On Main
l t -4'z L?
L f -3 c�
EXCAVATIO N
LENGTH
LAYING LENGTH
Horiz. Total
Slope + Horiz. = Total
M /A
Depth of Cleanout at Flow Line
Cleanout Z5` From 'F— c,FwyF-
Layed at Zaia
Basement Service
MH # MH#
IZI6 1220
Amounts pertaining to work completed this period, revs w d -_ proved.
BY �� .
W D INSPECTOR CO RACTO �S REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 S' 2