HomeMy WebLinkAboutLat_13923SweetValeDrivea T0" WASHINGTON COUNTY
e
t WATER & SEWER DEPA
16232 Elliott Parkway
Willi��/rgloa
Williamsport, MD 21795
(301) 791-3083 MAY 13 2M2 ,m k -s
Permit to Connect to Public Water/Sewer System „i T S AND
F� � Ff���'
Type of Permit RES SEWER Permit No. SCF 1N5Pgq�PNS
Subdistrict Name Issue Date
Mainline Contract No. Void Date
Building Permit No. Subdistrict No.
Permission is hereby given to:
Property Owner: CREATIVE INVESTMENTS
of address:
A S 0
For property located at: Street Address
Lot No. Subdiv. 4 Phase Sec.
Owner's Agent: CREATIVE INVESTMENTS
Agent's Address: P.O. BOX 2,305 HAGERSTOWN 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ _ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ Misc. Number
Total Fee $
Remarks FEE DIFFERENTIAL
FEE- --
N C
MNNECTIOY SHA -LIT -BE MKDE UNTIL FINAL ;E 13Y TH ATER & SEWER DEPT
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 supersede 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 TJ4E PROPERTY OWNER.
Signed• Date: 1 �_
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
`�J Phone: (301) 791-3070
!nspection Date: - /L "b Z- Plumbing Inspector:
PROJECT NAME: PROJECT NO:
PROPERTY ADDRESS: Cay% 5.7 1 �1 a DRAWING NO: 2-/ ZZ
MAIN LOCATION: €T/EASEMENT DATE INSTALLED:
PROPERTY OWNER NAME: MH 123f> TO MH /2j'8
PROPERTY OWNER ADDRESS: MAIN STATION: I +y 7 pzr
SINGLE: DOUBLE: A -
CONTRACTOR: +e�2 %/. 7-7,,% CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
B
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (B)
DEPTH (C)
D
E
F
x(o" 5.02 35
�F SQ2 2c,
eff
/o `
lJ
A
A
D
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).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
v
DOWNSTREAM RIIGHT UPSTREAM
MH # jZag � �� 5� MH - # 12,6
LIST QUANTITIES FOR PAY ITEMS HERE. �
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUM); MAR)IAND
WATER AND SEWER
DEP.4RTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
MARCH 1996 1 S-13.2
B
C
B
eff
I
A
A
D
E
:;;)
zz
D
E
/7
D
E
1
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
v
DOWNSTREAM RIIGHT UPSTREAM
MH # jZag � �� 5� MH - # 12,6
LIST QUANTITIES FOR PAY ITEMS HERE. �
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUM); MAR)IAND
WATER AND SEWER
DEP.4RTMENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
MARCH 1996 1 S-13.2