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HomeMy WebLinkAboutLat_14059SweetValeDriveWASHINGTON COUNTY WATER & SEWER DEPARTMENT 3 � � 16232 Elliott Parkway 'rWilliamsport, MD 21795 /S/O 1 (301) 791-3083 Permit to Connect to Public Water/Sewer System Type of Permit RES SEWER SCp I5�-3 514 Subdistrict Name Permit No. •' Mainline Contract No. Issue DateVoid Date Building Permit No. - Subdistrict No. Permission is hereby given to: Property Owner: �' CUNTA I NV I EW of address: For propert,located at: Lot No. Subdiv.Street Address Phase Sec. Owner's Agent: DYNArCORP INi Agent's Address: "U WN 14D 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 $ S17 Gal/Day Allocation WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Misc. Number T��a I Fee $ Remarks _ J r E;fv T IAL V IIs . I!"r t,r C 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_;EUE PROPF3RT* OwuER. 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 n Phone: (301) 791-3070 Inspection Date: `� ' �% Plumbing Inspector: %a of L PROJECT NAME: Fm,.kTti�yj dig til PROJECT NO: (n (o PROPERTY ADDRESS: -03./C)4 - LA (DtR DRAWING NO: MAIN LOCATION: S TREE T/E*K-10@111T 7 V46i_IQA QP DATE INSTALLED: PROPERTY OWNER NAME: MH 1 Z3?5 TO MH 1239 PROPERTY OWNER ADDRESS: MAIN STATION; ur nn SINGLE: DOUBLE: X CONTRACTOR: MA' a CONNF(umN (a mN• SIZE & TYPE SIZE & TYPE INVERT ® DEPTH DROP 8 TEE/WYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F Bx_('."�iO455 &' q I A t !3 A A D JINDICATE 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 • DOWNSTREAM MH # IZ3,' LIST QUANTITIES FQR PAY ITEMS HERE: im WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MAR)IAND WATER AND SEWER DEP,4RTMENT RIGHT UPSTREAM MH, # M31 CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 S-13.2 8 C B A I A A D E D E D E SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT • DOWNSTREAM MH # IZ3,' LIST QUANTITIES FQR PAY ITEMS HERE: im WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MAR)IAND WATER AND SEWER DEP,4RTMENT RIGHT UPSTREAM MH, # M31 CONTRACTOR'S REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET MARCH 1996 S-13.2