HomeMy WebLinkAboutLat_14112TarheelCourtG[0N WASHINGTON COUNTY
WATER & SEWER DEPARTMENT
16232 Elliott Parkway f 10 1 3 I°
Williamsport, MD 21795 rnik,. -W
(301) 791-3083
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No.
Subdistrict Name MAUGANS OH Issue Date
Mainline Contract No. Void Date _
Building Permit No. P2000-1817 Subdistrict No.
Permission is hereby given to:
50 - I L(CP
SCP9A:Ot-91
09/20 00
09/20/01
010
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14112 TARHEEL COURT Street Address
Lot No.
TH4 Subdiv. FOUNTIANVIEW Phase 1 Sec.
Owner's Agent: _
Agent's Address:
Previous Owner:
Fees Paid in Full?
Date Fees Paid
DAVID SHAOOL
11029 PLUMWOOD CIRCLE HAGERSTOWN MD 2174
YES Lateral with Mainline?
09/20/00 Residential EDU's _
Goo Q t :nmmPrrial EDU's
WCWSD Alloc./Conn. Fee $
WCWSD/Other Fee $
City of Hagerstown Fee $
Total Fee $
Remarks
Gal/Day Allocation
Building Number
rzUU Misc. Number
YES
LUQ
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 effectwith 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 PROPER OWNER.
Signed: �Lk2
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: /.4,w` u/ Plumbing Inspector:
PROJECT NAME:%e�,%tomes
PROJECT NO: 61-0
PROPERTY ADDRESS: r '.
DRAWING NO. /j?
MAIN LOCATION: STREE TXCA �J�JF- DATE INSTALLED:
PROPERTY OWNER NAME: M111%P-12611 To mi -I z5-0-/-t"6-
PROPERTY OWNER ADDRESS: MAIN STATION: /4 2-1--.X4Wr
SINGLE: - DOUBLE.
CONTRACTOR: 471y014611 -a".1 CONNECTION 0 MH:
SIZE & TYPE & t)FPIII A 11 (LI) C (LI)
IEE WYE MAIN
3
(3 (RI C (RT)
F D
iiii���A--y
�Mlvjm
(m)
NO SCALL
WE, THE UNDERSIGNED, BEING SAID OWNERS OF 1111S PROPERLY, REQUEST PERMISSION TO INSTALL. THE
(PPOIlf,11IN' ADDRESS)
DATE:
IOOSE LATERAL AT IIIE MODIFIED IIEIGIIT DESCRIBED ABOW-
ATTEST: rlle
WASIONGION (-OUNI'v WAIER & C,,V,4.P DEPT
PP11411,1) I,IA'\AL
�, I C. N A I I j ME
7141S FORM SIIALL BE USED IN CONJUNC110N Will THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL 5-3.3.
DMSION OF PUBUC WORKS
'WASNNGTON COUHTr, UW",WU MODIFIED SERVICE LATERAL
WA TER AND SEWE7? GRAVITY SEWER
DEPARTMENT JANUAnY, IM
1 S -113A