HomeMy WebLinkAboutLat_14114TarheelCourtC. -TON cO WASHINGTON COUNTY
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WATER & SEWER DEPARTMENT
16232 Elliott Parkway ✓✓ t °�310l 'fi'`'`r
Williamsport, MD 21795
'^RYL�pO (301) 791-3083
Permit to Connect to Public Water/Sewer System
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Type of Permit RES SEWER Permit No. SCP
Subdistrict Name MAUGAN S / OH Issue Date 09/20/00
Mainline Contract No. Void Date 09/20/01
Building Permit No. P2000-1818 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14114 TARHEEL COURT Street Address
Lot No. TH 5 Subdiv. FOUNTA I NV I EW Phase 1 Sec.
Owner's Agent: DAVID SHAOOL
Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740
Previous Owner:
Fees Paid in Full? YES Lateral with Mainline? YES
Date Fees Paid 09/201/00 Residential EDU's 1
Fee $ Commercial EDU's 0
WCWSD Alloc./Conn. Fee $ $2,300 Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ 8 1 . 200 Misc. Number
Total Fee $ $3,500
Remarks
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 WITWT41 E P OPERTY OWNER.
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Sign h
: �! ., Date:
INSPECTION: At least 48 hours notice pnor 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: �� �" d� Plumbing Inspector:
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PROJECT NAME: Uyn'{��n Vies.✓ '��✓�/� p,n�rs PROJECT No.. 1-4-0
PROPERTY ADDRESS: _ 7AC -5-0 DRAUNG No: /a
MAIN LOCATION: STREET/EASEMENT DATE INSTALLED:
PROPERTY OWNER NAME: MN/3D-/2W 10 MN /��'/aG5"
PROPERTY OWNER ADDRESS: MAIN STA11UN: G-;0' 9y ol�vffr
CONTRACTOR: CIA, SINGLE: DOUBLE:
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wL, INE UNDERSIGNED, DEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION To INSTALL THE
(PROPI_Riv ADDrESS)
DATE:
IOOSE LATERAL AT 111E MODIFIED HEIGHT DESCRI13ED ABOVE
ATTEST:
veAStIINGiOhI CUUNh WAIEP & HWLP DI_PI
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T141S FORM SHALL 13E USED IN CONJUNC110N WI1N THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DIVISION OF PUBLIC WORKS
WAS1fJNGrpN COUNTY,
f MODIFIED SERVICE LATERAL
" WATER AND SEWER GRn VI Ty W`FR
DEPAR7MENT
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