HomeMy WebLinkAboutLat_14116TarheelCourt%+GTON C,0 WASHINGTON COUNTY
3 i WATER & SEWER DEPARTMENT
16232 Elliott Parkway
' WilliamsportMD 21795
M�RY`"N� (301) 791-3083
Permit to Connect to Public Water/Sewer System
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Type of Permit RES SEWER Permit No. SCP 0
Subdistrict Name MAUGAN S / OH Issue Date 09/20/00
Mainline Contract No. Void Date 09/20/01
Building Permit No. P2000-06777 Subdistrict No. 010
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14116 TARHEEL COURT Street Address
Lot No. TH6 Subdiv. FOUNTAINVIEW 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 09/20/00 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ Gal/Day Allocation
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ S1,2 Misc. Number
Total Fee $
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 WITH THE PROPE TY OWNER.
Signa G / ate: U
I
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: �� ' / - �� Plumbing Inspector: A�l �4(
PROJECT NAME:../' -o v� `�!„ V% �z �✓ ��✓�•/� pn1s- % / 6
PROPERTY ADDRESS: _-/-7f e PROJECT NO: /'j --o
DRAWING N0: /a
FAIN LOCATION: STREET/EASEMENT DATE INSTALLED: 9-/gK= O/
PROPERTY OWNER NAME: MI1 /3a-/1�`f TO MI -1 /S° _/a6 S
PROPERTY OWNER ADDRESS: MAIN STATION: G f 90 Alirrffr
CONTRACTOR: SINGLE: DOUBLE: 1-�
lea i� CONNECTION ® MH:
SIZE & 1Y1?E SIZE-_ do Ivr S17L & lYl�f= INVl=f21 RD Urf�lll
Cg?wYE DODU[.0 IEE/ SritvlCr 11111E MAIN C/O A B (L1) C (LT
--Z 6 60 0. 21 f0
E (RT) F (LT) F - -
Tj (R1 C (RT
ryt, IHE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL 111E
DATE:
JIOUSE LATERAL AT 111E MODIFIED HEIGHT DESCRIBED ABOVE.
(►'ROPIRT • ADDRESS)
1111114IED I,IAVF
ATTEST:
v✓ASlnnrr,Tc)1r CUUNi, WAIEP & sEwER Uf_F1i 51c:r,rArlir'
THIS FORM SI IALL 6E USED IN CONJUNC T10N WI i l THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DIVISION OF PUBLIC WORKS
r �1;10N <<r J WAS111NGION COUNY, TA(•(/7}� O
sMODIFIED SERVICE LATERAL
{ WATER AND SEWER GRAVITY SEWER
DEPAR774/EN>
JANUARY, 1F)s9 S_ 13 3 A