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c'TON e a 4fq R y N" WASHINGTON COUNT WATER & SEWER DEPARTU g7p 16232 Elliott Parkway 1 !17 /O , Williamsport, MD 21795 JUL ? ? 2001 (301) 791-3083 Permit to Connect to Public Water/Sewer System PERMITS AND INSPECTfONS Type of Permit RES SEWER Permit No. SCP 150-1578 Subdistrict Name MAUGANS/OH Issue Date 07/06/01 Mainline Contract No. Void Date 07/06/02 Building Permit No. P2001-1478 Subdistrict No. 15 Permission is hereby given to: Property Owner: DAVID SHAOOL of address: HAGERSTOWN MD 21740 For property located at: 14117 TARHEEL COURT Street Address Lot No. 32 Subdiv. FOUNTAINVIEW Phase 1 Sec. Owner's Agent: SHAOOL CONSTRUCTION Agent's Address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740 Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid 07/06/01 Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ Gal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ , 2 0 0 Misc. Number Total Fee $ Remarks A FEE DIFFERENTIAL WILL BE CHARGED TO REFLECT ALLUUPV1'1UPf tEt INCREASE IF PROPERTY IS NOT CONNECTED BY THE PERMIT VOID DATE. 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 WI THE P OPERTY OWNER. «� Sign d: Date: C © Q 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 217404727 Phone: (301) 791-3070 Inspection Date: �/' �'� Plumbing Inspector: PROJECT NAME: -ouAvrAw UiEw ! -,JECT NO: 160-616 PROPERTY ADDRESS: 714 3i o d Tlf-,33 DRAWING NO: 12 of 20 MAIN LOCATION: STREET/ AS�FMF� DATE INS ED: /y ?- - O PROPERTY OWNER NAME: MH TO MH PROPERTY OWNER ADDRESS: MAIN STATION: CONTRACTOR: -r,)^A 2""D r, (e CONNECTION ® MH: �a► �J RrgA{ SIZ & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH TEE WYE DOUBLE TEE SERVICE PIPE MAIN C/0 A B (LT) C (LT) 5De-35 -5ble - 2-6 6" 5D2 - 2 6 io52.2o 5 (LT) N O % p4 A B C (RT) LM arWNL LUUA HUN, J IA IIUN, U IILI I Y UHUSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT (RTIC (R b DOWNSTREAM RIGHT UPSTREAM MH # $o- MH #ISO - ia63 LIST QUANTITIES FOR PAY ITEMS HERE: m WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MARYLAND WATER AND SEWER DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 1 S-1 3.2A