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�0,; ° N2 WASHINGTON COUNT x 3 G� WATER &SEWER DEPART �� 16232 Elliott Parkway V 110101 Williamsport, MD 21795 JUL 1 1 2001 °'qRY,.^N` (301) 791-3083 Permit to Connect to Public Water/Sewer System PERMITS S AND INSPECTIONS Type of Permit RES SEWER Permit No. SCP 150-1572 Subdistrict Name MAUGAN S / OH Issue Date 07/06/01 Mainline Contract No. Void Date 07/06/02 Building Permit No. P2001-1472 Subdistrict No. 150 Permission is hereby given to: Property Owner: DAVID SHAOOL of address: HAGERSTOWN MD 21740 For property located at: 14129 TARHEEL COURT Street Address Lot No. 26 Subdiv. FOUNTA I NV I EW Phase 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 $ $2,100 Gal/Day Allocation WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ Total Fee $ $1,200 $3,300 Misc. Number Remarks A FEE DIFFERENTIAL WILL BE CHARGED TO REFLECT ALLOCATION 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 WITH—THE PROPERTY OWNER. Date: 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: /1 ' � QL Plumbing Inspector: -' Ask. AINk PROJECT NAME: U: _ . AIVuiF- ,./ i EJECT NO: 150-616 PROPERTY ADDRESS: -rfi 26 ant -n+27 DRAWING NO: MAIN LOCATION: STREET ASEMEN DATE INSTtk LED: PROPERTY OWNER NAME: MH - TO MH ]So- /0263 PROPERTY OWNER ADDRESS: MAIN STATION: A-R'C'WT- I +c` CONTRACTOR: A : CONNECTION ® MH: SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH A B (LT) C (LT) DOUBLE TE SERVICE PIPE MAIN C/0 SDA '3:—> B (RT C (RT 57' (LT) 9- A B*(RT) SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT No 0 0 DOWNSTREAM RIGHT UPSTREAM MH #©� MH # -3 LIST QUANTITIES FOR PAY ITEMS HERE: LIST BY: WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS WASHINGTON COUNTY, MARYLAND DOUBLE GRAVITY SEWER LATERAL 4��� WATER AND SEWER CONNECTION SHEET DEPARTMENT d��° MAY 2001 S-1 3.2A