HomeMy WebLinkAboutLat_14138TarheelCourtVF
C,
.T ° N WASHINGTON COU a
3 WATER & SEWER DEPA TMENT
= 16232 Elliott Parkway JUL 1 1 2001J tp/3� of
Williamsport, MD 21795
(301) 791-3083 PEFlr IM8 AND'
INSPECTIONS
Permit to Connect to Public Water/Sewer System
Type of Permit RES SEWER Permit No. SCP 150-1566
Subdistrict Name MAUGANS/OH Issue Date 07/06/01
Mainline Contract No. Void Date 07/06/02
Building Permit No. P2001-1083 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAVID SHAOOL
of address: 11029 PLUMWOOD CIRCLE
HAGERSTOWN MD 21740
For property located at: 14138 TARHEEL COURT Street Address
Lot No. 19 Subdiv. FOUNTA I NV I EW Phase ec.
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 07/06/01 Residential EDU's
Fee $ Commercial EDU's
WCWSD Alloc./Conn. Fee $ $2,100 Gal/Day Allocation 200
WCWSD/Other Fee $ Building Number
City of Hagerstown Fee $ $1, 200 Misc. Number
Total Fee $ $3,300
Remarks A FEE DIFFERENTIAL WILL BE CHARGED TO REFLECT
jNCHEASE 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 QWNER.
Date: 4110
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:
m
A
t► -�a, r? V t- t -u/ Id ra hW*4 "
PROJECT NAME: JgL
PROJECT NO:
PROPERTY ADDRESS: T H It_ t Z
DRAWING NO:
MAIN LOCATION: STREET
DATE INSTALLED:
PROPERTY OWNER NATE:.
MH /-'o" 706 TO MH /ice'
PROPERTY OWNER ADDRESS:
MAIN STATION:1-0�6+- iln-
SINGLE: DOUBLE:
CONTRACTOR: eatt, /-• / I` !_ .�! �
CONNECTION 0 MH:
SIZE k TYPE
SIZE & TYT}E
SIZE dr TYPE
INVERT 0
DEPIII
T1 fWYE
t OuBLE TEE
SERVICE. Pitt
MAIN
C/o
A
9 (LT)
C (LI)
z Grax�,rt�j,22�
jjf''strP-2b"
73
CF
B (RT C (RI
�r
(LT)
F
...._._"--�.-.-
(7
F D
j
\R T)
NO 5CALC
WE, TTIE UNDERSIGNED. BEING SAID OWNERS OF THIS PROPERTY,
REQUEST PERMISSION TO INSTALL THE
HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
(PROPI.RTv AIJURE;S)
DATE:
PfzTr.T IEU IJA;�4L
ATTEST:
V4AS lNi;T0bj COLJN fi' Wn TFPe & ScWCP DEPT
SICr,iA TOPE
THIS FORM SHALL BE USED IN CONJUNCTION WITIA THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3,
DMSiON OF PUBLIC WORKS
r �,flN C wAsrrrNcrrnx ctxtrrrr AtWrLANo
t
MODIFIED SERVICE LATERAL
s " WA7-ERAND SEWER
GRAVITY SEWER
DEPARTMENT
s{,�.nNuAY,
,ass S—i3.3A