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HomeMy WebLinkAboutLat_14139TarheelCourt°N WASHINGTON COUNT 3 WATER & SEWER DEPA 16232 Elliott Parkway Williamsport, MD 21795 JUL 0 1 1 gRr��N (301) 791-3083 i Permit to Connect to Public Water/Sewer System ` `a INSP C-1 Type of Permit RES SEWER Permit No. SCP 150-1552 Subdistrict Name MAUGANS OH Issue Date 06Z28/01 Mainline Contract No. Void Date 06/28/01 Building Permit No. P2001-1093 Subdistrict No. 150 Permission is hereby given to: 10j -SIC) /C I Property Owner: DAVID SHAOOL rfftLk.11_r of address: 11029 PLUMWOOD CIRCLE HAGERSTOWN MD 21740 For property located at: 14139 TARHEEL COURT Street Address Lot No. 22 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 06727701 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 $ $1,200 Misc. Number Total Fee $ $3,500 Remarks A FEE DIFFERENTIAL WILL BE CHARGED TO REFLECT ALLOCATION FEE 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 WIT E PROPERTY OWNER. r Sig ed: 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: to .5 -DI Plumbing Inspector: a., le�e_ AOW AVW PROJECT NAME: F°—^4� r J PROJECT NO: Is-o-Cflc(. PROPERTY ADDRESS: TN 22-4 23 DRAWING NO: Z MAIN LOCATION: STREET EAS_ EM� DATE INSTALLED: " PROPERTY OWNER NAME: MH I7.i 3 TO MH C--0- PROPERTY _0.PROPERTY OWNER ADDRESS: MAIN STATION: ! CONTRACTOR: r—,ImI&12t-,gWJ E(! CONNECTION 0 MH: SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT 0 DEPTH A B TEEC- DOUBLE TEE/ SERVICE PIPE MAIN C/0 (LT) C (LT) s x 8 ti� &",t. B (RTIC (R ���r J Ih iiviv, u ilu i 7 Kv55iNG5 AND DIMENSION ALL PERTINENT ITEMS FLOW DOWNSTREAM MH # LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS cgf� WASHINGTON COUNTY MARYLAND ' WA TER AND SEWER ra DEPARTMENT LEFT RIGHT UPSTREAM MH # C.c,. CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 I S-13 2A