HomeMy WebLinkAboutLat_14140TarheelCourt�C; ° N O° 2 WASHINGTON COUNT, IV
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3 WATER & SEWER DEPART;
16232 Elliott Parkway
Williamsport, MD 21795 JUL! 1 A Ml`
(301) 791-3083 J 1 joi rmlur
PEPSMHTS AND
Permit to Connect to Public Water/Sewer System INSPECTIONS
Type of Permit R R S SEWER Permit No. SCP 150-1567
Subdistrict Name MAUGANSIOH Issue Date 07/06/01
Mainline Contract No. Void Date —07/06/02
Building Permit No. P2001-1084 Subdistrict No. 150
Permission is hereby given to:
Property Owner: DAV T D SHAOOL
of address: 1 10 2 g PLUMWOOD CIRCLE
_ HAC RSTOWN MD 21740
For property located at: 14140 TARHEEL COURT Street Address
Lot No. Subdiv. FOUNTA I NV I EW Phase Sec.
Owner's Agent: nAV T D SHAOOL
Agent's Address: Lin 2 9 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 Pry
nIFFERENTIAL WILL BE CHARGED TO REFL
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 E P OPERTY OWNER.
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Signe . Date: ! a
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: �D �' O Plumbing Inspector:
PROJECT NAME: - Bun '(a, r') V 1"e �✓ �dc✓n %i'm c PROJECT NO: 6/6
PROPERTY ADDRESS: _ TK 13 1 DRAWING NO: /a v r 014'
MAIN LOCATION: S7REEt,<ffmff9D DATE INSTALLED: 2-/7- 0/
PROPERTY OWNER NAME: M1 /-10- 706 TO MH /1-v-/2Gy
PROPERTY OWNER ADDRESS: MAIN STATION: I t 25 Ri"T
SINGLE: DOUBLE: le!<_
CONTRACTOR: CONNECTION ® MH:
SIZE & TYPE
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SIZE & TYPE
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I_ U (RTC (R T1
"'0 SCALL
WE, THE UNDERSIGNED, BEING SAID OWNERS Of TIIIS PROPERTY, REQUEST PERMISSION TO INSTALL 111E
DATE:
_HOUSE LAIERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
(T'ROP[RIN' ADDRESS)
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ATiLST:
77�'�
WASHING106i COLININ WAIrf- SC-WLt' DLt't Src:14ni11W-
THIS FORM SHALL DE USED IN CONJUNCTION Milt I11E GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DIVISION OF PUBLIC WORKS
',.c�� 1VAS1#NCIDN COUMY, AIARn W,
�WAT£R AND SEWER
DEPARTMENT
MODIFIED SERVICE LATERAL
GRAVITY SEWER
JtiNU�fTY, I0!19 S— � 3. 3 A