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Eb °N O° WASHINGTON COUT c V 3 WATER & SEWER DEPA ENT 16232 Elliott Parkway Williamsport, MD 21795®3 20fl1 gkr�nN .� (301) 791-3083 Permit to Connect to Public Water/Sewer System Type of Permit RES SEWER Permit No. SCP 150-1549 Subdistrict Name Issue Date Mainline Contract No. Void Date 06/28/01 Building Permit No. P Subdistrict No. 150 Permission is hereby given to: Property Owner: DAV ID SHAOOL� of address: 11029 PLUMWOOD CIRCL HAGERSTOWN MD 21740 For property located at: 14145 TARHEEL COURT Street Address Lot No. 19 Subdiv. FOUNTIANVIEW Phase 1 Sec. Owner's Agent: DAVID SHAOOL Agent's Address: PLUMWOOD CIRCLE A Previous Owner: Fees Paid in Full? YES Lateral with Mainline? YES Date Fees Paid Residential EDU's Fee $ Commercial EDU's WCWSD Alloc./Conn. Fee $ $2,300 Gal/Day Allocation 200 WCWSD/Other Fee $ Building Number City of Hagerstown Fee $ zuu Misc. Number Total Fee $ Remarks A FEE DIFFERENTIAL WILL 13E UHARGEL) TO REFLECT ALLOCATION FEE— INCREASE IF-FR=RTY 15 NOT CONNECTED BY THE PERMIT V IL) 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 HE PROPERTY OWNER. Signed Date: ® 1 5 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: ID -3-61 Plumbing Inspector: 4 PROJECT NAME: Fo,,�J°tarr t PROJECT NO: PROPERTY ADDRESS: q DRAWING NO: ° MAIN LOCATION: STREET,' ... DATE INSTALLED: "© PROPERTY OWNER NAME: MH Z- TO MH p - PROPERTY OWNER ADDRESS: MAIN STATION: <50 fie{ CONTRACTOR: -'-'Vj?yD UALA-c-A( CONNECTION 0 MH: SIZE do TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH A B (LT} C (LT) TEED DOUBLE TEE ' SERVICE PIPE MAIN C/o x6 x L-` GX'k o B (RTC (RT) (LT) A 8*(RT) SNOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT DOWNSTREAM RIGHT UPSTREAM MH If MH # . LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO, NAME: DIVISION OF PUBLIC WORKS WASHJNOTON COUNTY, MARYLAND DOUBLE GRAVITY SEINER LATERAL WATER AND SEWER CONNECTION SHEET DEPARTMENT bowr, MAY 2001 S -13.2A