HomeMy WebLinkAboutLat_13606CambridgeDrivePROJECT NAME: Not,49 Vi lliagC, 5seeti on 2 PROJECT NO.:
PROPERTY ADDRESS: 4-6-f 13'1 ����(� C.�n16 �`d�� DRAWING NO.:
MAIN LOCATION: STREET/EASAE�MENT C4M+brids e Qr DATE INSTALLED: 9�21/0y
PROPERTY OWNER NAME: Iv,�MH 132 Z TO MH /3 2 3
PROPERTY OWNER ADDRESS: IVA4 MAIN STATION: Ot 7 5
SINGLE:_ DOUBLE:
CONTRACTOR: ireg u f e r- CONNECTION @ MH: 7V�
SIZE & TYPE
SIZE & TYPE
INVERT @
DEPTH
DROP
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SERVICE PIPE
C.O. WYE A
C/O B
DEPTH C
D
E
F
3S
69 SM 2-6
626.9/
3 2
2
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS FOR CONNECTION TO MANHOLE, CHECK ABOVE
AND LIST INVERT DIMENSION "B" AND DROP DIMENSION "C" (IF APPLICABLE)
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SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
BY:
FLOW
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3 2.'
DOWNSTREAM
MH # / 3 2 2
LIST QUANTITIES FOR PAY ITEMS HERE:
W
11
DIVISION OF PUBLIC WORKS
OT ONCO\WASHINGTON COUNTY, MARYLAND
A DEPARTMENT OF
WATER QUALITY
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LEFT
RIGHT
UPSTREAM
MH# -323
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
2004 1 S- 13.2
% I&TON 4� Washington County, Maryland
A Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
240.313.2600
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES Type of service: SEWER
Service Area: Maugansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: ADMAR CUSTOM HOMES
Applicant: ADMAR CUSTOM HOMES
Street: 5705 INDUSTRY LANE
City: FREDERICK
State: MD
Zipcode• 21704
For property located at:
Street: 13606 CAMBRIDGE DRIVE
City: HAGERSTOWN
State: MD
001, Zipcode• 21740
is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE
Subdivison lot no.: 131
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3950
Issue Date: 08/15/2005
*Void Date: 08/15/2006
Fees paid in full? YES
Date fees paid: 08/10/2005
Type of EDU: RES
Number of EDU's• 1
Gallons per day allocation: 200
DWQ connection fee: $1,800-00
Misc. connection fees: $300.00
City fees paid to (city):
City fees (amount): $1,800.00
Total fees charged: $3,900.00
Water & Sewer Department notes:
*Connection related comments:
This permit is good for one year from issuance date. A fee differential may be charged to reflect allocation fee increases 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 excavaflons, plumbing permits, etc.
ALL OTHER PERMITS, STATE AND LOCAL, MUST BE OBTAINED BY THE PROPERTY OWNER AND ALL RESPONSIBILITY CONNECTED THERE
WITH REMAINS WITH THE PROPERTY OWNER.
Signed: &) 64:'4rj Date: 08/15/2005
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board
80 W. Baltimore Street
Hagerstown, MD 217404727
Phone: 240.313.2460
Inspection Date: Plumbing Inspector: