HomeMy WebLinkAboutLat_13626CambridgeDrivePROJECT NAME: IVOP I tl Iia.) e Sec Z PROJECT N0: lSU - 7 / l
PROPERTY ADDRESS: _ o T Ye- DRAWING NO:
MAIN LOCATION:EETI/EASEMENT'- DATE INSTALLED:
PROPERTY OWNER NAME: MH 1-4-0 -131,t' TO MH i 5" 13LZ.
PROPERTY OWNER ADDRESS: MAIN STATION:
CONTRACTOR:
SINGLE: �_ DOUBLE:
De �c7ttP,P CONNECTION ® MH:
11+UILAIL IYI-L OI LATERAL BY CRCSSItI� OUT OTHERS FOR CONNCC7: :. TO MANHOLE. CHECK AE?JIvE.
AND LIST INVERT .e. AND URt1t' DIMENSION 'C' (IE APPLIr4=;LE)
-HOW LATERAL LOCAT.,,N. STATInI! l_'TILII'f (ROSSING; <LL PERTINENT ITEMS
FLOW
• LEFT
DOWNSTREAM
MH # _! jf
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: Je -` C Tr i4ef
WASHINGTON ;:UtJI t INSEE :?')R
OMSION OF PUBLIC WORKS
/P-' WA$HINGTGI. �UUNI,, MARYt4NO
WATER AND SEWER
DEPARMENT
RIGHT
UPSTREAM
MH N�
�)R*S REPRESENTATik/E
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 199fl I S-13.2
SIZ do TYPE
TEE WYE
SIZE h TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
11+UILAIL IYI-L OI LATERAL BY CRCSSItI� OUT OTHERS FOR CONNCC7: :. TO MANHOLE. CHECK AE?JIvE.
AND LIST INVERT .e. AND URt1t' DIMENSION 'C' (IE APPLIr4=;LE)
-HOW LATERAL LOCAT.,,N. STATInI! l_'TILII'f (ROSSING; <LL PERTINENT ITEMS
FLOW
• LEFT
DOWNSTREAM
MH # _! jf
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: Je -` C Tr i4ef
WASHINGTON ;:UtJI t INSEE :?')R
OMSION OF PUBLIC WORKS
/P-' WA$HINGTGI. �UUNI,, MARYt4NO
WATER AND SEWER
DEPARMENT
RIGHT
UPSTREAM
MH N�
�)R*S REPRESENTATik/E
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 199fl I S-13.2
Washington County, Maryland
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:
City: HAGERSTOWN
State: MD
A,. Zipcode: 21740
Is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE
Subdivison lot no..- H 3 Lp
Subdivision phase: 2
Subdivison section:
Additional remarks:
la�a�
CA,xt�bri�1
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3367
Issue Date: 11/16/2004
*Void Date: 11/16/2005
Fees paid in full? YES
Date fees paid: 11/15/2004
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 excavations, 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: 6-tt4 13AJTJ Date: 11/16/2004
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 21740-4727
.\� Phone: 240.313.2460
Inspection D
p ate: Plumbing Inspector: