HomeMy WebLinkAboutLat_13606CorelloDrivePROJECT NAME: M Aar „AU-eY C S�i'ies ,-e> PROJECT NO: 15C-; - (, s
PROPERTY ADDRESS: C07 Tt 56 DRAWING NO:
MAIN LOCATION: STREET/E-AeEMfNT 0DR— DATE INSTALLED:
PROPERTY OWNER NAME: /��'�� �'��/d �Q MH TO MH
PROPERTY OWNER ADDRESS: MAIN STATION:
9 SINGLE:_ DOUBLE:
CONTRACTOR: I-rTi*2 CONNECTION ® MH: 1'315
SIZE & TYPE
TEE/WYE
SIZE & TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNEC-;O TO MANHOLE, CHECK ABOVE.
AND LIST INVERT DIMESiON 'B' AND DROP DIMENSION 'C' (IF APPLICAELE`,
B
A
DE
�2121. u
CM/AL LUL-Ak -N\, �)N IIUN. I_, llLi i Y CKU'>>INGS AND DIMENSC^: ALL PERTINENT ITEMS
lar 5$
FL
LEFT
DOWNSTREAM RIGHT
MH # 17)1,5
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON C"JNTY iNSF'E�-71
DMS/ON OF PUBLIC WORKS
toN r WASHINGTQ/oCOUNTY, MARYLAND
WATER AND SEWER
DEPARMENT
UPSTREAM
MH#i3�c`z
REPRESENTATi\/E
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S--13.2
0� 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: MAPLE VALLEY PROPERTIES
Applicant: ARTERY CUSTOM HOMES
Street: 7200 WISCONSIN AVENUE # 1000
City: BETHESDA
State: MD
Zipcode: 20814
For property located at:
Street: 13606 CORELLO DRIVE
City: HAGERSTOWN
State: MD
Zipcode:21740
0/0` the property in a subdivison? YES
Subdivision name: MAPLE VALLEY ESTATES
Subdivison lot no.: 58
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3317
Issue Date: 09/28/2004
*Void Date: 09/28/2005
Fees paid in full? YES
Date fees paid: 09/28/2004
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: eAA,4) dl-� Date: 09/28/2004
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
0001, Phone: 240.313.2460
nn GG c
Inspection Date: Plumbing Inspector: