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Washington County, Maryla�
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Department of Water Quality SEP 2 2 2003
r 16232 Elliott Parkway PERMITS
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Williamsport, MD 21795
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- 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: CREATIVE HOME BUILDERS
Applicant: CREATIVE HOME BUILDERS
Street: 10715 DOWNSVILLE PIKE SUITE 102
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at:
Street: 18828 DILLER DRIVE
City: HAGERSTOWN
State: MD
Zipcode: 21740
Is the property in a subdivison? YES
Subdivision name: FOUTAINVIEW
Subdivison lot no.: 58
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 2999
Issue Date: 9/8/2003
*Void Date: 9/8/2004
Fees paid in full?
Date fees paid: 9/8/2003
Type of EDU: RES
Number of EDU's: 1
Gallons per day allocation: 200
DWQ connection fee: $2,800.00
Misc. connection fees: .00
City fees paid to (city):
City fees (amount): $1,200.00
Total fees charged: $4,000.00
Water &t 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 supersede 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. Date: 9/8/2003
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 Date: -1-GY Plumbing Inspector:
vvn7 a�� !'��✓ PROJECT NO:
�I PROJECT NAME:
PROPERTY ADDRESS: zo S- DRAWING NO:
MAIN LOCATION: TREE /EASEMENT ' �� DATE INSTALLED:
PROPERTY OWNER N E: MH / ,1 TO MH Id -5
PROPERTY OWNER ADDRESS: MAIN STATION: -Atal Ge
SINGLE: t/ DOUBLE:
CONTRACTOR: Fay, -c Iq ie- C4 7 T f/ ✓ cf�� a/� CONNECTION 0 MH:
SIZE k TYPE
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
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DMSION SOF��PUBLICA{^WORKS
s ` WATER AND SEWER
a DEPARTMENT
CU',I'?A(I(i '`; I?LI'RC [IJ IAlIV[.
CO. NAME:
GRAWTY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S-13.2