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Washington County,
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Department of Water (Quality JUL 2 12003
16232 Elliott Parkway �/Oy u
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Williamsport, MD 21795 PERN'1ITS AND
240.313.2600 INSPECTIONS
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: FOUNTAINVIEW LLC
Applicant: CREATIVE HOME 1311ILDERS
Street: 370 VIRGINIA AVNUE
City: HAGERSTOWN
State: MD
Zipcode: 2174400
For property locA�tILll PS
I
Street: !SZ8 DILLER DRIVE
City: HAGERSTOWN
State: MD
Zipcode: 21740
Is the property in a subdivison? YES
Subdivision name: FOUNTAINVIEW
Subdivison lot no.: 58
Subdivision phase: IV
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 2930
Issue Date: 7/11/2003
*Void Date: 7/11/2004
Fees paid in full? YES
Date fees paid: 7/11/2003
Type of EDU: RES
Number of EDU's: 0
Gallons per day allocation: 0
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 & 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: , -Xa) 01-�j Date: 7/11/2003
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: l� �' o� Plumbing Inspector: -
A4Ji—
4&
PROJECT NAME: — PROJECT NO:
PROPERTY ADDRESS- 5`5
DRAWING NO:
MAIN LOCA11ON:STREE /EASEMENT
DATE INSTALLED:
PROPERTY OWNER
MH 124f TO MH I -q
PROPERTY OWNER ADDRESS:
MAIN STATION:
CONTRACTOR: " F:;�E
CONNECTION 0 MH:
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
INVERT 0
DEPTH
A
8 (LT)
C (LT)
TEEE)
DOUBLE TEE
SERVICE SERVICE PIPE
MAIN
C/o
ell S�'
8 (RT C (RT
.2 /001
(LT)
A
7183 c
t
(131-).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT
UPSTREAM
MH #
MH # /,,;I
LIST QUANTITIES FOR PAY ITEMS HERE:
-7-k
BY:
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MAP"ND
DOUBLE GRAVITY SEWER LATERAL
WATER AND SEWER
CONNECTION SHEET
DEPARTMENT
MAY 2001 I S -13.2A