HomeMy WebLinkAboutLat_13934DistantViewAvenue10 %, 0o'V 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: BRIAN STARLIPER
Applicant: BRIAN STARLIPER
Street: P.O. BOX 594
City: MAUGANSVILLE
State: MD
Zipcode: 21767
For property located at: / S y 31
Street: DISTANT VIEW AVENUE
City: MAUGANSVILLE
State: MD
011111"Oh, Zipcode• 21767
_s the property in a subdivison?
Subdivision name:
Subdivison lot no.:
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline? YES
Permit No.: 3813
Issue Date: 08/10/2005
*Void Date: 08/10/2006
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. Owner must contact Dennis Engle at 240-313-2600 72 hours in advance of making the connection.
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:) Date: 08/08/2005
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 21740-4727
Phone: 240.313.2460
Inspection Date: 5 ! 1 QW
Plumbing Inspcctor: �\
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NO:
PROJFCT NAME:
D1ST/aWT
V1 r � AVEDRAWING NO:
PROPERTY ADDRESS:
DATE INSTALLED:
MAIN LOCATION: STREET/EASEME T
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PROPERTY OWNER NAME:
P.O. isoy`
69 q
MAIN STATION:
PROPERTY OWNER ADDRESS:
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SINGLE: i DoueLE:
CONNECTION ® MH:
CONTRACTOR:
SIZE &TYPE TYPE
INVERT ®
(A) C/O
DEPTH DROP D E FTEE/WYE
(B) DEPTH (C)
LSIZE&
CE PIPE
MAIN
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GH 35
INDICATE TYPE OF LATERAL BY CROSSING
OUT OTHERS.
FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP
DIMENSION 'C'
(IF APPLICABLE).
s
B
_ C
s
-
CAA
A
D
D E
D E
SHOW LATERAL. LOCATION. STATION. UTILITY CROSSINGS
AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
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DOWNSTREAM
RIGHT
UPSTREAM
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MH#q03
LIST QUANTITIES FOR PAY ITEMS HERE:
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RONNIE NduL
sY: -
WASHINGTON COUNTY INSPECTOR
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CONTRACTOR'S REPRESENTATIVE
tN)IK9 Or) AIFMCER
CO. IVAME:R,HL)L„L Q-=,ilCAV)37-EtN6
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plYISION OF PUBLIC WORKS
GRAVITY SEWER SERVICE
WASHINGTON COUNT), kAR)'LWO
COfJNECTION SHEET
WATER AND SEWER
DEPARTMENT
MARCH 1996 S-13.2
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