HomeMy WebLinkAboutLat_13613HalifaxDriver,T Washington County, Maryland
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3 Department of Water Quality
16232 Elliott Parkway
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Williamsport, MD 21795
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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: 13613 HALIFAX DRIVE
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE If
Subdivison lot no.: 138
Subdivision phase: II
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3493
Issue Date: 02/15/2005
*Void Date: 02/15/2006
Fees paid in full? YES
Date fees paid: 02/14/2005
Type of EDU: RES
Number of EDU's: 1
Gallons per day allocation: 200
DWQ connection fee: $1,800.00
Misc. connection fees: 1300.00
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: (�) Date: 02/15/2005
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: It O US _ Plumbing Inspector: v1 '
PROJECT NAME: /_AjP1) �� Ilan Sem Z
PROPERTY ADDRESS: /J6 /.96i3 j qG,`q PROJECT N: A.5 -c) _ 7
DRAWING NO:
MAIN LOCATION:TREE /EASEMENT _P0/1^ -)< 2-,
DATE INSTALLED:
PROPERTY OWNER NAME:
MH 15 - 3iI �
PROPERTY OWNER ADDRESS: MAIN STATION:
SINGLE:, kf'-_ DOUBLE:
CONTRACTOR: Z
CONNECTION ®MH:
SIZE k TYPE SIZE k TYPE
TEE WYE SERVICE PIPE
.rX6 yx8 .r
6"5v- -- Z 4,
SbR _3'j" �fr_Tc.l. Ifo
INVERT ® 1 DEPTH I DROP
MAIN LiC/0 (B) DEPTH (C) D E F
INDICATE TYPE OF LATERAL BY CROSSING: OUT OTHERS FOR CONNCC7:O:. TO MANHOLE. CHECK AEU\,E`
AND LIST INVERT [)I<! iJIJ 'B' AND DROP DIMENSION 'C' (IF APPLICA ;,E)
.HOW LATERAL LOCAT;,-,N. STATIOP!_ '.,TlLi f I CROSSING; ANCA 5 ,:�;
ALL PERTINENT ITEMS
FLOW
DOWNSTREAM
MH #�
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: 13-e -t f -F(' 14e
WASITINCTO;J I-;;Uril1' INSFE:? 1R
DMSION OF PUBLIC WORKS
WASH/NGTO': �UUNTY, MARYL4NU
WATER AND SEWER
DEPARTMENT
LEFT
RIGHT
UPSTREAM
MH # ��33
-;)R'S REPRESENTAT'VE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S--13.2