HomeMy WebLinkAboutLat_17810JusticeCourtWashington County, Maryland
Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
240.313.2600
J 8/a(O /oy
MILLLr
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES Type of service: SEWER
Service Area: Maugansville/Orchard Hills
Building Permit No.: NA
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: FOUNTAINVIEW
Applicant: CREATIVE HOME BUILDERS
Street: 10715 DOWNSVILLE PIKE
City: HAGERSTOWN
State: MD
Zipcode: 21740 I ` n
For property located at. V
Street: JUSTICE COURT
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: FREEDOM HILLS
Subdivison lot no.: 23
Subdivision phase: A
Subdivison section: NA
Additional remarks:
NA
Will DWQ need to connect the lateral
to the mainline? NO
Permit No.: 3130
Issue Date: 03/31/2004
*Void Date: 03/31/2005
Fees paid in full? YES
Date fees paid: 03/31/2004
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): NA
City fees (amount): $1,800.00
Total fees charged: $3,900.00
Water & Sewer Department notes:
NA
*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: 03/31/2004
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by: Washington County Plumbing Board j, Y JU
80 W. Baltimore Street
Hagerstown, MD 21740-4727 APR 16 2004
Phone: 240.313.2460 l�
RM1TS AND
Inspection Date: 6XQ—ad 15 IS -a(/ Plumbing Inspector:
PROJECT NAME: �� e e_ ct o" PROJECT N0: /�O -69-i-_
PROPERTY ADDRESS: moors 22 � 2,17ffiN 179'0 JuAice. DRAWING N0: 5 of /2
MAIN LOCATION: TREET/EASEMENT �as�rCC c1. DATE INSTALLED: .3-10 - d 3
PROPERTY OWNER NAME:
PROPERTY OWNER ADDRESS: MH 63y6 TO MH 1,30 gMAIN STATION: J-/". 6 Ce -t
CONTRACTOR: bar.A Li AA, -c. I SINGLE: DOUBLE: l/
CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE'S SIZE & TYPE
TEE WYE DOUBLE TEE WYE l SERVICE PIPE
Sc,N.�4c� CaSiC. ScH. t{p 4" ScH. qo
D;a 5' r.�s'kzz�1. = s"9�. of
F= 2.5' D -mc, w.rr 1N0, _ Esc. Z/
INVERT 0 DEPTH
MAIN C/o A B (LT) C (LT
Spa, 24 1'15' S' to'
JB (RTC (RT
Q
E I III e \c
NO SCALE
WE, THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL THE
(PROPERTY ADDRESS) HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
DATE: 2-1.2-03
PRIN IED NAME
ATTEST: IT Tf �c
WASHINGTON COUNTY WATER & S v✓ER DEPT
SrGNA I UPS
THIS FORM SHALL OE USED IN CONJUNCTION WITH THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DMSION OF PUBLIC WORKS
�l ruN i WASMIYGrOoy COUMY, UARnMg
s `WATER AND SEWER MODIFIED SERVICE LATERAL
DEPARIN�ENT GRAVITY SEWER
JANUARY, 1899 S— 1 3.3 A
REQUEST TO ALTER SANITARY SEWER
SERVICE LATERAL
T0: Washington County Water and Sewer Department
16232 Elliott Parkway
Williamsport, MD 21795
We hereby request permission to install the house lateral described below, at
Etc F-Doyn�-��L
Street Name: Z-- ��" s ct cU, (C -
Lot Number: -t- a-'3
Manhole: 13y(A To Manhole:
Station: IQ ?L4' (0 ,Left / Right
(('-� ) From J % to /D0 0020 / Al / Grade
( ) From standard lateral to drop at cleanout
oe0a tis0
1. /k Depth at cleanout /O (� / z s j�5'p a jd
This request is made on this date - 5 - p 3
BY: J • i , G.�c,
REPRESENTING:
Representative
APPROVED BY: Washington County Water and Sewer Department
Representative