HomeMy WebLinkAboutLat_17817JusticeCourt% Washington County, Maryland
Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
240.313.2600 )1a)3j(0Lj
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PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES Type of service: SEWER
Service Area: Mauizansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: CREATIVE INVESTMENTS
Applicant: CREATIVE INVESTMENTS
Street: 10715 DOWNSVILLE PIKE SUITE 102
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at:
Street: 17817 JUSTICE COURT
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name:
Subdivison lot no.: 11
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3203
Issue Date: 07/02/2004
*Void Date: 07/02/2005
Fees paid in full? YES
Date fees paid: 07/02/2004
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):
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: C5�4Date: 07/02/2004
1NN'hUl IUN: 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: !0 Sze ` o�( Plumbing Inspector:
L
PROJECT NAME: t'r-eeda'l lis PROJECT NO: rotl3
PROPERTY ADDRESS:. Z--rs I1%2- l7F/7 /-7,P2/ J- 5fiCe- DRAWING NO: 'f- 1/'
WAIN LOCATION:STRE EASEMENT usf ce C�- DATE INSTALLED: �3- 1a -y-3
PROPERTY OWNER NAME: MH ISO --/100 TO MH tfy- 130
PROPERTY OWNER ADDRESS: MAIN STATION: P/d f,6,y-r
SINGLE: DOUBLE: __ t,�—
CONTRACTOR: Doy'c/ 1/ wldr ill CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE
tEE wY DOU13LE 1EE �
D IE (RT) IF (LT)
<2'
SIZE & IYIlE INVERT (0 DEP111
SERVICE PIPE MAIN C/O
v"'s-CN, 4, J q�
F SL.S a iu✓. Fes-✓. = X96. `�'I --
A B (LT) C (LT
B (RTC (RT
'Y �/ S/
NO SCALE
WE, THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL THE
HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
(PROPERTY ADDRESS)
DATE: ,3 -12 - o3
ATTEST: J
WASHINGTON COUNT, WATER & SE'WEP DFPT
PRiN ILL) NAME
Sic.>��n T Ung
THIS FORM SMALL BW114E USED IN CONJUNCTION 114 THE GRAVITY SEWER SERVICE CONNECTION SHEET,
a STANDARD DETAIL S-3.3.
DMSION OF PUBLIC WORKS
WrISNINGTUN COUNTY, Uwltiw0 MODIFIED SERVICE LATERAL
s WATER AND SEWER GRAVITY SEWER
DEPARTMENT
JANUARY, 1999 1S-.13.3 A
REQUEST TO ALTER SANITARY SEWER
SERVICE LA'T'ERAL
TO: Washington County Water and Sewer Department
16232 Elliott Parkway
Williamsport, MD 21795
We hereby request permission to install the house lateral described below, at
Sfaeet Narne: T�iS`�ie COY -
Lot Number: 1 1 4- �Z
N
Manhole: 30 3' To Manhole:
ttion: I f 17, q Left / i ht
( x) From % to Grade
( ) From standard lateral to drop at cleanout
o9,aP 4s'
(x) Depth at cleanout /G - / Z 5 �G . SO � -:2 �6
This request is made on this date
BY: 1 �ac�ci
REPRESENTING:
Representative
APPROVED BY: Washingtop County Water and Sewer Department
WCWSD Representative