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HomeMy WebLinkAboutLat_17830JusticeCourtPROJECT NAME: PROPERTY ADDRESS: ZvTs PROJECT NO: ��o / DRAWING NO: a '6:�17- MAIN LOCATION: STREE EASEM NT �1RSTice L'. PROPERTY OWNER NAME: DATE INSTALLED: 3 "�- 3 PROPERTY OWNER ADDRESS: MH 4— 9 TO MH MAIN STATION: 0424 Gam{ CONTRACTOR: -- CONNECTION ®MH: SIZE do JYPE SIZE k TYPE 1 DOWNSTREAM RIGHT MH N= UPSTREAM MH N `j��6 LIST QUANTITIES FOR PAY ITEMS HERE: B Y: J—, glee WASHINGTON COUNTYINSPECTOR DIVISION OF PUBLIC WORKS r� WASHINGTON COUNTY, MARYLAND WATER AND SEWER DEPARTMENT CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET MAY 2001 -) n `��T°h �,� Washington County, Maryland 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: FREEDOM HILLS LLC Applicant: CREATIVE HOME BUILDERS Street: 10715 DOWNSVILLE PIKE City: HAGERSTOWN State: MD Zipcode• 21740 For property located at: Street: 17830 JUSTICE COURT City: HAGERSTOWN State: MD Ab- Zipcode:21740 s the property in a subdivison? YES Subdivision name: FREEDOM HILLS Subdivison lot no.: 18 Subdivision phase: A Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3512 Issue Date: 03/01/2005 *Void Date: 03/01/2006 Fees paid in full? YES Date fees paid: 03/01/2005 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. W hen 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: 64,14 ) /3 j Date: 03/01/2005 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 /i• Hagerstown, MD 21740-4727 Phone: 240.313.2460 Inspection Date: 5 1 1 ',c'- /015 Plumbing Inspector: