HomeMy WebLinkAboutLat_18735MesaTerraceWashington 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
Service Area: Maug_ansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: GALE & DORA BUSCH
Applicant: GALE & DORA BUSCH
Street: 18735 MESA TERRACE
City: HAGERSTOWN
State: MD
Zipcode• 21740
For property located at:
Street: 18735 MESA TERRACE
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: MISSION HILLS
Subdivison lot no.:
Subdivision phase:
Subdivison section:
Additional remarks:
Type of service: SEWER
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 4197
Issue Date: 06/05/2006
*Void Date: 06/05/2007
Fees paid in full? YES
Date fees paid: 06/05/2006
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): $5,000.00
Total fees charged: $7,100.00
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: &U4) 11-jud
Date: 06/05/2006
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: O� Plumbing Inspector: �l� V�LVJ.J1lJ 1
PROJECT NAME: ,'/ PROJECT NO: �s ?�
PROPERTY ADDRESS: `r 76 /F7J, %S�+ DRAWING NO:
MAIN LOCATION: (! CTR�EFA/EASEMENT /'%---lA DATE INSTALLED: A04'1 240PROPERTY OWNER NAME: ,��s iT MH �3� TO MH / 2316
PROPERTY OWNER ADDRESS: MAIN STATION: l 3< Gam_
SINGLE: --' DOUBLE:
CONTRACTOR: T d y �y«' s CONNECTION ® MH:
SIZE do TYPE
SIZE k TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
MAIN (A)
C/O (8)
DEPTH (C)
D
E
F
R1DICATE TYPE OF LATERAL BY CRC:SIIIG OUT OTHERS FOR CO.JNE;.-.O:. TO MANHOLE. CHECK ABODE.
AND LIST INVERT 'B' AND UPON DIMENSION V (IF APPLI!;42',E!
L.. �Ln..L Zvi �� .. n. ���� il�nt. Ilii 1 t AND DIVV,�s �, ALL PERTINEIJT ITEMS
FLOW IB�3S
FT
37A - / -f 3 0
DOWNSTREAM RIGHT
MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
B Y: �,1 - T'�- - 4,---
WASHINGTO,4 ;""UNI i INSEE: -'?OR
l DMSION OF PUBLIC WORKS
tor+, WASHINGTON :01INTY. MARYLAND
H17�`Lj
UWATER AND SEWER
.-)DEPARMENT
UPSTREAM
MH # 1436
i�G DR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S-13.2