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PROJECT NAME: PROJECT N0:
PROPERTY ADDRESS: 64 M(-5td �DRAWING NO:
MAIN LOCATION: STREET/EASEMENT I7041ATlE" tx"t DATE INSTALLED:
PROPERTY OWNER NAME: M I I /--,'3H TO MH ��35
PROPERTY OWNER ADDRESS: MAIN STATION: 2+68.5 Rt'(i +r
CONTRACTOR:. �cy 73�cr,-s CONNECTION ® MH:
SIZE do TYPE
SIZE do TYP
SIZE do TYPE
INVERT ®
DEPTH
A
B (LT)
C (LT
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DOUBLE TEE
SERVICE PIPE
MAIN
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SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL P
FLOW
LEFT
DOWNSTREAM RIGIIT
MH N 1, U.34
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
VIVISION OF PUBLIC WORKS
C
am{ IVASIIINGtON COUNTY, MARYCANO
a
WATER AND SEWER
DEPARTMENT
5Ts4, 2-r*—cx� �i'
UPSTREAM
MH N
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
` OTOS 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: GREGORY ADKINS
Applicant: GREGORY ADKINS
Street: 17826 VIRGINIA AVENUE
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at.
Street: E
City: HAGERSTOWN
State: MD
Zipcode•21740
s the property in a subdivison? YES
Subdivision name: MISSION HILLS
Subdivison lot no.: 64A
Subdivision phase: A
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3817
Issue Date: 08/10/2005
*Void Date: 08/10/2006
Fees paid in full? YES
Date fees paid: 08/10/2005
Type of EDU: RES
Number of EDU's• I
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: ) 13j Date: 08/08/2005
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 217404727
Phone: 240.313.2460
Inspection Date: Plumbing Inspector:
BUILDING PERMIT
SJR/Activity No: 2005-07967 Applied: 07/06/2005
Project No: P2005-2198 Approved:
Permit Type: RES -NEW Status: PENDING
Inspector Area: B2
Job Address: 13901 SWEET VALE DRIVE HN
Location: LOR MESA TERRACE
Parcel No: 024-11-1072-00064
Zoning Dist: AGRICULTURAL
Floodplain: C
Applicant: ADKINS RYAN
17826 VIRGINIA AVENUE
HAGERSTOWN, MD D
21740
Phone Number: 301-992-2280
Owner: ADKINS GREGORY J
Contractor: ADKINS GREGORY
Phone Number: 301-714-2996
Contractor Lic. No:HB-2973
Description:
ONE STORY DUPLEX ON CONCRETE SLAB, TWO CAR GARAGE ATTACHED
WITH NO FINISHED AREA ABOVE, NO CHIMNEY, NO DIRECT VENT, NO
,WMW,K, COVERED FRONT PORCH
1SION HILLS, SECTION A, LOT 64, SIDE A
Foundation Size: 32'X60'
Type of Heat ... :HEAT
Public Sewer ... :Y
Public Water ... :Y
Gas ... ..........N
Electric ....... .Y
Exterior Finish: BRICK/VINYL
Air Conditioning: Y
Septic ............. N/A
Time Existed:
Well ............. N/A
Time Existed:
Code Enforced: 1995 CABO 1&2 FAMILY DWE
2FAM
Valuation: $75,000.00
Setbacks Proposed
Lot Tract Area .33 ACRES
Lot Area Per Family .33 ACRES
Front Yard Setback 50.8
Rear Yard Setback 37.62
Construction.Type:
No. of Bedrooms: 3
No. of Bathrooms: 2
Minimum By Ordinance
20,000 SQ FT_(�
40
20,000 E �7
37.25_.
Left Side Setback 15.15 15CC S1 JUL 8 2005
Right Side Setback 0
0 L l L.; a
Lot Width 100 100
il►w../r NATER &
., signature below by the reviewer is an indication that the applicant has
signed the permit application signature sheet and thereby agrees to perform
the work in accordance with the conditions of this permit.
REVIEWED BY: