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HomeMy WebLinkAboutLat_18745MesaTerrace..0rONCIO Washington County, Maryland Aaw Department of Water Quality 16232 Elliott Parkway r 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: 341 A WOODPOINT AVENUE City: HAGERSTOWN State: MD Zipcode: 21742 For property located at: Street: MESA TERRACE City: HAGERSTOWN State: MD 00b" Zipcode:21740 Is the property in a subdivison? YES Subdivision name: MISSION HILLS Subdivison lot no.: 81 B Subdivision phase: Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3830 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• 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 $n 45 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: CJ Date: 08/09/2005 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 21740-4727 Phone: 240.313.2460 Inspection Date: I 6 lit Plumbing Inspector: %% Am1• PROJECT NAME: /SS�'"� PROJECT NO: 1-5 7d PROPERTY ADDRESS: 1,.Q Y7 f'�-/x'7117 M55P 7'rr"e- DRAWING NO: / Of i MAIN LOCATION: tTREE EASEMENT DESA 72?tfAL-" DATE INSTALLED: PROPERTY OWNER NAME: MH /'1-3q `TO MH l�F35� PROPERTY OWNER ADDRESS: MAIN STATION: CONTRACTOR: 777iPo �( 22 yaz- s C�°^ � �'" ;r CONNECTION ® MH: SIZE do TYPE SIZE do TYPE SIZE & TYPE INVERT ® DEPTTI A 113 (LT) C (LT /WYE DOUBLE TEE /�i SERVICE PIPE MAIN C/O .6,K 6 "x 6 (y it 4( ',c f-" G, 'S1),E' - 2 6, 5noe -.�.5" Serif. A1.140 qo (�7.Jr G.6' 9;2S (RTIC (RT S)HUW LATERAL LOCATION. STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW DOWNSTREAM MH H 1,431 LIST QUANTITIES FOR PAY ITEMS HERE: BY: �� PC WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNTY. MARYLAND WATER AND SEWER ti DEPARTMENT LEFT S77n . I f -,f- ' RIGIIT UPSTREAM MH N CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET ►►IIY -)nn-m I c__ 1 Z ')A