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T0)f 00 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: 341 A WOODPOINT AVENUE
City: HAGERSTOWN
State: MD
Zipcode: 21741
For property located at:
Street: MESA TERRACE
City: HAGERSTOWN
State: MD
Zipcode: 21740
the property in a subdivison? YES
Subdivision name: MISSION HILLS
Subdivison lot no.: 65A
Subdivision phase: A
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3818
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
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 21740-4727
Phone: 240.313.2460
Inspection Date: Plumbing Inspector:
7
r
IR/Activity No:
Project No:
Permit Type:
Inspector Area:
BUILDING PERMIT
2005-07622
P2005-2053
RES -NEW
B2
Job Address:
Location: LOR MESA TERRACE
Parcel No: 024-11-1072-00065
Zoning Dist: AGRICULTURAL
Floodplain: C
Applicant: ADKINS GREGORY
341 A WOODPOINT AVENUE
HAGERSTOWN, MD
21742
Phone Number: 301-714-2996
Owner: ADKINS GREGORY J
Contractor: ADKINS GREGORY
Phone Number: 301-714-2996
Contractor Lic. No:HB-2973
Applied:
Approved:
Status:
06/29/2005
PENDING
Lf
Description:
ONE STORY DUPLEX ON CONCRETE SLAB, TWO CAR GARAGE ATTACHED
P&TH NO FINISHED AREA ABOVE, NO CHIMNEY, NO DIRECT VENT, NO
CK, COVERED FRONT PORCH
-SSION HILLS, SECTION A, LOT Y, SIDE A
Foundation Size: 321X60' Exterior Finish: BRICK/VINYL
Air Conditioning: Y
Type of Heat ... :HEAT Septic .............
Public Sewer ... :Y Time Existed:
Public Water. ...Y Well .............
Gas ... ...... ....N Time Existed:
Electric ....... .Y
Code Enforced: 1995 CABO 1&2 FAMILY DWE Construction Type:
2FAM
Valuation: $75,000.00 No. of Bedrooms: 3
No. of Bathrooms: 2
Setbacks
Lot Tract Area
Lot Area Per Family
Front Yard Setback
Rear Yard Setback
Left Side Setback
Right Side Setback
Lot Width
Proposed
.33 ACRES
.33 ACRES
49.41
37.59
15.2
0
100
Minimum By Ordinance
20,000
20,000
40
37.25
fir—
15
f
JUN 3 0 2005
15 l
100
t a 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:
AdNk
PROJECT NAME: _��/SS'o.�/ ��S
PROJECT N0: /.Sd
PROPERTY ADDRESS:/ -o7- 6 67 /y'76 Me q 7�l�k'A'c->✓ DRAWING NO: i ! _
MAIN LOCATION: TREE EASEMENT _ PlklA 7r�E'AL� DATE INSTALLED:
PROPERTY OWNER NAME: MIT ILF��I `TO MN
PROPERTY OWNER ADDRESS: MAIN STATION: �-�'-S�-Ss� p,G,R"l
CONTRACTOR:
SIZE do TYPE SIZE do TYPE SIZE & TYPE
IWYE DOU13LE TEE SERVICE PIPE
16"K67x8 (sit 4('+r G ",j -J-- 26
5Die Sc:N . A- ld 4L, Scsl . yo
CONNECTION ® MH:
INVERT ® DEPT}I
MAIN CSO A B (LT) C (LT
17S' 3.2.5-' zs'
B (RTIC (RT
fi WM � =rz
SHOW LATERAL LOCATION. STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
5T-4- I
DOWNSTREAM RIGI I T
MH # 1413y
LIST QUANTITIES FOR PAY ITEMS HERE:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
A�STO11 cam{ {VAST INGTON COUNTY. MARYLANO
a
WATER AND SEWER
, DEPARTMENT
UPSTREAM
MH N�
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
11 A V n— r i. — _.