HomeMy WebLinkAboutLat_18747MesaTerraceWashington 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: Mau>;ansville/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
Zipcode:21740
is the property in a subdivison? YES
Subdivision name: MISSION HILLS
Subdivison lot no.: 81
Subdivision phase:
Subdivison section: A
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3831
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: 6 i '04:4 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
11111'"k Hagerstown, MD 21740-4727
Phone: 240 313 2460
Inspection Date: \ ` ` v� Plumbing Inspector: \J A
PROJECT NAME: 111�.55o"� / //S PROJECT NO: /.fid 7Z3�
PROPERTY ADDRESS: L�7� � � /,��y5 �C5p ��(rAc_� DRAWING N0:
MAIN LOCATION: TREE EASEMENT /7 ESA Zc7''AG� DATE INSTALLED: "Loaf
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PROPERTY OWNER NAME: �
PROPERTY OWNER ADDRESS: MAIN STATION: /f 8g Le
CONTRACTOR:
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CONNECTION ®MH:
SIZE k TYPE
SIZE do TYPE SIZE do TYPE
INVERT ® 1 DEPTH A
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DOUBLE TEE SERVICE PIPE
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SHOW LATERAL LOCATION. STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY: je PC 7r-tfe
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
cif WASHINGTON COUNTY. MARYUNO
WATER AND SEWER
DEPARTMENT
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RIGHT
UPSTREAM
MH # /0,5
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET