HomeMy WebLinkAboutLat_18755MesaTerraceChu\ aqq
Washington County, Maryland Ci
Department of Water Quality
16232 Elliott Parkway V 1 0j rl l a `1
Williamsport, NID 21795 nyv-w
240.313.2600
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES Type of service: SEWER
Service Area: MauQansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: JOE KLINE
Applicant: JOSEPH KLINE
Street: 16904 BAKERSVILLE ROAD
City: BOONSBORO
State: MD
Zipcode: 21713
For property located at:
Street: 18755 MESA TERRACE
City: HAGERSTOWN
State: MD
Zipcode• 21740
Is the property in a subdivison? YES
Subdivision name: MISSION HILLS
Subdivison lot no.: 83B
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3146
Issue Date: 04/14/2004
*Void Date: 04/14/2005
Fees paid in full? YES
Date fees paid: 04/13/2004
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�414 6A Date: 04/14/2004
INSPECTION: At least 48 hours notice prior to requested date is required. IL V
ON SITE INSPECTION will be made by: Washington County Plumbing Board
80 W. Baltimore Street
Hagerstown, MD 21740-4727 APR 16 2004
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Phone: 240.313.2460
ERiUIiTS AND
Inspection Date: 9 17 �W Plumbing Inspector:
9
PROJECT NAME: ,1ssa'y 1� //r- PROJECT NO: IJ -6 - ?G
PROPERTY ADDRESS OF 63 I�K75S- 4 Q -7S7 ln-tSA T cgbRAWING NO:
MAIN LOCATIONDATE INSTALLED: - )-Jv Y
PROPERTY OWNER NAME: M I I "TO MH
PROPERTY OWNER ADDRESS: MAIN STATION: G' O SLe
CONTRACTOR: __%/ �aoloc s CONNECTION ®MN:
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
, LOM cam* WASHINGTON COUNTY, WRYLAND
WATER AND SEWER
DEPARTUENT
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
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