HomeMy WebLinkAboutLat_18757MesaTerraceWashington County, Maryland
Department of Water Quality
16232 Elliott Parkway V i d' 1 /p 4
Williamsport, MD 21795 rfyl, j
240.313.2600
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
Type of permit: RES
Type of service: SEWER
Service Area: Maueansville/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: 18757 MESA TERRACE
City: HAGERSTOWN
State: MD
Zipcode•21740
Is the property in a subdivison? YES
Subdivision name: MISSON HILLS
Subdivison lot no.: 83A
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3145
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.
y d Nuun� wd'evsewer system, me mstauation 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:C5�4j j
/3Date: 04/14/2004
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 APR 16 2004
Phone: 240.313.2460
ITS AND
Inspection Date: Plumbing Inspector: NS
PROJECT NAME: /1-94ya'j //4
PROJECT NO: %
PROPERTY ADDRESs� far g 33 1 "153''
1.�� 5 � /�;Es� RLH-K�RAWING N0: /
MAIN LOCATION�STREET/ EE SA MENT y"���
�� DATE INSTALLED:
PROPERTY OWNER NAME:
Mll `TO MH ---
PROPERTY OWNER ADDRESS:
MAIN STATION: G'fo�L��{
CONTRACTOR: -7,U1
CONNECTION ® MH:
SIZE h TYPE
SIZE do TYPE
SIZE do TYPE
INVERT ®
DEPTH
TEE/ WYE
DOUBLE TE WYE
SERVICE PIPE
MAIN
C/O
A
B (LT)
C (LT
B (RTC
(RT)
2
(LT)
A o.-
D C
(R T)
SI IOW LATERAL LOCATION, STATION, UIILIIY
FLOW
CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
r
51.7' l ro.r �,>
LEFT
La
DOWNSTREAM
RIGIIT
MH #
UPSTREAM
MH !Y
LIST QUANTITIES FOR PAY ITEMS MERE:
BY: c
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
,��� WASHINGTON COUNTY, AfARYL/1N0
a
DOUBLE GRAVITY SEWER LATERAL
WATER AND SEWER
CONNECTION SHEET
DEPARTMENT