HomeMy WebLinkAboutLat_13715PatriotWay(0(
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: FREEDOM HILLS LLC
Applicant: CREATIVE HOME BUILDERS
Street: 10715 DOWNSVILLE PIKE SUITE 102
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at:
Street:
City: HAGERSTOWN
State: MD
r► Zipcode: 21740
s the property in a subdivison? YES
Subdivision name: FREEDOM HILLS
Subdivison lot no.: 25
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3264
Issue Date: 08/30/2004
*Void Date: 08/30/2005
Fees paid in full? YES
Date fees paid: 08/30/2004
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: ;",,,,,' OA -40 -Date: 08/30/2004
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
Phone: 240.313.2460
Inspection Date: O ` ____ Plumbing Inspector:
PROJECT NAME: 1-ree-ctoiAC�� �� 5 /-37�J� fQ-�2�o t W PROJECT NO: t50 (o8,5
PROPERTY ADDRESS: ZOTS 2V Z1—' lIF06 TctSf/c'e. 6 • DRAWING NO: S ° Z
MAIN LOCATION: STREE EASEMENTus4t' ce Ci, DATE INSTALLED:
PROPERTY OWNER NAME: MH 130e- TO MH 13o
PROPERTY OWNER ADDRESS: MAIN STATION: 1+14•5' Leif
SINGLE: DOUBLE:
CONTRACTOR: �dYlc� �. N1aI-l� n CONNECTION ® MH:
SIZE & TYPE SIZE & TYPE SIZE & TYPE
TEE DOUBLE TEE YE SERVICE PIPE
8")( "x8`,.X4„X-4-” SDR- Z( -
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NO SCALE
WE, THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL THE
(PROPERTY ADDRESS)
DATE:
HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
ATTEST:
WASHINGTON COUNTY WATER & S`VVIR DEPT
PRIIJ IED NAIv1E
SIGP,IA l UP;
THIS FORM SHALL BE USED IN CONJUNCTION WITH THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DIVISION OF PUBLIC WORKS
WiiSHINCTiNV COUNTY, ,uwnwo MODIFIED SERVICE LATERAL
WATER AND SEWER GRAVITY SEINER
DEPARTIMEN7-
JANUARY, 1999 ( §-13-3A
AM
REQUEST TO ALTER SANITARY SEWER
SERVICE LATERAL
TO: Washington County Water and Sewer Department
16232 Elliott Parkway
Williamsport, MD 21795
We hereby request permission to install the house lateral described below, at
Wt
Street Name: s-Tz _ cc2\) 2 j
Lot Number: � y �- S
Manhole: _ /,3(2 To Manhole: _gyp
Station:
�LU. �N xKv
L�- it �f
522- !SIP
e
From ,�) '/c to 0 fa !a Grade
( ) From standard lateral to drop at cleanout
4s
(y)
Del'i'.- at t1eanout 1 (-
This request is made on this date _ 3 `A,- O
REPRESENTING:
Representative
APPROVED BY: Washington County Vater and Sewer Department
Representative