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PROJECT NO:
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'ROPERTY ADDRESS: UTA
SERVICE PIPE
DRAWING NO:
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vIAIN LOCATION: STREET/EASEMENT `0I
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DATE. INSTALLED: 1164 f A
'ROPERTY OWNER NAME:
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SIZE & TYPE
SIZE & TYPE
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INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS, FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY: Lgalsl�_
WA I GTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, WARnmD
DEPARTMENT OF
'WATER QUALITY
RIGHT UPSTREAM
MH #
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTa:4BER ?0-04- 11 S-13.2
Washington County',
DEPARTMENT OF WATER QUALITY
16232 Elliott Parkway Williamsport, MD 21795
P: 240.313.2600 TDD: 7-1-1
PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT
PERMIT NUMBER: 5895
Permission is hereby given to :
Property Owner: ADMAR CUSTOM HOMES
Annlicant: ADMAR CUSTOM HOMES
Street
5703 INDUSTRY LANE
City
FREDERICK
State
MD
ZiD
21704
Connection Tyne (Residential I Commercial) : RES
Service TvDe: SEWER
Service Area: ST. JAMES
Service Code: 160
Additional Remarks:
EQuinment notes (Dump tyre, ect):
Fees paid in full?
Date fees paid:
DWO connection fee:
Misc. Connection fees:
Citv Fees Daid to:
City fees amount:
TOTAL FEES CHARGED:
Remarks
*Connection related comments:
SEE WESTFIELDS AGREEMENT FOR PAYMENT OF FEES
For property located at:
Street 13911 PATRIOT WAY
City HAGERSTOWN
State MD
ZiD 21740
Needs connected to Lateral (Yes I No)?
Issued Date:
*Void Date:
YES
Is the Dronertv in a subdivision?
8/1/2019
Subdivision Name:
6900
Subdivision lot no:
400
Subdivision Dhase:
Subdivision section:
TVDe of EDU
7300
Number of EDUs:
Gallons/dav allocation:
s/1/2019
8/1/2020
FREEDOM HILLS
167
RES
200
This permit is good for one (1) 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. Owner must contact Asst. Superintendant of Maintenance Toni Barnhart at 240-313-2600 at least 72 hours in advance of making the connection.
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 excavation, plumbing permits, etc.
ALL OTHER PERMITS, STATEAW LO AL, MUST BE OBTAINED BY THE PROPERTY O R ALL RESPONSIBILITY CONNECTED THERE WITHIN
REMAINS WI 1 THE PROPERTY
Signed:Date: (} ( '
V: at Nast 48 hours notice prior to requested date is required.
ON SIV
I INSPECTION will be made by: Washington County Plumbing Board
80 W. Baltimore Street
Hagerstown, MD 21742-4727
Phone 240-313-2460
Inspection Date: Plumbing Inspector:
=P� WASHINGTON COUNTY DIVISION OF PLAN REVIEW & PERMITTING
Washington County 80 West Baltimore Street Hagerstown, MD 21740-6003 240.313.2460 240.313.2461 j Hearing Impaired: 7-1-1
BUILDING & ZONING PERMIT
IVR/Record No: 2019-02872 Applied: 7/26/2019
Project No: P2019-0668 Approved:
Record Type: Residential New Constructio it I 1 Status: Review
Inspector Area: 62 ��� 1 l �
Job Address:
Location: S-18-019 Corner of Patriot Way, Lot 167
Tax Acct ID: 13008140
Zoning District: RT At 5U
Floodplain: No O� v
Owner: FREEDOM HILL HOMES LLC L
Applicant: ADMAR CUSTOM HOMES �oQ
5703 Industry Lane —A 1
5703 Industry Lane
Frederick MD 21704
Phone Number: (301)694-4600
Contractor: Admar Custom Homes
Phone No: (301)694-4600
r
Description: 2006 sq. ft. finished space one story single family dwelling on full unfinished walkout basement with rough in for
future bath, attached two car garage, covered front porch, frame construction, pre-engineered roof trusses
Freedom Hills, Section C-1, Lot 167
Foundation Size: 73 x 45
Type of Heat: Heat Pump
Public Sewer: Yes
Public Water: Yes
Gas: No
Electric: Yes
Valuation: $200,000.00
Code Enforced: 2015 IRC
Construction Type: Stick Built Home
Exterior Finish: Vinyl Siding/ Stone Veneer
Air Conditioning: Yes
Septic:
Time Existed:
Well:
Time Existed:
No. of Bathrooms: 2
No. of Half Bathrooms:
No. of New Bedrooms: 3
No. of Exist. Bedrooms:
Setbacks Proposed Minimum Required
Lot Tract Area 17,408.7 sq. ft. 15,000 sq. ft.
Front Yard Setback 32 30
Rear Yard Setback 0 0
Left Side Setback 13 10
Right Side Setback 17 10
Lot Width 85 85
* All final State Fire Marshal inspections (850), if required, must be scheduled directly through the State Fire Marshal's office at 301-
766-3888.
This permit has been reviewed by the Washington County Permitting Department and meets all applicable local and state codes
and ordinances. Should you have any questions, please contact our department at 240-313-2460 between the hours of 7:30 a.m.
through 4:30 p.m., Monday through Friday.