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Washington y, Maryland
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Department of Water Quality
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16232 Elliott Parkway �l la �� U
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: ADMAR CUSTOM HOMES
Applicant: ADMAR CUSTOM HOMES
Street: 5705 INDUSTRY LANE
City: FREDERICK
State: MD
Zipcode: 21704
For property located at:
Street: 13524 PULASKI DRIVE
City: HAGESTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE
Subdivison lot no.: 6
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3121
Issue Date: 03/08/2004
*Void Date: 03/08/2005
Fees paid in full? YES
Date fees paid: 03/08/2004
Type of EDU: RES
Number of EDU's: 1
Gallons per day allocation: 200
DWQ connection fee: $1,800.00
Misc. connection fees: $1,800.00
City fees paid to (city):
City fees (amount): $300.00
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: -4134-�T Date: 03/08/2004
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: `t'�"�'N `0 Plumbing Inspector:
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WASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MJF
Project. Nw" U1"&C
Street (or location): ir�SrC C�)rz, Ve
Contractor: Cuml3�LA�d V#,�,tjZj
Date Installed 81 I-1 (S 3
SANITARY SEWER LATERAL
CONSTRUCTION REPORT
MH IZZ1 TO MH 1I'LL
Wye Sta. On Main I -t111 L1
i�I-t:s�
WYE
SIZE -
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAVATION
LENGTH
LAYING LENGTH
Horiz. • Total
STPD.
84 y
�
I
Slope t Horiz. = Total
NOTES:
DROP
(A
Depth of Cleanout at Flow Line
Cleanout 3`1 Frorn'(--c)Fwye
Layed at z 012
N I A Basement Service
I-toz c.T'
MH # MHS
IZ2-1 122b
Amounts pertaining to work completed this period, revie d and approved.
BY
CSD INSPECTOR CO TRACTORS REPRESENTATIVE
WASHINGTON COUNTY SANITARY DISTRICT
AUGUST 13, 1984 Fs -2