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HomeMy WebLinkAboutLat_13537PulaskiDrivet`,,r"K0 W CQG Washington County, Maryland Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 �'' R *L I., 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: 13537 PULASKI DRIVE City: HAGERSTOWN State: MD Zipcode:21740 the property in a subdivison? YES Subdivision name: NORTH VILLAGE Subdivison lot no.: 69 Subdivision phase: 11 Subdivison section: Additional remarks: *Connection related comments: Will DWQ need to connect the lateral to the mainline? Permit No.: 3541 Issue Date: 03/15/2005 *Void Date: 03/15/2006 Fees paid in full? YES Date fees paid: 03/11/2005 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: This permit is good for one year from issuance date. A fee differential may be charged to reflect allocation fee increases if property isnot 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: Q a' j Date: 03/15/2005 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 q1 Inspection Date: Plumbing Inspector: PROJECT NAME: /1JA:'11 t l //ale 6,e C. Z' PROJECT NO: .33.3.7 Pcl LA 5K� PROPERTY ADDRESS: LOT �� / DRAWING N0: MAIN LOCATION:TRE /EASEMENT R /arK'* �i'e " DATE INSTALLED: J -3 PROPERTY OWNER NAME: MH (jo'13W TO MH PROPERTY OWNER ADDRESS: MAIN STATION: C> f 79 Gf4q SINGLE: DOUBLE: CONTRACTOR: ��������'� CONNECTION ® MH: STYPE SIZE do TYPE INVERT ® DEPTH DROP NYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F (�11,5vA> - z k,G3%.�/ Sbn -3,5- lye".scw- Ifo INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS FOR COiJNE:.7:0:. TO MANHOLE. CHECK AEJvE. AND LIST INVERT DIN!=SiON 'E' AND DR -,-)P DIMENSION 'C' (IF APPLIC4^,E! HOW LATERAL LOCnT;,�t\, STATIOhJ. �_'TI�iJi CROSSING:, ANG ALL PERIINE14T ITEMS FLOW as DOWNSTREAM MH # /3d -O LIST QUANTITIES FOR PAY ITEMS HERE: BY: je-f,.c TrJe- WASHINGTON LINT INSFE::TOR l I DMSION OF PUBLIC WORKS WASHINCTO,.' wUNI r. MARYLAND WATER AND SEWER DEPARTMEWT LEFT RIGHT UPSTREAM MHp/3a/ REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET JANUARY 1999 1 S--13.2