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HomeMy WebLinkAboutLat_13538PulaskiDrive306qNDIt t.,/ Washington County, Maryland Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 i1QjS10'j 240.313.2600 r"1 -LLA-) 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: 13538 PULASKI DRIVE City: HAGERSTOWN State: MD Zipcode:21740 Is the property in a subdivison? YES Subdivision name: NORTH VILLAGE Subdivison lot no.: 71 Subdivision phase: 2 Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3175 Issue Date: 06/09/2004 *Void Date: 06/09/2005 Fees paid in full? YES Date fees paid: 06/03/2004 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: -u4 j /3A-Ar)Date: 10/18/2004 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: - f —8 Q _ Plumbing Inspector: PROJECT NAME:_ Ajell) t� 162 Sem Z PROJECT NO: /1-5-6) - 7 PROPERTY ADDRESS: v T X71 /.5 .Sa3�Y Pwe_ DRAWING NO: MAIN LOCATION:TREE /EASEMENT �`�«3K 1 Y DATE INSTALLED: J _3 CI PROPERTY OWNER NAME: MH 1-3ZO TO MH 11',D -13 -Al PROPERTY OWNER ADDRESS: MAIN STATION: CONTRACTOR: SINGLE:. K_ DOUBLE: _ Dc ��?�r �L�.F' CONNECTION ®MH: SIZE do TYPE SIZE k TYPE INVERT ® DEPTH TEE WYE SERVICE PIPE MAIN (A) C/O (B) 325 INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS FOR CONNE: _:0:. TO MANHOLE. CHECK AEJ\E. AND LIST INVERT DIM-SiOU ,B. AND DR -OP DIMENSION 'C' (IF APPLICtFLE) DROP DEPTH (C) 'SHOW LATERAL LOCAT;` N. STATIOn, '_'TILT t', CROSSING:) AND LIIM.E',tQ ;'�: � • LL PERtINEtJT ITEMS FLOW DOWNSTREAM MH # C) LIST QUANTITIES FOR PAY ITEMS HERE: BY: ,Jlt--- -t -c Trt4e WASHINGTO,J , ,,UNI r INSFE _ TOR OMSION OF PUBLIC WORKS o++� WASH/NGTol, CUUN17, MARYLANO AW. WATER AND SEWER DEPARTMENT LEFT IGHT UPSTREAM MH # REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET JANUARY 1999 I S--13.2 'SHOW LATERAL LOCAT;` N. STATIOn, '_'TILT t', CROSSING:) AND LIIM.E',tQ ;'�: � • LL PERtINEtJT ITEMS FLOW DOWNSTREAM MH # C) LIST QUANTITIES FOR PAY ITEMS HERE: BY: ,Jlt--- -t -c Trt4e WASHINGTO,J , ,,UNI r INSFE _ TOR OMSION OF PUBLIC WORKS o++� WASH/NGTol, CUUN17, MARYLANO AW. WATER AND SEWER DEPARTMENT LEFT IGHT UPSTREAM MH # REPRESENTATIVE CO. NAME: GRAVITY SEWER SERVICE CONNECTION SHEET JANUARY 1999 I S--13.2