HomeMy WebLinkAboutLat_13542PulaskiDriveyb=� Washington County, Maryland
Department of Water Quality
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16232 Elliott Parkway
Williamsport, MD 21795
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240.313.2600 I ate°
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: 13542 PULASKI DRIVE
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE
Subdivison lot no.: 72
Subdivision phase: 2
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3176
Issue Date: 06/09/2004
*Void Date: 06/09/2005
Fees paid in full?
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: ma) 6A -14r 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: //`I?- t Plumbing Inspector:
PROJECT NAME: / OOVII t1 /la9 C Sec Z PROJECT NO:l� U - 7
PROPERTY ADDRESS: ;;�35`%� �c/�gski DRAWING N0:
MAIN LOCATION: TREE /EASEMENT —Pl,(d Kip Ae . DATE INSTALLED:' o -0304PROPERTY OWNER NAME: MH i�y
PROPERTY OWNER ADDRESS: TO MH
MAIN STATION:y -FO9 flf6A(-r
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CONTRACTOR: SINGLE: �_ DOUBLE:
D�/���r��.P CONNECTION ®MH:
SIZ do TYPE SIZE do TYPE INVERT ® DEPTH
TEE EWYE SERVICE PIPE MAIN (A) C/0 (B)
INDICATE TYPE OF LATERAL BY CROSSIt1C. OUT OTHERS
AND LIST INVERT [)Iti!; SiJhl 'E' AND DPOP DIMENSION .0
DROP
DEPTH (C)
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FOR COtJNE:.':0:. TO MANHOLE. CHECK ABOVE.
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""UW LAtERAL LOCAT;IN STATIOtl. �TIUT'r CROiSItJG:> AIJD C�IM.E':�;;�; ALL PERTINENT ITEMS
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY: ,le -TIC Tri e-
WASIdINGTOtJ INSFE::?OR
OMSION OF PUBLIC WORKS
IGTa+ WASHINGTON COUNTY. MARY ANO
WATER AND SEWER
DEPAW WENT
LEFT
RIGHT UPSTREAM
MH # 3zi
;BR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S--13.2