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HomeMy WebLinkAboutLat_13547PulaskiDriveW oTo-x CIO Washington County, Maryland A Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 240.313.2600 PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT Type of permit: RES Type of service: SEWER Service Area: Maueansville/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: 13547 PULASKI DRIVE City: HAGERSTOWN State: MD Zipcode:21740 Is the property in a subdivison? YES Subdivision name: NORTH VILLAGE Subdivison lot no.: 67 Subdivision phase: 2 Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3215 Issue Date: 07/15/2004 *Void Date: 07/15/2005 Fees paid in full? YES Date fees paid: 07/15/2004 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:e� 13r Date: 12/03/2004 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: © Plumbing Inspector. PROJECT NAME: `'J�'1 �� f �9 e Sec . Z PROJECT NO: l':� U — PROPERTY ADDRESS: LOT G> �� 3✓�5�� ���5�� DRAWING NO: MAIN LOCATION:TREE /EASEMENT Pu �a5k 09- DATE INSTALLED: PROPERTY OWNER NAME: MH /�/`� TO MH PROPERTY OWNER ADDRESS: MAIN STATION: O f 7/ Leif SINGLE: _A!!'--_ DOUBLE: CONTRACTOR: �� ��?�r %P CONNECTION ® MH: SIZ k TYPE TEE WYE SIZE k TYPE SERVICE PIPE INVERT ® MAIN (A) DEPTH C/O (B) DROP DEPTH (C) D E F L Tr -C- Ur Lh'LrlAL tiY CRC'SSIrJG OUT OTHERS FOR COiJNEC-:O;. TO MANHOLE. CHECK AEJ\/E. AND LIST INVERT [)Iti1� ;OrJ 'B' AND DR -,)P DIMENSION 'C' (IF APPLICA=,E� :HOW LATERAL LOCAT; N STnTIOfJ. '_ TILlf'r CRO )SIHG:� AND DIME'S g; i.LL PERTINENT ITEMS FLOW LEFT DOWNSTREAM MH # I Sic) LIST QUANTITIES FOR PAY ITEMS HERE: BY: ,,_]7e C�' WASNINGTO'J LINTY INSFE _ TOR DMSION OF PUBLIC WORKS +WASHINGTCW (-UUNlr. MARY 4NO w4.. WATER AND SEWER DEPARTNEW RIGHT UPSTREAM MH # (3Zv r?LC ;c)R'S REPRESENTAT,\rE CO. NAME: GRAVITY SEWER SERVICE CONNEC11ON SHEET JANUARY 1999 1 S-13.2