HomeMy WebLinkAboutLat_13550PulaskiDriveWashington County, Maryland
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: MauQansville/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:
t.Street: 13550 PULASKI DRIVE
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: NORTH VILLAGE
Subdivison lot no.: 74
Subdivision phase: 2
Subdivison section:
Additional remarks:
*Connection related comments:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3420
Issue Date: 12/13/2004
*Void Date: 12/13/2005
Fees paid in full? YES
Date fees paid: 12/10/2004
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:
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 waterlsewer 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: 414J j 6 Date: 12/13/2004
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:C
4
PROJECT NAME: AJem f✓r 11.9 e Sec Z
``�� _ PROJECT N0: l� G' - 7
PROPERTY ADDRESS: Z4 T 7`f- � 3� 5 e,ee,4 5lt� DRAWING NO:
MAIN LOCATION:TREE /EASEMENT PU GSK' T3 e- - DATE INSTALLED: �2 7- Q/ -
PROPERTY OWNER NAME: MH 2 TO MH 4-21-=
PROPERTY OWNER ADDRESS:MAIN STATION: �' 't 2-0R c
SINGLE: _�_ DOUBLE:
CONTRACTOR: L� ����r %P CONNECTION ® MH:
SIZ k TYPE
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SIZE do TYPE
SERVICE PIPE
INVERT ®
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DEPTH
C/O (B)
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DEPTH (C)
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INUICATE TYPE OF LATERAL BY CRC•SSltl(: OUT OTHERS FOR CONNE`-:0.. TO MANHOLE. CHECK ABOVE.
AND LIST INVERT DIv%'�iJrJ B. AND OPOF' DIMENSION •C• (IF APPLIC4=,E!
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FLOW
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MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: \-J-e--Cc Tri4e-
WASHINGTON INSFE:=TOR
DIVISION OF PUBLIC WORKS
WASH/NGTOI� L-iJUNTY, MARYLANO
WATER AND SEWER
DEPARTINENT
Hivu ALL PERTINENT ITEMS
UPSTREAM
MH # 132o
REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 1 S--13.2