HomeMy WebLinkAboutLat_19107RedMapleDriveCro.,, COG Washington County, Maryland
411111. 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: Maugansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: GREGORY ADKINS
Applicant: GREGORY ADKINS
Street: 341 A WOODPOINT AVENUE
City: HAGERSTOWN
State: MD
Zipcode: 21742
For property located at:
Street: 19107 RED MAPLE DRIVE
City: HAGERSTOWN
State: MD
Aplh� Zipcode:21740
.s the property in a subdivison? YES
Subdivision name: MAPLE VALLEY
Subdivison lot no.: 137
Subdivision phase: C
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3726
Issue Date: 06/20/2005
*Void Date: 06/20/2006
Fees paid in full? YES
Date fees paid: 06/20/2005
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:
*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 supersede 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: 64 j a� j Date: 06/20/2005
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
Inspection Date: Plumbing Inspector:
PROJECT NAME: ( 'alp'e- VC3/(e-N Esra-+c-s PROJECT N0: 457
PROPERTY ADDRESS- Lo 3 DRAWING NO: `� Zy
MAIN LOCATION: /EASEMENT e 19107 DATE INSTALLED:
PROPERTY OWNER NAME: MH l°3,6 TO MH 14-1y
PROPERTY OWNER ADDRESS: MAIN STATION: % f' 40 RT-
SINGLE:
rSINGLE: —lef!!�_ DOUBLE:
CONTRACTOR: CONNECTION ® MH:
SIZE & TYPE
TEE/WYE
SIZE & TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (8)
DROP
DEPTH (C)
D
E
F
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS FOR CONNE: :0:. TO MANHOLE. CHECK AEJvE,
AND LIST INVERT DIM% �--iOH 'B' AND DROP DIMENSION 'C' (IF APPLIC.-,E,E )
=MUVV LHILMAL LUI,W -.jr\�. --)IAIIUri. �!II01Y ANG -LL PERTINENT ITEMS
FLOW
LEFT
u
DOWNSTREAM RIGHT UPSTREAM
MH # /3/(0 -� y MH # /4(?
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: 1 1
WASHINGTO,',I OUIJT i INSFE :'OR
DMSION OF PUBLIC WORKS
WAStuNCTO'J %vUNTr. MARYLAND
WATER AND SEWER
DEPARTMENT
"`;TPeCTuR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEINER SERVICE
CONNECTION SHEET
JANUARY 1999 ' S-13.2