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Lat_19215RockMapleDrive
Washington County, Maryland Department of Water Quality oa)D r o3q� q 16232 Elliott Parkway Williamsport, MD 21795 Co/a J oy 240.313.2600 rmlr PUBLIC WATERISEWER 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: MAPLE VALLEY PROPERTIES Applicant: MASTERCRAFT BUILDERS Street: 13811 COUNTRYSIDE DRIVE City: MAUGANSVILLE State: MD Zipcode: 21767 Will DWQ need to connect the lateral to the mainline? Permit No.: 3039 Issue Date: 10/27/2003 *Void Date: 10/27/2004 Fees paid in full? YES Date fees paid: 10/27/2003 Type of EDU: RES umber of EDU's: 1 46- -:.tom a r." allons per day allocation: 200 For propertylocated at: ''DWQ connection fee: $2,800.00 Street: 19215 ROCK MAPLE DRIVE OCT 3 1 2003 Misc. connection fees: $.00 City: HAGERSTOWN City fees paid to (city): State: MD _ City fees (amount): $1,200.00 Zipcode: 21740 �LZ aiy i "� t AND Total fees charged: $4,000.00 Is the property in a subdivison? YES 1Na:?P—EC l IO Subdivision name: MAPLE VALLEY ESTATES l i V S Water 8i Sewer Department notes: Subdivison lot no.: 46 Subdivision phase: B Subdivison section: Additional remarks: *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: �+, � 13� / Date: 10/27/2003 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: 67-`� r©� _ Plumbing Inspector: _._ Awal PROJECT NAME:.•v —Y PROJECT NO: i50 Gb( PROPERTY ADDRESS:-. (421-<n, DRAWING NO: MAIN LOCATION: STREET/EAS DATE INSTALLED: 11- -0 PROPERTY OWNER NAME:—. 9o2/s 9'.x /,q MN i3iZ TO MH i PROPERTY OWNER ADDRESS: MAIN STATION: 3 +5-7. 5 R'Cr14 r CONTRACTOR: SIZE & TYPE TEE/WYE SIZE & TYPE DOUBLE TEE/WYE SIZE & TYPE SERVICE PIPE ice" r� z -4 - CONNECTION ® MH: INVERT ® DEPTH T MAIN C/p I A B (LT)IC (L B (RTC (RT un1<- - mrvv ulmt-VJIUN ALL PERTINENT ITEMS FLOW DOWNSTREAM MHN1317- LIST 12 LIST QUANTITIES FOR PAY ITEMS HERE: B Y: m tG 90110 WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS WASHINGTON COUNry, UARYLANO WATER AND SEWER DEPARTMENT LEFT RIGHT UPSTREAM xjlll� MH # N, L- 855 - CONTRACTOR'S RtPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET y MAY 2001 S_13.2A