HomeMy WebLinkAboutLat_19226RockMapleDriveWashington County, Maryland
A Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
`R> L 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: MICHAEL R. IVOSEVICH
Applicant: M&K CONSTRUCTION
Street: 624 BEAVER CREEK ROAD
City: HAGERSTOWN
State: MD
Zipcode• 21740
For property located at:
Street: ROCK MAPLE DRIVE
City: HAGERSTOWN
State: MD
Aps, Zipcode:21740
,s the property in a subdivison? YES
Subdivision name: MAPLE VALLEY
Subdivison lot no.: 129
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3940
Issue Date: 08/15/2005
*Void Date: 08/15/2006
Fees paid in full? YES
Date fees paid: 08/10/2005
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 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: 13A"AT Date: 08/15/2005
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:
AWk
PROJECT NAME: MAPLE je&Iar �S�TES Z- PROJECT NO: I5Q-6oe-i40
PROPERTY ADDRESS: Lo -r ZcDRAWING NO:
MAIN LOCATION: STREET/E-*9@MCchL+ P4)1 -1k MIkPLA DATE INSTALLED:
PROPERTY OWNER NAME: / 4 ;z A6 MH 17" S t "-'S TO MH 13
PROPERTY OWNER ADDRESS: MAIN STATION: 1 �71-" t,r
SINGLE: _I.� DOUBLE:
CONTRACTOR:T��fZ- CONNECTION ® MH:
SIZE do TYPE
TEE/WYE
SIZE do TYPE
SERVICE PIPE
INVERT ®
MAIN (A)
DEPTH
C/O (B)
DROP
DEPTH (C)
D
E
F
13 x,H-
(Z. 20
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNEC-,O:: TO MANHOLE, CHECK AE, --'VE.
AND LIST INVERT DIMESiON 'B' AND DROP DIMENSION 'C' (IF APPLICA^Li
�HUW LA IERAL LOCAT;`)N, STATION'. UTIUT� CROSSINGS AND DINE':'"': LL PERTINENT ITEMS
FLOW
r, LEFT ,, ujweL'
DOWNSTREAM RIGHT
MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSFE�.:TOR
DMSION OF PUBLIC WORKS
0roN , WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPAR7MENT
TREAM
MH #
MH #
C '.TPl.CTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
JANUARY 1999 I 5-13.2 I