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Washington 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: Maugansville/Orchard Hills Building Permit No.: WASHCO account No.: 0 Service Area No.: 150 Permission is hereby given to: Property Owner: MAGNUM CENTER Applicant: PATRIOT HOMES Street: 10211 WINCOPIN CIRCLE SUITE # 300 City: COLUMBIA State: MD Zipcode: 21044 For property located at: Street: 18318 ROYCROFT DRIVE City: HAGERSTOWN State: MD • Zipcode•21740 is the property in a subdivison? YES Subdivision name: SENECA RIDGE TOWN HOMES Subdivison lot no.: 80 Subdivision phase: Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 4091 Issue Date: 02/06/2006 *Void Date: 02/06/2007 Fees paid in full? YES Date fees paid: 02/06/2006 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): $5,000.00 Total fees charged: $7,100.00 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: ) &:� Date: 02/06/2006 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: 5 r Q E L A g l vhf PROJECT NO:Z- PROPERTY ADDRESS: _� 3�Y-rowoMaJsF CCUF-T DRAWING NO: j 2;-py.34- MAIN LOCATION: <S�_T EASEMENT L_Crt- S 0 DATE INSTALLED: %1-3 os PROPERTY OWNER NAME: MH i L � � TO MH i 35 ? PROPERTY OWNER ADDRESS: MAIN STATION: -+Ja 5 L-- SINGLE: ✓ DOUBLE: — CONTRACTOR: �y►-�� �fi Psi 1 R �, d-�►c. CONNECTION ® MH: W SIZE k TYPE SIZE do TYPE INVERT ® DEPTH DROP TEE/WYE SERVICE PIPE MAIN (A) C/O (B) DEPTH (C) D E F PYc, x 4ry PvL (" 4�� , i � l© `� I t^, ^ -- tv ? ` r: L — a,�" ,.A"` INDICATE TYPE OF LATErRAL BY CROSSING OUT OTHERS FOR COiJNEC".0:. TO MANHOLE. CHECI< AEJvE. AND LIST INVERT DIM SiOrJ •o. AND DROP DIMENSION 'C• (IF APPLIC4BLE) L nMj 1 AT. - D A i /\/ IT•-... rte. FLOW . I ,•• .iii. _ 1L. I �,.AP&I 111M•t ": iLL PERTINENT ITEMS LEFT DOWNSTREAM RIGHT MH # LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON LINT f INSFE :?OR DIVISION OF PUBLIC WORKS ll & WASHINGTOI, �OUNTr, MARYLANO WATER AND SEWER DEPARTJNENT e,'Ur:')E- UPSTREAM MH # ►c 7 REP ESENTATiivE CO. NAME: /T dr��Z b�f`r'SI GRAVITY SEWER SERVICE CONNECTION SHEET JANUARY 1999 1 S-13.2