HomeMy WebLinkAboutLat_14101ShelbyCircleWashington 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: DAN RYAN BUILDERS
Applicant: DAN RYAN BUILDERS
Street: 1829 HOWELL ROAD SUITE 4
City: HAGERSTOWN
State: MD
Zipcode: 21742
For property located at:
Street: 14101 SHELBY CIRCLE
City: HAGERSTOWN
am. State: MD
Zipcode: 21740
Is the property in a subdivison? YES
Subdivision name: TWIN RIDGE
Subdivison lot no.: 69
Subdivision phase: I
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3429
Issue Date: 12/15/2004
*Void Date: 12/15/2005
Fees paid in full? YES
Date fees paid: 12/13/2004
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:
*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.
�• ro F 11 —1-1ewes sysiern, cne mstanauon or 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: ---t4) '/ Date: 12/15/2004
F-.. 11"IN. ru least va nours 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:o CS Plumbing Inspector: 1 )
ANk
PROJECT NAME:_ TW►►� I qe/�`f��� PROJECT NO:SA. /SO - 7/A{
PROPERTY ADDRESS: L aTS d ? ' 70 - l X10,3 DRAWING NO: 3
MAIN LOCATION: STREE /EASEMENT_sA►,/Xy 4aie_- DATE INSTALLED -3 -0t -
PROPERTY OWNER NAME: MH /.I -Z(, 'TO MH /327
PROPERTY OWNER ADDRESS: MAIN STATION:
CONTRACTOR: 3"7uA142berry Zrc4;.ors 1^/c. CONNECTION ® MH: lXz7®9o'
SIZE & TYPE SIZE & TYPE SIZE & TYPE INVERT ® DEPTH A B (LT) C (LT)
TEE DOUBLE TEE SERVICE PIPE MAIN C/O
S�Jr4 r 8" 6" x 5(-" &'saa - Z6
SDS scu. #* �F"aos�. qo /o • /o. S S /.S
(RTIC (R
I S " 11.5-'1
IL-IN.IL- LU�,I� iiUrv, Ilk IJUN, U nu I Y UHUSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
DOWNSTREAM RIGHT UPSTREAM
MH N /.f24- MII # /-2 7
LIST QUANTITIES FOR PAY ITEMS HERE:
BY: 0-' Tr;+e.
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
r WASHINGTON COUNTY, MARYLAND
WATER AND SEWER
DEPARTMENT
aRTL►�
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
MAY 7001 1 Q-1 -Z -)A