HomeMy WebLinkAboutLat_14102ShelbyCircleWashington County, Maryland
Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
240.313.2600
- PUBLIC WATER/SEWER SYSTEM CONNECTION P -
Type of permit: RES Tf
PERMIT
Service Area: Maugansville/Orchard Hills ype oservice: SEWER
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: 60 THOMAS JOHNSON DRIVE
City: FREDERICK
State: MD
Zipcode• 21702
For property located at.
Street: 14102 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
Zipcode: 21740
the property in a subdivison? YES
Subdivision name: TWIN
Subdivison lot no.: 51
Subdivision phase: 1
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3433
Issue Date: 12/1_ 5/2004
*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: S300.00
City fees paid to (city):
City fees (amount): S1,800.00
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 ifro e
connected by the permit void date.
p p rty is not
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 TH
WITH REMAINS WITH THE PROPERTY OWNER.
ERE
Signed: ,-U4 Date: 12/15/2004
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: � I
Plumbing Inspector:
PROJECT NAME: W t6
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PROJECT NO:Sp•
1.5'0 - 71y
PROPERTY ADDRESS: LOTS 5'11
Sz -/-/ioY
DRAWING NO:
TEEAOD
MAIN LOCATION: STREET/EASEMENT
s516e.116Y La^ �'
DATE INSTALLED:
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PROPERTY OWNER NAME:
MH 1S2 61 TO
MH /JSx 7
PROPERTY OWNER ADDRESS:
(032. 9,/
MAIN STATION:
2 -'i's' 44
CONTRACTOR: Pum4zbErry Zrc4he rs SNc . CONNECTION ® MI -1: i✓rf
SIZE k TYPE
SIZE do TYPE
SIZE do TYPE
INVERT ®
DEPTH
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SERVICE PIPE
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SHUW LAILRAL LOCATION. STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
DOWNSTREAM RIGI I T
MH N /S26
LIST QUANTITIES FOR PAY ITEMS HERE:
I BY: 0-. Tr;+c.
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNVY. MARYLAND
y WATER AND SEWER
DEPARTMENT
UPSTREAM
MH p /.`Z-7
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
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