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HomeMy WebLinkAboutLat_14108ShelbyCircle#0 - Washington County, Maryland Department of Water Quality 16232 Elliott Parkway Williamsport, NM 21795 240.313.2600 - PUBLIC WATER/SEWER 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: DAN RYAN BUILDERS Applicant: DAN RYAN BUILDERS INC Street: 1829 HOWELL ROAD SUITE 4 City: FREDERICK State: MD Zipcode• 21742 For property located at: Street: 14108 SHELBY CIRCLE City: HAGERSTOWN �• State: MD Zipcode: 21740 the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 53 Subdivision phase: 1 Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3427 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: 11,800.00 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 shall co of the previous private system nform with the provisions of Maryland State laws and County policy. This permit does not supersede 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: 6wta6-� 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 �� In Plumbingspector� L./ PROJECT NAME: W t I CA qe / `ll()r .-ROJECT NO:SD. /So - 71 q PROPERTY ADDRESS: L o-rs J:3 S`f -/ //0 DRAWING NO: 15 MAIN LOCATION: STREET EASEMENT S%1 �lY Lan DATE INSTALLED: 313 -O�_ PROPERTY OWNER NAME: MH Zfo 'TO MH /,32 7 PROPERTY OWNER ADDRESS: MAIN STATION: CONTRACTOR: _ 1-1[I�f4Lberrq 'Brc4;-m rs .rmc • CONNECTION ®MTI: SIZE k TYPE TEE SIZE k TYPE DOUBLE TEE SIZE & TYPE INVERT ® MAIN DEPTH A 8 (LT) C (LT) SERVICE PIPE C/o Say sca. "aoH. Vo 4al.It gyp' 33.5 S" © (RT C (RT (LT) - A ►- D C (RT) SHOW LATERAL LOCATION. STATION. U11111Y CROSSINGS ANO DIMENSION ALI_ PERTINENT ITEMS FLOW l_Lf- T DOWNSTREAM RIG) I T UPSTREAM MH K C✓rLW MHN /.ri7 LIST QUANTITIES FOR PAY ITEMS HERE: .T Tr 1;-G 8Y: WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS Acis IVi15111NGlON COl/N1Y, AIA/tY(/IND A DOUBLE GRAVITY SEWER LATERAL WATER AND SEWER CONNECTION SHEET DEPARTMENT