HomeMy WebLinkAboutLat_14113ShelbyCircleWashington County, Maryland
Water
Department ofy
Quality
16232 Elliott Parkway
Williamsport, MD 21795
240.313.2600
- PUBLIC WATER/SEWER SYSTEM CONNECTION
Type of permit: RES PERMIT
Type of service: SEWER
Service Area: Maueansville/Orchard Hills Will DWQ need to connect the lateral
Building Permit No.: to the mainline?
WASHCO account No.: 0 Permit No.: 3426
Service Area No.: 150Issue Date: 12/1_ 5/2004
Permission is hereby given to: *Void Date: 12/1_ 5/2005
Property Owner: DAN RYAN BUILDERS
Applicant: DAN RYAN BUILDERS Fees paid in full? YES
Street: 60 THOMAS JOHNSON DRIVE Date fees paid: 12/104
City: FRE_ DERICK Type of EDU: RES
State: MD Number of EDU's: I
Zipcode: 21704 Gallons per day allocation: 200
For property located at. —
Street: 14113 SHELBY CIRCLE DWQ connection fee: 11,800.00
City: HAGERSTOWN Misc. connection fees: 1300.00
State: MD City fees paid to (city):
Zipcode: 21740 City fees (amount): $1,800.00
00*"`he property in a Subdivison? YES Total fees charged: $3,900.00
Subdivision name: TWIN >uDGE
Subdivison lot no.: 73 Water & Sewer Department notes:
Subdivision phase:
Subdivison section:
Additional remarks:
*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
WITH REMAINS WITH THE PROPERTY OWNER.
THERE
Signed:15144/3Date: 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: 9
Plumbing Inspector:
....
PROJECT NAME: -FW; AI r{ 1 d
PROPERTY ADDRESS: L o-rs 73 7 `I ylZ j- PROJECT N041). /SO - 7/ y
MAIN LOCATION:TRE DRAWING NO:
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PROPERTY OWNER NAME: DATE INSTALLED:
PROPERTY OWNER ADDRESS: Mil - /j Z�(l `TO MH �S•� 7
MAIN STATION: 4-e-70 L7-
CONTRACTOR:
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CONTRACTOR:
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SIZE do TYPE
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SIZE & TYPE
SERVICE PIPE
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CONNECTION ® MH:
INVERT ® DEPT}I
MAIN C/0 A
B (LT) C (L
B (RT
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SHOW LATERAL LOCATION, STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW
DOWNSTREAM
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LIST QUANTITIES FOR PAY ITEMS HERE:
BY: Tr- +e -
WASHINGTON COUNTY INSPEC TOR
DIVISION OF PUBLIC WORKS
c�{ W ASIlINC10N CDI/Nly. AIARYIAND
WATER AND SEWER
4 DEPARTMENT
LEFT
RIGIIT
UPSTREAM
MIIN/Sa7
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DOUBLE GRAVITY SEWER LATERAL
CONNECTION SHEET
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