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HomeMy WebLinkAboutLat_14121ShelbyCircled�~�QT�x �QG� Washington County, Maryland �` Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 �'RtLAd° 240.313.2600 PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT - Type of permit: RES Type of service: SEWER Service Area: Mauf*ansville/Orchard Hills Building Permit No.: WASHCO account No.: 0 Service Area No.: 150 Permission is hereby given to: Property Owner: DAN RYAN BUILDERS INC Applicant: DAN RYAN BUIDERS, INC Street: 1829 HOWELL ROAD SUITE 4 City: HAGERSTOWN State: MD Zipcode: 21742 For property located at: Street: 14121 SHELBY CIRCLE City: HAGERSTOWN State: MD Pok Zipcode:21740 Is the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 76 Subdivision phase: Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3452 Issue Date: 01/10/2005 *Void Date: 01/10/2006 Fees paid in full? YES Date fees paid: 01/07/2005 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. 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: C,.0j Date: 01/10/2005 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 7Hagerstown, MD 21740-472 Phone: 240.313.2460 pctorInspecti n Date PlumbmgInSe • PROJECT NAME: W - . :OJECT NO:SD. /SO — 7l N PROPERTY ADDRESS: Lois %s 7G— if -f i ( J DRAWING NO: 3 MAIN LOCATION: S REST EASEMENT She/6y L<r. DATE INSTALLED: PROPERTY OWNER NAME: Mil /.fZ,i 'TO MH iJ`Z6 PROPERTY OWNER ADDRESS: MAIN STATION: �-FZN LT CONTRACTOR: t7Ui14,zberry Zrc4hors INc. CONNECTION ® Mll: SIZE do TYPE SIZE do TYPE SIZE do TYPE INVERT ® DEPTII A p (LT) C (LT TEE DOUBLE TEE SERVICE PIPE MAIN C/0 Say 3-,F- x qf�" Sc1(. G�'SaR - Z6 "SoN. �/O �3%./�f ro.� jG, j / S © (RTC (RT (LT) - — A --- [3 C (RT) SHOW LATERAL LOCA110N. STATION. I111111Y CROSSINGS AND DIMENSION ALL PERIINENT ITEMS FLOW lEl -T v I vo DOWNSTREAM RIGI 11 MH N UPSTREAM �� MI i y S' LIST QUANTITIES FOR PAY ITEMS HERE: BY: WASHINGTON COUNTY INSPECTOR CONTRACTOR'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS ��{ IVASIfINC10N COlIN1Y, AfA/tY(i1Np DOUBLE GRAVITY SEWER LATERAL A WATER AND SEWER d � CONNECTION SHEET DEPARTYENT 1 �51 6 .. e) ". 11 1I...