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HomeMy WebLinkAboutLat_14124ShelbyCircle3("'' Washington 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: 21740 For property located at: Street: 14124 SHELBY CIRCLE City: HAGERSTOWN State: MD Zipcode: 21740 Is the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 57 Subdivision phase: I Subdivison section: Additional remarks: *Connection related comments: Will DWQ need to connect the lateral to the mainline? Permit No.: 3614 Issue Date: 04/08/2005 *Void Date: 04/08/2006 Fees paid in full? YES Date fees paid: 04/07/2005 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: 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: 6 ) /jj Date: 04/08/2005 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 Hagerstown, MD 21740-4727 Phone: 240.313.2460 Inspection Date: L05 Plumbing Inspector: __ PROJECT NAME: —T -W i fj PROPERTY ADDRES • L MAIN LOCATION: STRE T/EA PROPERTY OWNER NAME: PROPERTY OWNER ADDRESS, AM "► i8 Cie-,�� ��`f . ROJECT NO:sp- /S0 - 7! &I TS el e / 412 6 DRAWING NO: -3 SEMEN T DATE INSTALLED: f' 3- v'f MH /425- 'TO MH / 26 MAIN STATION: I Rlt' CONTRACTOR: 14Utj42berry Zro4i,ers INc• CONNECTION 0 MII: SIZE k TYPE SIZE do TYPE SIZE do TYPE INVERT ® DEPTH A B (LT) C (LT TEE DOUBLE TEE SERVICE PIPE MAIN C/O g")r4r 8" Say :xf 6 ` x w" Sc a. *0 G'SaR - Z6 # „SoN. y0 �p�ti • 06 7' -V 5 � � /• (RTIC (RT s' 1/--f' (LT) tt— A E3 C (RI) SHOW LATERAL LOCAIION, STATION, U111I1Y CROSSINGS ANI) DIMENSION ALL PERIINENT ITEMS FLOW DOWNSTREAM MH # isz,<' LIST QUANTITIES FOR PAY ITEMS HERE: BY: -J- Tr';+G WASHINGTON COUNTY INSPECTOR DIVISION OF PUBLIC WORKS ),DEPARTMENT VASIUNGTON COUNTY, A1ARYIANO WATER AND SEWER I E I- T /ts3 UPSIREAM MH # /-7-6 CONTRACTOR'S REPRESENTATIVE CO. NAME: DOUBLE GRAVITY SEWER LATERAL CONNECTION SHEET ,,.. 1,.,, 1 C- 4 l n A