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HomeMy WebLinkAboutLat_14164ShelbyCircle1A % *Tom C., Washington County, Maryland IV A Department of Water Quality 16232 Elliott Parkway Williamsport, MD 21795 YL" 240.313.2600 PUBLIC WATER/SEWER SYSTEM CONNECTION PERMIT Type of permit: RES Type of service: SEWER Service Area: Maul;ansville/Orchard Hills Building Permit No.: NA 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• 21742 For property located at.- Street: t:Street: 14164 SHELBY CIRCLE City: HAGERSTOWN State: MD Zipcode• 21740 a the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 30 Subdivision phase: NA Subdivison section: NA Additional remarks: NA Will DWQ need to connect the lateral to the mainline? YES Permit No.: 3895 Issue Date: 08/11/2005 *Void Date: 08/11/2006 Fees paid in full? YES Date fees paid: 08/10/2005 Type of EDU: RES Number of EDU's: 1 Gallons per day allocation: 200 DWQ connection fee: $1,800.00 Misc. connection fees: $3,700.00 City fees paid to (city): NA City fees (amount): $1,800.00 Total fees charged: $7,300.00 Water & Sewer Department notes: NA *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. Owner must contact Dennis Engle at 240-313-2600 72 hours in advance of making the connection. 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) 13A-10 Date: 08/30/2005 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 217404727 Phone: 240.313.2460 Inspection Date: Plumbing Inspector: PROJECT NAME--l'A LLV R) Q G, ff — LOT 30 '>r20 f N0: PROPERTY ADDRESS: 14 1 40 14 W r L -S CIRCLE DRAWING N0. OF MAIN LOCATION: STREET/EASEMENT MAIN STATION: PROPERTY OWNER NAME: UNIT TYPE: z 0 + N 0 F_R PROPERTY OWNER ADDRESS: MANUFACTURER: r — O N C / DATE INSTALLED: I — CONTRACTOR: D R. N1 / QUI 1— J� r RS SINGLE DOUBLE SIZE do TYPE SIZE do TYPE SIZE do TYPE TOP ELEV SIZE do TYPE IMPELLER SERIAL TEE SERVICE PIPE TANK do DEPTH PUMP(S) SIZE N0. I '/: -V STANCJARO p 0 L.._ Y SKETCH PROFILE AND PLAN VIEWS SHOWING.,MAIN, SERVICE, rw, inllr., uw lnuL f MILL, uwULRURuuwu U llu IlCJ, STRUCTURES. STREETS, ETC. SHOW LOCATION TIES, ANGLES, DISTANCES TO ALL PERTINENT ITEMS. LOT 3 O LOT Z 1 G� i fret VGv gJ i� (NO SCALE) UST QUANTITIES FOR PAY ITEMS HERE: S E E Wo R K OR q[ R 4J` 0� I 002 AMOUNTS PERTAINING TO WORK COMPLETED THIS PERIOD, REVIEWED AND APPROVED. M►w" I'A ARKek 8Y: SPAtlr i-Rr NC14 WASHINGTON COUNTY INSPECTOR OF PUBIC WVWS AND SEAR 4 WAM?��ENr Er,0 >RYAN - Oa CCNTRACTOR'S REPRESENTATIVE LOW PRESSURE SEWER SERVICE CONNECTION SHEET - MARCH 1996 I 5-13.5