HomeMy WebLinkAboutLat_14205ShelbyCircleWashington 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• 21742
For property located at.-
Street:
t.Street: 14205 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
APIL Zipcode• 21740
AS the property in a subdivison? YES
Subdivision name: TWIN RIDGE
Subdivison lot no.: 89
Subdivision phase:
Subdivison section:
Additional remarks:
*Connection related comments:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3892
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• I
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: "4) 13A'' t s Date: 08/11/2005
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
Ids" Hagerstown, MD 21740-4727
Phone: 240.313.2460
Inspection Date: Plumbing Inspector: t -., ► ' 1
-i
PROJECT NAME- I "111
PROPERTY ADDRESS: l q zo 5 5 14 1
MAIN LOCATION: STREET/EASEMENT
PROPERTY OWNER NAME:
PROPERTY OWNER ADDRESS:
AUGAWS k/I L -L
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PROdeeT-NO: �� Z
DRAWING N0. OF
MAIN STATION:
UNIT TYPE: Got)"D CR
MANUFACTURER: F =" 't
DATE INSTALLED:
CONTRACTOR: DAN SINGLE `'r 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
NO.
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SKETCH PROFlLE AND PLAN VIEWS SHOWING _,MAIN, SERVICE,
VALVES, TANK, CONTROL PANEL, UNDERGROUND UTILITIES,
STRUCTURES, STREETS, ETC. SHOW LOCATION TIES, ANGLES. DISTANCES TO ALL PERTINENT ITEMS.
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UST QUANTITIES FOR PAY ITEMS HERE:y' F—F WORK oRtEA -34-- arm loos
AMOUNTS PERTAINING TO WORK COMPLETED THIS PERIOD, REVIEWED AND APPROVED.
M Ii KF- m A (jKE: IR,
BY: "AAF- FJ�E111CH _DF)r4 RYAN R61a
WASHINGTON COUNTY INS?ECTOR CCNTRACTOR'S REPRESENTAT:VE
Dft1SrtQN OF PUBW WVWS
WWNNGM COMY, MwnMo
, WAlM AND SEWER
D&PAWMEW
LOW PRESSURE SEWER SERVICE
CONNECTION SHEET
MARCH 1995 S-13.5