HomeMy WebLinkAboutLat_14208ShelbyCircle$0.
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: MauQansville/Orchard Hills
Building Permit No.:
WASHCO account No.: 0
Service Area No.: 150
Permission is hereby given to:
Property Owner: RBL
Applicant: DAN RYAN BUILDERS
Street: 1829 HOWELL ROAD SUITE 4
City: HAGERSTOWN
State: MD
Zipcode: 21742
For property located at:
Street: 14208 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
Zipcode• 21740
,/lh►Is the property in a subdivison? YES
Subdivision name: TWIN RIDGE
Subdivison lot no.: 24
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline? YES
Permit No.: 4109
Issue Date: 02/21/2006
*Void Date: 02/21/2007
Fees paid in full? YES
Date fees paid: 02/20/2006
Type of EDU: RES
Number of EDU's• 1
Gallons per day allocation: 200
DWQ connection fee: $5,375.00
Misc. connection fees: $300.00
City fees paid to (city):
City fees (amount): $5,000.00
Total fees charged: $10,675.00
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. Owner must contact Dennis Engle at 240-313-2600 72 hours in advance of making the connection.
--- �vl IT I mu"y io a puonc watensewer 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: (5h) 6j Date: 02/21/2006
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
O, Phone: 240.313.2460
Inspection Date: Plumbing Inspector: A J
I
Q,
Q
PROJECT NAME T VY) N R ).G rr) P, Olrz A Ivsy1 LLE PROJECT N0:
PROPERTY ADDRESS: Iy20 f F .OT 'zy DRAWING N0. OF
MAIN LOCATION: STREET/EASEMENT MAIN STATION: _
PROPERTY OWNER NAME: UNIT TYPE:
PROPERTY OWNER ADDRESS: MANUFACTURER: E -0 N
DATE INSTALLED: 5- )9
CONTRACTOR: D f3 f 1 SINGLE DOUBLE
SIZE & TYPE
TEE
SIZE & TYPE
SERVICE PIPE
SIZE & TYPE
TANK
TOP ELEV
& DEPTH
SIZE & TYPE
PUMP(S)
IMPELLER
SIZE
SERIAL
NO.
5y •
iV
59
� p T
to 8 l/
= 3 Li
SKETCH PROFILE AND PLAN VIEWS SHOWING MAIN, SERVICE,
= 10 -M
VALVES, TANK, CONTROL PANEL, UNDERGROUND UTILITIES,
STRUCTURES, STREETS, ETC. SHOW LOCATION TIES, ANGLES, DISTANCES TO ALL PERTINENT ITEMS.
�
GJOT zq`
�o
G T
2-5,5 .
�v =
5y •
iV
59
� p T
to 8 l/
= 3 Li
�v Z5, u&u
= 10 -M
(NO SCALE)
UST QUANTITIES FOR PAY ITEMS HERE: 1VVO R K O R,09 R ii 2z tool i S
AMOUNTS PERTAINING TO WORK COMPLETED THIS PERIOD, REVIEWED AND APPROVED.
fi`1IKE M1i h K(Z& R08- i)Arj RYHr1
E3 Y.- P!P C0 r-'n1c1-t JimmY CPoINC - b)CW TOPC��
WASHINGTON COUNTY iNSFECTOR CONTRACTOR'S REPRESENTATIVE
DMION OF PUBLIC WVRKS
�,� :1 W45NNCTVN COUNTY, u,wnAND LOW PRESSURE SEINER SERVICE
C WATER AND SEbyER CONNECTION SHEET
DEPARMENT
4�t"y MARCH 1996 S—•�3rj