HomeMy WebLinkAboutLat_14210ShelbyCircle° 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. INC
Street: 1829 HOWELL RAOD SUTIE 4
City: HAGERSTOWN
State: MD
Zipcode• 21740
For property located at.
Street: 14210 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
Zipcode• 21740
Is the property in a subdivison? YES
Subdivision name: TWIN RIDGE
Subdivison lot no.: 23
Subdivision phase:
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline? YES
Permit No.: 4108
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.
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: 644) /, 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
HAaerstown Mr► 117An A717
Phone: 240.313.2460
Inspection Date: LaLu
Plumbing Inspector:
/^ ' fiRm IT-
PROJECT
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PROJECT NAME- —FW Iiq A IDG L %n 1906 # N'G V) LL E RRsd@C'f NO:
PROPERTY ADDRESS: ! N z-10 -,H P 8 ' CIRCLE LOT Z3 DRAWING N0. OF
MAIN LOCATION: STREET/EASEMENT MAIN STATION:
PROPERTY OWNER NAME: DON E y f1 d 801 LD£R3 UNIT TYPE. G'RI NDE k
PROPERTY OWNER ADDRESS: MANUFACTURER: F - -Q N E -
"ii DATE INSTALLED: 5 - 19 -6.
CONTRACTOR: b 11� R ?� N 'eU z ERS SINGLE DOUBLE
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
TOP ELEV
SIZE & TYPE
IMPEIIER
SERIAL
TEE
ERVICE PIP
TANK
& DEPTH
PUMP(S)
SIZE
NO.
+(?LY
Z
SKETCH PROFILE AND PLAN VIEWS SHOWNG MAIN, SERVICE,
VALVES, TANK, CONTROL PANEL, UNDERGROUND UTILITIES,
STRUCTURES, STREETS, ETC. SHOW LOCATION TIES, ANGLES. DISTANCES TO ALL PERTINENT ITEMS.
L 0 1 —S
(NO SCALE)
l� j G P T
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LIST QUANTITIES FOR PAY ITEMS HERE: j E E yv OR K 0 ft EPl # Z0601 Q
AMOUNTS PERTAINING TO WORK COMPLETED THIS PERIOD, REVIEWED AND APPROV/ D.
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WASHINGTON COUNTY iNSFECTOR
DMION OF PUBLIC *VRKS
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CONTRACTOR'S REPRESENTATIVE
LOW PRESSURE SEWER SERVICE
CONNECTION SHEET
MARCH 1996 1 5-13.5