HomeMy WebLinkAboutLat_14237ShelbyCircleAC, 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: RBL LLC
---Applicant: DAVID I ---
Street: 152 W. WASHINGTON STREET
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at:
Street: 14237 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
Zipcode:21740
Is the property in a subdivison? YES
Subdivision name: TWIN RIDGE
Subdivison lot no.: 43
Subdivision phase: I
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 3538
Issue Date: 03/15/2005
*Void Date: 03/15/2006
Fees paid in full? YES
---Date-f, -- -_
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: 13,900.00
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.
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: Date: 03/15/2005
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 21_740-4721-----
e: 240.313.2460
Inspection Date: �/-3, 4 5 (► i &��
P ___ Plumbing Inspector: l.iY I
PROJECT NAME: TW 1 I A qe- __I�z,;
i
PROJECT NO:SD. /SD - 71y
PROPERTY ADDRESS: L oTS '►/'3 i`'
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DRAWING NO:
MAIN LOCATION: STREET EASEMENT 16r
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DATE INSTALLED:
PROPERTY OWNER NAME:
MH /�Z / TO MH
PROPERTY OWNER ADDRESS:
MAIN STATION: a�oy
CONTRACTOR: -Putj42berrq SNS •
CONNECTION 0 MH: J
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
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A
B (LT)
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SHOW LATERAL LOCATION, STATION, UTILITY
CROSSINGS AND
DIMENSION ALL PERTINENT ITEMS
FLOW
LEFT
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DOWNSTREAM
RIGHT
UPSTREAM
MH # 1�75i
MH #
LIST QUANTITIES FOR PAY ITEMS HERE:
IT. Tr +e -
B Y:
WASHINGTON COUNTY INSPECTOR
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
DIVISION OF PUBLIC WORKS
cam* WASHINGTON COUNTY, MARYLAND
DOUBLE GRAVITY SEWER LATERAL
WATER AND SEWER
CONNECTION SHEET
DEPART7UFNT