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HomeMy WebLinkAboutLat_14250ShelbyCircleoToX 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: LYLES DEVELOPERS Street: 148 WEST WASHINGTON STREET City: HAGERSTOWN State: MD Zipcode: 21740 For property located at. Street: 14250 SHELBY CIRCLE City: HAGERSTOWN State: MD Zipcode:21740 AlIll the property in a subdivison? YES Subdivision name: TWIN RIDGE Subdivison lot no.: 10 Subdivision phase: Subdivison section: Additional remarks: Will DWQ need to connect the lateral to the mainline? Permit No.: 3287 Issue Date: 09/13/2004 *Void Date: 09/13/2005 Fees paid in full? YES Date fees paid: 09/10/2004 Type of EDU: RES Number of EDU's: 1 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: *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: 09/13/2004 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 Phone: 240.313.2460 Inspection Date: `J VS Plumbing Inspector: PROJECT NAME: Amok PROJECT NO:SD• ISO — 7ly PROPERTY ADDRESS: L oTS fC�- 1%z5 0 DRAWING NO: MAIN LOCA110N TREE EASEMENT �5��� l6y laK� DATE INSTALLED:" PROPERTY OWNER AME: MII is 75- 'TO MH PROPERTY OWNER ADDRESS: MAIN STATION: CONTRACTOR: Nut142j>erry 'Bro4hm rs .rjyc • CONNECTION ®MH: SIZE do TYPE TI E) SIZE do TYPE DOUBLE TEE SIZE do TYPE PIPE INVERT ® MAIN DEPTH A B (LT) C (LT /(B) C/O {/ ye ( yT J SDS :.x'r scU. *0"sof/. qo (.�o. r. 7 B (RT C (RT (LT) A D C (RT) SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS FLOW LEFT Y 1f � 7 --o DOWNSTREAM RIGH T UPSTREAM MH # (27.5- MH # 1274 LIST QUANTITIES FOR PAY ITEMS HERE: B Y: WASHINGTON COUNTY INSPECTOR CONTRACT)R'S REPRESENTATIVE CO. NAME: DIVISION OF PUBLIC WORKS cam+ IvnS111NCTON COUNTY. MARYLAND a DOUBLE GRAVITY SEWER LATERAL WATER AND SEWER CONNECTION SHEET DEPARTMENT 11 A 1nnt c- -7 n •