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Washington County, Maryland
Department of Water Quality
16232 Elliott Parkway
Williamsport, MD 21795
'R> L 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: SIGNATURE DEVELOPMENT
Applicant: SIGNATURE DEVELOPMENT
Street: 82 W. WASHINGTON STREET SUITE 610
City: HAGERSTOWN
State: MD
Zipcode: 21740
For property located at.
Street: 14160 SHELBY CIRCLE
City: HAGERSTOWN
State: MD
Zipcode:21740
Owthe property in a subdivison?YES
O Subdivision name: TWIN RIDGE
Subdivison lot no.: 68
Subdivision phase: 1
Subdivison section:
Additional remarks:
Will DWQ need to connect the lateral
to the mainline?
Permit No.: 4348
Issue Date: 08/14/2006
*Void Date: 08/14/2007
Fees paid in full? YES
Date fees paid: 08/14/2006
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): $5,000.00
Total fees charged: $7,100.00
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: 08/14/2006
INSPECTION: At least 48 hours notice prior to requested date is required.
ON SITE INSPECTION will be made by:
r
Washington County Plumbing Board
80 W. Baltimore Street
Hagerstown, MD 21740-4727
Phone: 240.313.2460
Inspection Date: __ Plumbing Inspector:
W�'+ 6.0d
BUILDING PERMIT
/Activity No: 2005-04931
Project No: P2005-1248
Permit Type: RES -NEW
Inspector Area: B1 ,\
Job Address: 14160 SHELBY CIRCLE HN 1�
Location: S-04-026 14160 SHELBY CIRCLE
Parcel No: 024-08-1146-00068
Zoning Dist: RESIDENTIAL MULTI -FAMILY
Floodplain: C
Applicant: SIGNATURE DEVELOPMENT, LLC
NABATKHORIAN PEYMAN
82 W. WASHINGTON STREET, SUITE 610
HAGERSTOWN, MD 21740
Phone Number: 301-992-8604
Owner: MELAMED SEPIDAH
Contractor: SIGNATURE DEVELOPMENT, LLC
Phone Number: 301-992-8604
Contractor Lic. No:HB-4443
Description:
ONE AND A HALF STORY SEMI DETACHED DWELLING, FRAME
CONSTRUCTION, FULL UNFINISHED BASEMENT WITH ROUGH IN
PLUMBING FOR FUTURE FULL BATHROOM, NO CHIMNEY, ATTACHED ONE
GARAGE WITH FINISHED AREA ABOVE FOR FULL BATHROOM AND
f OF BEDROOM/CLOSET, COVERED FRONT PORCH, REAR UNCOVERED
CONCRETE PATIO, NO DECK
TWIN RIDGE, LOT 68
Foundation Size: 301X51'
Type of Heat ... :HEAT
Public Sewer ... :Y
Public Water ... :Y
Gas............ N
Electric ....... .Y
Applied:
Approved:
Status:
05/12/2005
PENDING
Exterior Finish:
Air Conditioning:
Septic ............. N/A
Time Existed: N/A
Well ............. N/A
Time Existed: N/A
Code Enforced: 1995 CABO 16c2 FAMILY DWE
SEMI
Valuation: $150,000.00
BRICK/VINYL SIDE
Y
Construction Type:
No. of Bedrooms: 3
No. of Bathrooms: 2.5
Setbacks Proposed Minimum By Ordinance
Lot Tract Area .17 ACRES
Lot Area Per Family .17 ACRES ---
Front Yard Setback 25 25
Rear Yard Setback 45 40
Left Side Setback 0 0
ht Side Setback 10.6 10 EJ L MAY 1 3 2005
Width 0 0
The signature below by the reviewer is an indication that the applicant has
signed the permit application signature sheet and thereby agrees to perform
the work in accordance with the conditions of this permit.