HomeMy WebLinkAboutLat_17928EbyLane'WASHINGTON COUNTY SANITP^ DISTRICT
WASHINGTON COUNTY, MO.
Project: Maugansville/'Orchard Hills SD15 S
Street (or locak.:ion):
F
SANITARY SEWER LATEz:
CONSTRUCTION RECORD
Contractor: Callas Contractors, Inc, HIL,
f�H 3o s '--TO MH306_ ✓__
Date Installed O�� � �g� Wye Sta, Gfi Miain
-I� .JILL— I TPP DEPTH TYPE EXCAV.
SIZE TYPE PIPE C.O. C,O. LATS LENGTH
8x6xg G" Pvc PMS
SOR 26 6, 7 q V F St'd.
� 9,so L F
NOTES:
Drop
1 g.S tL a
LENGTH
*Harz.= Total.
J7.$3 LF
ape + Harz=
Depth of Cleanout C..7 y ' r,f 1cw L i ne
Cleanout !S. So from of />1Ainl L lt4E
Layed
- N r, Basement Service
O f- C11. S 1-
M ' 3es
MH# 306
Amounts pertaining to work completed this period, reviewed and approved.
WCSD Inspector Contractors Rep."""" �`-
CJ W
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#1
Contract No. SD15-1S _
Property Address: 216 stouMr���j�
MH 305 to MH 306
Dwg. #601-056
Place an 'X' in the sketch below to indicate where the property
owner wants the service connection (lateral) to enter the
property. Place a wooden stake in the ground at that location.
l A
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive-, the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
Date: 3
.La.Pshb4+�bz�ir (Print
wn s Signature——
Attest: ,,,t �
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56