HomeMy WebLinkAboutLat_13926GreenfieldAvenue3H1NGT0N C 0 U N 7Y S'kNITARY 57R1ET Sr..N'ITA;Y SC'W'E." L?"iTE
UASHINGTON COUNTY, MD. Aft* CONSTRUCTION
Project: Mauoansville%Orchr.rd Hills S015-1-5
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Street (or location) : r
, -q_ QEf,J F= E_L.n A., rte. G az. 4-4-9
Contractor: Callas Contractors, Inc.
Z -z3 _84 MH 353 TO MH 3S4✓
Date Installed _z - -I - 84 i L1; e 5ta . Ori Bain I + z I-.1/'
WYC J 5IZE— J TYPE DEPTH TYPE: 1 EXCAV LAY1NL'
S77E i TYPE RIPC C.O. C.O. LATERAL J; LENGTH. LE:f-CTI
8..*e..xg&" pjt_ *Herz.= Total.
-rF.E ►�vc, t4.5i V. F. St'd. 1 4.. 7 Z L, F. SD 2 Z � _'1Z. 4 '7 L .
$ 0 4. -z-(V
1 r .
C. o.
14 u
7 LC S,
opA+ tiorz7-dt-
Drop
Depth of Cleanout 14.51 V. F' rFlow Line �+�Y —_ ..•.
Cleanout 10. 4l cc From CA w14L.J
c. o•
Layed C 1.00
yes Basement Service
45` 3Ejo
`� � -- 5-na ►azo L
PIH, 3535 3 M. H'S4
Amounts pertaining to work completed tris period, reviewed and approved.
BY C. -
WCSu In:�pe, or Contractors Rep
'..-. _ t! --r.. �
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
13121v Contract No. SD15-1S
Property Address: 34�9 Greenfield Avenue
MH 353 to MH 354 Dwg. #601-067 v
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.
448
(329)
FH.
SA
' 353T
MH SD15-354
Ch TV
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: / S3
Owner (Print)
Owner s Signature-�
Attest
Was o. Sanitary Distrl t
(Form WCSC-1)
Replaces Form WCSC-56