HomeMy WebLinkAboutLat_18510IndianCottageRoadWASHINGTON COUNTY SANITARY DISTRICT
WASHINGTON COUNTY, MO.
Project: Mauoinevi
Street (or location):
SANITARY SEWER LATE',"
CONSTRUCTION REC6,M
Contractor! Lisbon Contractors,Inc.
Date Installed 8-15-84
TO
H. N.
NOTES:
Pvc_ I 14►0 I v.F.
MH 5 540 _ T -0-4w C 209 °
Wye Sts. On Main o+oo R4.
;Hors.• Total
St 1 d. 22, 50 L -r, 19; 50
Depth of Cleanout 14,01 VF •Flow Line
Cleanout Zo,00 romp Me���
Layed • Z , ® x
tin 't� easement Service
_Q_
isA Mild 556
a
2'Sfub�Cpf> ••' r
Amounts pertaining to worK completed this per:od, reviewed and approved.
8
WCSD
Inspector Contractors Rep.
L .,"a M0 5510 "i ZZ 0
0
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
rD Contract No. SD15- 3-S
Property Address: 23,0 Indian Cottage Road
MH 556 DWG. #601-312
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.
7 I
R C) A� \
ao°
0/
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. f
Date:
_T Owner
Owner
At t e.&�.
asp \Co. Sanitary uistrict
(Form WCSC-N")
Replaces Form WCSC-56