HomeMy WebLinkAboutLat_17806JusticeCourtPROJECT NAME: f�2eUaM L("((5 /271-5" rA-�et'd LilPROJECT NO: t5c
PROPERTY ADDRESS: ZoTS 247;E2,4—' 17FO6 JVshce- C -f - DRAWING NO: S
MAIN LOCATION: QEDEASEMENT ju-S "Ce Ci, DATE INSTALLED:
PROPERTY OWNER NAME: MH 130 TO MH 1,306
PROPERTY OWNER ADDRESS: MAIN STATION: /414,5" t�
SINGLE: DOUBLE:
CONTRACTOR: DaY�� 1�1a�-�"� CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
SIZE & TYPE
INVERT 0
DEPTH
A
B (LT)
C (LT)
TEE
DOUBLE TEE
SERVICE PIPE
MAIN
C/0
(R T)
Sc".40 su.
SCK. 4d
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S9Z, Sz
Zo'
D
E (REr)
F - (LTE
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8 RTC
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(RT)
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WE, THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL THE
(PROPERTY ADDRESS)
DATE:
HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
ATTEST: l r, le-
WASHINGTON COUNT' WATER & S`WEP. DEPT
PRIM IED NAME
SIGN A T UP;
THIS FORM SHALL BE USED IN CONJUNCTION WITH THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DMSION OF PUBLIC WORKS
Wit5HINCJi71V COUMY, AGtRYLAWD
MODIFIED
I�Ir irn �`�Cc LATERAL `� w'
f ` WATER AND SEWER 1N GRAVITY
1!' 1 SEWER
1
DEPARWENT
JANUARY, 1999 S--13.3 A
(LT)
E
A
2010
F D
� C
(R T)
„L C
WE, THE UNDERSIGNED, BEING SAID OWNERS OF THIS PROPERTY, REQUEST PERMISSION TO INSTALL THE
(PROPERTY ADDRESS)
DATE:
HOUSE LATERAL AT THE MODIFIED HEIGHT DESCRIBED ABOVE.
ATTEST: l r, le-
WASHINGTON COUNT' WATER & S`WEP. DEPT
PRIM IED NAME
SIGN A T UP;
THIS FORM SHALL BE USED IN CONJUNCTION WITH THE GRAVITY SEWER SERVICE CONNECTION SHEET,
STANDARD DETAIL S-3.3.
DMSION OF PUBLIC WORKS
Wit5HINCJi71V COUMY, AGtRYLAWD
MODIFIED
I�Ir irn �`�Cc LATERAL `� w'
f ` WATER AND SEWER 1N GRAVITY
1!' 1 SEWER
1
DEPARWENT
JANUARY, 1999 S--13.3 A
REQUEST TO ALTER SANITARY SEWER
SERVICE LATERAL
TO: Washington County Water and Sewer Department
16232 Elliott Parkway
Williamsport, MD 21795
We hereby request permission to install the house lateral described below, at
_F���l�c`M� ��u,5l�zA�C�AuLSy��iE Yrbt
Street Name: J �S 51�z C. E_ _moo (Z:—)
Lot Number: 2 S
M
Manhole: / ,3 O To Manhole: _ 1 3O F
pN iKJ
Station: �c v. 57.2. S,2 _ � t� 7 ght
(�C) From tll o % to f 0� % Z �d Z Grade
��
( ) From standard lateral to drop at cleanout- vs°
( Y ) Deli'. at cleanout 1 o
This request is made on this date 3 - `�- O
BY:
REPRESENTING:
Representative
APPROVED BY: Washington County *ater and Sewer Department
Representative