HomeMy WebLinkAboutLat_19022LongmeadowRoadM
Washington County Sanitar'006"istrict
Washington County, Md.
Project: SD6-1-S Fountainhead
""' SANITARY SEWER LATERAL
CONSTRUCTION RECORD
v
17
Street (or location): tom" /, i—ed MH n7s to MH 07ro
Contractor: Corson and Gruman Company
Depth of Cleanout @ Flow Line
Cleanout a From
Layed @ .
Basement Service
0f-tl Z
MHY,6 5
Amount rtaining o
By----
C Inspector
(Form WCSC - 4)
, Inspector
# 67�-
k completed this period, reviewe ar�d approved.
Corson & - Gi�uman uperinten en-F—
Property Address:
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
fi�f Longmeadow Road M -H 075 Pape 18 of 70
/076
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.
1
_ 075 .-�--_
Ck
The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside -the property line at the
location indicated above, said ten (10) feet to include five (5) feet of
lateral installation beyond the cleanout, plus an additional five (5) feet
of excavation beyond the terminus of the lateral to facilitate, and make
less expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the Dist ict in those areas where
rock is encounte/ed.
�J
Date:
Owner
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-56)
(110878)