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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: 59S Lonemeadow Road 1111 074 Parte 18 0£ 70
/075
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.
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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 District in those areas where
rock is encountered.
Date:
ner
Attest:
(Form WCSC-56)
Owner
G •
ak-
G
Wash. Co. Sanitary District
(110878)
Ago.
Washington County Sai ary District �5ANITARY SEWER LATERAL
Washington County, Md. CONSTRUCTION RECORD
Projects 5P6-1-5 ►=ouuTN'AyNka0
Street (or location) s ,moi o�,S
Contractors C0es00 AUS 67ea 4*3 cn .
MH 071 to MH 0 L
Date
V.
Wye sta.
on mainlinE
Wye
Size
_ L A T E R A L S
St•d or Drop
Excav, Lgth
_
Laying Lgth
Size
y
Z.41-40 2
f
3°
a- L.F
G
i� �!(2c-
V. W. E04 Le
,Inspector
Depth of Cleanout C, 9 Ci e Ft.oW tIrio
GL(=,4ta r 24f r-at>K1 4- mA,,a &wa:
jV rr,ArW elvr SE,2%tc.E
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MH ## 07'4
Amounts pertaining to work completed this period, reviewed a ap ov d.
By
WCSD Inspector Corson & Gruman Superintendent.
(Form WCSC-4)
# O�5
f
Amounts pertaining to work completed this period, reviewed a ap ov d.
By
WCSD Inspector Corson & Gruman Superintendent.
(Form WCSC-4)
# O�5