HomeMy WebLinkAboutLat_19038LongmeadowRoadWashington County San miry District ... hNITARY SEWER LATERAL
Washington County, M(1. OONSTRUCTION RECORD
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Date
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Amounts pertaining to work completed this period, reviewed d pprved.
By
4WCSD Inspector
(Form WCSC-4) Corson & Gruman Superintendent
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Washington County Sanitary District
a� SEWER SERVICE LOCATION
-Subdistrict No. SD -6
Contract: SD6-1S
Property Address: 51� Longmeadow Road M -H 074 Page 18 of 70
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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.
NA A n CAA/
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: /
�OwnX4,,
Owner
Attest:
Wash. Co. Sanit District
(Form WCSC-56) (110878)