HomeMy WebLinkAboutLat_19116LongmeadowRoad.1--1
Washington County Sar"",ary District
Washington County, Md.
" 3ANITARY SEWER LATERAL
CONSTRUCTION RECORD
00111 Pro ject s 5 tufo- 1-S 1-OUNTAIN 44EAtP
Street (or location): ? LON(,MEAr.)oW IZoA D MH 074- to MH D73
Contractors CoesoN AND 6)RuNAN CO.
DatelWye
sta.
on maInlinc
Wye
Size
L A T E_R_A L S
St•d or Dropi
Excay. Lgth
Laying Lgth
Size
-30-
Uf /$
gxBX�-
$TrWpAeo
35
3O �-. �'.
4' JL . _-
i
CX tv • )=N&,Lt= Inspector
Depth of Cleanout (.-Z' C� Ft&W LaiUC-
CLEANoN i Z51 C -Com 4- HAiN L.UNe
LAVED @ 15% _
NO C3A5c"&--V SrENic-6
MH # 077- o -f"1$
Amounts pertaining to work completed this period, rev
By &^,�^,,- (•
WCSD Inspector
(Form WCSC-4)
MH # 073
Corson & Gruman Superintendent
iii
.low ) KY 5%I,;� UGJ)
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
rnntrAot: SD6-1S
/'711/6
Property Address: Longmeadow Road M -H 072 Pae 18 of7O
1073
c i. r jr2 f� (A 54
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.
r T. U1 Inv. CoU(. 54 (4
— — —
072 h 125+00
tntef-Ex.24`RC.P —
Inv COBYZ 1 12�Cv'u
0
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:
Owne
0
Owner
Attest: I %� �ti,�(1/ � ��-�'� � G
Wash. Co. Sanitary District
(Form WCSC-56) (110878)