HomeMy WebLinkAboutLat_19120LongmeadowRoadWashington
County
Sar'w'!Ary District
SANITARY SEWER LATERAL
Washington
County,
Md.
CONSTRUCTION RECORD
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Contractor: CoQSON ,TVD 671-) GO.
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Depth of Cleanoutr-,$
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Amounts pertaining to work completed this period, reviewed an/pprgved. n
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'hCSD Inspector Corson & Gruman Superintendent
(Form WCSC-4)
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address:�ongmeadow Road +i -H 072 Pae 18 of 70
Term.
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.
I _14 1 I "rte" t4 fY
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t�tet Ex 24 �
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45
1112-5400
E
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 Di tract in those areas where
rock is encountered.
Date: 1j 2D l `'i 2 5
Owner
Attest:
Wash. Co. Sanitary District
(Form WCSC-56) (110878)