HomeMy WebLinkAboutLat_19231LongmeadowRoadWar,hington County Sri �.ary District SANITARY SEWER LATERAL
Washington County, Ma. CONSTRUCTION RECORD
Pro j e c t ssyaz��1�
Street (or location) t a�� out fQ(, '�! MH 33 to MH
Contractors
Date)
Wye sta.
on mainlin
Wye
Size
L A T E R A L S
St'd or Drop
Excav, Lgth
Laying�Lgth
Size
i
_ ,Inspector
Depth of Cleanout - �, / 6. 1140&✓ LihG
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of
Amounts pertai ing to work completed this period, reviewed and approved.
By a
WCSD .Inspector Corson & Gruman Superintendent
(Form WCSC-4)
Mx #
Amounts pertai ing to work completed this period, reviewed and approved.
By a
WCSD .Inspector Corson & Gruman Superintendent
(Form WCSC-4)
Properin'ty�/ Address:
l Y Y .ice A -
rol '' NSTALLC-Q
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
,.�..�. ,.�. SD6-1S
Longmeadow Road M -H 033-034 Page =2 of 70
7
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:
Owner
Owner
Attest: %'L, .�"--��h,(J�
Wash. Co. Sanitary District
(Form WCSC-56) (110878)
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'l r -i ri r -i r, r -I ---
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:
Owner
Owner
Attest: %'L, .�"--��h,(J�
Wash. Co. Sanitary District
(Form WCSC-56) (110878)