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?WASHINGTON COUNTY SANIT DISTRICT
11SANITARY SEWER LATER
UASHINGTON COUNTY,
MD.
CONSTRUCTION RECORD
- Project: Maugansville%Orchord Hills SD15-1-5 /80
Street (or location) : Ll4A t
esyAtty,
`I` JJ;�
Contractor: Callas
Contractors, Inc,_
MH
T O M F, 3�
Date Installec�
,
L/e5ta. On Main t
WYE
SIZE-
TYPE
DEPTH
TYPE
EXCAV.
LAYINIC
SIZE
TYPE PIPE
CIO.
C,O.
LATERAL
LENGTH
LENGTH
?11c.
*Hort.= Tot
F�gcC.
�. �7
St 1 d .
__.
�,�r..r. �_
ope + Horz=Tota
NOTES:
Drop
3900'
Y-,33./�
Z_'._._..��
4.4!'
31. 16'
.rC.o.
$" G►ZavI
5vul&Z
C
3.3 3'
� 8., w M.
i•83' s = 5
Depth of Cleanout (�.(o/CE-Flow Line
Cleanout 34<' -From & AA4.miclAie wccuEe
Layed Q
Bio Basement Service
TA . ( +- 20. g 7zT.
MH; ` 323
57�C,e
Z' 5l'UB
MH� 344o
d C•o.
Amounts pertaining to work completed this per, od, reviewed and approve
E3
WCSU Inspector Contractors Rep
�A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address :,_-1-1--South Weaver Avenue IZ4i
MH 323 to MH 340 Dwg. #601-062 i
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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IN
C B. 612.7 INV.
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The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive., the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
Date . Z/ i9r C S-'6 h _S i2 t\ w I
Owner (Print)
owner's Signature
00,01, Attest:
as . Co. Yamita District
(Form WCSC-1)
Replaces Form WCSC-56