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HomeMy WebLinkAboutLat_18113MaugansAvenue'2ASHINGTON COUNTY SANITAPIkDISTRLCT UASHINGTON COUNTY, MO. ARN SANITARY SEWER LATE�''•� CONSTRUCTION RECORD Project: Maugensville/Orchard Hills SD15-1-S Street (or location): __A/,4REN1EM 7-4t-- Contractor: Nt.Contractor: Callas Contractors, Inc. MH 33 o TO ISH Date Installed^ /6-/o-8-3 Wye Ste. On Blain oi-og2__,� JA ro A44 * 3 3 o WYE SIZE SIZE- TYPE PIPE TYPE C.O. DEPTH C.O. TYPE LATERAL EXCAV. LENGTH LAYING LENGTH, *Horz.= al ._ IVuNE )DVCy. /1, St' , S012 a co S ope + H -Total NOTES: Drop Zz o' 3.0•+ 6.so`0e.P + zI - /o C LF-,4NoL, T Depth of Cleanout y• CFlew Line Cleanout /7• o' From Mei 330 Layed 0 3•5 q pf7la2 r�Qop Na Basement Service MH ' 3Z 7 '?G fM,;330 0 Amounts pertaining to Work completed this peri d, revieWec and approved. BY -4:U- !!,�L '& WCSU I Spector Contractors Rep. -' r OOW lk. L-4 L 1 7D ^ 330 g U-70 Property Address: MH327 —to iM 4 �u Washington County Sanitary District SEWER SERVICE LOCATION Subdistrict No. SD#1 1 19 1 13 Contract No. SD15-1S _ Pit . #6, gQx-23.9 Maugans Avenue Dwg. #601-051 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. MN, O S O I� CO N x M 1 / MM JU1U-0%j1 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: lO 1 soz R Z ��1��/� IV /y%R2r& ` Owner (Print y Owner's Signature Attest: Wash. Co. Sanitary District (Form WCSC-1) Replaces Form WCSC-56 ( �76 XXX/Pvc- Alk r '^1, WASHINGTON, COUNTY SANITARY DISTRICT 33 West Was Street, Hagerstown, Maryland 21740 • (301) 791-3083 To: Callas Contractors, Inc. I hereby request the contractor to install the lateral in accordance with the following conditions: Washington County Sanitary District 33 West Washington Street Hagerstown, Maryland 21740 Re: Maugansville/Orchard Hills Sewers Contract No. SD15-1-S Gentlemen: We hereby request permission to install the house lateral of greater than two (2) percent and/or in accordance with the above conditions at no change in contract price at the following location: Requested by Callas Contractors, I c Approved by W.C.S.D. Inspecto Date q % C� 0 ]A= '-�