HomeMy WebLinkAboutLat_13531MaugansvilleRoadCCU"TY SAKI^Nc,eMA�v raiz
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UASHINGTON COUNTY, MD. N. k CONSTRUCTION RECORD
Project: Maunarsville Orcherd Hills SD15-1_5
13551 mckugansvi Ile Road
Street (or location) : �4l / 1304G 7- Z�._.
Contractor: Call2s Contractors Inc.
Data Installer'•_, Llye Ste. On Main__at_2a._EE
WYE ( SIZE-- TYPE DEPTH TYPE EXCAU. LAYIi�G
517 TYPE_ PIPE C.O. C.O. LATERAL LENGTH LENCTI
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Gr7AvrTy
Drop
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10.50 + // /0 -
Z.4/. 00 '
Depth of Cleanout („''f'ln�� Line
Cleanout 2_-2,(;,0 From'MA1niC../NC 6ZA(//T ;545w& P,
Layed Q Z -S
• !JD Basement Service
STA.. Of -73 K -T.
MH; r 10q
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Amounts pertaining to work completed this peri , reviewed and approved.
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: "-���rtin Rn 1�to31 C►�o�uc�can�u� 1, C-).
MH 104 to MH !11 Dwg. #601-029
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.
The undersigned 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
1'
ine.
d 1��, 914
Date : (��,,� / fid, /9€ Z Owner
(Print)
a'&2,
Owner's Signature
Attest : / ,-4,J J-% Qsl
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
•- WASHINGTON
33 West Wast
a g/ oX aa'
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COUNTY SANITARY DISTRICT
ngton 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:
c Address � ;��4� /C a�i�AIGd,
SignedProperty Owner
Date--��
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21710
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:
D�
Requested by Callas Contractors, Inc. ��%��vy✓
Approved by W.C.S.D. Inspector_'6
� S-Zu
Date V:g 913