HomeMy WebLinkAboutLat_13912MaugansvilleRoad..''3H.1"GTON COLJI TY S NITARY^STRICT
UASHINGTON COUNTY, M.D.
Sr: i,
I TARY SElui-EP
CONSTRUCTION RECC:i;D;
Project• Mauoansville/Orchcrd Hills SD15-1-3
139/2 MAu9o(,hS1/i //e Roa&
Street (or location): 2-2-3 N "A= 9
Contractor Ca.l.lcs Contractors, Inc.
M H 3 (o S _TO M H
Date Installed I - 2- 84- _ Wye Gta. On Main
WYE j
SIZE-
TYPE
DEPTH �
TYPE
EXCAV
LAYii�';"
5-1 7E
TYPE PIPE
C.O.
C.0-..-
I
L"TERAL �J
LENGTH
1
�-Hcrz.= Toga
$ c /0 ,c$
!ot P. C.
CoSr
St'd.
602 Le,
vv
la.o.J
10.0(0
Slope+ Horz=iotai
NOTeS: e4sr sem,,
Drop
LCLA
L9
2 (.. A7- 1.O
2 LA
w
1Z WArTEA rlA=.N 4
$, sew
Mq=.J
Depth of Cleanout IO.oG Vr CWF low Line
Cleanout 2.2.30 `F From t SE.JCR' s-+4="
L a y e d ® 4.Oo o A Grti$ ID2 aP
1. Yl 5 Basement Service
C. o.
Sra.
1+3(..'1
mH,, 3(.S
P't O "i
i' H=
Amount,- Pertaining tWork completed this period, reviewed and approved.
WCSD inspector / Contractors Rep.
.!`Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15-1S
Property Address: 223 Main Street l3g12 !"Ylauaa�cv� l ��Oc�d
MH 365 to MH 366 Dwg. #601-032
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.
J 1 1 X L-1..- 1
0
D219
(223)
11 �
L 7,
2X)
0
15-365 3o'Riw All
\ R / W
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:
Qwner (Print)
of s Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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