HomeMy WebLinkAboutLat_13904PatriotWayL -al
PROJECT NAME: �`���d�„" 1AL --"— PROJECT NO:
PRaDRESS: DRAWING N0:
MAIN LOCATION: STREET/EASEMENT II DATE INSTALLED: ��
PROPERTY OWNER NAME: MH - - - TO MH
PROPERTY OWNER ADDRESS: MAIN STATION: 1 f93-791
SINGLE: DOUBLE:
CONTRACTOR: CONNECTION CSP MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C/O (B)
DEPTH (C)
D
E
F
a
o
INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
D E -
;HOW I ATFRAI LOCATION. STATION. UTILITY CROSSINGS AND DIMENSION ALL PERTINENT ITEMS
FLOW LEFT
t`FIT3.1i9
DOWNSTREAM
MH # v
LIST QUANTITIES FOR PAY ITEMS HERE:
BY:
WASHINGTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
5q�'min WASHINGTON COUN7Y, MARnAmD
.�
DEPARTMENT OF
WATER QUALITY
RIGHT
UPSTREAM
MH # -/
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTEMBER 2004 I S-13.2