HomeMy WebLinkAboutLat_13017PennsylvaniaAvenueWashington County Sanitary/"lstrict
Washington County, Md.
A' Project: SD6-1-S Fountainhead
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-ok SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Street (or location):�_0' MH ,o to MH
Contractor: Corson and Gruman Company
Notes:
�800�/p
0 0 0 T.-
0
Z. Inspector �`'
Depth of Cleanout 3.1 @ Flow Line
Cleanout O.e' From
Layed @ z
�/,_ Basement Service
H
p,. Amounts pertaining to work completed this period, reviewed and approved.
By a ► /'i .
PCSD Inspector rsonrum n ten en
(Form WCSC - 4)
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2�.
Property Address:
M
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
13017
Contract: SD6-1S
328 Pennsylvania Ave. M -H Ex.1O-Ex.11 Page 64 of 70
C' 0, LrT>LE- .J
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.
-i Ex.
----� 8' W CL 2r
SYLVANIA '`�
_ � � AV E
LnQ.
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1i2 ! Z 172.8
The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside the property line at the
location indicated above, said ten (10) feet to include five (5) feet of
lateral installation beyond the cleanout, plus an additional five (5) feet
of excavation beyond the terminus of the lateral to facilitate, and make
less expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the District in those areas where
rock is encountered.
Date:
Attest:
Owner
Owner
Wash. Co. Sanitary District
AIN
AWN
(Form WCSC-56) (110878)