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Washington County Sanitary'a`strict
Washington County, Md.
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Project: SD6-1-S Fountainhead 7 .ftk
Street (or location) 4-;u44 MH /l to MHS_
Contractor: Corson and Gruman Company
L, /� o u< C- Inspector
Depth of Cleanout 5/. 9 * @ Flow Line
Cleanout 9.,o' From
Layed @ -z ,
At,, Basement Service
MI
,o, Amounts pertaining to work completed this period, reviewed and approved..
y Orson _ r uper e
WCSTTn—spector
(Form WCSC - 4)
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: - SD6-1S
Property Address: Pennsylvania Ave. M -H Ex.11-Ex.12 Page 64 of 70
Placefan 'X' in -the sketch below to i is to ere �'e property owner
wants the s(krvice connection (late ) to er e property. Place a
wooden stake in the ground at that location.
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4(1�-
F-r Isy, b
-: N U E
Ex.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:
(Form WCSC-56)���
LA
•
Wash. Co. Sanitary District
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(110878)