HomeMy WebLinkAboutLat_13029PennsylvaniaAvenueWashington County Sanitary D,+`trict
Washington County, Md.
S-.
,ft,, SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Project: SD6-1-S Fountainhead
Street (or location) : �o.n sv/va.. 1g �'� C MH /,, to MH , z
Contractor: Corson and Gruman Company
Depth of Cleanout @ Flow Line
Cleanout 9.o From
Layed @ i °
.4). Basement Service
MI
Inspector
0011 Amounts pertaining to work completed this period,
By
�4 �nspec
(Form WCSC - 4)
rAv�ewed and approved.
Orson & Gruman Sup en en
ell
Washington County Sanitary District
SEWER SERVICE LOCATION '�►
Subdistrict No. SD -6
/302 q Contract: SD6-1S
Property Address: Pennsylvania Ave. I4 -H Ex -11 -Ex -12 Page 64 of 70
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.
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1/748 1752- 7 176
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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: -
Owne
5,
Owner
Attest:,_'
Wash. Co. Sanitary District
(Form WCSC-56) (110878)