HomeMy WebLinkAboutLat_13105PennsylvaniaAvenueWashington County Sani tarAomQi strict Awk SANITARY SEWER LATERAL
W:aAington County, Md. CONSTRUCTION RECORD
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0"' Project: SD6-1-S Fountainhead
3!d 60 60
Street (or location) : �,z ��y�, J�w�s��� v� ( MH fy to MH a g9 _
Contractor: Corson and Gruman Company
Z,/�V �,Joucc'�"�G Inspector
Depth of Cleanout V.9 ' @ Flow Line
Cleanout 1_4;,Ir From
Layed @ Z_
.5 Basement Service
MH
Amounts pertaining to work ompleted this period,
By
nspec or
(Form WCSC - 4)
reviewed and approved.
Orson rum erinten ec t
N
••� Alftk
ell Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: Pennsylvania Ave M -H 298-299 Palle 50 of 70
t1310,
r
$01'
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.
F=�
E.x' Undri.rara,j�� ��,p
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:
ner
Attest:
(Form WCSC-56)
(110878)