HomeMy WebLinkAboutLat_13109PennsylvaniaAvenueWashington County SanitarA619istrict
Washington County, Md.
/" Project:
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SD6-1-S Fountainhead
.00*4 SANITARY SEWER LATERAL
CONSTRUCTION RECORD
40
Street (or location): �, �� Sf��4�1 iq �yc l % ��' MH ZYp to MH ,Z 9
Contractor: Corson and Gruman Company
L, /� �pu�cIjle , Inspector
Depth of Cleanout @ Flow Line
Cleanout 1.;7-j" From
Layed @ _e
1/'5 Basement Service
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Amounts pert ai ng to wo k comp1 ted this period, revie#d and a oved.
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WCSD inspector orson , ruman e&7ntene3 nt
(Form WCSC - 4)
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: 154:�2 Pennsylvania Ave. M—H 298-299 Paae 50 of 70
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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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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.
i
Date:
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Owner
T Owner
Attest:
Wash. Co. Saifitary Diat ct
(Form WCSC-56) (110878)