HomeMy WebLinkAboutLat_13243PennsylvaniaAvenueWashington County Sanitar000'istrict
Washington County, Md.
Project: SD6-1-S Fountainhead
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
0
Street (or location):
- ��LMH 6/ -5 -to MH 33g
Contractor: Corson and.Gruman Company
1--1110F0
Notes:
0
;ne
W. AOG,Gt 1-7'le- , Inspector
Depth of Cleanout ,z./ @ Flow Line
Cleanout i41S From
Layed @ i 0.
t_r Basement Service
MH
Amounts pertainin to work completed this period evi wed and ed.
By ---
_-
IRCSD
Inspector o on ruman ri ten en
(Form WCSC - 4)
H #
OPW
PD
Washington Count Sanitary-
Y , District
MAR 1 °`� 1G�O 5%WER SERVICE LOCATIOI:;
Subdistrict No. SU -E
SA�''v('( rY �( �. Contract: SDf--1S
Property Address: �B Pennsylvania Ave. i1 H 315-3'�9 P e 57 of
t3 � V3
Place an W 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.
x t
C-inc. P",IJs
`1 w lf.e E
�rzv.,�13.25 1 ,
V.
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, arra make
Tess expensive, the owner's connection to the lateral and to prevent
damage to the lateral installed by the District in those areas where j
rock is encount red I
Date: J S�}' / / �; - ✓ ^ = �::'
Owner
�I
Owner
S
V
Attest:
Wash. Co. Sanitary District
(Form WCSC-56).