HomeMy WebLinkAboutLat_13261PennsylvaniaAvenueWashington County Sanitavo0'"gistrict
Washington County, Md.
'Ob' Project:
IM(; -1-S Fountainhead
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
P,
Street (or location);-�Q /€Fy9 AYE• MH33%Ato MH 3416-A
Contractor: Corson and Gruman Company � 3 'tel/
Date Wye Sta. Wye LATERA -LS
Ion Mainline ISize St or Drop I Excay. Lgth. JLaying Lgth.1 Size - P1pe
8 X y X 8 I �/�i N�DAQI] I .2 g. S �9 • s t F
.A(I OHty A / s%4a oa TNI E� Nlof UEfiNoc4%
Notes: / SERV/GE •Kf iN �pnnE -rA-Ei✓otf /-1 s C.AT-L--1eA(-
V 'i vC.. -
• CAgt�s j �� CLE.9N au T
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/ �STu0
Z2' /3ENo (v • G409 C;.vc
,�=' f3iSffo Inspector
T• P
Depth of Cleanout S @ Flow Line
Cleanout .S Froin ,".q.w GivF
Layed @ .Z
�&n Basement Service
.2!
MH -7 339 - A
�MH # 3 yo -•4
00 /
pw Amounts pertaining to work completed this period, reviewed and approved.
By � • _
WCSD spec or Orson & Gr urn �u r� en en
(Form WCSC - 4)
!A
Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6 1_S
Property Address: 0 Pennsylvania Ave M—H 340-341 Pape 57
of 70
Place an 'X' in the sketch below to indicate where the propertyPlaceera
wants the service connection (lateral) to enter the property.
wooden stake in the ground at that location-
C'
ocation.O rl
a"Sycamore �-
1930 194!
PE H35639Survey
C k P ldl
The undersigned agree that the Sanitary District may excavate for
the lateral a total of ten (10) feet inside
etthe
propertyfiline
(5) feet of
location indicated above, said ten (10) feet
lateral installation beyond the cleanout, plus an additional five (5)
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.
r
Date: Owner
Attest:
(Form WCSC-56)
i
Owner
Co./Soitary District
(110878)