HomeMy WebLinkAboutLat_13323PennsylvaniaAvenueWashington County Sanitar,strict
Washington County, Md.
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SD6-1-S Fountainhead
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
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Street (or location): 2 O IP6NA AvE 392-MH396-396MH 3S7--1
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Contractor: Corson and.Gruman Company
`c, -S, g/ 3PCs e , Inspector
Depth of Cleanout y-- @ Flow Line
Cleanout, 3Y.5 From i- A."'4 c..IE
Layed @ 8 qPTF-,e -oeop
,V0 Basement Service
MHS 3 56 - A
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H # 357-4
oph. Amounts pertaining to work completed this period,r
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WCSD spector
Orson
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(Form WCSC - 4)
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: Z030 Pennsylvania Ave. 1,1-H 355-356 Pie 60 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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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:
Attest:
Owner
Owner
Wash. Co. Sanitary District
(Form WCSC-56) (110878)