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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD -6
Contract: SD6-1S
Property Address: 20X Penns vania Ave 1,i -H 357-358 Page 60 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.
Date:
Attest:
(Form WCSC-56)
Owner
Owner
Wash. Co. Sanitary District
(110878)
Washington County Sanitar^;strict
Washington County, Md.
00"" Project:
SD6-1-S Fountainhead
SANITARY SEWER LATERAL
CONSTRUCTION RECORD
Street (or location) : Zk, n I''-NNA A✓F 13 Lf o% MH 358•Ato MH -3-1'9--q
Contractor: Corson and Gruman Company
bate Wye Sta. Wye LA ALS
on Mainline Size St' or Drop Excay. Lgth. Laying Lgth. Size - pipe
2olgo o f 3s c g X G X 8 f>zeo s' I 37 S yZ S cF Pic
Notes:
3s �t / 6.5 !D_op : yz. s 4F
pnl�y 9 / STu►3 gTTAcNE� To Tfr� Ewe o�' THE
CCE�� oUT 0SECAu5-C- o4 I/ -/e `-VV6Q p�I,QK�Ng CoT.
Depth of Cleanout 7.85 @. Flow Line
Cleanout 3S' From k m i-&
Layed @ 3 A;TrQ Daae
No Basement Service
O133
MH -T3580 -A
Inspector
# 3519- 4
�. Amounts pertaining to work completed this period,
B
re iewedj,aAnd ap ove .
yT�StInsTecto- Orson & ruman uperi tenJen�`��
(Form WCSC - 4)