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Property Address:
Iq 10'1 'T dnr15 JoManioq
Route 8 Box 188
AM*A
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD#15
Contract No. SD15- 3-S
Pennsvlvania Avenue)
MH 90'�_ To -/Vi#-1 O $ _ DWG. #601-357
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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MH SD15- 915
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M H y o fs
The undersigned agi4k:-eshat the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, a make less expensive, the owner's
connection to the lateral a to prevent damage to the cleanout
which will be installed by e District at or near the property
line.
Date. %'
Owner
—' Ow e r
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
WASHINGTON
COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
To: Lisbon Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the followino conditinnn-
Address A.f. e X / $ %
Signed 21c=& Q, -�
Prop r y Owner
Date /0 - 2 9 uY
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re:
Gentlemen:
Maugansville/Orchard Hills Sewers
Contract No. SD15-3—S
We hereby request permission to install the house lateral
of greater than two (2) percent and/or in accordance with the
above conditions at no change in contract price at the following
location:
-DE OE.J Dq-- •.1T C4O0.J GA S -;-L> ,o i H
Requested by Lisbon Contractors, Inc.
Approved by W.C.,S.D. Inspector
Date 10-2.4- 8¢
WASHINGTON COUNTY SANITARY STRICT SANITARY SEWER LATE'.'_
WASHINGTON COUNTY, MO. CONSTRUCTION nEconr
1
Project: Mauoaney lle/Orchard Hills Sanitary eweraoe Collection Svs&gn
Street (or location): rdl 8SG
114770-7 Vgnns lyan(o' Ave,
Contractor:Lisbon Contractora. �nc.
i
/o - z 9 - a 4- 13.9 c..c. MH TO MN..9 08 v'
Oats Installed Wye Sts. On Main 3+ 12, L4,.:
1I
J&LL—
P PIPE
ITVL
ULF n
C 0
1TMC
LATERALENGTH
LALAV.
LATING
LENGTH
e..x, ..x e..
�• soR 2� PYA -
;Hors. • Total!
w"rE
-
2_3
Stud'
j
Soe 35
HotZuTota
NOTES:
Droppa+
1 -3G L.F.
5.4`F t 48.9- 34.3 t,6
V54
MAik
GAS
6 "SDR Z� O.vL 1
5.4 �
Depth of Cleanout 5.5 •Flow Line
Clesnout 30.8 /�'.+_M4... 7i ' •..�.
Layed • ]u AFTER O2orD
• Basement Service
,3-�- l2
..'L'Slub�Gup
M"# 9c)8
r
Amounts rtaining to work completed this psr.od, reviewed and approved,
BY 2L
UCSD Inspector Contractors ep,