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PROJECT NAME- rREk oom N/LL-S PROJECT NO: 1-50- 664-
PROPE ®(iESS: 5TR i ('IE S J)A IVC DRAWING NO:
MAIN LOCATION: STREET/EASEMENT., 1-01 /.l—Z DATE. INSTALLED:�/
PROPERTY OWNER NAME:MH 1 �P TO MH L
PROPERTY OWNER ADDRESS: MAIN STATION: {-6 35-A4
SINGLE: �_ DOUBLE:
CONTRACTOR: S1�kR F/l�iJ �ENT.E/LJo/�/S,�S CONNECTION ® MH:
SIZE & TYPE
SIZE & TYPE
INVERT ®
DEPTH
DROP
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C/O (B)
DEPTH (C)
D
E
F
1i
g PC. Ax
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.
Go6a�
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INDICATE TYPE OF LATERAL BY CROSSING OUT OTHERS. FOR CONNECTION TO MANHOLE, CHECK ABOVE,
AND LIST INVERT DIMESION 'B' AND DROP DIMENSION 'C' (IF APPLICABLE).
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FLOW
C t as"v"N
DOWNSTREAM
MH # S�
LIST QUANTITIES FOR PAY ITEMS HERE:
"TB
GTON COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
WASHINGTON COUNTY, MARYLAND
gmi-D
DE 4RTM, ENT OF
WATER QUALITY
LEFT
RIGHT UPSTREAM
MH # =
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTOMBER 2004 C-1 ?