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PROJECT A NAME: FALEOom /4/LL-5 PNA�s��-� PROJECT NO:
PROPE�ZTA"RESS: 5VZ) i'F- s D A 1 V C DRAWING NO: ,
MAIN LOCATION: STREET/EASEMENT 1,0 T 151 DATE. INSTALLED:y
PROPERTY OWNER NAME: MH _q______- TO MH
PROPERTY OWNER .ADDRESS: MAIN STATION:
SINGLE: DOUBLE:
CONTRACTOR: SgTks- F/ILb &EIC/Z101214S CONNECTION ® MH: kq JF
SIZE & TYPE
SIZE & TYPE
INVERT ®DEPTH
DROP
D
E
F
TEE/WYE
SERVICE PIPE
C.O. WYE (A)
C/0 (B)
DEPTH (C)
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).
SHOW LATERAL LOCATION, STATION, UTILITY CROSSINGS ANU UiMtNZ�luli HLL I'CR IIIVLI`I1 i,t it
FLOW LEFT
DOWNSTREAM
M H # /4'
LIST QUANTITIES FOR PAY ITEMS HERE:
m
N6TC+N COUNTY INSPECTOR
DIVISION OF PUBLIC WORKS
r,,o,'-)-),,WA.5H11VGT0N COUNTY,MARYLANDDEARTUENT OF
WATER QUALITY
3
RIGHT UPS EAM
MH /S � y
CONTRACTOR'S REPRESENTATIVE
CO. NAME:
GRAVITY SEWER SERVICE
CONNECTION SHEET
SEPTEMBER 2004 --