HomeMy WebLinkAboutLat_13811VillageMillDriveWASHINGTON COUNTY SANITARY DISTRICT
33 W. WASHINGTON STREET HAGERSTOWN, MARYLAND 21741-0571 (301) 791-3083/3084
P.O. BOX 571
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Washington County Sanitary District
SEWER SERVICE LOCATION
Subdistrict No. SD##15
Contract No. SD15-1S
Property Address: 2 t in)( V c n a.!�e ft h On'sP
MH 304 to MH 305 Dwg. #601-039
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 SD15-304
8" SAN. (MAC)
The undersigned agrees that the Sanitary District may
excavate an additional five (5) feet inside the property
line so as to facilitate, and make less expensive, the owner's
connection to the lateral and to prevent damage to the cleanout
which will be installed by the District at or near the property
line.
Date: l/ - 4-1- tea �' Gr., 16 Z -lea �,; c,ly,Svi-i
Owner (Print)
Owner's Signature
Attest:
Wash. Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
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WASHINGTON COUNTY SANITARY DISTRICT
33 West Washington Street, Hagerstown, Maryland 21740 ■ (301) 791-3083
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To: Callas Contractors, Inc.
I hereby request the contractor to install the lateral in
accordance with the following conditions:
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Signed �/c�7.v►.,. ho �',dY,��.�
/Property Owner
Date_ � /
Washington County Sanitary District
33 West Washington Street
Hagerstown, Maryland 21740
Re: Maugansville/Orchard Hills Sewers
Contract No. SD15-1-S
Gentlemen:
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:
Requested by Callas Contractors, Inc. �
Approved by W. C . S . D . Inspector
Date q I2 -G