HomeMy WebLinkAboutLat_13905VillageMillDriveWashington County Sanitary Distr.
SEWER SERVICE LOCATION
Subdistrict No. SD#15
1,390S V 1 11 carr t 11 .�fL-�T Contract No. SD15-1 S
Property Address: Nott'' Stre t (-DALE eMART l N,
MH 308 to MH 309 Dwg. #601-040
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.
W
w
I
6) I I ) 11 �j 0 11111 11 LOT0 II F(XI)
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: =
Owner(Print)
Owner's Signature
Attest:
as . Co. Sanitary District
(Form WCSC-1)
Replaces Form WCSC-56
),:ASHINGTON COUNTY SANITAR ISTRTLOT
WASHINGTON COUNTY, ISD.
SANITARY SEL -1 -ER LATE fL
CONSTRUCTION RECORD
Project: Maugansville/Orchard Hills SD15-1-5
1390 V i 11ac�2 IMS t I br.
Street (or location) : VA) CANT Co'f DQ(T- F . A-1A27"/.v
Contractor: Callas Contractors, Inc.
Date Installer' /Z-6-83
MH 508 i0 MH 3 09 ,/
Wye Ste. On Main
WYE
-SIZE
SIZE-
TYPE PIPE
TYPE
C.O.
DEPTH
C.O.
TYPE
LATERAL
EXCAV.
LENGTH
LAYING
LENGTH,
*Horz.= Total
9xGx g"
60 Pvc
PVC
�o.og
St'd.
Z3.S,5
Z3 20
SDP, 35
3 O Z(o
-4=0p7+ Ho - otal
Dro
NOTES:
/Z
I
$ MA)N
LuArLe
MAIN
_ -0 3' ;/ioM
S uQ;sacs
CIEAA1oL4T
Depth of Cleanout /0.08, SFlow Line—^-`---� --
Cleanout Z/-80from R
Layed @ Z
V S Basement Service
/f/
MH ' 3o8
N
MH# 30
Amounts pertaining to work completed this period, reviewed and approved.
BY
UCSD Inspeletor Cont ac -tars Rep.