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CITY OF MIDDLETON SEWER LATERAL & WYE LOCATION RECORD Project Title: Project No.: Contractor: Sewer Subcontractor: Date of Lateral Work: Engineer: Street Name: Address: Lot No.: Sewer Main Material: Sewer Main Diameter: Lateral Material: Lateral Diameter: Lateral Length (Wye to R/W): Wye located between Manhole: and Manhole: Direction of Wye looking upstream along Main (Rt. or Lt.): Distance from Nearest Manhole to Wye: Distance from Nearest Manhole to Lateral End: (at property line) Height Rise of Lateral from Wye connection at Sewer Main: Note: When greater than 6 feet, provide Lateral Riser with Encasement per Standard Detail Drawing. Lateral Location Staked by: Date: Invert Elevation of Lateral End: (at property line) Depth of Cover on Lateral End: (at property line) Dane County Coordinates of Lateral End (at end of stub, 10’ beyond property line): North: East: Curb marking placed in presence of City inspector (per Section 502 of Specifications) City inspector: ---PAGE BREAK--- CITY OF MIDDLETON WATER SERVICE RECORD Project Title: Project No.: Contractor: Water Subcontractor: Date of Service Work: Engineer: Street Name: Address: Lot No.: Water Main Material: Water Main Diameter: Water Service Material: Service Diameter: Water Service Length: (from Corporation Stop to Curb Stop) Corp. Stop Manufacturer: Corp. Stop Size: Note: Corporation Stop to be Mueller 300 ball valve, or equivalent Ford, with AWWA taper threads and compression joint. If different than specified standards, note here: Curb Stop Manufacturer: Curb Stop Size: Note: Curb Stop to be Mueller 300 ball valve, or equivalent Ford, with compression joints at both ends and Minneapolis Pattern curb box top threads. If different than specified standards, note here: Curb Box Manufacturer: Curb Box Size: Depth of Cover on Water Service: (at Curb Stop) Note: Curb Box to be Mueller extension type, or equivalent Ford, with Minneapolis Pattern base to match curb stop. Riser rod to be provided if depth exceeds 7 feet. If different than specified standards, note here: Provide sketch on reverse side for Location of Corporation Stop tap and Water Service Location Include distance to Corp. Stop along main from nearest property line or driveway edge Include distance from sewer lateral Include sketch of water service line placement between water main and curb stop Service Location Staked by: Date: