A portion of the roof for a 129 x 144-inch, nearly 100-year-old sewer outfall in the City of Baltimore had deteriorated to the point that it resulted in the development of a large sinkhole in a residential neighborhood. A subsequent video inspection of the sewer outfall indicated that there was a hole in the sewer outfall, and it would need to be repaired. After initial backfilling of the sinkhole and repairs to the water service lines, a conventional wood shoring system was used to support the excavation and expose the Main Outfall Sewer to inspect and repair it. This excavation was unsuccessful because of loose sandy soils and high groundwater conditions. An innovative use of a steel reinforced jet grout excavation support system was ultimately used to underpin an adjacent 20-inch water main and other nearby utilities, and provide access to the top of the Main Outfall Sewer some 22 feet below the street surface to facilitate inspection and repair of the sewer. This excavation support system was also successfully utilized in the final repair of the sewer roof by serving as a buttress for the new roof system.