HomeMy WebLinkAbout2456 Clarion Ln - Correspondence/Water and or Sewer - 02/09/2007970+330+6366 Journey Homes, LLC
Journey Homes, LLC 03:43:12 p.m. 03-16-2007 313
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1108107 Called In
1/09/07 Requested for
SANITARY SEWER SYSTEM
NA 00 90
opy
Saddle Set
Stub Out Usod
OWNER ----, ....... CONTACT KEV1N/J. & d EXC-AVATIRG
SERVICE ADDRESS ,,ASS ct AratoN LN
PHONE --
OWNER ADDRESS
❑ SERVICE CALL ❑ WORK ORDER
REASON FOR CALL:
❑ LOCATE (If Locate Is for new service line construction, read notes for Inspection below)
REASON FOR LOCATE: Reasonable effort has been madeto accurately locate the center of_ Boxelder Sanitatlon District -sewer lines in the vicinity
of the service address as requested and these have been marked on ground surface with grean paint. The sewer location
markings represent approximate horizontal location of the sewer (accurate to within 18 inches in either direction). Depth
is estimated to be Always use caution when excavating
-'pos pipes pipe g .
near any utility, and ex"'pose I es so that pipes are not damaged and pipe bedding disturbance Is minimised.
N
O.K. TO BACKFILL Date / &rj BSD Initial i- mil
13�I NEW SERVICE INSTALLATION INSPECTION 81JILDING PERMIT ff 80605356
NOTE;
1 Connection to sanitary sewer collection system cannot be made until System Development Charge le paid l0 the District;
2. District saddle set charge includes labor, equipment, and lap saddle connector to drill the collector line and fasten the saddle
connector to the collector line- Permltf e, may NOT, under any circumstances, attempt to penetrate main collector lines or
manholes without the consent of the aso construation Supervisor;
3. Locator wire is required for burial along the service line for future locating of the line;
4. Porntlttee &hall provide all excavation, shoring, dawatering, service line materials and labor for Installation Of service line
to main connection, and beckflll as required by the District, Federal and State OSHA requirements, and applicable Building
and Plumbing Codes, Ne excavation, shoring, dewalering, or backfill work will be done by the District, and the Marrayer yr iris
agent will require any additional excavation, shoring, or dewatering of the excavated space that in his Judgement alone Is necessary
haforo Adequate inspection may be awomplichod and approval of the service line installation Is granted;
5, The District requires that all service lines be installed such that future use of the service line will not contribute Inflow or infiltration
of groundwater to the collecllnn system due to improper ennnentlnna, OrFides, bedding materials or plabement. Or pipe material. The
District will require correction of any improper connection through its enforcement authority
8. Perminse shall notify the District at least 48 hours prior to when the service line is expected to be installed and ready for inspection
and connection;
7, The District shall not be subject to any liability for any deficiency or defect of service line materials or Installation which is not
discovered by Inspection nor shall owner or perrtllttee be abSolved tram liability for any deficiency or defeat Of service line materials
or installation and any resulting damage or from responsibility to correct such deficiency or defect. The District does not assume any
obligation nor acqulry any liability for personal Injury to any party or damage to. the connecting property or any portion thereot caused
byy in
or resulting from any such connection to the wastewater collection and treatment system;
a. Tha District roqulre3 payment of a $50.00 donetruction inspection chaiya for this spection,
Type of pipe: Pipe Bedding Material: ,�)f-F CieIneatlstiion swelectar� ✓ Eldervalve Sadsfactoly: V, Pipe slope, Adequate?
Pipe Bedding Sallef Miry? V' Locator Wire Prop" Placed? Bamil Satisfacilow X
Inspected by; ..� -- .. ,6+' -- -- Date _....— - : ?t^7
for l3oxelder Sanitallon District ...-
K. TO ISSUE CERTIFICATE OF OCCUPANCY Date ; X e3 7 BSD Initial
ay'sighing, I acknowledge having reed and understood the forgoing and acknowledge receipt of a eupy of this form. -
Received by: Date
3201 E. Mulberry, Unit Q • PO. Pox 1518 • Fort Collins, Colorado 80522
Phone (970) 498 0604 1- Fax (970) 498-0701