HomeMy WebLinkAbout2474 Thoreau Dr - Correspondence/Water and or Sewer - 04/20/2007Journey Homes, LLC
09:42,47 a.m. 06-15-2007 9 /9
W- 008893
Called In
Requested for
SANITARY SEWER SYSTEM
CONTACT KEVIN J&J EXCAVATING
SFRVICE ADDRESS 2474 THDR_ EAU RD
OWNER ADDRESS PHONE 970-539-2352
❑ SERVICE CALL ❑ WORK ORDER
REASON FOR CALL:
❑ LOCATE (If Locato i3 for new service line construction, read notes for Inspection below)
Saddle Set
Stub Out Used
REASON FOR LOCATE:
Reasonable effort has been made to accurately locate the center of Boxelder Sanitation District sewer limas in the vicinity
of the service address as requested and these have been marked on ground surface with green paint. The sewer location
markinqs represent approximate horizontal location of the Gower (accurate to within 18 inches in either direction). Depth
is estimated to be _ Always use caution when excavating
near any utility, and expose pipes so that pipes are not damaged and pipe bedding disturbance is minimized.
�Y] OXTO BACKFILL Date / -o BSD Initial /3./Z
® NEW SERVICE INSTALLATION INSPECTION
NOTE:
1. Connection to sanitary sewer collection system cannot be made until System Development Charge is paid to the District;
2. District coddle set charge includes labor, aquipmont, and tap ooddle connector to drill the collector line and fasten the saddle
connector to the collector line. Permittee may NOT, under any circumstances, attempt to penetrate main collector lines or
manholes without the consent of the RSD Construction suporviser;
3. Locator wire is required for burial along the service line for future locating of the line;
4. Permittee shall provide all excavation, shoring, dewatering, aarvicn line matorlala and labor for Inatallation of service line
to main connection, and backfill as required by the District, Federal and State OSHA requirements, and applicable Building
and Plumbing Codes. No excavation, shoring, dewatering, or backfill work will be done by the District, and the Manager or his
agent will require any additional excavation, shoring, or dewatering of the excavated space that in his judgement alone is necessary
before adequate inspection may be accomplished 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 collection system due to improper connections, grades, bedding materials or placement, or pipe material. The
Diypicl will require correctlon of any improper connection through its enforcement authority;
6. Permittee 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
diecovored by inspection nor shall owner or permitteet Ue atisulved from Ilablllty for any deficiency or defect 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 acquire any liability for peraonal injury to any party or damage to tl a curniecting property or any portion thereof caused
by or resulting from any such connection to the wastewater collection and treatment system;
6. The Disirirl rgquires payment of a $50.00 construction inspection charge for this Inspection.
Type of Pipe: 'Luc- Pipe Bedding Material: JO V C r ot t 4
Installation Satlsfactory7 ✓ Elder Valve Satisfactory: ✓ Pipe Slope Adequate? d
Pipe Bedding Satisfactory? �k,*� Locator Wire Property Placed? j,-�— BaWll Satisfactory? _ 1/
Inspected by:
970+330+8368 Journey Homes, LLC
4 11
0p?o 1( 7/
4/18/07
4/20/07
PGS
OWNER
Dale
for Boxelder Sanitation District
jkl O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date i�A3 07 BSD Initial _ f3,
By signing, I acknowledge having read and understood the forgoing arrd acknowledge receipt of a copy of this form.
Received by: Date
3201 E. Mulberry, Unit 0 • P.O. Box 1518 • Fort Collins, Colorado 80522
Phone (970) 498-O604 9 Fax (9/0) 498-0701