HomeMy WebLinkAbout2639 Thoreau Dr - Correspondence/Water and or Sewer - 04/26/2007970+330+8368 Journey Homes, LLC
i /
6D-7 �z�b
4/25/07 Called In
4/27/07 Requested for
PGS
OWNER
Journey Homes, LLC
m n��4i \ 1
SANITARY SEWER SYSTEM
02:32:33 p.m. 06-21-2007 1 11
M 008930
Saddle Set
Stub Out Used
CONTACT KEVIN/J&J EXCAVATING
SERVICE AwRESS 2639 THOREAU DR
OWNER ADDRESS _ PHONE _ 970-539-2352
❑ 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 made to accurately locate the center of Boxelder Sanitation Distrwt Bawer lines in the vicinity
of the service address as requested and these have been marked on ground surface with green paint. The sewer location
markings represent approximate horizontal location of the rawer (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.
O.K. TO BACKFILL Date BSD Initial
® 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 saddle See charge includes labor, equipment, and tap *addle connector to drill the cullerctur 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 Rsn Construction Suporvisor;
3, Locator wire is required for burial along the service line for future locating of the line;
4. Permlttee shall provide all excavation, shoring, dewatering, Arirvice line materials and labor for installation 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 he 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
District will require currectlon of any Improper connection through its enforcement authority;
6. Permittes 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 permittee be absulved from liability for any deficiency or detect 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
nhlio ration nor acquire any liability for personal injuryto any party or damage to it ie uunnecting property or any portion thereot caused
by or resulting from any such connection to the wastewater collection and treatment system;
8. The District requires payrn@nt of a $50.00 construction inepcotion charge for this inspection.
Type of Pipe: T C_ _ Pipe Bedding Material:
Installation 3atisfactory7 ,� Eider valve Satisfactory; _ ✓ Pipe Slope Adequate?
Pipe Bedding Satisfactory? ✓ Locator Wire Property Placed? rr` Backfill Satisfactory?
Insnar..ted by: Date
for Boxelder Sanitation District -
WOW O.K.TO ISSUE CERTIFICATE OF OCCUPANCY Date - BSD Initial ,
Ry signing, I acknowledge having road and understood the forgoing and acknowledge receipt of a copy of this form.
Received by: Date
3201 E. Mulberry, Unit Q • P.O. Box 1518 • Fort Collins, Colorado 80522
Phone (970) 498-0604 • Fax (970) 498-0701