HomeMy WebLinkAbout2656 Thoreau Dr - Correspondence/Water and or Sewer - 04/26/2007970+330+8368 Journey Homes, LLC
v 60-VigV
4/23/07 Called In
4/25/07
PGS
OWNER
Requested for
Journey Homes. LLC
SANITARY SEWER SYSTEM
02:08:06 p.m. 06-16-2007 9 /9
N'- 608916
Saddle Set
Stub Out Used
GON IAUT KEVIN/J&J EXCAVATING
SFRVICE ADDRESS
OWNER ADDRESS PHONE 970-539-2352
❑ SERVICE CALL ❑ WORK ORDER
REASON FOR CALL:
❑ LOCATE (If Locate is for new service line construction, rgad notes for Inspection below)
REASON FOR LOCATE:
Reasonable effort has been made to accurately locate the center of Boxelder Sanitation District sewer 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 lonntion of the sewer (acicurate 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 arc not damaged and pipe bedding disturbance is minimized,
® O.K. TO SACKFILL Dateq�4-62 _ 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. nistrirt Saddle set charge includes labor, oquipmcnt, and tap saddlq connector to drill Ilia cullector line and fasten the saddle
connector to the collector line. Permittee may NOT, under any clrc4mstances, attempt to penetrate main colleetor lines or
manholes without the cnnasant of the BSD Construction Superviegr;
3. Locator wire is required for burial along the service line for future locating of the line;
4. Permittee shall provide all excavation, shoring, dowatering, service line materials and labor for installation of service line
to main connection, and backflll as required by the District, Federal and State OSHA requirements, and applicable Building
and Plumbing Codes. No excavation, shoring, dowatering, or backfill work will be done by the District, and the Manager or his
agent will require any additional excavation, shoring, or dowatering 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 correction of any Improper connection through its enforcement authority;
6- Permittee shall notify the District at least 48 hours prior to when the seilvice 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
diccovcrcd by inspection nor shall owner ai pennittee be absolved iron) liability for any deficiency or defect of service line materials
or installation and any resulting damage or from responsibility to correCCl such deficiency or defect. The District does not assume any
Obligation nor acquire any liability for personal injury to any party o, ddr`+9e to the connecting property or any portion thereof caused
by or resulting from any such Connection to the wastewater collection 4nd treatment system;
6, The District requires payment of a $50.00 conetruotion inspection charge for this inspectiol,
Type Of Pipe: I PeifC. Pipe Bedding Material:
Installation 5atlstactory? � Elder Valve Satisfactory: Pipe Slope Adequate? _L/
Pipe Bedding Satisfactory? ,� Locator Wire Properly Placed? Backfill Sadsfactory?
Inspected by: _ j_ Date
for Boxelder Sanitation District
1&7 O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date - o BSD Initial
By signing, I acknowlodgc having read and understood the foiguirly dfid acknowledge receipt of a copy of this form.
Received by:. Date
3201 E. Mulberry, Unit 2 • P.O. Box 1518 • Fort Collins, Colorado 80522
Phone (970) 498-0604 e Fax (970) 498-0701