HomeMy WebLinkAbout2662 Thoreau Dr - Correspondence/Water and or Sewer - 04/26/2007970+330+8368 Journey Homes, LLC
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Journey Homes, LLC
02:12:43 p.m. 06-18-2007 919
N' 608919
4/23/07
4/25/07
PGS
OWNER
Called In
Requested for
co
I
SANITARY SEWER SYSTEM
CONTACT KEVI
J&J EXCAVATING
SERVICE ADDRESS 2662 THCgEA(j DR
OWNER ADDRESS PHONE 970-539-2352
❑ SERVICE CALL n WORK ORI)ER
REASON FOR CALL:
U LOCATE (If Locate is 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 oxelder Sanitation District -sewer in the virginity
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 Bawer (arrUrate 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 dam3$ed and pipe bedding disturbance is minimized.
�] O.K.TO 13ACKFILL Date G D7 BSD Initial /3
® NEW SERVICE INSTALLATION INSPECTION
NOTE:
1. Connection to sanitary sewer collection system cannot be made until System Development Charge is paid to the District;
7. district saddle set charge includes labor, equipment, and top nadc!4 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 enncent of the BSD Construction Supervisor;
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, storvicle 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. dewatering, or backfill ! work will be dons by the niorict, 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 se of the service line will not contribute inflow or infiltration
of groundwater to the collection System due to improper connections, g ades, 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 sellvice 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
diocovored by inspection nor shall owner or pefwillee be dbsulved fro Ilablllty for any deficiency or defect of service line materials
or installation and any resulting damage or from responsibility to coriesuch deficiency or defect. The District does not assume any
obligation nor acquiro any liability for personal injury to any party or carriage to the cur ureuliny property or any portion thereof caused
by or resulting from any such connection to the wastewater collection 4nd treatment system;
8. Tha. nlctrict requires payment of a $50.00 conetruetion incpcotion charge for this inspection.
Type of Pipe: _ y" r' Pipe Bedding Material: S e c
Installation Sadsfactory? ,/ Elder Valve Satisfactory: _ ✓ Pipe Slope Adequate? 4
Pipe Bedding Satisfactory? v' Locator Wife Property Place4? BaC}Qlll Satisfactory?
Inspected by — Date
for Boxelder Sanitation District
L1 O.K.TO ISSUE CERTIFICATE OF OCCUPANCY Date! 4V,3n•,o7 BSD Initlal �Oh�
By signing, I acknowledge having read and understood the forgoing ancj ackrruwledge receipt of a copy of this form.
Received by: Date _
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3201 E. Mulberry, Lfnit Q • P.Q. Box 1518 • ' Fort Collins, Colorado 80522
Phone (970) 498-0604 a Fax (970) 498-0101