HomeMy WebLinkAbout2514 Marshfield Ln - Correspondence/Water and or Sewer - 05/18/2011C)IIC)/gyq
FROM :BOXELDER SAN DIST FAX NO. :9704980701 Jun. 21 2011 12:02PM P1
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9 Bomider Sanitation District
5I 16/ t t Requaeted For i0a � 3201 E Attllbany St., Unit 0
r; l 6 41 y _ Meet SchedvW PO Box 1516
Fort Collins, CO IlOtipZ
2 : 30-3 PM Moat rime ("0) 40 -OW fox (970) 49"701
BP SANITARY SEWER SYSTEM bedoodg@bmwidetsomilaftn
OWNERICONTACT: KOVIN/JW EXCAVATING PHONE. 534-9352
SERVICE ADDRESSOCATION: ?.514 MARSHFI ELD LN
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LOCATE + SERVICE CAIa. WORK ORDER
REASON:
Reasonable offon has been Imade to awalsry locate the order of Bottalder Sanitation District sewer Ilan in the vidtdty of the NNW address as
mquestad and these have been marked on ground surface with green paint The sewer bed m ma*lnp represent apilombr am horizontal location of
the sewer (amurata to within! 13 Indies In either dMat m). Depth is estimated lobeAlways use OvAlon when excavating near any
utility, and exposed Plpeo, so that pips we not dttmoged and pipe bodAing dWurbw= Is mittln*od, Sanitary newer service {abrala
sxbmftg from the Dist) 49owar In to Individual btdldinga am trot the respor eNtly of the DWrIet and larva not bem loeamd.
icx NEW SERVICI LATERAL INSTALLATION INSPECTION
1. con mallol to sanitary saw w collection system cannot be made unto a Wastewater Dmdrarpe Right Is purchased tram the Iketrint,
R.- D191"d caddie act charge Ii dudes labor, equipment, and top Middle oenneclor to drip the ooNector Ana and fasten the saddle connector to the omeow anti.
Permxhs msy NOT,. any otroumstarew, amempt to penetrate main cegseter arm or manholes eNhma ma amwd atom DbMok
3. Locator wire Is required for I along the Wvlm Poe for future locating of the Ilse•
4r Parrnlmee shall provide all excavation, sieving, gnesWtftM service line malsdab and labor for Inmansum of series are to main alm.m on, and
eeahrag lie required by �e Dbotrt, Federal and tthta rogutwnerltr, and oppReable Building and Ptummng Cadtis. No wwaveftn, shoring,
dewstering, or t Wet be done by the District, and the Mernaper or his spent will require any addttlonal excavaaon, m shoring, or ow" ring of the
wxaavetad space that In )udgrnealone ises necessary bergs aftusb inspection may be solely smampashed and approval of da senvlce line
blMelletien is granted;
5. The DlsMat requires that a atirvios ones be Installed such that furore use of the smvloe ltnb will not aonbbute Inflow or lnflmimm of groundwater to the
oolitiaoon system due too connections, grades, bedding Materials. pbgwnwi, or pipe material. The 0MkW WM raq*s consation of any Improper
connection through lie' msm authaar,
6. Ponnittee shell ratify the IDNF. x at least 46 hours pier to when the service Ara Is expeated to be InelsMd and ready for Inspection and c6nnectlen:
7. The Dlsbiot shall not be ell to any MWIfty for any defkyanay Or defect of Sovloe Ilne materfab or installation "Wh Is not dlacwered by Inspection nor
shell owner or ira"Mea absolved from Ileblllry'br any deflalency or detect or sengaa Ilns naleriale a lnshlbuon and any resulgng tlarttaga or from
reeponelblllry, ro aonact au defiolency or doled. The Diebiat dose not assume any obugagon nor acquire any IIvWfty for personal Iniury to any party or
edeyymentwge tD the connecting or any portion thereof caused by or ros�Kg from any such oomecom ro the wastsmater co@eoaon and trestment
9. The 0 trlct requlree payme t of a construavo m Irwow on ar" for this I speollm,
Type of Pipe: rQA,r P u C- pipe Redding MhAWall,
Installation Satlataeto ' �% Disconnect Valve Sgtisfaaw z Pipe Slope quate (visual)?
Pipe Bedding Sstiafat,,ry? ./f k, r YVireProimiy Placed? !/�
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.K, TOSACI�IFILL Data: District Initial,
O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: �' ' % �y. (� DiaMct initial: � � �-
By signing, I acknowledge having feed and understood the fotg*g and at;Itnowie* receipt of a copy of this form.
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Received by: i Date:
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