HomeMy WebLinkAbout3309 Yule Trail Dr - Correspondence/Water and or Sewer - 08/19/20115/26/_11 Called in
5/ 31 / 11 _ _ _ Requested For
_ Meet Scheduled
,ill D(I`DD4
N" 011614
Meet Time
SANITARY SEWER SYSTEM
BP INSPECTION READY TUESDAY;, 5/31 BE` EENnl 3Q*2FM
Boxelder Sanitation District.
320i E Mulberry $t., Unit Q
PO Box 1518
Fort Collins, CO 80522
(970) 498-0604 fax 1(970) 498-0701
bsdacctg@boxeldersanitation.org
OWNERIC01 TACT: .JEREMY/BACKHOE. EXCAVATING
.PHONE: 303-775-.5228
SERVICE ADDRESS/LOCATION:
3309 YULE TRAIL RD
..LOCATE
REASON:
SERVICE CALL
WORK ORDER
Reasonable effort has been made to accurately locate the center of Boxeider 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 location of
the sewer (accurate to within 18 inches in either direction). Depth is estimated to be - Always use caution when excavating near any
utility, and exposed pipes so that pipes are not damaged and pipe bedding disturbance is minimized. Sanitary sewer service laterals
extending from the District sewer line to individual buildings are not the responsibility of the District and have not been located.
XX NEW SERVICE LATERAL INSTALLATION INSPECTION
1.. Connection to sanitary sewer system cannot be made until a Wastewater Discharge Right is purchased from the District;
2. District saddle set charge includes labor, equipment,. and tap saddle 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 DlsMct;
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, service line materials and labor for installation of service line to main connection, and
bachflllas required by the District, Federal and State requirements; and applicable Building and Plumbing Codes. No excavation, shoring,
dawatbdhg, 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 judgment alone is necessary before adequate Inspection may be safely 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, 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 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 absolved from liability 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 personal injury to any party or
damage to the connecting property or any portion thereof caused by or resulting from any such connection to thewastewatercollection and treatment
system;
8.. The Distric *requires payment or a construction inspection charge for this inspection.
Type. of. Pipe: ,�jl' L Pipe Bedding Material:
Installation Satisfactory? �^ Disconnect Valve Satisfactory? �f Pipe Slope Adequate (visual)?
Pipe..Bedding Satisfactory? ✓ Locator Wire Properly Placed? .�
Inspected By: Date: For Boxelder sanitation Di#d
OX. TO BACKFILL Date! District Initial.
' . O.K. TO. ISSUE CERTIFICATE OF OCCUPANCY Date: District Initiat• .
By signing, I acknowledge having read and understood the forgoing and acknowledge receipt of a copy of this form.
Received by: _ Date: