HomeMy WebLinkAbout738 Campfire Dr - Correspondence/Water and or Sewer - 11/26/201311/25/13 Called In
11,126113 Requested For
t1/2fi/13 Meet Scheduled
2PM Meet Time
fi
0
SANITARY SEWER SYSTEM
J3 /3
N2 013535
Boxelder Sanitation District
3201 E Mulberry St., Unit Q
PO Box 1518
Fort Collins, CO 80522
(970) 498-0504 fax 1970) 498-0701
bsdacctg@boxeldersanitation.org
OWNERiCONTACT: DUSTIN/BACKHOE EXCAVATING PHONE: 303-532-9672
SERVICE ADDRESSILOCATION:
LOCATE
REASON
738 CAMPFIRE DR
SERVICE CALL
WORK ORDER
Wamine to Excavators to Exercise Caution - Lateral sewer lines
Boxelder Sanitation District does not customarily locate lateral sewer lines (service lines) or their connections to
the District's sewer mains because in most cases it cannot precisely do so. Please be aware that any attempt by
the District to do so is hampered by the fact that such lines and connections are not installed, maintained, operated
or owned by the District. The District has often not been provided with plans, maps, or other documentation giving
locational information on lateral sewer lines by their owners. Therefore, excavators must understand that any
attempts by the District to locate lateral sewer lines or their connections are necessarily based on deduction rather
than hard information and that at best such attempts will indicate a lateral's ESTIMATED location rather than Its
certain one. In light of this, excavators should exercise all due caution and care to protect themselves, other
persons, and all property when excavating near lateral sewer lines that Boxelder has attempted to locate.
Reasonable effort has been made to accurately locate the center of Boxelder Sanitation District sewer main lines In the vidnity 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 main (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.
Yes No District estimated me location of the lateral connection to the Distdefs main.
_Yes _ No District estimated the location of the lateral beyond the cannecnon to the Dlst icrs main.
—xx— NEW SERVICE LATERAL INSTALLATION INSPECTION
1. Connection to sanitary sewer collection system cannot be made until a Wastewater Discharge Right is purchased rum 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.
Permlttoe may NOT, under any circumstances, attempt to peristrats main collector lines or me nholes without the an heart of the DI strict;
3. Locator W ns Is required for burial along the service line for future locating of the line;
4. Parasitize shall provide all excavation, sharing, dewatering, service line materials and labor for installation of service Has to main connection, and
backnll as required by the Dlstric4 Federal and state requirements, and applicable Building and Plumbing Codes. No excavation, sharing,
dawaloring, or backdll work will be done by the District, and the Manager or his agent will require any additional excavation, sharing, or derwatering 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 0 Impmper connections, grades, bedding materials, placement, or pipe material. The District will require correction of any improper
connection through its' enforcement authority;
6. PermMee shall notary the District at least 48 houm prior to when the service line is expected to be installed and ready for inspection and connection;
7. The District shall net be subject to any liability for any deflcleny or defect of sevice line materials or Installation which Is not discovered by Inspection nor
shall owner or permittee be absolved from liability for any deficiency or doted of service line materials or installation and any resulting damage or from
respunsibllity, to correct such deficiency or defect. The District does not assume any obligation nor acquire any liability for parmnal injury to any party or
damage to the connecting property or any portion thereof caused by or resulting tram any such connection to the wastewater collection and treatment
system;
8. The District requires payment of a construction Inspection charge for this inspection.
Type of Pipe: SQIi iS t-1 `t Pipe Bedding Material: -a' diode
Installation Satisfactory?Disconnect Valve Satisfactory? -LPipe Slope Adequate (visual)?
Pipe Bedding Satisfadoy'p/� ,Locator Wire Properly Placed? -I`l
Inspected By; �/x s,r,,.t Date: LeLlti
For BoWhT Sitinflatint District
% O.K. TO BACKFILL Date: 72/3n/rt District Initial:
� 4 _
O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: L lt� /l4 District Initial: �( ✓
By signing, I acknowledge having read and understood the forgoing and acknowledge receipt of�a copy of tllis form.
Received by: Date: