HomeMy WebLinkAbout438 HOUGHTON CT - CORRESPONDENCE - 3/14/20133/ 13/ 3 Called In
3/14/13 Requested For
3/14/13 Meet Scheduled
FIRST THING Meet Time
l
OWNEWCONTACT: JOHN NICHAEL
SERVICE ADDRESS/LOCATION:
.........................................................................
LOCATE
REASON:
Boxelder Sanitation District does not
the District's sewer mains because it
the District to do so is hampered by if
or owned by the District. The District
locational information on lateral sew
attempts by the District to locate later
than hard information and that at bet
certain one. In light of this, excava
persons, and all property when excavi
Reasonable effort has been made to accurately 6
as requested and these have been marked on
location of the sewer main (accurate to within 18 i.
excavating near any utility, and exposed pipes
--Yes No District estimated the location of the l:
_Yes _ No District estimated the location of the It
XX NEW SERVICE LATERAL INS'
1. Connection to sanitary sewer collection system e
2. District saddle set charge includes labor, equipn
Permrttee may NOT, under any circumstance
3. Locator wire is required for burial along the servi
4. Permittee shall provide all excavation, shorin
backrill as required by the District, Federa
dewatering, or backfill work will be done by the
excavated space that in his judgment alone i
installation is granted;
5. The District requires that all service lines be in;
collection system due to improper connections,
connection through its' enforcement authority;
6. Permitine shall notify the District at least 48 hour
7. The District shall not be subject to any liability R
shall owner or permittee be absolved from lob
responsibility to correct such deficiency or dare
damage to the connecting property or any pen
system;
e. The District requires payment of a construction it
Type of Pipe: S k2_
Installation Satisfactory? Dist
Pipe Bedding Satisfactory?,�
Inspected By:
For Boxelder Bani
,hY O.K..TO BACKFILL
O.K. TO ISSUE CERTIFICATE
By signing, I acknowledge having read and ur
Arr f9
--��:1/;I�_� col
SANITARY SEWER SYSTEM
GIULIANO
438 HOUGHTON CT
................................ I .........
_ SERVICE CALL
2 012777
Boxelder Sanitation District
3201 E Mulberry St.Unit 0
PO Box 1518
Fort Collins. CO 80522
(970) 498-0604 fax (970) 498-0701
bsdacctg@boxeldersanitation.org
PHONE: 566-9156
.....................................
—WORK ORDER
:ustomarlly locate lateral sewer lines (service lines) or their connections to
most cases it cannot precisely do so. Please be aware that any attempt by
fact that such lines and connections are not installed, maintained, operated
as often not been provided with plans, maps, or other documentation giving
r lines by their owners. Therefore, excavators must understand that any
I sewer lines or their connections are necessarily based on deduction rather
such attempts will indicate a lateral's ESTIMATED location rather than its
tire should exercise all due caution and care to protect themselves, other
ting near lateral sewer lines that Boxelder has attempted to locate.
;ate the center of Boxelder Sanitation District sewer main lines in the vicinity of the service address
round surface with green paint. The sewer location markings represent approximate horizontal
;hes in either direction). Depth is estimated to be . Always use caution when
io that pipes are not damaged and pipe bedding disturbance Is minimized.
connection to the Districts main.
beyond the connection to the District's main.
kLLATION INSPECTION
nnot be made until a Wastewater Discharge Right is purchased from the District;
nt. and tap saddle connector to drill the collector line and fasten the saddle connector to the collector line.
attempt to penetrate main collector lines or manholes without the consent of the District;
line for future locating of the line; '
dewatering, service line materials and labor for installation of service line to main connection. and
and State requirements, and applicable Building and Plumbing Codes. No excavation. shoring,
istdct, and the Manager or his agent will require any additional excavation, shoring, or dewatering of the
necessary before adequate inspection may be safely accomplished and approval of the service lino
fled such that future use of the service line will not contribute inflow or infiltration of groundwater to the
ades, bedding materials, placement, or pipe material. The District will require correction of any improper
Drier to when the service line is expected to be installed and ready for Inspection and connection;
any deficiency or defect of service line materials or installation which Is not discovered by inspection not
y for any deficiency or defect of service line materials or installation and any resulting damage or from
The District does not assume any obligation nor acquire any liability for personal injury to any party or
n thereof caused by or resulting from any such connection to the wastewater collection and treatment
)action charge for this inspection.
1-1i Pipe Bedding Material: tz. ex-c
rnnect Valve Satisfactory? \ 1 r' Pipe Slope Adequate (visual)? t
ocator Wire Properly Placed? u. )!
(r
Date: :2 r -
Date: District initial:
OCCUPANCY Date: " ='! ! District Initial: ---
the forgoing and acknowledge receipt of a copy of this form.
Received by: I Date: