HomeMy WebLinkAbout933 CAMPFIRE DR - CORRESPONDENCE - 9/30/20136/26/13 Called In
6/28/13 Requested For
6/28/13 Meet Scheduled
AFTFRNnnN Meet Time
BP
SANITARY SEWER SYSTEM
OWNERICONTACT: DUSTIN/BACKHOE EXCAVATING
SERVICE ADDRESS/LOCATION:
LOCATE
REASON:
933 CAMPFIRE DR
SERVICE CALL
N2 MOO
Boxelder Sanitation District
3201 E Mulberry St., Unit Q
PO Box 1518
Fort Collins, CO 80522
(970) 498-0804 fax (970) 498.0701
bsdaoctg@boxeldersanitation.org
PHONE: 324-9439
WORK ORDER
Warning 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 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 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 the location of the lateral connection to the District's main.
_Yes _ No District estimated the location of the lateral beyond the connection to the District's main.
XX NEW SERVICE LATERAL INSTALLATION INSPECTION
1. Connection to sanitary sewer collection 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 District;
3. Locator wire Is mquired 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
backfill as required by the District. Federal and State requirements, and applicable Building and Plumbing Codes. No excavation, shoring,
dewatering, or backfill work will be done by the District, and the Manager or his agent will require any additional excavation, shoring, or dewratering of the
excavated space that in his judgment alone is necessary before adequate inspection may be safely accomplished and appmval 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 infittratlon 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. Pennittee 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 comect 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 the wastewater collection and treatment
system;
8. The District requires payment of a construction inspection charge for this inspection.
Type of Pipe: �;11Q C 0Pipe Bedding Material: �Occ/c
Installation Satisfactory? \� Disconnect Valve Satisfactory? -*,A_ Pipe Slope Adequate (visual)? -f :11
Pipe Bedding SatisfactoA�J/?_ Locator Wire Properly Placed?.,1
Inspectei Date: 3o
r-or Bmtelder Sanitation District
O.K. TO BACKFILL Date: j District Initial: L,2�&
O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: 3 District Initial:{ O
By signing, I acknowledge having read and understood the forgoing and acknowledge receipt of a copy of this form.
Received by: Date: