HomeMy WebLinkAbout908 CAMPFIRE DR - CORRESPONDENCE - 8/2/2013 (2)f5k�OJ5-20
7/31/13 Celled In
8/2/13 Requested For
8/2/13 Meet Scheduled
P.M. Meet Time
BP
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*�`0E9 59N
SANITARY SEWER SYSTEM
OWNERICONTACT: DUSTIN/BACKHOE EXCAVATING PHONE:
SERVICE ADDRESSILOCATION:
908 CAMPFIRE DR
N2 013228
Boxelder Senitetion District
3201 E Mulberry St, Unit Q
PO Box 1518
'Fort Collins, CO80622
(970) 498-DB04 fax (970) 498-0701
bsdacoV@boxeldersen0a8on.org
303-532-9672
LOCATE _ SERVICE CALL _ WORK ORDER
REASON
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 fad 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, excavator 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.
Reasotatde effort has been made to accurately locate the Centel' of Boxelder Sanliallon Disi dl 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 pjpea are not damaged and pipe bedding disturbance Is minimized.
ME
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Yes No District esamared the location of the lateral eornnedion to the District's main.
Yes _ No District sauntered One location of the lateral beyond the connection to the Deldet's moln.
XX NEW SERVICE LATERAL INSTALLATION INSPECTION
I. Connection to sanitary sewer collection system cannot be mado unite Wastewater Discharge Right is purchased from the District;
2 Diarist saddle set charge Includes labor, equipment, and top saddle connector to drill the collector Ina and fasten the saddle connector to the collector line.
Permetae may NOT, under any elreumstslces, attempt to penetrate main colloder lines or manholes without the consent of the District
3. Locatorwtre Is required for burial along the aervico rive for future lowing of the line:
4. Pamrhtee shall provide ell excavation, sharing, dowatering, service line materials and labor for Installation of wrvko line to main connoctron, and
lmckfill as required by the District, Federal and State requirements, and applicable Building and Plumbing Codes. NO excavatlon, slaving,
darvatering, or bAW11 work will be done by the Distrrd, and the Manager or his agent will require any addlil"I excavation, shoring, or dewatering of the
exatrvated space that In his judgment aarm Is n000smy before adequate Inspection may be safely accomplished and approval of We service line
instateaon is granted:
5. The District requires trot all service lines be Installed such that future use Of rho service IIM will not contribute Inflow or infiltration of Groundwater to the
collection aystem due to improper connections, grades, bedding materials, placement, or pipe material. The District will require conedlon or any improper
connection through As' antoroamOM authority;
6. PennRlea shall ratify the Oisblct at least 48 ham prior to when the service gyro la expected to be installed and ready for inspection and connection;
7. Tiro District shag not be subject to any Iletdfry, far arty Weimar or deed of service line materials or Installation which is not discovered by Inspection nor
shall owner Or permelde 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 daflclency or defect The District does not assume any obligation nor acquire any liability for personal injury to cry parry or
damage to the connecting property or shy portion Ihereol caused by or resulting from any such connbetion to Irro waslewuter collection and treatment
system;
S. The Dial requires payment of a construction inspection charge for duo inspection.
Type of Plpe: -AQ 0" Pipe Bedding Material: � y_ PuL
Installation Satisfactory? N1. A Disconnect Valve Satisfactory? �j_ Pipe Slope Adequate (visual)? T"It
Pipe Bedding SatisfacctDr)y?s Locator Wire Properly Placed?
1
Inspected By: /!/n L� /l I �fr Date:
Farlbxeka Sentatlm Dhtrla �T�����
—\I,Ab_ O.K. TO BACKFILL Date;" 46.5— District Initlal:��
_ O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: District Initial: A, _
By signing, I acknowledge having read and understood the forgoing and acknowledge receipt of a copy of this form.
Received by: Date: