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Home My WebLink About508 BANNOCK ST - CORRESPONDENCE - 12/30/201312/18/13 Called in 12/18/13 Requested For 12/ 18/ 13 Meet Scheduled 2-3 PM Meet Time BP OWNER/CONTACT: JOHN MICHAEL SERVICE ADDRESS/LOCATION: ....................... ............................... ......... I....... LOCATE 2NI& E Q� As. SR�JF � `0 : t iT SANITARY SEWER SYSTEM GIULIANOi PHONE: 508 BANNOCK ST .......... ___SERVICE CALL P 13o(v1Ices W 013592 Boxelder Sanitation District 3201 E Mulberry St., Unit 0 PO Box 1518 Fort Collins, CO 80522 1970) 498-0604 fax (970) 498-0701 bsdacctg@boxeldersanitation.org 227-6262 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 Ideational 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 beer made to accurately iocsie the center of Boxelder Sanitation -D slrict sewer main es in the vicinity of the service address as requested and these have been marked an ground sur OE with green paint. The server location markings represent approximate horizontal location of the sewer main (accurate to within 18 inches in eittier direction). Depth is estirnateci 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 latemi cmnectnn to the District'.^, main _Yes _ No District estimated the location of the !ateml baynnd cl.e connectior,. to the Distt!ct's main. XX NEW SERVICE LATERAL INSTALLATION INSPECTION 1. Connection to sanitary sewer collection system cannotb2 made urdl a vlastetwate: Discharge Righ! is purchased `.rem the District: 2. District saddle set charge intrudes labor. equipment. and tap saddle ccnrerior to drill the o1lcGor I nc and fasten the saddle connector to the collector line. Permntee may NOT, under any circumstances, attempt to penetrate main collector lines or manholes without the consent of the District; 3. Locator wire is required for burial arcing the sir .oe lime, for funim. locating cif t i line: 4. Permittee shall provide all excavation, shoring, dewatering, service tine materials and labor for installation of ser ico line to main connection, and backlili 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 wil, require any additional excavation, shoring, or dewatering of the excavated specie that ill his judgment alone is necessary 'o?fora adequato inspection may be safely accomplished and approval of the service line installation is granted; 5. The District requires that of service lines be Installed such that future use of the -ervice line will not contribute inflow or infiltration of groundwater to the collection system due to improper connections, grade;, bedding niater.ats, placement, or pipe material. The District will require correction of any improper connection through its' enforcement authority; 5. Permittee shall notify the District at least 48 hours Prot to when the serrino line is expected to be installed and ready for inspection and connection; 7. The District shall not be subject to any liability for any defcienr;: or defect of service line materials or installation which is not discovered by inspection nor shall timer or permihee be absolved from. liability for any ceflcien cy n- defect of service line materals or installation and any resulting damage or from responsibility to correct such deficiency or defect. The Orstoc', does nc: 'dssurne er:y ob:igaGon ncf acquire any liability for personal injury to any party or damage to the connecting property or any portion ihe.'eor causrd ey or re=_uiLnc frorn any such csrm;ection to the wastewater collection and treatment system; 8. The District requires payment of a construction inspection c.,hart;£, for this inspection. rr�1 Type of Pipe: �J Ir eV C, Pipe Bedding Material: 1/'1'r Ica t..� Installation Satisfactory? u#1 _ Disconnect Valve Satisfactory? es Pipe Slope Adequate (visual)? - ,e; — Pipe Bedding Satisfactory? — Locator Wire Properly Placed? (� ' S ! "i' • I Inspected By: A c Date: ,? root Saxelder SanaafiW 0,3rad 1 i CS O.K. TO BACKFILL Date: l 13 District initial: 1,0 O.K. TO ISSUE CERTIFICATE OF OCCUPANCY Date: v.,r1 ; ; Jai District Initial By signing, I acknowledge having read and understood the forgoing and acknowledge receipt of a copy of this form. Received by: pate;