______________________________________ (Name of Subdivision)
______________________________________ (Date of Submission)
______________________________________ (Due Date of Recommendation [45] days)
NOTE: To properly execute this checklist, the subdivider or his engineer shall:
(1) Insert the required information.
(2) Denote compliance with applicable ordinances by placing his initials in all spaces where applicable.
(3) Denote those items which the subdivider considers “not applicable” to this particular subdivision by the abbreviation, “N.A.”)
___ 1. Plans have been submitted within twelve (12) months of the date of approval by the City Council of the preliminary plan.
___ 2. Four (4) copies of the engineering plans have been submitted.
___ 3. Plans are on 24” x 36” sheets.
___ 4. Title sheet is included with each set of plans, and includes:
___ a. Name of subdivision and unit number.
___ b. Type of work covered.
___ c. Location map showing relation of area to be improved to existing streets.
___ d. An index of sheets.
___ e. A summary of quantities.
___ f. Name, address, and seal of registered engineer preparing the plans.
___ g. Bate of preparation and revisions, if any, is shown.
___ 5. Plan and profiles are on Federal Aid sheets, plate I or II.
___ a. Horizontal scale is not less than one (1”) inch to fifty (50’) feet.
___ b. Vertical scale is no less than one (1”) inch to five (5’) feet.
___ 6. Cross sections are plotted on Federal Aid sheets, plate III.
___ a. Horizontal and vertical scales no less than one (1”) inch to ten (10’) feet.
___ 7. North direction is shown for each separate plan view.
___ 8. An adequate number of bench marks are shown with elevations referenced to mean sea level, to facilitate checking of elevations without more than one setup of a surveyor’s level.
___ 9. Delineation is shown of all easements necessary to serve all lots with underground and overhead utilities, and to allow for perpetual maintenance of these facilities.
___ 10. An application for state sanitary water board permit for the sanitary sewer extension accompanies the plans.
___ 11. Sanitary sewer plans and specifications are complete and conform to the standards and requirements of the codes applicable thereto and denote all of the following:
___ a. All properties in the subdivision are served and house service connections are provided.
___ b. The minimum size main is 8” I.D.
___ c. The plan conforms to the overall city plan for any trunk sewers traversing the subdivision.
___ d. The distance between manholes does not exceed 400’.
___ e. The invert elevation of each manhole is shown.
___ f . The grade of each section of sewer is shown by percentage in accordance with accepted engineering practice.
___ g. Extra strength pipe and extra strength manhole wall construction is specified and shown on the plans and in the estimates of quantities where the depth of installation exceeds 12’.
___ h. Profile of existing and proposed ground surfaces.
___ i. Risers are shown for individual house service laterals where depths of main exceeds 12’.
___ j. Pipe joints are of permitted type.
___ k. Minimum manhole cover weights are correct.
___ 1. 540 pounds in collector streets.
___ 2. 400 pounds in minor and cul-de-sac streets.
___ 3. 335 pounds in rear-lot easements.
___ l. Specifications include provisions for checking on infiltration or exfiltration
___ 1. Standard manhole
___ 2. Drop manhole
___ 3. Standard manhole cover
___ 4. Standard riser
___ 5. Standard service installation
___ 6. Concrete cradle.
___ 12. An application for State Department of Public Health approval of the water main installation accompanies the plans.
___ 13. Water distribution plans and specifications are complete and conform to the codes applicable thereto and include all of the following:
___ a. All properties in the subdivision are served and provisions are made for service connections within the property lines.
___ b. The minimum size main is 6” I.D.
___ c. The plan conforms to the city’s overall plan for any trunk lines which might traverse the subdivision.
___ d. Valve and hydrant spacing and location conform to the approved preliminary plan.
___ e. Materials and joint specifications comply with the city’s standards.
___ f. Specifications include provisions for testing and sterilization of all new water distribution facilities.
___ 1. Valve cover.
___ 2. Standard cover.
___ 3. Standard hydrant installation.
___ 14. Street plans, including storm sewers, are complete and conform to the codes applicable thereto and include all of the following:
___ a. The location of streets and width of pavements conform to those indicated on the approved preliminary plan.
___ b. Plan shows curb, gutter and sidewalk locations, and includes the following information:
___ 1. Corner curb radius is not less than 16’.
___ 2. Curve data for all horizontal curves.
___ 3. Direction of flow along all curbs.
___ 4. No surface water is carried across or around any street intersection, nor for a distance greater than 600’.
___ c. Cross sections are submitted as necessary to indicate feasibility of proposed street elevations in relation to adjacent lot elevations, and include sidewalk location.
___ d. Profiles are submitted for all paving centerlines and storm sewers and indicate:
___ 1. Catch basin invert elevations.
___ 2. Minimum pipe size is 12” I.D. except that a lead for a single inlet may be 10” I.D.
___ 3. The grade of each section of sewer is shown, by percentage in accordance with accepted engineering practice.
___ 4. Storm sewer elevations do not conflict with any other underground utilities.
___ 5. Storm sewer is connected with an adequate outfall.
___ 6. Curve data is given for vertical road curves.
___ e. The storm sewer system is designed to provide sufficient capacity for the draining of upland areas contributing to the storm water runoff on the street.
___ 1. Storm sewer design computations are submitted with plans.
___ f. A surface water drainage pattern is shown for each block.
___ g. Material specifications comply with city standards and include:
___ 1. Paving base materials
___ 2. Paving surface materials
___ 3. Concrete
___ 4. Pipe materials
___ h. Typical cross sections and details include the following:
___ 1. Collector street
___ 2. Minor or cul-de-sac street
___ 3. Concrete curb and gutter
___ 4. Concrete sidewalk
___ 5. Standard manhole
___ 6. Standard cover
___ 7. Catch basin
___ 15. Street light plans are complete and include the following: (Not Required)
___ a. Pole locations
___ b. Spacing
___ c. Average maintained footcandle illumination (calculated).
___ 1. type of base and pole
___ 2. bracket or arm
___ 3. luminaire, indicating type of lamp and wattage
___ 4. mounting height
___ 16. Parkway improvement specifications are complete and include provisions for:
___ a. Removal of stumps, trees that cannot be saved, boulders, and all other similar items.
___ b. Grading, installation of topsoil, and seeding or sodding.
___ 17. Street signs are shown to be installed at all street intersections not previously marked.
COMPLETED BY: _______________________________ (NAME)
_________________________________________________________________ (ADDRESS)
_____________________ (DATE)
REVIEWED BY: ______________________________________________
SUPERINTENDENT OF PUBLIC WORKS
_____________________ (DATE)
CONSIDERED BY PLAN COMMISSION ON __________________ (DATE)
_______________________________________ (CHAIRMAN)
(1975 Code, § 34.37)