PART 6 - STANDARD DESIGN AND CALCULATION FORMS 6.1 SANITARY SEWER DATA SHEET



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PART 6 - STANDARD DESIGN AND CALCULATION FORMS 6.1 SANITARY SEWER DATA SHEET Name of Municipality or Sewer District Name of Project Original Township and Lot Number Name of Engineer of Firm Preparing Plans Address Telephone Name and Address of Governmental Authority to Whom Plan Approval Should be Sent: Brief description of project. Include information as to (a) the location, size and development of the area to be served, (b) total length of sewer to be installed, (c) possibility of future extensions, (d) exact location of connections to existing sewers, (e) treatment plant receiving wastes, (f) and other data pertinent to the project. (Use attachment if necessary). 6-2

PIPE MATERIAL MATERIAL JOINT BEDDING CLASS. PIPE SIZE PIPE LENGTH MINIMUM SLOPE MAX M.H. SPACING TYPE MANHOLE M.H. JOINT * List ASTM, AWWA, ANSI

a. Specify the type of leakage test (air, infiltration and/or exfiltration) and the limit to be used Air time for 1 psi drop in pressure, infiltration, exfiltration gallons per inch of pipe diameter. Tested under subversion of an Engineer. b. Deflection limit specified % (applies only for flexible pipe). Tested under subversion of an Engineer. c. Specifications include provision for inspection of all construction by an engineer or qualified inspector. Capacity of existing system and/or plant to which connected. Present Treatment Facility Loading MGD (based on average daily flow previous year). Present Capacity of Treatment Facility MGD (average daily flow). If proposed sewer is to be connected to an existing sanitary sewer, give the capacity of the existing sewer available for additional loading at point of connection MGD (base calculations on basis of peak flows). Estimated hydraulic loading of proposed sewer at point of connection to plant or existing sewer: initial: Average daily flow: peak flow (based on existing homes to be served) design: Average daily flow: peak flow (design on immediate area served) ultimate: Average daily flow: peak flow (based on immediate area and extension) If the flow figures indicate a hydraulic loading over the design capacity of the sewer or treatment plant, explain what steps are being taken to eliminate or reduce the hydraulic loading to an acceptable value. Are the proposed sewers deep enough to serve all adjacent basements? If No, explain: 6-4

d. Are the sewers at least 10 feet horizontally from water lines and/or at least 18 inches below the water line. If No, why? e. Are the water supply sources, public or private, located within 200 feet of the sewers? If Yes, will sewers be encased or watertight? f. Is there any connection between the sewer and a public or private potable water supply or appurtenances? g. Are sewers in streams constructed to remain watertight and in alignment? N/A h. Are watertight covers used where manholes are subject to flooding by street runoff or high water? i. Are manholes provided at all changes in size, grade, alignment, and sewer intersections? j. Are drop manholes provided where the entrance sewer invert is 24 inches or more above manhole invert? k. Where small sewers join larger ones, have the inverts of the larger sewers been lowered sufficiently to maintain the same energy gradient? N/A l. Have provisions been made to protect sewers at velocities of over 15 feet per second? m. Are sewers secured with concrete anchors (or equal) spaced as required? N/A n. Are there any overflows or bypasses? o. If Yes, specify plan sheet(s) where shown p. Will this project include any pump stations? If Yes, please complete Pump Station Data Sheet. q. Will there be a pump station involved in receiving sewage from the sewer extension? N/A If Yes, specify present and design flows of pumping station 6-5

Estimated Cost of Project $ NOTE: A statement that "roof drains, foundation drains, and other clean water connections to the sanitary sewer system are prohibited", must be shown on the plans or sewer permit. THE FOREGOING DATA IS A TRUE STATEMENT OF FACTS PERTAINING TO THIS PROPOSED SANITARY SEWER INSTALLATION. DATE: SIGNED: Professional Engineer Registered in the State of Ohio 6-6