HomeMy WebLinkAboutREDLINED PLANS - 21-00191 - Summerfield Phase 9 - W 690 S - Plat
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TESTING
REPORT
Project Name:
Utility
Jurisdiction:
City:
Job Number:County:
SEWER
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
Flush & CCTV
Mandrel
Air Test
MH Clean & Grouted
MH Lids Marked "Sewer"
MH Hydro/Vac Test
Service Marker Boards
Installed w/Wire & Painted
MH & Clean-Out Collars
WATER
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
Pressure Test
Locate Wire Test
Bacteria Test
Valve Cans Clean with
"Water" Marked Lids
Meter Cans & Setters Per
Jurisdictional Tolerance
FH Painted
FH Correct Storz Nozzle (if req)
Service Marker Boards
Blow-Off Stand Pipe
Hydrant Reflectors
Valve Collars
STORM DRAIN
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
Mains Air Tested
Mandrel
Manholes and Inlets Grouted
Manholes and Inlets Clean
Lids Marked "Storm Drain"
Fabric Needed
End Sections Secured to Pipe
Trash Rack Secured to End Section
Sand/Rock Section in Ponds Swale
Swales Graded and Raked
MH Collars
PRESSURE IRRIGATION
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
Pressure Test
Locate Wire Test
Valve Cans Clean with
"Irrigation" Marked Lids
Service Marker Boards
Service "T" Post (if req)
Drains Clean & Operational
Air Vents Clean & Operational
All Casting to Grade
Valves in RW Collared
GRAVITY IRRIGATION
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
Pipes Tested (if req) Air/Hydro
Manholes / Boxes Grouted
Proper Lids/Grates Installed
Lids Marked "Irrigation"
MH's Boxes Structures Clean
In-Take Screens Installed
Head Gates
Pressure Line to Screen
MISC ITEMS
Description
Completed?
Y/ N Date
Inspected
By
Test Result
Pass / Fail
Re-Test
Scheduled Date
AC Patching
Concrete Patching
Sod / Landscape Repair
Gravel / Shoulder Repair
Striping
Fence Repair
Signage
Sweep Roads / Walks
Remove Erosion Control Items
Trash to Dump
Spare Parts back to Supplier
Scraps to Yard
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2” Gas line shown in Green will require a 4” plastic sleeve wherever it crosses the road, installed a minimum of 36” deep and with 12” of separation from
all other utility’s sleeves must not contain any angled fittings.
3/4” Stubs shown in orange will require a 2” plastic sleeve each time the stub crosses the road, installed a minimum of 36” deep and with 12” of
separation from all other utility’s sleeves must not contain any angled fittings.
3/4” Short side stubs shown in orange will require a 6’ long trench dug out of the common trench 42” deep opposite side of the lot line from the power
cabinets.
Please see attached trench profile.