Lincoln County Public Works Water and Sewer Submittal Application
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1 Lincoln County Public Works Water and Sewer Submittal Application 1. Date Submitted: Submittal Number: 2. Project Name of Project: 3. Project Address/Location: 4. Owners Name: Address: Contact Number: Fax Number: Contact Person/Number: 5. Engineering Firm: Contact Person/Number Note: Plans will not be accepted without a completed Submittal Application Form Conditions of Submittal: 1. Developer/Owner maintains ownership of the proposed water and sewer utilities of the referenced project until project is completed to the satisfaction of Lincoln County Public Works Department. At that time ownership may be switched to Lincoln County. 2. Developer/Owner agrees to ensure, with the assistance of a Professional Engineer Registered in the State of North Carolina, that the utilities shall be designed and constructed in accordance with the Lincoln County Standard Specifications and Details or has written approval for any deviations. 3. Developer/Owner agrees that Lincoln County/East Lincoln County Water and Sewer District shall not be held liable for any cost or liabilities associated with this project unless otherwise agreed upon in writing. 4. Developer/Owner agrees to not begin construction of water or sewer utilities until all necessary permits, NCDENR, NC DOT, or otherwise, have been obtained by the Developer/Owner. Signed: Printed Name: Title: Date: Company: 1 Lincoln County Department of Public Works
2 Preliminary Submittal Meeting Lincoln County Public Works Water and Sewer Submittal Requirements 1. Project layout with streets and property lines. 2. Topographic map delineating drainage basin where project is located and the proposed project including all phases (current and future). 3. Location of connection points to existing water and sanitary sewer utilities. Submittal Requirements 1. Lincoln County Public Works Application for plan approval. 2. Design calculations, signed and sealed by Registered Professional Engineer, including population served flow rates, pump station design, etc. 3. Topographic map clearly delineating drainage basin where project is located and the proposed project including all phases (current and future). 4. Three (3) sets of plans, specifications and permits for review purposes. 5. Completed and signed submittal checklist. Construction Requirements 1. Under NO circumstances will water or sewer utility construction start without appropriate NC DENR permits and Lincoln County Public Works approvals! 2. Written notification 72 hours before construction is to begin with the appropriate items completed Construction and Closeout Checklist items completed. 3. Preliminary construction schedule highlighting approximate dates of key work items: system interconnections, testing, etc. 4. Notification 72 hours in advance of actual interconnection and testing. 5. Lincoln County Public Works personnel or designated representative must be present for all interconnections to the existing system and testing. Closeout Requirements 1. As-built Drawings Three (3) sets and digital file on CD (AutoCAD dwg/dxf) 2. Certification By Engineer of Record 3. Certification of Completion to NC DENR 4. Certification of release from NCDENR Land and Water Quality Permits (on LCPW projects). 5. Transfer Deeds of Easements to Lincoln County 6. Final Inspection with Public Works Department Representative 7. Transfer Ownership of utility extensions to Lincoln County 8. Completed and signed Water and Sewer Construction and Closeout Checklist 2 Lincoln County Department of Public Works
3 Lincoln County Public Works Water and Sewer Plan Submittal Checklist General 1. Lincoln County Application for Approval 2. Topographic map identifying drainage basin and project site 3. Design Calculations 4. Permits 5. Three (3) sets of Specifications Signed and Sealed by Registered PE 6. Three (3) sets of Plans Size: 24 x 36 - Signed and Sealed by Registered PE 7. Recommended Scale Plan 1 = 50 Profile: 1 = 5 (Vertical) 1 = 50 (Horizontal) 8. Cover Sheet to include a. Name of Project and Phase b. Developers Name, Address, and Telephone/Fax Number c. Engineers Name, Address, and Telephone/Fax Number d. Date of Drawing Revisions e. Vicinity Sketch of Project Area f. Legend 9. Title Blocks to include a. Sheet Title and Stationing b. Name of Project c. Developers Name and Address d. Engineers Name and Address e. Plan/Profile Scale f. Date of Drawing and Revisions 10. North Arrow All Sheets 11. Signature and Seal of Professional Engineer 12. Street Layout with Names and R/W Widths 13. Numbered Lot Layout 14. Utility (Water and Sewer) Maintenance Easements (widths shown) 15. Pavement Width including Curb 16. Existing and Proposed Ground Elevations in Profile 17. Match Lines 18. Lincoln County Public Works Standard Details with Title blocks 3 Lincoln County Department of Public Works
4 Water Plans Plan View 1. Water Line Location with distance from back of curb or edge of pavement 2. Size of Water line 3. Water Line material 4. All Fittings and Appurtenances 5. Length of main between Fittings 6. Horizontal Separation between sewer and other utilities Profile View 1. Water Line Location with minimum 3 cover 2. Size of Water line 3. Depth of Water Line 4. Label all Utility Crossings with Minimum Clearances Sewer Plans Plan View 1. Manhole with Manhole number and Station 2. Sewer Line Location 3. Size of sewer line 4. Sewer line material 5. Grade of sewer line 6. Length and bearing of sewer line between manholes 7. Horizontal separation between sewer & other utilities 8. Force Main size, location, material, and length. (Reference location to benchmarks and/or stationary objects as necessary) 9. Pump Station location Profile view 1. Manhole with Manhole number and Station 2. Sewer Line Location 3. Size of sewer line 4. Sewer line material 4 Lincoln County Department of Public Works
5 5. Grade of sewer line 6. Length of sewer line between manholes 7. Inverts (In and Out of Manhole) of sewer line 8. Rim elevations 9. Minimum bury depth shown 10. Utility Crossings with separation distances 11. Force main size, material, length, and depth year flood elevation 13. Elevation of vent for sealed and vented manholes 14. Label outside drop manholes 5 Lincoln County Department of Public Works
6 Lincoln County Public Works Water and Sewer Construction and Closeout Checklist Transmit to Lincoln County Department of Public Works Minimum 72 hours prior to starting construction and 72 hours prior to any system interconnections and testing. Send to: Project Name: Lincoln County Public Works Attention: Director of Public Works 115 West Main Street Lincolnton, North Carolina Telephone Number (704) Fax Number (704) Date 1. Plans reviewed and approved by Lincoln County Public Works 2. Plans Approved by NC DENR Approval letters/permits attached 3. Construction Start date Preliminary schedule attached 4. Contractor/Contact Name Address: Telephone Number: Fax Number: 5. Hydrostatic Test Results Attached Water Sewer 6. Mandrel Test Results Attached 6 Lincoln County Department of Public Works
7 Date 7. Disinfection Test Results Attached 8. Field Inspection Report Attached 9. As-built Drawings three (3) sets and on CD (AutoCAD.dwg/dxf) 10. Certification by Engineer - Attached Engineer of Record : Address: Telephone Number: Fax Number: 11. Certification of Completion By NCDENR - Attached 12. Deeds to Lincoln County Department of Public Works 13. Final Inspection 14. Transfer of Ownership to Lincoln County 15. Project Close Date This project is deemed complete as signified by the following signatures: LINCOLN COUNTY PUBLIC WORKS DEVELOPER/OWNER: Name: Title: Date: Name: Title: Date: 7 Lincoln County Department of Public Works
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