Site Plan Review Checklist - BWSC

1 site plan Review CHECKLISTB oston water and Sewer CommissionEngineering Customer ServiceWard/Parcel:Engineer-of-Record,Ti tle Company Name BWSC plan Examiner/DateItems DESCRIPTION OF site plan Narrative (provide a synopsis/Overview of all Project Utility related information) Address (Street Name & Number) & Parcel Information (Call out subdivisions and delineate lot lines on site plans) & Meter 's Name & Contact Landlord Number if of Street Numbering (Parcel Information included) "x5" Box (label as follows "FOR BWSC USE ONLY") Schedule (List all Applicable GSA items only)A10.

2 Professional Engineer ( ) & Professional Land Surveyor (PLS) StampsA11. Limits of Public Way Excavation (L ft x W ft)A12. Rough Construction Sign-off Document [Prerequisite for filing a GSA with BWSC. Rough Const. sign-off provided by (ISD)]A13. Stationing (Station all new service connections. Note Sta 0+00 shall begin at property line of nearest intersection)A14. Utility Information [call out all utility in roadway: water , sewer, gas, phone, elec, steam, cable, ohw, ]A15. Elevations in Boston City Base (BCB): [NGVD Datum + or MTA-CA/T Datum + 100]A16. As-built plan [All as-built plans must be certified by the Engineer-of-record]A17 ACAD File (2006 or Lower)B18.

3 water - Main (Specify main size, material & history. Note: Per diem inspection fees of $ per day will apply)B19. water - Domestic water Service (Size, material type and connection detail) B20. water - Fire Protection Line (Specify size, mat'l, backflow device size, mfg and location)B21. water - Back-Flow Preventer (Specify type, mfg and size of device. Note: Application to be accompanied by sketch) B22. water - Hydrants (Indicate public or private. Provide details for new installations and/or relocations)B23. water - water Meter [Specify size & location (inside/outside), MTU. Note: Strainer must be installed upstream of the meter]B24. water - water Meter Sizing Calcs [Based on Fixture Unit (FU) count, demand factors from plumbing codes & Hunters Curve ]B25.

4 water - Cut & Cap(s) (Show Location , Specify pipe size, and station accordingly. Show all existing cut & caps)B26 water - Mechanical Fittings & Appurtenances (Call out off-sets, Bends, tapping sleeves, valves, three-way tee, etc)C27. Sewer - Main(s) (provide 20 - scale plan & profile of proposed sewer main)C28. Sewer - Service(s) - [2% min. slope (1/4" per foot) - also specify size, est. sewerage flow, material type, stationing, inverts]C29. Sewer - Grease Trap(s) - [Where Applicable, grease trap sizing calculations must accompany the site plan submittal]C30. Sewer - Oil/ water Separators (If Applicable)C31. Sewer - Cut & Caps (Show location , specify pipe size, and station accordingly.)

5 Show all existing cut and cap)C32. Sewer - Invert Elevation @ Bldg & Main (Boston City Base)C33. Sewer - Back water Valve (BWV) (Call out location & standard Detail)C34. Sewer - Connection Details (Call out Strap-on saddle or chimney-see BWSC standard details, Wye Branch @ main)Note: This check-list must be completed and submitted with each new site plan application. All applicant shall provide a copy of all supporting documentation and BWSC utility research information must accompany each site plan submittal. Please select all applicable items by indicating "Yes" or "No" using a check ( ) mark. Applicants may provide any additional explanatory remarks in the "Comments" section.

6 Additonal comments may be provided using a separate sheetBWSC site plan No.:Project Address District (NeighborhoodProject Name/Description:Date plan first recorded Contact Number Acct No.:Section A: General site InformationCheck "Yes" or "No" if ApplicableSection C: Sewer (Mains & Services)Section B: water (Mains & Services) - Fire and/or DomesticPage 1 of 2 BWSC site plan Review Checklist (Rev 2009).xlsLast rev: 02/20/2009 site plan Review CHECKLISTB oston water and Sewer CommissionEngineering Customer ServiceItems DESCRIPTION OF site plan REQUIREMENTSCOMMENTS/NOTESC heck "Yes" or "No" if ApplicableC35.)

7 Sewer - Clean-Out(CO) Location & DetailC36. Sewer - Dye Test Sign-off/Notation (dye test required for each connection to main)C37. Sewer - 4:1 Infiltration & Inflow Reduction Compliance (Based on PNF requirements. Contact Planning Dept if Applicable)Section D: Drain (Mains & Services)D38. Drain - Main(s): [provide 20 scale plan & profile, identify whether public or private]D39. Drain - Service(s): [1% min. slope (1/8" per foot) - also specify size, mat'l type, inverts at building and main, stationing]D40 Drain - Particle Separator/Stormceptor Units (for areas greater than 7,500 sq ft- Provide Rim & Invert elev)D41 Drain - Catch Basins with Oil Trap [for external paved areas less than 7,500 sq ft.]

8 Rim & Invert(s) Elevation required]D42 Drain - Fish Plates ("DO NOT DUMP") Plaque(s) - call out quantity(ies) and show location of all plaquesD43 Drain - Infiltration Systems & Details (specify type & storage Capacity, rims and invert elevations)D44 Drain - Cut & Caps (Show location , specify pipe size, and station accordingly. Show all existing cut & cap)D45 Drain - Dye Test Sign-off/Notation (Dye test required for each connection to the main)D46 Drain - Pre/Post Drainage Calculations [Increase in net impervious cover]D47 Drain - Calculations for Article 32 Compliance: Storage & Recharge (provide supporting calculations and doc)D48 Permit - BWSC General Service Application (GSAs)-Old/NewD49 Permit - Sewer Ext Permit (Sewerage flows greater than 50,000 gpd)D50 Permit - Copy of MWRA Sewer Use Discharge PermitD51 Permit - Copy of MWRA Direct Connect permit [for Direct Connections Only]D52 Permit - Copy of MWRA 8(m) Permit (for crossings and work within 10-ft of existing sewer)D53 Approvals - PIC Coordination Required (provide copy(ies) of all PIC plan submittals)D54 Approvals - One-Time Certification [Sewerage flows >=15,000 or <=50,000 gpd or Sewer Extension less than l,000 ft]D55 Approvals - Copy of DCR Approval(s)

9 (if Applicable Only)D56 Easement - Existing/New Easement Request Document(s) (Note: forms are available on line at )D57 Easement - Existing/New License Request Document(s)D58 Demo - Demolition plan ( Delineate buildings, utility mains and services to be cut and capped, abandoned and/or demolished )D59 Demo - Dewatering plan (If Applicable)F60. Special Condition - As-built Conditions letter (prepared by BWSC and must be to be signed by property owner/Rep)F61. Special Condition - Article 32 Compliance Letter (prepared and issued to property owner and zoning board from BWSC )F62. Approvals - Conservation Commission Approval (If Applicable)F63 Approvals - Historical Society Approval (If Applicable)F64.

10 Documentation - Letter of Agreement & Understanding [LOAU] for 4:1 I & I Reduction Fee CalculationsF65. Documentation - Condo Agreement Letter and/or Notation (Required for Condo Developments)F66. Documentation - Access & Utility Easement plan (Required when filing new easements with Land Court)G67 Index Card(s) - Distance & Connection Cards ( water )G68 Index Card(s) - Distance & Connection Cards (Sewer & drain)G69 Maps - 100 Scale GIS Map ( water )G70 Maps - 100 Scale GIS Map (Sewer & Drain)G71 Maps - Old Sewer SectionsG72 Maps - Old Bromley Map ( water only)G73 Plans - Record Plans ( Review old Inspection & Survey Books)G74 Plans - CIP Plans (Request Plans & Association Information, as-built plans & Design drawings)G75 Plans - site Plans (Pending Review or approved)G76 Street Listing - Guaranteed Street Listing (Boston Public Works Dept)