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DevSvcs-TE-1.0-20150720
Innovative - Responsive - Professional
Public Works
Record Drawing
Project Data Sheet
Project:
Address:
Date Accepted:
Permit: Contractor:
Inspector:
Completed By: Company:
Phone:
Email:
Water Improvements (only new)
Main Line
in
lf
Main Line
in
lf
Main Line
in
lf
Hydrants
each
Blow-Offs
each
Services
each
Air-Vacs
each
Gate Valves
each
Fire Line (priv)
in
lf
Fire Line (priv)
in
lf
Street Improvements (only new)
Striping
lf
Crosswalks
each
Signals
each
Paths
lf
Curb/Gutter
lf
Street Trees
each
Street Lights
each
Ped Lights
each
Street Signs
each
Sidewalks
lf
Sewer Improvements (only new)
Main Line
in
lf
Manholes
each
Sewer Stubs
in
lf
Storm Improvements (only new)
Main Line
in
lf
Main Line
in
lf
Review Type
Small Type I
Small Type II Targeted
Full N/A
Total Impervious
sf
Water Quality
Yes
No
Type(s)
Sizes(s)
cf
Flow Control
Yes
No
FC Level
Level 1
Level 2
Exempt N/A
Type(s)
Sizes(s)
cf
Registered UIC*
Yes
No
* Underground Injection Control, if yes, submit
paperwork.
LID Facility
Yes
No
Type(s)
Sizes(s)
cf
CB's (Type I)
each
CB's (Type II)
each
No. of new connections to COK storm*
each
* Connection must be 6" or greater.
Notes:
For Office Use Only:
Route
Eng Storm Drainage
GIS Arborist