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Sanitary Sewer System Page 1 of 2 Project: Firm : Date : No. YES N/A Deviation Requested Sanitary Sewer System 6.1.1.A MT PE Stamp and overall plan at buildout 6.1.1.B MDEQ Circular 2 6.1.1.C CK Sanitary Sewer Facility Plan design criteria 6.1.1.D List of proposed improvements/additions 6.1.1.E Existing sewer system analysis 6.1.1.F Existing or proposed lift station data 6.1.2 Sulfide generation analysis 6.1.3 Usage restrictions 6.1.4 Gravity main sizing and velocities 6.1.5.A Manhole locations 6.1.5.B Manhole sizing 6.1.5.C Manhole inverts 6.1.5.D Pipe size changes within manholes 6.1.5.E Flow channels 6.1.6 Locations 6.1.7 Lift station design requirements 6.1.8 Force main design requirements 6.1.9 Service lines 6.1.10 Grease interceptors 6.1.11 Sand / oil Separators 6.1.12 Sample port 6.2.1 and CK Special Provision for Sanitary Sewer Collection 6.2.2 Offsets 6.2.3 Gravity sewer pipe materials 6.2.4 Force main pipe materials 6.2.5 Service line materials 6.2.6 Detectable warning tape materials 6.2.7 Marker post materials 6.2.8 Manhole materials 6.2.9.A. Lift station manufacturer 6.2.9.B Lift station pump type 6.2.9.C Lift station pump redundancy 6.2.9.D Lift station wet well influent pipe 6.2.9.E Lift station bypass 6.2.9.F.I Lift station wiring 6.2.9.F.II Lift station backup power 6.2.9.F.III Lift station alarms 6.2.9.F.IV Lift station controls 6.2.9.G Lift station enclosures 6.2.9.H Lift station fencing ---PAGE BREAK--- Sanitary Sewer System Page 2 of 2 No. YES N/A Deviation Requested Sanitary Sewer System 6.2.10 Grease interceptor materials 6.2.11 Sand / oil separators materials 6.2.12 Sample port materials Deviation requests noted on this form shall be submitted for review and approval in accordance with Section 3.3 of the Design and Construction Standards. Deviations not individually approved, even if shown in the approved plans, specifications, or reports, are not approved.