FORM K SUBDIVISION COMPLETION CERTIFICATE

Ipswich, MA_______________________, 19___

Name of Subdivision_______________________________________________

Owner_____________________________________________________________

Date of Application_______________________________________________

Date of Approval or other action by Planning Board________________

Performance Guarantee_____________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Way Completed to Satisfaction of:

Public Works Department By__________________________________

Date:_________________t

Sewer Division By_______________________________________

Date:_________________

Water Division By_______________________________________

Date:_________________

Board of Health By_______________________________________

Date:_________________

Electric Department By__________________________________

Date:_________________

Release of Bond or Security Approved by the Ipswich Planning Board

Date:_________________ By_________________________, Chairman

By_________________________, Clerk

Approved as to Form:_________________________

Date:____________________

TOWN OF IPSWICH PLANNING BOARD

Checklist for Approval Not Required Plans (Form-A)

(Ch. 41, Section 81P)

(This checklist is for Planning Board use only; however the applicant may find it useful for plan preparation.)

Date Plan Filed:_______ (+ 21 Days) Final Decision Due on:_______

Refer to Planning Board Subdivision Rules and Regulations Section III

(Checked-Off Items are Complete, Circled Items are Incomplete, or

N/A - Item Not Applicable)



_____ Original "Mylar"

_____ 4 Prints of Plan

_____ Completed Form-A Application with Town Clerk's Date Stamp

_____ Copy of Application & Plan Filed with Town Clerk

_____ Title Block

_____ "Approval Not Required", Signature Area, & Notation

_____ Zoning & Water Supply District(s) Identified & Boundaries Shown

_____ Reference to Special Permits/Variances, etc.

_____ Locus Map (Scale: 1" = 1000')

_____ Location & Names of Abutters

_____ Streets & Ways (Location, Status, R.O.W. & Pavement Width, Scenic Roads Noted)

_____ Bearings, Distances, & Curve Data of Streets, Easements, Lot Lines; Exist. Bounds

_____ Lot Numbers, Area of Lots & Easements; Areas in Square Feet & Acres

_____ Lot Frontage & Lot Width for Each Lot

_____ All Land Area Affected by Division Including Remaining Land(s) of Applicant

_____ Each Lot Not Complying with Zoning Designated as "Not a Building Lot"

_____ Existing Structures, Wells, Septic Systems & Setbacks

_____ Stonewalls, Fences, Cart Paths, Drives, Trails, Streams, Brooks, Water Bodies

_____ Trees (Over 6" in Caliper) Along a "Scenic Road"S

_____ Deed References of Locus & Abutting Lots

_____ North Point & Reference of Origin

_____ Lot(s) Shown on Plan Meet Criteria of Section 3.2.18 (.1 & .2)

No. of Lots or Lot Line Changes____ x $50.00/Ea.= $____ Filing Fee Submitted

_____ Application and Plan Complete & Accepted Hearing Date Set on:

_____ Application and Plan Incomplete (see Items Circled Above)

Comments:___________________________________________________________

_____ Plan Approved by Planning Board _____ Plan Disapproved by Planning Board

(see Attached Reasons)

Planning Board Decision Filed with Town Clerk on:_________________

TOWN OF IPSWICH PLANNING BOARD

Checklist for Preliminary Subdivision Plans (Form-B)

(Ch. 41, Section 81S)

(This checklist is for Planning Board use only; however the applicant may find it useful for plan preparation.)

Date Plan Filed:______ (+45 Days) Final Decision Due on:______

Refer to Planning Board Subdivision Rules and Regulations Section IV

(Checked-Off Items are Complete, Circled Items are Incomplete, or N/A - Item Not Applicable)

_____ One Set of Reproducible Preliminary Plan(s) & 13 Contact Prints

_____ 2 Contact Prints of Preliminary Plan(s) to the Board of Health with Copy of Form-B



_____ Completed Form-B Application with Town Clerk's Date Stamp

_____ Written Notice, Copy of Application & Preliminary Plan(s) Filed with Town Clerk

_____ Subdivision Name, Boundaries, North Arrow, Scale, Date

_____ Names and Addresses of Record Owner(s), Applicant(s), and Engineer & Surveyor

_____ Zoning & Water Supply District(s) Identified & Boundaries Shown

_____ Names of All Abutters as They Appear on the Most Recent Tax List

_____ Streets & Ways (Location, Status, R.O.W. & Pavement Width, Scenic Roads Noted)

_____ Location & Identification of All Existing Utilities

_____ Lot Lines with Approximate Dimensions and Lot Areas; Lot Numbers

_____ Public Areas Abutting or within Subdivision

_____ Existing and Proposed Topography showing Drainage Patterns and Water Bodies

_____ Major Land Features: Existing Structures, Wells, Septic Systems, Monuments,

_____ Stone Walls, Fences, Cart Paths, Drives, Trails, Streams, Brooks, Water Bodies

_____ A Statement with Respect to Cut & Fill Operations

_____ Wetlands and Flood Plain Areas

_____ Existing and Proposed Center Line Profile(s) of All Proposed

Streets and Ways

_____ Proposed Drainage Systems with Easements

_____ All Proposed Utilities: Sewer, Water, Electric, Telephone, Gas, etc.

_____ Existing and Proposed Easements and/or Right-Of-Ways Affecting Subdivision

_____ Lots Shown on Plan Comply with the Applicable Provisions of the Zoning By-Law

No. of Lots____ x $100.00/Ea.+ $100.00 (Base Fee)= $______Filing Fee Submitted

_____ Application and Plan Complete & Accepted Hearing Date

Set on:_________

_____ Application and Plan Incomplete (see Items Circled Above)

Comments:__________________________________________________________

_____ Plan Approved by Planning Board _____ Plan Disapproved by Planning Board

(see Attached Reasons)

Planning Board Decision Filed with Town Clerk on:_____________

TOWN OF IPSWICH PLANNING BOARD

Checklist for Definitive Subdivision Plans (Form-C)

(Ch. 41, Section 81O and Section 81 U)

(This checklist is for Planning Board use only; however the applicant may find it useful for plan preparation.)

Date Plan Filed:_____ (+45 Days) Final Decision Due on:_____



Refer to Planning Board Subdivision Rules and Regulations Section V

(Checked-Off Items are Complete, Circled Items are Incomplete, or



N/A - Item Not Applicable)

Submission Requirements:

_____ One Set of Reproducible Definitive Plans & 13 Contact Prints

_____ 2 Contact Prints of Definitive Plans to the Board of Health with Copy of Form-C

_____ Completed Form-C Application with Town Clerk's Date Stamp

_____ Written Notice, Copy of Application & Definitive Plans Filed with Town Clerk

_____ Environmental and Community Impact Analysis

_____ Storm Water Management Report

_____ Certified Copy of Recorded Deed

_____ Certified List of Abutters as They Appear on the Most Recent Tax List

_____ List of Requested Waivers and Reasons for Request(s)

_____ Estimated Construction Schedule for Completion of Subdivision Improvements

_____ Statement Identifying Type of Proposed Performance Guarantee for Completion

_____ Quitclaim Deed(s) (Metes & Bounds) for Streets, Ways, Public Areas, Open Spaces Required Filing Fee: 1.) Preliminary Plan Approved or

2.) No Preliminary Plan Approved

1). No. of Lots____ x $250.00/Ea.+ $1000.00 (Base Fee)=

$____ Filing Fee Submitted

2.) No. of Lots____ x $500.00/Ea.+ $1000.00 (Base Fee) =

$____ Filing Fee Submitted.

Form and Contents of Plans:

_____ Definitive Plan Set Includes All Required Sheets per Section 5.2

_____ Plan Sheets Measure 24" x 36" with One (1") Borders

_____ Plans Prepared in Accordance with Register of Deeds or Land Court Requirements

_____ Signature Blocks for Planning Board and Town Clerk Provided on Each Sheet

_____ Space for Listing and Dating Revisions Provided on Each Sheet

_____ Title Block Provided on Each Sheet after Cover Sheet

_____ Each Sheet (including copies) Contains Original Seal and Signature of Preparer(s) Cover Sheet

_____ Subdivision Name and Locus Plan (at a Scale of 1" = 1000')

_____ Names and Addresses of Record Owner(s) and Applicant(s)

_____ Names and Addresses of Engineer, Land Surveyor, and All Other Professionals

_____ Zoning & Water Supply District(s) Identified

_____ Index to All Plan Sheets and Legend

_____ Project Bench Mark Data and Reference to Starting Bench Mark; NGVD Datum Lot Layout Plane

_____ Plan Prepared at a Scale of 1" = 40' or Other Scale as Required by the Board

_____ Bearings, Distances, & Curve Data Shown for All Streets, Easements, & Lot Lines

_____ Names and Location of All Abutters as They Appear on the Most Recent Tax List

_____ Existing and Proposed Permanent Monuments and Ties to Two Existing Monuments

_____ Areas in Sq. Feet and Acres (min. of 3 decimals) Shown for Each Lot & Easement

_____ Total Frontage and Lot Width (at the front setback line) Shown for Each Lot

_____ Lots Not Meeting Min. Zoning Requirements Designated as "Not A Building Lot"

_____ Lot Numbers, Enclosed in a Circle, and House Numbers Shown for Each Lot

_____ Location, Name, Status, Right-Of-Way & Pavement Widths Shown for Exist. Streets

_____ Streets Designated as Scenic Roads are Noted

_____ Existing Structures in the Subdivision and within 50' of Subdivision are Shown

_____ Stone Walls, Fences, Cart Paths, Water Bodies and Water Courses are Shown

_____ Zoning and Water Supply District(s) Classification and Boundaries are Shown

_____ References to Exist. or Proposed Covenants, Restrictions Variances, Special Permits

_____ Plan & Deed References of Parcel, Streets, Ways, Easements, and Abutting Lots

_____ North Arrow Identified as "True" or "Magnetic" and Reference to Origin Grading, Drainage and Utilities Plan

_____ Plan Prepared at a Scale of 1" = 40' or Other Scale as Required by the Board

_____ Contours Shown at a Two Foot Interval or Other Interval as Required by the Board

_____ Exist. and Proposed Boundaries of All Lots, Streets, Ways, & Easements are Shown

_____ Exist. Contours in and within 50' of the Subdivision are Shown

_____ Proposed Contours Indicating Finished Grades are Shown

_____ Spot Elevations Shown in Areas where Exist. or Proposed Grades are 1% or Less

_____ Extent of All Exist. & Proposed Streets, Drives, Walks, Ramps, Parking, etc. Shown

_____ Stationed Center Line(s) of Proposed Street(s) Shown

_____ Stone Walls, Fences, & Cart Paths within, bounding, or crossing Subdivision Shown

_____ Existing Structures in the Subdivision and within 50' of Subdivision are Shown

_____ All Exist. Wells and Septic Systems in and within 100' of the Subdivision are Shown

_____ All Proposed Structures, Wells, and Septic Systems in the Subdivision & Setbacks

_____ Location & Identification of All Groundwater Observation and Percolation Test Pits

_____ Logs of Observed Data from Test Pits Shown on Plan or Separate Sheet

_____ Exist. & Proposed Water Courses, Drainage Ditches, Streams, Brooks, Water Bodies and Retention or Detention Basins are Shown

_____ The Annual & 100 Year High Water Elevations are Shown for All of the Above

_____ Location & Identification of All Wetlands in & within 200'of the Subdivision

_____ Location of the 100 Year Flood Boundary in and within 100' of the Subdivision

_____ Location & Identification of All Exist. & Proposed Above & Below Ground Utilities

_____ Location & Identification of All Permanent Project Bench Marks in the Subdivision

_____ Two (2) Bench Marks Shown for Each Proposed Street

_____ Location, Size, & Type of Proposed Street Trees are Shown

_____ Location and Method of Proposed Erosion/Sedimentation Control(s) are Shown

____ Location of Proposed Stocking Area(s) of "Earth" Materials are Shown

_____ Location of Proposed Stump Burial Area(s) are Shownt

_____ Location of Area(s) for Disposal of Surplus "Earth" Materials & Finished Grades

_____ The Volume of "Fill" in the Above Disposal Area(s) is Indicated

_____ Location of Area(s) to be Utilized for Borrow Materials & Finished Grades

_____ The Volume of "Cut" in the Above Borrow Area(s) is Indicated

_____ Statement with Respect to the Volume of "Earth" Materials to be Removed Off Site

_____ Statement with Respect to the Volume of "Fill" Materials to be Obtained Off Site Street Plan

_____ Plan Prepared at a Scale of 1" = 40' or Other Scale as Required by the Board

_____ Bearings & Distances of All Tangents along Center Line and Right-of-Way

_____ Radii, Are Length & Central Angle of All Curves along Center Line & Right-of-Way

_____ Points of Intersection of All Tangents & Tangent Lengths of All Center Line Curves

_____ Center Line Stations at 50' Intervals & at PC's and PT's of All Curves

_____ Station Equation(s) at Center Line Intersections



_____ Exist. & Proposed Lot Lines Intersecting Street Right-of-Way; Lot Frontage & No.

_____ Bearings & Distances of All Exist, & Proposed Easements

_____ Exist. & Proposed Pavements & Dimensions for All Streets, Sidewalks, Drives, etc.

_____ Exist. & Proposed Curbs and Berms; Materials Identified

_____ Exist. & Proposed Drainage Facilities with Pipe Sizes & Materials including Catch

_____ Basins, Manholes, Culverts, Headwalls, Detention/Retention Basins & Outlet Pipes or Structures with Rim and Invert Elevations

_____ Exist. & Proposed Water Mains with Sizes & Materials, Hydrants, Gates, etc.

_____ Exist. & Proposed Sewer Mains with Sizes & Materials; Manholes; Rims & Inverts

_____ Exist. & Proposed Gas Mains

_____ All Other Exist. & Proposed Above & Below Ground Utilities; Electric, Telephone,

_____ Cable TV, Poles, Conduits, Transformers, & Appurtenances

_____ Exist. & Proposed Street Trees

_____ Two (2) Permanent Bench Marks for Each Proposed Street; Location Identified

Street Profile

_____ Profile Prepared at a Horizontal Scale of 1" = 40' and Vertical Scale of 1" = 4'

_____ Exist. Center Line Profile Drawn with a Fine Dashed Line

_____ Exist. Elev's Labeled at 50' Intervals, at Stations of Verticaln Curves & Intersections

_____ Exist. Left Right-of-Way Profile Drawn in a Fine Line as a Dot Dash

_____ Existing Right Right-of-Way Profile Drawn in a Fine Line as a Dot Dot Dash

_____ Proposed Center Line Profile Drawn in a Solid Line

_____ Proposed Stations and Elev's Labeled at 50' Intervals and at Pvcs, Pvrs, & Pvts

_____ Center Line Intersection Points Show Exist. & Proposed Elev. & Station Equation



_____ Gradient Lines Labeled with the Percent Rate of Grade

_____ Length of Vertical Curves Labeled; Sight Distances Shown

(see Section 6.8)

_____ Exist. & Proposed Drainage Facilities; Drain Lines, Catch Basins, Manholes,

_____ Culverts, Headwalls, Outlet Pipes/Structures with Pipe Sizes, Slopes, & Elev's.

_____ Stations & Offsets Indicated for All Drainage Structures

_____ Exist. & Proposed Water Mains; Pipe Sizes, Depths of Cover, & Laterals to Hydrants

_____ Stations and Offsets Indicated for All Hydrantsh

_____ Exist. & Proposed Sewer Mains & Manholes with Pipe Sizes, Slopes, & Elev's.

_____ Stations & Offsets Indicated for All Sewer Manholes

_____ Vertical Clearances Labeled for All Crossing Utilities Typical Sections, Details, and Notes

_____ Plan(s) & Profile(s) Drawn at a Scale Not Less Than 1" = 40" Horizontal and a Vertical Exaggeration Not Greater Than 5:1

_____ Details & Sections Drawn at a Scale Not Less Than 1" = 4' or Approx. 1/4 Scale

_____ Typical Cross Section of Each Proposed Street in Conformance with Figure-1

_____ Location and Depths of Cover of All Utilities Shown on Typical Cross Section

_____ Cross Section(s) and Details of All Proposed Retention/Detention Basins; Exist. & Proposed Grades; Inlet Pipes with Inverts & Full Flow Capacities; Outlet Control Structures & Pipes with Inverts & Full Flow Capacities; 10 & 100 Year Storm Water Elev's; Details & Elev's of Emergency Spillway Structure(s); Embankment Construction & Slope Treatment; Top of Dam Elev.; & Volume of Storage Capacity

_____ Profiles & Cross Sections of All Cross Country Drain Lines, Swales or Ditches

_____ Details of All Drainage Structures; Catch Basins; Manholes; Headwalls; Flared-End Sections; Outlet & Velocity Control Structures; & Rip-Rap Slopes & Channels

_____ Details of Sewer Manholes & Drop Inlet Structureso

_____ Details of Hydrants, Blow-Off Valves, and Thrust Blocks

_____ Detail(s) of Curb Installation(s) in Conformance with Figure-2

_____ Detail of Handicap Ramp

_____ Detail of Guardrail(s)

_____ Detail(s) of Erosion/Sedimentation Control Devices

_____ Plans, Details, Sections & Profiles of All Other Proposed Utility, Structure or Facility

_____ Specific & General Notes Identifying the Standards of Materials and Construction

_____ Methods of All the Proposed Elements in the Subdivision

_____ Application and Plan Complete & Accepted Hearing Date Set on:__________

_____ Application and Plan Incomplete (see items Circled Above)

Comments:___________________________________________________________

_____ Plan Approved by Planning Board _____ Plan Disapproved by Planning Board

(see Attached Reasons)

Planning Board Decision Filed with Town Clerk on:_________________

TOWN OF IPSWICH PLANNING BOARD

Subdivision Consistency Review for Compliance with Master Plan, Natural Resources, and Design Standards for Preliminary and Definitive Subdivisions (Forms B & C)

(This review form is for Planning Board use only; however the applicant may find it useful for design purposes)

Name of Applicant_________________________________________________

Name of Owner_____________________________________________________

Name of Subdivision_______________________________________________

Location of Subdivision________________________ Map______ Lot_____

Name of Engineer/Surveyor_________________________________________

Date Preliminary Subdivision Plan Filed:________, Hearing Date:_____

Preliminary Plan Approved?________ Date of Approval________

Date Definitive Subdivision Plan Filed:_________, Hearing Date:_____

Definitive Plan Approved?________ Date of Approval_________

Refer to Planning Board Subdivision Rules and Regulations Sections V - VI

Preliminary Subdivision Plan - Some of the items listed below are not required for the submission of a Preliminary Plan, however all of the items will be reviewed and discussed with the Applicant, Planning Board, Municipal Officials, Abutters, and other boards to clarify any problems or adverse effects of the proposed subdivision before a Definitive Plan is submitted. All items checked off, below, shall be addressed on the Definitive Subdivision Plan submission.

Definitive Subdivision Plan - If a Preliminary Plan has been approved then, the Definitive Plan, at a minimum, shall address only the checked off items listed below. If a Preliminary Plan has not been approved, then the Definitive Plan will be reviewed for completeness and consistency with all of the items listed below. Plan revisions or additional information will be required from the Applicant for each of the items indicated below.

Potential Environmental Impacts

(For Preliminary Plan Review the checked off items are required to be addressed in the Environmental and Community Impact Analysis to be submitted with the Definitive Plans; items marked N/A do not apply)

1. Natural Environment:

_____ Air and Noise Pollution

_____ Traffic Impactso

_____ Water Pollution

_____ Land Compatibility and Impacts of Soil Removal, Sedimentation, & Erosion Subdivision Consistency Review (Forms B & C) - Continued (Page 2 of 6)

_____ Plant & Wildlife Implications

_____ Impacts to Water Supply - Public & Ground Water

_____ Impacts of Sewage Disposal - on Site and Municipal System

2. Man-Made Environment:



_____ Compatibility of Proposed Development with Existing Neighborhood Land Use

_____ Compatibility of Proposed Development with Zoning District

3. Public Services:

_____ Impacts on the School System

_____ Impact on Police Services

_____ Adequacy of Fire Protection

_____ Recreation Demands - Provisions for Open Space

_____ Impacts of Solid Waste Disposal

_____ Impacts of Increased Traffic (see Section 5.4.4.6)

_____ Impacts of Future Street Maintenance to Town

_____ Impacts to Existing Street(s) Used by Construction Equipment

4. Aesthetics:

_____ Impacts of Proposed Exterior Lighting Facilities

_____ Extent and Type of Proposed Landscapinga

_____ Impacts on Existing and Proposed Views and Vistas

5. Planning:

Is the Subdivision Consistent with the Town's Master & Open Space Plans?

6. Cost/Benefit Analysis:

Is a Cost/Benefit Analysis Required for this Project?

Requirements for Improvements and Design

1. Character of the Land:

_____ Is the Layout of the Subdivision Consistent with the Protection of All Natural Features of the Land Including Large Trees, Watercourses, Scenic or Historic Elements, Aquifers, Flood Plains, and Wild Life Habitats?

_____ Are there Unsuitable Elements on the Land such as Poor Drainage, Flooding Conditions, Adverse Topography, Poor Soils, Bedrock, Utility Easements or Other Conditions that may be Harmful to the Health, Safety, and General Welfare of the Present or Future Inhabitants in and Around the Subdivision?

_____ Does the Subdivision Straddle a Municipal Boundary?

_____ Are There any Proposed Self-Imposed Restrictions on the Land?

2. Lots:

_____ Is the Lot Arrangement Consistent with the Character of the Land & Good Planning?

_____ Do Lot Dimensions Comply with Applicable Zoning Requirements?

_____ Are The Proposed Soil Preservation, Sedimentation, & Erosion?

Controls Adequate?

_____ Is the Drainage of All Lots Adequate and Properly Designed?

_____ What Provisions are Proposed for the Disposal of Debris and Waste Generated by the Construction of the Subdivision?

3. Streets

_____ Is the Street Bordering the Development Adequate for Access to the Subdivision?

_____ Does the Layout of the Proposed Street Conform with the Natural Topography of the Land?

_____ Have the Proposed Street Names been Approved by the Director of Public Safety?

_____ Have Street Numbers been Assigned to Each Lot?

_____ Does the Proposed Street comply with Table 1A of Section 6.8.1?

_____ Does the Proposed Street Comply with Table 1B of Section 6.8.2?

_____ Does the Proposed Street Comply with Table 1C of Section 6.8.3?

_____ Does the Street Require Additional Right-of-Way Width for Side Slopes?

_____ If a Cul-de-Sac is Proposed, is it Temporary?



_____ If a Cul-de-Sac is Proposed, is it Permanent?

_____ Are There Any Proposed Reservation Strips?

_____ Are the Reservation Strips in the Public Interest?

_____ Should Reservation Strips be Required?i

_____ Do the Proposed Streets Intersect Other Streets at Angles Greater Than 75 Degrees?

_____ Does the Proposed Street Align Directly Opposite Another Exist. or Proposed Street?

_____ Are There any Street Jogs of Less Than 150' Between Street Center Lines?

4. Curbing:

_____ Is the Proposed Street Provided with Curbing?

_____ Is Vertical Granite Curbing Provided at the Back of All Catch Basins, on Grades over 6%, and at the Intersection with and Arterial Street?

_____ Is Sloped Granite Curbing Provided on Grades Between 2% & 6%, at Cul-de-Sacs, and at the Intersection of a Local or Collector Street?

_____ Is a Modified Cape Cod Berm Curb Provided at All Other Locations of the Proposed Street?

5. Driveway Aprons:

_____ Are Driveway Aprons Located and Shown on the Proposed Subdivision Plans?

6. Sidewalks:

_____ Are Sidewalks Provided Along the Proposed Street?

_____ Are the Sidewalks Adequate for Pedestrian Movement?

_____ Are the Proposed Sidewalks Consistent with Table II of Section 6.11.2?

7. Monuments:

_____ Are Proposed Monuments Shown per Section 6.12.1 and 6.12.2?

_____ Are Proposed Monument Materials Noted on the Plan?



8. Easements:

_____ Are Cross Country Utility Easements Required?

_____ Are the Easements Shown on the Plan by Metes and Bounds?

_____ Are the Utilities Centered in the Easement and is the Easement

a Min. of 30' Wide?

9. Storm Drainage:

_____ Does the Subdivision Require a Storm Drainage System?

_____ Is the System Designed to Maximize Ground Water Recharge?

_____ Is there an Increase in Peak Flows and Run-Off from the Subdivision for the 10 and 100 year Storm Events?

_____ Is the Storm Drain System Designed for a Minimum of a 25 Year Storm?

_____ Are Detention Facilities and Culverts Designed for a Minimum of a 100 Year Storm?

_____ Will the Facilities Exceed a 72 Hour Storage Duration?

_____ Do the Storage Facilities (Detention/Retention Basins) Exceed a 4' Depth?

_____ Will the Outlet Control Structures of the Storage Facility Require Maintenance?

_____ Are the Storage Facilities Provided with Emergency Overflows?

_____ Are Natural Drainage Patterns Utilized in the Design?

_____ Is there an Exist. Town Drainage System with Adequate Capacity Available?

_____ Have Hydraulic Calculations been Submitted?

_____ Were they Prepared by a Registered Engineer!

_____ Were the Calculations Prepared in Accordance with an Acceptable Standard?

_____ Are the Detention/Retention Basin Side Slopes Designed to Conform with the Exist. Natural Land Contours?

_____ Are the Basins Designed with an Interior Side Slope Greater than 4:1?

_____ Is Fencing Required for the System?

_____ Is the Location of the System Easily Accessible for Maintenance?

_____ Are Drainage Easements Required? (See No. 8. Above)

_____ Are Drainage Rights Across Adjacent Property Required?

10. Water Facilities:

_____ Is a Municipal Water System Available for Extension into the Subdivision?



_____ Are Fire Hydrants Provided at a Minimum of 500' Intervals?

_____ Have Hydrant Locations been Approved by the Fire and Water Departments?

_____ Are Provisions Required for Future Extension of Water Lines to Adjacent Properties?

_____ Does the Exist. Municipal Water System have Adequate Fire Flow?

_____ Is an Alternate System for Fire Protection Required Due to Inadequate Fire Flows or Unavailability of a Municipal Water System?

_____ For Alternate Systems, is the Access Point Adequate to Support 42,000 Lbs. GVW?

_____ Are Dry Hydrants Protected by Suitable Barriers?

11. Sewer

_____ Is a Municipal Sewer System Available for Extension into the Subdivision?

_____ Is an Alternate Method of Sewage Disposal Proposed?

_____ Is the Alternate System in Compliance with Title V and Board of Health Regs.?

12. Electric and Communication Lines:

_____ Do the Proposed Electric and Communication Services Conform with Section 6.17?

13. Trees and Other Plantings:

_____ Are Street Trees Provided and Located in Accordance with Section 6.18.1-6.18.4?e

_____ Are there Exist. Trees to be Preserved as Street Trees?

_____ Are Side Slopes and Cleared Areas, within the Right-of-Way, Provided with 6" of Loam and Low Growing Plants or Grass?

_____ Is Sod Required in any Areas or on any Slopes?

14. Guard Rails:

_____ Are Guard Rails Proposed for Fill Slopes in Excess of 3:1?

_____ Are there any Fill Slopes in excess of 2:1 Also Requiring Rip-Rap?

15. Street Signs:

_____ Are Locations of Proposed Street Signs Shown on the Plans?

16. Street Lighting:

_____ Is Street Lighting Required for the Subdivision?

17. Reservation of Land for Public Purpose:

_____ Is a Reservation of Land for Public Purposes Necessary or Required?

Comments:________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________c

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

_____ Plans are in Substantial Compliance with Planning and Design Standards (items Noted Above Require Additional Information, Review, or Discussion)

_____ Plans Do Not Comply with Planning and/or Design Standards

(See Comments and Items Noted Above)