DDW-2025-002520

CC:
Water/Sewer Separation - Exception Request Form
INSTRUCTIONS
Send the completed Exception Request Form, drawings, and Water/Sewer Exception Request Spreadsheet to [e-mail]
PROJECT INFORMATION
Water System Number*: DDW File Number:
Water System Name*:
Project Title*:
Project Description*:
Attachments: ☐Drawings of water line and sewer line alignments☐Water/Sewer Exception Request Spreadsheet
SUBMITTED BY
Engineer of Record
Name (Print):
PE License Number: Title:
Email: Phone:
Organization:
Signature: Date:
REVIEWED BY
DDW Permitting Engineer
Name (Print):Date:
APPROVED BY
DDW Permitting Manager
Name (Print):
Signature: Date:
EQ Docs #:
Enclosures:
Administrative Contact:
Address:
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Landmark Surveying, Inc.,
Exist. Sewer manhole,
Main Road Sta 9+81.10 LT 3'
Rim El=4242.64
Exist. Fl El= 4238.04
New Fl El=4238.37
See note 1 this sheet.
New 8" SDR35 PVC
Sewer pipe, 30 ln.ft., @
-0.240% grade, req'd
MH#1 - Sewer Manhole DetailsA
SS1 3450 W.St. Sta. 10+02.68 LT 23.9'
Rim Elev=4243.37
In FL Elev=4238.49
Out FL Elev=4238.44
MH#2 - Sewer Manhole DetailsA
SS1 3450 W.St. Sta. 11+23.30 LT 3.9'
Rim Elev=4243.89
In FL Elev=4238.84
Out FL Elev=4238.79
MH#3 - Sewer Manhole DetailsA
SS1
New 8" SDR35 PVC
Sewer pipe, 207 ln.ft., @
-0.240% grade, req'd
New 8" SDR35 PVC
Sewer pipe, 126 ln.ft., @
-0.240% grade, req'd
MH#7- Sewer Manhole DetailsA
SS1
New 8" SDR35 PVC Sewer
pipe, 253 ln.ft., @ 0.334%
grade, req'd
A
SS1
New 8" SDR35 PVC
Sewer pipe, 195 ln.ft., @
0.615% grade, req'd
MH#9 - Sewer Manhole Details
New 8" SDR35 PVC
Sewer pipe, 180 ln.ft., @
0.240% grade, req'd
MH#8 - Sewer Manhole DetailsA
SS1
MH#5 - Sewer Manhole DetailsA
SS12900 N.St. Sta. 17+12.15 RT 5.0'
3400 W.St. Sta. 21+93.49 RT 5'
Rim Elev=4244.37
In North FL Elev=4240.39
In South FL Elev=4240.39
Out West FL Elev=4240.34
New 8" SDR35 PVC Sewer
pipe, 253 ln.ft., @ 0.240%
grade, req'd New 8" SDR35 PVC
Sewer pipe, 170 ln.ft., @
0.240% grade, req'd
MH#6 - Sewer Manhole DetailsA
SS1 3400 W.St. Sta. 23+63.30 RT 5'
Rim Elev=4245.00
Out FL Elev=4240.80
3400 W.St. Sta. 19+48.39 RT 18.5'
Rim Elev=4246.06
In FL Elev=4241.05
Out FL Elev=4241.00
2875 N.St. Sta. 17+77.30 LT 5'
Rim Elev=4246.04
Out West FL Elev=4241.48
Out East FL Elev=4241.48
3450 W. St. Sta. 15+85.36 RT 8.8'
Rim Elev=4245.32
In FL Elev=4240.28
Out FL Elev=4240.23
3450 W.St. Sta. 13+34.09 LT 7.4'
2900 N.St. Sta. 13+36.65 RT 5.0'
Rim Elev=4243.46
In East FL Elev=4239.39
In South FL Elev=4239.39
Out North FL Elev=4239.34
NO
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F
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SNEED
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N
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L
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No
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Landmark Surveying, Inc.,
CB#6 Catch Basin Detail
W/ bicycle safe grate
Sta 14+83.93
Rim Elev=4242.39
FL Elev=4239.69
D
SW1
New 8" SDR35 PVC
Sewer pipe, 180 ln.ft., @
-0.240% grade, req'd
MH#3 - Sewer Manhole DetailsA
SS1 3450 W.St. Sta. 13+34.09 LT 7.4'
2900 N.St. Sta. 13+36.65 RT 5.0'
Rim Elev=4243.46
In East FL Elev=4239.39
In South FL Elev=4239.39
Out North FL Elev=4239.34
MH#4 - Sewer Manhole Details
2900 N.St. 15+17.02 RT 5'
Sewer Profile Sta. 15+95.38
Rim Elev=4242.96
In East FL Elev=4239.87
Out West FL Elev=4239.82
A
SS1
New 8" SDR35 PVC
Sewer pipe, 195 ln.ft., @
0.240% grade, req'd
MH#5 - Sewer Manhole DetailsA
SS1 2900 N.St. Sta. 17+12.15 RT 5.0'
3400 W.St. Sta. 21+93.49 RT 5'
Rim Elev=4244.37
In North FL Elev=4240.39
In South FL Elev=4240.39
Out West FL Elev=4240.34
NO
T
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S
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ET
F
O
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P
SNEED
S
E
F
S
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A
H
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LA
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N
N

D
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L
L
No
.

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4236
4238
4240
4242
4244
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Storm Drain
Profile
6 of
RP3
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Landmark Surveying, Inc.,
NO
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AT
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S
O
ET
F
O
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P
SNEED
S
E
F
S
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N
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WA
L
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No
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1
8
2
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9
8
CBMH#2 Manhole DetailA
W/ solid lid
Sta 12+50.00 LT 9.5'
Rim Elev=4243.35
FL Elev=4239.47
15" RCP 26 ln.ft. ±
@ 3.000%, req'd
Outlet Box Detail, req'd
SW2Pipe FL El=4240.25
SW1
D
CB#3 Catch Basin Detail
15" RCP 241 ln.ft.
@ 1.192%, req'd
D
SW1 W/ bicycle safe grate
North Plain City Road Sta. 15+28.47
Main Road Sta. 10+21.00 LT 42.5'
Rim Elev=4242.96
FL Elev=4236.59
CB#2 Catch Basin Detail
W/ bicycle safe grate
North Plain City Road Sta. 14+50.57
Main Road Sta. 10+21.00 RT 43.5'
Rim Elev=4242.60
FL Elev=4236.50
D
15" RCP 81 ln.ft.
@ 0.111%, req'd
SW1
15" RCP 230 ln.ft.
@ 0.118%, req'd
CBMH#1 Manhole detail Detail
Rim Elev=4240.63±
FL Elev=4236.22
see note 1 this sheet
A
SW1
Existing Combo Box
Rim Elev=4239.15
FL Elev=4235.98
see note 1 this sheet
15" RCP 209 ln.ft.
@ 0.118%, req'd
N 75°50'24
"

E
S 51
°
5
7
'
0
4
"

W
179.55'
748.
8
5
'
C2
2
0
Main Road Sta 13+29.82
2900 North Street Sta 13+29.83
Main Road Sta 10+00.00
Fire Lane Sta 19+81.10
2900 North Street Sta 15+22.75
Fire Lane Sta 15+22.75
Main Road Sta 21+98.49
2900 North Street Sta 17+07.15
Main Road Sta 24+42.69
10
11
12
13
14
15
15
2
1
Parcel A
41
14
15
42
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1
,

2
0
2
4
22
2
Plain City Lift Station #2,
do not disturb, Bench
Elevation South corner of
Lid = 4243.35
Exist Pressurized sewer
line, do not disturb
Exist. Sewer manhole,
Main Road Sta 9+81.10 LT 3'
Rim El=4242.64
Exist. Fl El= 4238.04
New Fl El=4238.37
See note 1 this sheet.
MH#4 - Sewer Manhole Details
New private 8" SDR35
PVC Sewer pipe, 180
ln.ft., @ -0.240% grade,
req'd New private 8" SDR35 PVC
Sewer pipe, 195 ln.ft., @
0.240% grade, req'd
MH#5 - Sewer Manhole DetailsA
MH#3 - Sewer Manhole DetailsA
MH#2 - Sewer Manhole DetailsA
SS1
New private 8" SDR35 PVC
Sewer pipe, 207 ln.ft., @
-0.240% grade, req'd
F
l
o
w
F
l
o
w
Flow Flow
SS1
Typical 4" Sewer Laterals Connection, req'dD
Typ all lots and club house
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This Plat is the Intellectual Property of Wall Engineering, Inc. & all legal rights are reserved.
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Landmark Surveying, Inc.,
SS1
New private 8" SDR35
PVC Sewer pipe, 170
ln.ft., @ 0.240% grade,
req'd
MH#6 - Sewer Manhole DetailsA
SS1
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2900 N.St. 15+17.02 RT 5'
Sewer Profile Sta. 15+95.38
Rim Elev=4242.96
In East FL Elev=4239.87
Out West FL Elev=4239.82
3450 W.St. Sta. 13+34.09 LT 7.4'
2900 N.St. Sta. 13+36.65 RT 5.0'
Rim Elev=4243.46
In East FL Elev=4239.39
In South FL Elev=4239.39
Out North FL Elev=4239.34
2900 N.St. Sta. 17+12.15 RT 5.0'
3400 W.St. Sta. 21+93.49 RT 5'
Rim Elev=4244.37
In North FL Elev=4240.39
In South FL Elev=4240.39
Out West FL Elev=4240.34
3450 W.St. Sta. 11+23.30 LT 3.9'
Rim Elev=4243.89
In FL Elev=4238.84
Out FL Elev=4238.79
3400 W.St. Sta. 23+63.30 RT 5'
Rim Elev=4245.00
Out FL Elev=4240.80
A
SS1
SS1
Exist. Gravity sewer
line, do not disturb
New private 8" SDR35 PVC Sewer
pipe, 126 ln.ft., @ -0.240% grade, req'd
New private 8" SDR35
PVC Sewer pipe, 30 ln.ft.,
@ -0.240% grade, req'd
MH#1 - Sewer Manhole DetailsA
SS1 3450 W.St. Sta. 10+02.68 LT 23.9'
Rim Elev=4243.37
In FL Elev=4238.49
Out FL Elev=4238.44
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MH#7- Sewer Manhole DetailsA
SS1
New private 8" SDR35 PVC
Sewer pipe, 253 ln.ft., @
0.334% grade, req'd
Flow Flow
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This Plat is the Intellectual Property of Wall Engineering, Inc. & all legal rights are reserved.
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8 of
WS2
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Landmark Surveying, Inc.,
3450 W. St. Sta. 15+85.36 RT 8.8'
Rim Elev=4245.32
In FL Elev=4240.28
Out FL Elev=4240.23
A
SS1
New private 8" SDR35
PVC Sewer pipe, 180
ln.ft., @ 0.240% grade,
req'd
MH#8 - Sewer Manhole Details
3400 W.St. Sta. 19+48.39 RT 18.5'
Rim Elev=4246.06
In FL Elev=4241.05
Out FL Elev=4241.00
New private 8" SDR35 PVC
Sewer pipe, 195 ln.ft., @
0.615% grade, req'd
A
SS1
MH#9 - Sewer Manhole Details
2875 N.St. Sta. 17+77.30 LT 5'
Rim Elev=4246.04
Out West FL Elev=4241.48
Out East FL Elev=4241.48
Typical 4" Sewer Laterals Connection, req'dD
Typ all lots SS1
New private 8" SDR35 PVC
Sewer pipe, 253 ln.ft., @
0.240% grade, req'd
NO
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1
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