Negative Responses Date Found Date Found By Location Reason for Negative Response Resolved Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) UNDERGROUND PIPING INSTALLATION CHECKS Questions (See details below) % Date Description of Work Performed Complete Initials 1) 2) 3) 4) 5) 6) YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO YES YES YES YES YES YES NO NO NO NO NO NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Exterior piping installed below predicted frost level, but in no case less than 5' bury depth to top of pipe. Minimum of 8' horizontal distance maintained between 2-1/2" and larger water piping and sanitary sewer piping. Minimum of 30" horizontal and 12" vertical distance, water on top, maintained between 2" and smaller water piping and sanitary sewer piping. Where water piping crosses a sanitary sewer, minimum 18" vertical clearance and waterproof PVC water pipe sleeve (reference sanitary sewer materials) sealed at both
Negative Responses Date Found Found By Location Reason for Negative Response Resolved Date Resolved Resolution YES / NO YES / NO YES / NO YES / NO YES / NO C) UNDERGROUND PIPING INSTALLATION CHECKS Date Description of Work Performed % Complete Initials Questions (See details below) 1) 2) 3) 4) 5) 6) YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO YES NO CHECKLIST GROUP COMPLETE INITIALS: DATE: Question Details Exterior piping installed below predicted frost level, but in no case less than 5' bury depth to top of pipe. Minimum of 8' horizontal distance maintained between 2-1/2" and larger water piping and sanitary sewer piping. Minimum of 30" horizontal and 12" vertical distance, water on top, maintained between 2" and smaller water piping and sanitary sewer piping. Where water piping crosses a sanitary sewer, minimum 18" vertical clearance and waterproof PVC water pipe sleeve (reference sanitary sewer materials) sealed at both