HomeMy Public PortalAbout2016-08-09_Form_Permit for Municipal Sewer ConnectionPage 1 of 2
Permit for Municipal Sewer Connection
Municipality of the District of Chester
P.O. Box 369, 151 King St., Chester, NS, B0J 1J0
Phone: (902) 275-1312 Fax: (902) 275-3673
www.chester.ca
Permit No.
Note: Sewer Permit Valid only one (1) year
from Approval Date
OWNER INFORMATION
Name Home Phone Number
Mailing Address Community Work Phone Number
Province Postal Code Cell Phone Number
CONTRACTOR INFORMATION
Name Cell Phone Number
Company Office Phone Number
SERVICE CONNECTION LOCATION
Civic Street PID
Sewer System Municipal Account Number
SERVICE CONNECTION DETAILS
Planning Approved Purpose of Lateral
(check all that apply)
Engineering & Public Works Use Only
Yes
N/A
Single Dwelling
Mobile Home
Duplex/Semi-Detached
Apartment (# of units) ___________
Business (# of washrooms) _______
Motel/Hotel (# of rooms) ________
Restaurant (seating capacity)______
B & B (# of washroom) _________
Other _______________________
Comments:
Lateral to be Installed
(check all that apply)
New
Replace Existing
Disconnection
Gravity
Pressure
Expected Start Date of Construction:
Size of Pipe
Type of Pipe
Attach location plan OR sketch lot, building footprint, road
frontage, well location and location of sewer main (if known)
indicating distances
Administration & Inspection Fee
$____________.______
Paid
N/A
Distances shown in ft or m Indicate
North
Connection Deposit
$____________.______
Paid
N/A
Engineer Approval Date
Application Checklist
Copies to:
Finance
Community Development
NS TIR Permit
Permit Required Yes No
Permit No. _________________________
Deposit Amount
$____________________ $__________________
Non-refundable Refundable
Page 2 of 2
THE MUNICIPALITY OF THE DISTRICT OF CHESTER
“GUIDELINES FOR INSTALLATION OF SEWER LATERALS ON PRIVATE PROPERTY”
The following guidelines are intended for use by Municipal Staff conducting inspections on service laterals prior to backfill ing.
These guidelines are only to be applied to that portion of the lateral that is located on private property that e xtends from the
property line to the building connection. For sewer laterals owned by the Municipality within either the road right of way or an
easement, refer to the Municipal Specifications Manual.
1. Minimum pipe size 100 mm (4 in) diameter PVC DR 28 with bell and spigot gasket joints.
2. Recommended minimum grade on a lateral is 2% (two feet of grade on 100 feet) discretion may be exercised to reduce
the grade to 1% (one foot in 100 feet) if required to avoid pumping or maintain depth of cover . Pipe should be installed
as per Section 33 31 00 of the Standard Specifications for Municipal Services, latest edition and the Municipal
Specifications. Bedding and backfill shall be Type 1 gravel as per the typical trench detail.
3. Recommended depth of a lateral is 1.2 m (4 ft) under a driveway and 1 m (3 ft) below other areas. Discretion may be
used to avoid pumping but in any event, the lateral must be protected from frost as requested by the Engineer.
4. Clean-outs are required at a maximum spacing of 25 m (85 ft), the property line or as required by the Engineer. Clean-
outs shall be a wye type or approved manhole.
5. Pipe must be installed with the bells facing “uphill” in the direction of the dwelling.
6. Abandonment of an existing sewer lateral shall be either a glued cap or watertight plug. Paint cap and stub red. Place
marker stake in from of capped stub and paint red as per drawing 33 31 00.
7. Backwater prevention valves are required and installed in an accessible location, according to the Canadian Plumbing
Code. Standard of approval is as manufactured by Canplas or Mainline.
8. If a pump is required, it must be protected with a double check valve assembly. Pressure line shall be minimum 50 mm
(2 in) diameter PVC DR 26 complete with internal rubber gaskets or polyethylene pipe to AWWA C901.
9. Care should be taken to locate the lateral away from utility poles, trees and other form of shrubbery.
10. Existing septic tanks must be by-passed before connection to the municipal sewer.
11. It is recommended that septic tanks be pumped and removed or filled with appropriate material. Contact local Nova
Scotia Environment Office for requirements.
12. Property owner(s) shall allow Municipal personnel access to property during installation of lateral(s) as well property
owner(s) responsible to obtain all other required permits.
13. Property owner responsible to ensure minimum separation distances between sewer lateral and well/water lines are met
as per the Nova Scotia Well Construction Regulations.
14. Service lateral(s) shall not be buried prior to inspection by Municipal Engineering & Public Works personnel. Leakage
testing of the connection for infiltration of water, and video inspection reporting of the installed lateral may be required
prior to final approval by the Engineer. In all cases, service lateral installation(s) are subject to the Engineer’s final
inspection and approval.
15. Municipality shall be responsible for attaining Work Within Highway Right -of Way Permit from the Nova Scotia
Department of Transportation and Infrastructure Renewal for work executed in the public right -of-way. Any costs
associated with obtaining this permit shall be the responsibility of the property owner.
THE INSTALLATION MUST BE INSPECTED PRIOR TO BACKFILLING. THE HOURS OF INSPECTION ARE
BETWEEN 9:00 AM AND 3:00 PM, MONDAY TO FRIDAY. NOTIFY THE MUNICIPALITY 48 HOURS IN
ADVANCE OF ANY INSTALLATION BY CALLING (902) 275 -1312.
I hereby have read and agree to comply with the Guidelines for Installation of Sewer Later als on Private Property as shown
above.
The Applicant acknowledges that they are responsible for the full cost of connecting to the Municipal Sewer System. A deposit
for the amount above is required before the connection can be completed. In the event tha t the actual cost is less than the deposit,
the difference will be refunded. If the cost is more, you will be billed for the difference. Any balance owning under $5.00 will
not be invoiced and any overpayment under $5.00 will not be refunded.
Applicant’s Signature: _____________________________________ Date: _____________________
NOTE: If the applicant is not the property owner, the applicant must provide a letter of authorization from the owner
allowing the applicant to act on behalf of the owner.