HomeMy WebLinkAbout9 - WaterMainChecklist 2021.08.10
PERMITTING & COMPLIANCE DIVISION
♦ Water Main Extension and Replacement♦
CERTIFIED CHECKLIST
August 8, 2014 Edition
CHECKLIST SUBMITTAL INSTRUCTIONS: This checklist procedure may be used when the conditions listed below are met. Checklist submittals can only be
used for water main extensions or replacements subject to review under DEQ-1, Chapter 8. Construction is unlawful until approval of the checklist is granted by the department, normally issued in a letter to the design engineer submitting the plans and specifications. Use of the main is unlawful until the department receives a
certifying letter in accordance with ARM 17.38.101. The department must approve any deviation requests. Normally, complete submittals will be reviewed by the Department within 10 working days. Deviation requests may result in slower turn-around.
Required Documentation: Checklists submitted without all of the required documentation will be considered incomplete and will not be processed until all of the required information has been submitted.
1. A certified checklist form signed and stamped by the professional engineer responsible for the design of the
project. All sections of the certified checklist must be completed.
2. Three sets of plans and specifications stamped and signed by the professional engineer responsible for the
design of the project.
3. An engineering report presenting, at a minimum, the information required in section 1.1.1 through 1.1.14. of DEQ-1. The engineering report must include all applicable analysis and supporting assumptions, such as fire flows, etc. 4. A map showing the location of the proposed water main in relation to the rest of the distribution system and the sewer collection system.
5. Owner certification that a professional engineer will be retained for construction inspection and will certify completion in accordance with the approved plans and prepare as-builts for submittal to the department within 90 days of project completion.
6. An approval letter from a professional engineer (other than the design engineer) who is employed directly or retained by the owner of the public water system providing service to the proposed water main. The
letter must state the system approves of the extension and the system has adequate capacity and pressure
to accommodate the extension. Signature on the Municipal Facilities Exclusion checklist does not fulfill this requirement. This approval letter is not required if:
a. The proposed water main extension is part of a water utility master plan previously approved by the department within the past ten years, and the department concurs the master plan appropriately covers
the extension. A copy of the applicable portion of this master plan must be submitted with the
checklist; or b. The water main replaces an exiting main and is equal to or greater than the existing pipe. An approval letter from the owner of the system providing service must be submitted with the checklist.
The fee for processing main extensions can be found in ARM 17.38.106. Completed checklist submittals may be mailed to: Department of Environmental Quality, Permitting &
Compliance Division, Public Water and Subdivisions Bureau, Metcalf Building, P.O. Box 200901, Helena, MT 59620-0901; or for those systems served by the Kalispell Office: Department of Environmental Quality, Public
Water Supply Section, 109 Cooperative Way, Suite 105, Kalispell, MT 59901; or for those systems served by the
Billings Office: Department of Environmental Quality, Public Water and Subdivisions Bureau, Airport Business Park 1P-9, 1371 Rimtop Drive, Billings, MT 59105-1978. Questions can be answered by writing the above
address or calling (406) 444-4400 in Helena, (406) 755-8971 in Kalispell and (406) 247-4455 in Billings.
DEPARTMENT OF ENVIRONMENTAL QUALITY WATER MAIN CERTIFIED CHECKLIST
Project Name
Location County
Public Supply Owner
Developer
Address
Engineer Address
Will this project trigger a Sanitation Act review under MCA 76-4? Yes No
If so, has a Municipal Facilities Exclusion form been filed? Yes No
REQUIRED DOCUMENTATION: Checklists submitted without all of the required documentation will be considered incomplete and will not be processed until all of the required information has been submitted.
Included? Y No
Three sets of plans and specifications stamped and signed by the professional engineer responsible for
the design of the project.
An engineering report presenting, at a minimum, the information required in section 1.1.1 through 1.1.14. of DEQ-1. The engineering report must include all applicable analysis and supporting
assumptions, such as fire flows, etc.
A map showing the location of the proposed water main in relation to the rest of the distribution system and the sewer collection system.
Owner certification that a professional engineer will be retained for construction inspection and will certify completion in accordance with the approved plans and prepare as-builts for submittal to the Department within 90 days of project completion.
Review Fee as specified in ARM 17.38.106.
Capacity Certification (one of the following is required):
This is a water main extension that is part of a water utility master plan approved by the department within the past ten years. A copy of the applicable portion of this master plan is included; or
This is a water main replacement of an existing pipe and the pipe diameter is equal to or greater than
the existing pipe. An approval letter from the owner of the system providing service is included; or
All other extensions: An approval letter from a professional engineer (other than the design engineer)
who is employed directly or retained by the owner of the public water system providing service to the proposed water main is included. The letter must state the system approves of the extension and the system has adequate capacity and pressure to accommodate the extension. Signature on the
Municipal Facilities Exclusion checklist does not fulfill this requirement.
DESIGN STANDARDS
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Check “yes” when all the requirements of the section are satisfied. Check “N/A” when the section is not
applicable and explain why the section is not applicable.
Section 8.1.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.1.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.1.3 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.1.4 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.2.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.2.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.2.3 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.2.4 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.3 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.4.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.4.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.4.3 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.4.4 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.5.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.5.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.6 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
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Section 8.7.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.2 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.7.3 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.4 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.5 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.6 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.7.7 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.8 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.7.9 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.8.2 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.8.3 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.8.4 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.8.5 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.8.6 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.9.1 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 8.9.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 8.10.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
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