HomeMy WebLinkAbout10 - SewerMainChecklist 2021.08.10
PERMITTING & COMPLIANCE DIVISION
♦ Sewer 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 gravity sewer main extensions or replacements subject to review under DEQ-2, Chapter 30. Lift stations, force mains and alternative collection systems are not eligible for checklist review. 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 addressing the design capacity and flow requirements in Section 32 of Circular DEQ 2. The engineering report must include all applicable analysis and supporting assumptions. 4. A map showing the location of the proposed sewer main in relation to the rest of the sewer collection
system the water distribution 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 wastewater system providing service to the proposed sewer main.
The letter must state the system approves of the extension and the system has adequate capacity 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 sewer main extension is part of a wastewater 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 sewer 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, Community Services 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 59901or for those systems served by the Billings Office: Department of Environmental Quality, Community Services 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 SEWER 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 design capacity and flow requirements in Section 32 of Circular DEQ 2. The engineering report must include all applicable analysis and supporting assumptions.
A map showing the location of the proposed sewer main in relation to the rest of the collection system
and the water distribution 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 sewer main extension that is part of a wastewater 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 sewer 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 wastewater system providing service to the proposed sewer main is included. The letter must state the system approves of the extension and the system has adequate capacity to accommodate the extension. Signature on the Municipal
Facilities Exclusion checklist does not fulfill this requirement.
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DESIGN STANDARDS 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 31 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.3 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 33.41 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.42 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.43 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.44 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 33.45 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 33.46 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.5 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.6 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.7 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 33.81 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.82 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.83 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
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Section 33.84 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.85 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 33.91 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.92 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.93 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 33.10 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 34.1 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 34.2 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 34.3 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 34.4 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 34.5 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 34.6 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 34.7 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 34.8 Yes N/A Deviation (include Deviation Form)
If N/A, Explain ____________________________________________________________________________
Section 34.9 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 35 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
Section 36.11 Yes N/A Deviation (include Deviation Form) If N/A, Explain ____________________________________________________________________________
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