00-0115-004 Notification for Use of the General Permit for Con>4ruction-of an`Extension to a Public Drinking Water
-Distribution System
Project Name: o _
Permittee:
and that, to the best of my knowledge and beilsf, th�i_enc?ineering-ae§ign for this project complies with Chapter 62-555, F.A.C.
The plans and specifications for this project require that all new and relocated water main pipe, fittings, valves, fire hydrants,
and related products that will come ir_to contact ita -drinking water bu in conformance with American National Standards
Institute/NSF International Standard 6 Also, the plans and specilicaticns for this project comply with the following requirements
preceded by a'T,"and the following ceaui�ement. o�eredndi by an"NA"are not applicable to this project.
(1) The location and size of existing water mains, reclaimed water lines, force mains, sanitary sewers, storm sewers,
and other utilities, as well as the location and size of new and relocated water mains, are-shown on the plans.
-/(2) The plans or specifications include procedures for keeping existing water mains in service or for minimizing
interruption of existing water service during construction.
�'(3) It is required that all new and relocated water main pipe, fittings, valves, and fire hydrants be in conformance with
applicable American Water Works Association (AWWA) standards, that all new and relocated water main pipe and
fittings contain no more than eight percent lead, and that all packing and jointing materials used in the joints of new
or relocated water main pipe be in conformance with applicable AWWA standards.
.1-11 (4) To the best of the professional engineer's knowledge, this project does not include installation of any new or
relocated water mains in areas of ground water for which there is existing publicly accessible documentation of the
presence of low-molecular-weight petroleum products or organic solvents at concentrations exceeding ground
water standards. (A specific construction permit is required for installation of water mains in areas of ground water
that are known to be contaminated by low-molecular-weight petroleum products or organic solvents.)
(5) Based upon current and expected water system operating conditions, all new and relocated water mains are sized
to maintain a minimum.pressure of 20 psig at ground level under all design flow conditions listed in Part VI of this
form.
(6) If there are any new or relocated water mains that serve fire hydrants, such water mains and all hydrant leads
leads are no smaller than six inches in diameter, and auxiliary valves are provided in all hydrant leads.
✓ (7) Dead-ends in new and relocated water mains are minimized by making appropriate tie-ins where practical, and if
dead-ends do occur in new or relocated water mains, fire hydrants, flushing hydrants, or blow-offs are provided for
flushing purposes.
/ (8) Sufficient valves are provided in new and relocated water mains so that inconvenience and sanitary hazards will be
minimized during repairs. (It is recommended that valves be placed at not more than 500-foot intervals in
commercial districts and at not more than one-block or 800-foot intervals in other districts.)
(9) If there are high points where air can accumulate in new or relocated water mains during design operating
conditions, hydrants or air release valves are provided at such high points to remove the air.
(10)If there are any automatic air release valves on new or relocated water mains, such valves are not located where the
valve manhole or chamber could be flooded by surface runoff or by the 100-year flood or the highest recorded
flood, whichever is higher, and the open end of the air release pipe from such valves is extended to at least one
foot above grade and is provided with a screened downward-facing elbow.
01)lf there are any hydrant drains, flushing devices, air release valves, or chambers or manholes containing valves,
blow-offs, meters, or other such appurtenances provided in conjunction with new or relocated water mains, they
are not connected directly to any sanitary or storm sewers.
(12)lt is required that new and relocated water mains and appurtenances be installed in accordance with applicable
AMA standards and/or the manufacturer's recommended procedures.
DEP Form 62555.900(7) Page 3of 5
Effective December 10.1996