00-0115-005 Notification for Use of the Genera; r ernJt for Construction iot-an'Extension to a Public Drinking Water
.Distribution System =
Project Name: '
Perrriittee: 1 l'
✓ (13)lt is required that rock and .in-iuiobly sized stones (aS:doscribed inapplicable AWWA standards and/or the pipe
manufacturer's recommended installation procedures) found in trenches for new and relocated water main pipe be
removed to a depth of at least six inches below the bottom of the pipe, that continuous and uniform bedding be
provided in trenches fcr new and;clo,,ated water m;Ain pipe, and that backfill material be tamped in layers around
new and relocated watar'main pipe_and to o-a sufficient height above such pipe to adequately support and protect
the pipe.
✓ (14)AII tees, bends, plugs, and hydrants in new and relocated water mains are provided with reaction blocking or
restrained joints to prevent movement.
Y (15)lt is required that all new and relocated water mains be pressure tested and leakage tested in accordance with
AWWA Standard C600.
(16)lt is required that all new and relocated water mains be disinfected in accordance witfi AWWA Standard C651 and
Rule 62-555.345, F.A.C.
✓ (17)AII new and relocated water mains are located at least ten feet horizontally from all sanitary sewers, storm sewers,
force mains, and reclaimed water lines carrying reclaimed water for restricted public access areas and at least
three feet horizontally from all reclaimed water lines carrying reclaimed water for public access areas; or data
justifying an exception to these separation requirements are attached in accordance with Rule 62-555.314(1) or
(4), F.A.C. (All distances are measured from outside pipe edge to outside pipe edge.)
(18)lf there are any new or relocated water mains that cross any sanitary sewers, storm sewers, force mains, or
reclaimed water mains, a profile view of each such crossing or the functional equivalent of a profile view of each
crossing is provided.
.✓(19)lf there are any new or relocated water mains that cross any sanitary sewers, storm sewers, force mains, or
reclaimed water lines, the water mains cross above such pipelines with a minimum vertical distance of 18 inches
between the outside of the water mains and the outside of such pipelines, or such crossings are arranged so that
all pipe joints are equidistant from the point of crossing with no less than ten feet between any two joints (or,
alternatively, the sanitary sewers, storm sewers, force mains, and reclaimed water lines at such crossings are
placed in sleeves or encased in concrete to obtain the equivalent of the ten-foot separation between joints); or data
justifying an exception to these separation requirements is attached in accordance with Rule 62-555.314(4), F.A.C.
(20)lf there are any new or relocated water.mains that cross over or under surface water, a profile view of each surface
water crossing showing the elevation of the bottom of the surface water and the normal and extreme high and low
water levels is provided.
(21)lf there are any new or relocated water mains that crossover any surface water, the water main pipe at each such
surface water crossing is adequately supported and anchored, protected from damage and freezing, and
accessible for repair and replacement.
1J,/Y (22)lf there are any new or relocated water mains that cross under any surface water, a minimum cover of two feet is
provided over the water main pipe at each such surface water crossing, and if the surface water is greater than 15
feet in width, the following features are provided: (a) flexible watertight joints for the water main pipe at the
crossing, (b) easily accessible valves located at both ends of the crossing with neither valve subject to flooding by
surface runoff or by the 100-year flood or the highest recorded flood, whichever is higher, and with the valve
closest'to the supply source located in a manhole, and (c) permanent taps on each side of the valve within the
manhole to allow for sampling and insertion of a small meter to determine leakage.
(23)Proper backflow-prevention assemblies/devices are provided in accordance with Rule 62-555.360, F.A.C., and the
AWWA's Manual M14, Recommended Practice for Backflow Prevention and Cross-Connection Control.
(24)This project does not include any interconnection between previously separate public water systems that have
sefarate water supply sources. (A specific construction permit is required for such an interconnection.)
DEP Form 62-555.900(7) Page 4of 5
EHecU"December 10,19%