Group B Planning and Design Submittal Checklist CHECKLIST FOR A NEW OR EXPANDING GROUP B WATER SYSTEM Check the appropriate box for each row and submit a completed checklist with workbook Group B Design Yes, Guidelines No, Not Planning and Design Submittal Element Section Included Applicable Completed submittal checklist for a new or expanding Group B system Always Section 2.2 Completed project approval application form Applicable Section 2.6 Property title notice Section 2.3 Service area map Demonstrate compliance with SMA requirement Section 2.5 Applies to new systems only. Section 2.4 Demonstrate compliance with PWS Coordination Act Completed Water Facilities Inventory (WFI) Section 2.9 Completing a WFI will expedite the review process. Section 2.8 Water users’ agreement (optional) Water right permit or other needed Dept. of Ecology Section 3.0 approval Section 4.1 Well log Section 4.1 Well pump test report Section 4.2 Well water quality sampling results Section 4.3 Documentation of well site approval Section 2.7 Well sanitary control area protective covenants and 4.3 Section 4.4 Intertie agreement Section 5.2 Well and pump house detailed drawings and specifications and 5.3 Always Section 6.10 Distribution system detailed drawing and specifications Applicable Section 7.6 Storage tank sizing, detailed drawings, and specifications Section 8.1 Booster pump sizing, detailed drawings, and specifications Chapter 9 Secondary contaminant treatment design Always Completed Applicable
Group B Planning and Design Submittal Checklist CHECKLIST FOR A NEW OR EXPANDING GROUP B WATER SYSTEM Check the appropriate box for each row and submit a completed checklist with workbook Planning and Design Submittal Element Group B Design Guidelines Section Yes, Included No, Not Applicable Completed submittal checklist for a new or expanding Group B system Always Applicable Completed project approval application form Section 2.2 Property title notice Section 2.6 Service area map Section 2.3 Demonstrate compliance with SMA requirement Applies to new systems only. Section 2.5 Demonstrate compliance with PWS Coordination Act Section 2.4 Completed Water Facilities Inventory (WFI) Completing a WFI will expedite the review process. Section 2.9 Water users’ agreement (optional) Section 2.8 Water right permit or other needed Dept. of Ecology approval Section 3.0 Well log Section 4.1 Well pump test report Section 4.1 Well water quality sampling results Section 4.2 Documentation of well site approval Section 4.3 Well sanitary control area protective covenants Section 2.7 and 4.3 Intertie agreement Section 4.4 Well and pump house detailed drawings and specifications Section 5.2 and 5.3 Distribution system detailed drawing and specifications Section 6.10 Always Applicable Storage tank sizing, detailed drawings, and specifications Section 7.6 Booster pump sizing, detailed drawings, and specifications Section 8.1 Secondary contaminant treatment design Chapter 9 Completed Always Applicable
331-468.docx