HomeMy WebLinkAboutWater Main - DNR Review Form 3300-066 signed 2024Water Main Submittal Checklist
Form 3300-066 (R 02/2024)Page 2 of 6
B. Specifications (cont'd)
(G) Installation procedures (bedding, backfill, making joints, etc.) meet AWWA or manufacturer's
specifications? [NR811.73(1), NR811.73(2)(a), NR811.73(2)(b)]
Yes No
(H) Valve Type: ButterflyGate Other
(I) Hydrants: [NR 811.71]Hydrant bottom valve size Size of outlets
Automatic drain Yes No
Gravel pocket for drain Yes No
Connecting main size of at least 6"Yes No
Gate valve on connecting main Yes No
(J) Should these specifications be retained on file as standard specifications for this municipality?Yes No
C. Design Specifics
1. Minimum horizontal (center to center) separation distance between water main and existing or future sanitary sewer ft.,
ft. [NR811.74(2)] Minimum horizontal separation distance between fire hydrant drains and sanitary sewers,storm sewer
ft. [NR811.71(4)]storm sewers, or storm sewer inlets
2. What is the minimum depth of water main cover throughout the project? [NR811.73(2)(e)]ft.,
inches. Where water3. Where water mains cross over sewers, the minimum vertical separation distance (edge to edge) is
inches. [NR811.74(3)]mains cross under sewers, the minimum vertical separation distance (edge to edge) is
4. Will a common trench be used in any portion of the project? [NR811.74(2)(b)]Yes No
(A) Is the rock elevation shown on the plans?Yes No N/A
(B) Minimum horizontal separation (edge to edge) between water main and sewer?
(C) Minimum vertical separation (edge to edge) between water main and sewer?
(D) Is a cross section of the common trench shown on the plans?Yes No N/A
5. Will the following minimum horizontal separation distances be maintained between the water main and the contamination sources
listed?[NR811.75]
(A) Three feet between a water main and a stormwater collection system treatment unit, such as a
bioswale or permeable paver system?
Yes No N/A
(B) Eight feet between a water main and a POWTS holding, treatment, or dispersal component,
sanitary sewer lift-station, grave site, stormwater detention pond, retention pond, or infiltration
basin?
Yes No N/A
(C) Twenty-five feet to a buried fuel tank or main?Yes No N/A
(D) Fifty feet to a sanitary landfill or agricultural, industrial, commercial, or municipal wastewater
treatment plant treatment unit, lagoon, or storage structure?
Yes No N/A
6. Does the municipality have an erosion control ordinance? [NR811.09(2)]Yes No
(A) If yes, will compliance with the ordinance be required for this project?Yes No N/A
(B) Do the plan sheets show the erosion control provisions?Yes No
(C) Do the specifications require that the erosion control measures be in place before construction
begins and be maintained during construction?Yes No
(D) Do the required erosion control provisions comply with the technical standards of ch. NR151?Yes No
7. Are valves provided at each intersection and at intermediate points so spacing does not exceed
800 feet? [NR811.70(9)]Yes No
8. Are hydrants provided at each intersection and at intermediate points so spacing does not
exceed 600 feet? [NR811.71(1)]Yes No
9. Are hydrants or other flushing devices capable of flow velocities of at least 3 feet per second in
the water main installed downstream of the last service at all dead-ends? [NR811.71(7)]Yes No
10. Will any watermain stubs 20 feet or greater in length be installed? [NR811.70(8)]Yes No
11. If groundwater may rise above hydrant drain ports, will the drain ports be plugged and operational
procedures established for pumping the hydrant barrels dry during freezing weather? [NR811.71(4)]Yes No N/A
Yes No12. Is there a history of external corrosion problems with buried pipe in the project area? [NR811.69(4)]