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Read Me
| The Permit Plan is part of a larger Denver Service Center (DSC) permitting process, which consists of Scoping all required permits (Permitting Assessment Form (PAF)); Generating a list of all permits for the project; Assigning permits to be either Government Furnished, Contractor Provided, or Park Acquired; Planning a clear path to acquire each Government Furnished Permits (Permit Plan Form); Develop complete and acceptable applications; and Acquire Government Furnished Permits prior to solicitation. |
| This workbook contains 2 tabs (worksheets): |
1. Read Me - Current worksheet.
2. Form - Blank and used to complete the Permit Plan.
| See the DSC Workflows website for: |
| Permit Plan Sample - A draft Permit Plan that is in progress. The Permit Plan will evolve as the project does in the early stages of design and document efforts pursuing required permits. |
| Permit Plan Guideline - The Permit Plan with instructions and explanatory text provided to guide in answering questions about permitting and integrate with DSC permitting procedures. |
| Acronyms & Definitions: |
| Agency - Agency with Jurisdiction |
| APA - Administrative Procedures Act |
| AST - Above Ground Storage Tank |
| Bid Documents |
| Contractor Provided Permit |
| CWA - Clean Water Act |
| DSC - Denver Service Center |
| FCC - Federal Communications Commission |
| Government Furnished Permit |
| List of All Permits - A list of the name of each permit and the issuing agency. Example: USACE Nation Wide Permit 14. |
| NPDES - National Pollution Discharge Elimination System (part of CWA) |
| Permit Plan |
| Permit Submittal List |
| Permitting Assessment |
| RCRA - Resource Conservation and Recovery Act |
| UST - Underground Storage Tank |
| WWTP - Waste Water Treatment Plant |
&20&K01+048Permit Plan Form https://www.nps.gov/dscw/publicforms.htmhttps://www.nps.gov/dscw/definitionsdc_c.htmhttps://www.nps.gov/dscw/definitionsdc_p.htmhttps://www.nps.gov/dscw/publicforms.htmhttps://www.nps.gov/dscw/definitionsdc_d.htmhttps://www.nps.gov/dscw/definitionsdc_g.htmhttps://www.nps.gov/dscw/definitionsdc_p.htmhttps://www.nps.gov/dscw/definitionsdc_p.htmhttps://www.nps.gov/dscw/definitionsdc_p.htmhttps://www.nps.gov/dscw/definitionsdc_a.htmhttps://www.nps.gov/dscw/definitionsdc_b.htm
FORM
| Project Meta Data | | | | | | | |
| PROJECT TITLE: | Rehabilitate Primary Park Water Systems | | PMIS #: | 240821 | PEPC# | | |
| PARK: | ORPI | | REGION: IMR | PROGRAM: | | Permit Lead: | Darren Stewart |
| PARK CONTACT: | Nick Huck | | A\E: | ajc architects | | DSC PM: Steven Splitek | |
| Dates of Assessment: | | 1/11/22 | A\E CONTACT: | Jill A. Jones | | DSC PS: Kelsey Anderson | |
| Permits to Contracting no later than: | | | Prior to start of construction | | | | |
| Notes:Drinking water system permitted as public water system with Arizona Department of Environmental Quality (ADEQ). | | | | | | | |
| Permits Required | | | | | | |
| PERMIT: Approval to Construct Drinking Water Facilities (Storage Tanks and New Well) | | | | | | |
| Permit Standard: Engineering Bulletin 8 and 10 | | | Date of information: TBD | | Consultation Started: TBD | |
| Issuing Agency: AZ Dept. of Environmental Quality | | | Application Fee: | Yes | Amount of Fee: $800 for each tank, $1,250 well | |
| Agency Contact: | wqd_dwser@azdeq.gov | 602-771-2300 | Needed Components: Approval to Construct (ATC) application, fee, site plan, construction quality drawings and plans, design report, new source analysis, notice of intent to drill | | | |
| Est. Permit Timeline | | | | | | |
| DSC Review date: TBD | | | | | | |
| Application Submitted: TBD | | | | | | |
| Duration of AHJ Review (Roll up Total): 53 days | | | | | | |
| 1) Completeness (days): | | | | | | |
| 2) Analysis (days): | | | | | | |
| 3) other step (days): | | | | | | |
| 4) Public Review (days): | | | | | | |
| 5) other step (days): | | | | | | |
| Expected Date of Issue: TBD | | | Expected Date of Expiration/ Duration of Permit: | | | ATC is valied for 4 years and 90 days. If Approval of Construction (AOC) is not submitted in this time frame, ATC will be voided. |
| Construction Monitoring Req.: Yes Notes: Approval of Construction (AOC) application prepared by AZ professional engineer required to confirm construction conforms to approved plans. | | | | | | |
| Construction Restoration Req.: No Notes: | | | | | | |
| Post Occupancy Mitigation Req.: No Notes: | | | | | | |
| Notes: ATC application/permit required for both water storage tanks and new well. A separate ATC is required for each component. AOC application/certificate required after construction and final testing have been completed before system can be operated. | | | | | | |
| PERMIT: Approval of Construction (AOC) Certificate | | | | | | |
| Permit Standard: Engineering Bulletin 8 and 10 | | | Date of information: TBD | | Consultation Started: TBD | |
| Issuing Agency: AZ Dept. of Environmental Quality | | | Application Fee: | No | Amount of Fee: NA | |
| Agency Contact: | wqd_dwser@azdeq.gov | 602-771-2300 | Needed Components: Approval of Construction (AOC) application, Engineering Certification of Completion (ECC), As-Built Plans, Quality Control Testing Results and Calculations, Operation and Maitenance Manucal, New Source Analysis | | | |
| Est. Permit Timeline | | | | | | |
| DSC Review date: TBD | | | | | | |
| Application Submitted: TBD | | | | | | |
| Duration of Review: | | | | | | |
| 1) Completeness (days): | | | | | | |
| 2) Analysis (days): | | | | | | |
| 3) other step (days): | | | | | | |
| 4) Public Review (days): | | | | | | |
| 5) other step (days): | | | | | | |
| Expected Date of Issue: | | | Expected Date of Expiration/ Duration of Permit: | | | NA |
| Construction Monitoring Req.: Yes Notes: Approval of Construction (AOC) application prepared by AZ professional engineer required to confirm construction conforms to approved plans. | | | | | | |
| Construction Restoration Req.: No Notes: | | | | | | |
| Post Occupancy Mitigation Req.: No Notes: | | | | | | |
| Notes: ATC application/permit required for both water storage tanks and new well. A separate ATC is required for each component. AOC application/certificate required after construction and final testing have been completed before system can be operated. | | | | | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | |
| Permit Standard: | Date of information: | Consultation Started: |
| Issuing Agency: | Application Fee: | Amount of Fee: |
| Agency Contact: | Needed Components: cover letter (required), Application (typical), and supporting documents: | |
| Est. Permit Timeline | | |
| DSC Review date: | | |
| Application Submitted: | | |
| Duration of AHJ Review (Total): | | |
| 1) Completeness (days): | | |
| 2) Analysis (days): | | |
| 3) other step (days): | | |
| 4) Public Review (days): | | |
| 5) other step (days): | | |
| Expected Date of Issue: | Expected Date of Expiration/ Duration of Permit: | |
| Construction Monitoring Req.: Yes / No Notes: | | |
| Construction Restoration Req.: Yes / No Notes: | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | |
| Notes: | | |
| PERMIT: | | | | | | |
| Permit Standard: | | | Date of information: | | Consultation Started: | |
| Issuing Agency: | | | Application Fee: | | Amount of Fee: | |
| Agency Contact: | | | Needed Components: cover letter (required), Application (typical), and supporting documents: | | | |
| Est. Permit Timeline | | | | | | |
| DSC Review date: | | | | | | |
| Application Submitted: | | | | | | |
| Duration of AHJ Review (Total): | | | | | | |
| 1) Completeness (days): | | | | | | |
| 2) Analysis (days): | | | | | | |
| 3) other step (days): | | | | | | |
| 4) Public Review (days): | | | | | | |
| 5) other step (days): | | | | | | |
| Expected Date of Issue: | | | Expected Date of Expiration/ Duration of Permit: | | | |
| Construction Monitoring Req.: Yes / No Notes: | | | | | | |
| Construction Restoration Req.: Yes / No Notes: | | | | | | |
| Post Occupancy Mitigation Req.: Yes / No Notes: | | | | | | |
| PERMIT: Approval to Construct Drinking Water Facilities (Storage Tanks and New Well) | | | | | | |
| Permit Standard: Engineering Bulletin 8 and 10 | | | Date of information: TBD | | Consultation Started: TBD | |
| Issuing Agency: AZ Dept. of Environmental Quality | | | Application Fee: | Yes | Amount of Fee: $800 for each tank, $1,250 well | |
| PERMIT: Construction General Permit (CGP) for Stormwater Discharges Associated with Construction Activity | | | | | | |
| Permit Standard: ARS Title 49, Chapter 2, Article 3.1 | | | Date of information: TBD | | Consultation Started: TBD | |
| Issuing Agency: AZ Dept. of Environmental Quality | | | Application Fee: | Yes | Amount of Fee: $350 | |
| Agency Contact: | stormwater@azdeq.gov | 602-771-2300 | Needed Components: Notice of Intent (NOI) application, Stormwater Pollution Prevention Plan (SWPPP), | | | |
| Est. Permit Timeline | | | | | | |
| DSC Review date: TBD | | | | | | |
| Application Submitted: TBD | | | | | | |
| Duration of AHJ Review (Roll up Total): 53 days | | | | | | |
| 1) Completeness (days): | | | | | | |
| 2) Analysis (days): | | | | | | |
| 3) other step (days): | | | | | | |
| 4) Public Review (days): | | | | | | |
| 5) other step (days): | | | | | | |
| Expected Date of Issue: TBD | | | Expected Date of Expiration/ Duration of Permit: | | | CGP is effective until a Notice of Termination (NOT) is submitted to ADEQ or approved, or until June 30, 2025, whichever occurs first |
| Construction Monitoring Req.: Yes Notes: Routine inspections and documentation required throughout project per AZDEQ requirements. | | | | | | |
| Construction Restoration Req.: No Notes: | | | | | | |
| Post Occupancy Mitigation Req.: No Notes: | | | | | | |
| n | | | | | | |
&"-,Bold"&12Permit Plan for Goverment Furnished Permits for:
ORPI - PMIS# 240821, Rehabilitate Primary Park Water Systems
&9Permit Plan FORM, 12-2-16 National Park Service - Denver Service Center &9&D | page &P of &N mailto:wqd_dwser@azdeq.govmailto:stormwater@azdeq.gov