REQUIREMENTS FOR NEW 2” & LARGER WATER SERVICE from

DES MOINES WATER WORKS

ALL NEW WATER SERVICES MUST COMPLY WITH DES MOINES WATER WORKS RULES & REGULATIONS.Electronic copies of Des Moines Water Works Rules & Regulations are available at www.dmww.com. Paper copies are available atthe Des Moines Water Works office for a fee of $20 each.

The following submittals are required for review by the Des Moines Water Works (DMWW) Engineering Department prior to any installation of a water service and/or tap on any water main.

Please allow a minimum of five working days for this review upon receipt of ALL submittals. GENERAL INFORMATION (Complete all that apply)

Project Name Address

Owner/Developer’s Name Contact Name _________________________________________________________Phone#_______________________ Address ___________________________________________________________________________________________ Email_____________________________________________________________________________________________

Design Consultant/Engineering Firm’s Name Contact Name _________________________________________________________Phone#_______________________ Address ___________________________________________________________________________________________ Email_____________________________________________________________________________________________

Site Plumbing Contractor’s Name Contact Name _________________________________________________________Phone#_______________________ Address ___________________________________________________________________________________________ Email_____________________________________________________________________________________________

Building Plumbing Contractor’s Name Contact Name _________________________________________________________Phone#_______________________ Address ___________________________________________________________________________________________ Email_____________________________________________________________________________________________

Please use the following checklist to ensure submittals are complete:

DNR STANDARDS require that any water main/service lines installed in areas of groundwater contaminated by organiccompounds MUST be constructed of materials which do not allow permeation of these compounds into the drinking watersupply. It is the responsibility of the design engineer to do this research and to certify that appropriate materials have beenused.

LUST (Leaking Underground Storage Tank) Reports Utility company notification and associated Iowa Department of Natural Resources (IDNR) plume maps for each LUST site Certification by a P.E. in the state of Iowa, if PVC is to be used in a LUST site area (see attached form)

ALL NEW WATER SERVICES must be designed in accordance with the DMWW Standard Specifications and Statewide UrbanDesign and Specifications (SUDAS).

SITE PLAN must include the following: Existing and proposed building(s) on property to be served by private service main with addresses Existing Water Works owned hydrants, valves, fittings, and mains with main size and relative location with respect to right-of-

way lines and existing curb lines Location of the proposed tap, hydrants, valves and fittings, and routing of proposed service main within public right-of-way and

on private property. In general, valves located on private property for the individual fire and domestic service(s) must be located in paved, non-parking areas such as driveways, drive areas, and sidewalks. Valves must be located in such a manner as to permit operation by the Water Works 24 hours a day. The service mains must be routed accordingly. Location of meter pit (when required)

ALL EASEMENTS (if required) MUST be prepared utilizing the proper easement template (provided by Des Moines WaterWorks on request). The easement(s) will need to be reviewed by DMWW. Once the review is completed the easement(s) MUST besigned, recorded and submitted to Des Moines Water Works BEFORE construction will be allowed to begin.

PLUMBING PLANS must include the following information: Interior plumbing (detail of service entry showing piping up to and including meter(s) and backflow prevention device(s) Meter location in meter pit (when required) Fire service (detail of riser, piping, etc.) Backflow prevention:

Submit mechanical drawing showing the size, model, and location of the backflow prevention devices for both fire and domestic services, as required, and the applicable backflow preventon device cut/specification sheets. - Refer to DMWW’s Rules and Regulations for containment, Section 506 - Must comply with City of Des Moines and State of Iowa Plumbing Codes

Completed Backflow Water Usage Inventory Form Plumbing Permit Number:

LOAD PROFILE must include the following information: Domestic (maximum & minimum anticipated flows expressed in gpm): Fire service (maximum anticipated flows expressed in gpm): Irrigation flows (maximum anticipated flows expressed in gpm):

FIRE DEPARTMENT REVIEW FORM – Submit the SIGNED form issued by the City of Des Moines Fire PreventionEngineer granting approval for the fire service (if your project includes a private fire service and is located inside Des Moines citylimits). Contact Patrick Phelan – 237-1316.

ELECTRONIC COPY OF FINAL PLAN – Submit one (1) electronic site plan in a MicroStation compatible format correctlypositioned on State Plane coordinates.

ELECTRONIC COPY OF “AS-BUILT RECORD” DRAWING – One (1) “as-built record drawing” of the service main inPDF format is to be submitted to the Water Works within 30 days of its construction and before the meter is set, unlessotherwise approved by the Engineering Services Manager.

WATER MAIN EXTENSION - If your project includes a water main extension, refer to the DMWW website www.dmww.comor call the DMWW Engineering Department for more information.

FEES – System development, tap, and plan review fees are required for all new services inside the City of Des Moines and someareas outside the city limits. These fees are listed in the DMWW Rules & Regulations or they can be obtained by calling theDMWW Engineering Department. System Development Fees for projects with both fire and domestic or any combination ofmultiple services will be the total of all services added together. Projects with metered combination fire and domestic services(master metered) shall be considered domestic services with fees being charged accordingly.

WATER SERVICE SIZES (Inches) Domestic: Fire: Irrigation:

BILLING INFORMATION must include the following: System Development & Plan Review fees: Tap Fee (to be paid by plumber):

Name: Name: Address: Address: _______________________________________________ __________________________________________________DMWW Account Number: DMWW Account Number:

Submittals and Inquiries should be directed to:

Project Name/Description: Fee To Be Paid By:

Company Name:

Contact:

Address:

City, State ZIP:

DMWW Account #:

Des Moines Water Works Engineering Department will review all two-inch and larger water service

connections. Payment for plan review will be required at the time formal request is issued to

Des Moines Water Works.

Number of taps: _________

Plan Review Fee - One Tap $150.00

Plan Review Fee - Two or More Taps $250.00

$ ________________

Des Moines Water WorksFee Worksheet

Calculated Fee

2" and Larger Taps - Plan Review

FIRE DEPARTMENT REVIEW FORM

Fire service to be connected to the Des Moines Water Works’ system:

Date: ________________________

Property Address: _______________________________________________________________

Property Owner: ________________________________________________________________

Size of proposed fire service: ______________________________________________________

Size of water main to be tapped: ____________________________________________________

Tap street: _____________________________________________________________________

Maximum sprinkler system demand: _____________________ gpm ____________________ psi

Water supply demand from on-site hydrants: ______________ gpm ____________________ psi

Total fire flow required (Maximum sprinkler demand + hydrant demand): __________ gpm ____________________ psi

Size & type of backflow preventer: _________________________________________________

Flow Test Data:

Hydrant location: _______________________________________________________________

Date tested: ________________________ Pitot: _____________________ psi

Static: _________________________ psi Calc. Flow: _______________ gpm

Residual: ______________________ psi Flow @ 20 psi: ____________ gpm

All materials and installations must meet all code requirements as specified in the City of Des Moines Uniform Plumbing Code and recognized practice.

Sketch and/or description of proposed fire service must be included.

Contact Information:

Contractor: ___________________________________

Address: _____________________________________

Phone: _______________________________________

To Be Completed by Des Moines Fire:

Reviewed by: _________________ Fire Inspector Date: _____________

Fire Prevention Bureau Des Moines Fire Department 2715 Dean Avenue Des Moines, IA 50317 Telephone: 515-283-4240 Fax: 515-283-4907 Email: firedept@dmgov.org

This inventory must be returned to DMWW before a tap will be approved

In compliance with State of Iowa Health Regulations, please complete the following survey by taking inventory of your plumbing fixtures at the site address referenced in the accompanying letter. This inventory MUST BE RETURNED TO DES MOINES WATER WORKS WITHIN 30 DAYS TO AVOID FUTURE NOTICES AND ACTION. If you needassistance completing this inventory, please contact your licensed plumber, building engineer, or property manager.

[Reference Account Number (from letter)] __________________________________________________[Reference Property Address (from letter)] __________________________________________________

1. Name of Business: ____________________________________________________________________

2. Type of Business: Contractor Manufacturing Residential Medical Multi-tenant Retail Office Building Warehouse Service/Repair Restaurant/Bar Other

______________________________ List names of tenants, if applicable: ______________________________________________________________

3. Is there a Backflow Preventer on your incoming water line? Yes No Do not know If “yes” what is the model, serial number, size, and date last tested?

________________________________________________________________________________________________________________________________

Is there any other source of water, such as a private well, at this address? Yes No Do not know

4. Do you have any of the following connected to the Public Water Supply?Yes No Yes No

Boiler for steam heat Boiler for hot water heat Cooling Towers Fire Suppression System (sprinklers) Geothermal Heat Pump Hose Aspirator (spraying chemicals) In Floor Radiant Heat with Chemicals Water Storage Tank Freezeless Yard Hydrant Pedicure Chairs Livestock Watering Tank Swimming Pool or Hot Tub

Truck or Tank Water Filling Station Underground Lawn Sprinkler Systems Water Cooled Equipment Steam Tables Private Well Photo or X-Ray Developing Equipment Water Recycling Equipment Plumbed-in Soft Drink Dispenser Soap Injectors Dilution of fertilizers, pesticides, herbicides Dental operatory equipment

Pumps connected to plumbing Pressure Booster Ornamental Fountain Boiler Circulator Sewage Irrigation System Other (please specify) ___________________________________________________________

Are chemicals used in the water? If “yes” what chemicals? _________________________________________________________

List all other operating processes connected to the water piping. _________________________________________ ___________________________________________________________________________________________

5. Signature__________________________________________________________________________________

To my knowledge, the answers are true and correct.

Water Usage Inventory Des MoinesWater W rks

Water You Can Trust for Life

Please print name __________________________________ Title_____________________________________________ Date ____________________________________________

Daytime Telephone Number ___________________________

Thank You for helping fulfill State of Iowa Health Regulations!

This mandatory inventory must be completed and returned within 30 days. If not completed, you may be required to install containment device(s).

Backflow prevention devices must be installed by a licensed plumber.

Testing and repairing of backflow prevention devices must be performed by a tester registered withthe State of Iowa Health Department. For more information, visithttp://www.dmww.com/upl/documents/library/backflow-list.pdf

State of Iowa Health Regulations requires that all testable backflow prevention devices be testedannually.

Des Moines Water Works maintains records of these tests and will issue a reminder notice near yourannual testing date.

Helpful Definitions Cross-Connections Any actual or potential connection between the public drinking water supply and customers plumbing system that makes it possible for used water, pollutants, or contaminants to enter the public drinking water supply.

Backflow The undesirable reverse flow of used water, contaminants, or pollutants from a customer’s plumbing system into the public drinking water supply.

Backflow Preventer A device or process that prevents impurities or contaminants from being drawn into the public drinking water supply.

Containment Installation of a backflow preventer on the water service line immediately following the meter.

511.6 SYSTEM DEVELOPMENT FEES

Table 511.6 System Development Fee Structure (effective January 1, 2019)

System development fees are required for all new water services in the City of Des Moines, Pleasant

Hill, Cumming, Alleman, and other areas as defined below. System development fees are charged

to aid in covering the costs associated with distribution, pumping, and storage facilities that have

been or will be constructed to support new and additional demands on the water system that arise

with new customers and connections. System Development Fees will be based on the tap size and

are as follows:

Des Moines

1 inch 2 inch 3inch* 4 inch 6 inch 8 inch 12 inch

Metered

Connections:

$460

$1,175

$3,700

$10,600

$27,800

$57,900

$92,600

Fire Service

Connections:

$150

$400

n/a

$3,575

$9,250

$19,400

$30,900

Pleasant Hill

1 inch 2 inch 3 inch* 4 inch 6 inch 8 inch 12 inch

Metered

Connections:

$1,390

$1,390

$3,700

$10,600

$27,800

$57,900

$92,600

Fire Service

Connections:

$450

$460

n/a

$3,575

$9,250

$19,400

$30,900

Cumming

1 inch 2 inch 3 inch* 4 inch 6 inch 8 inch 12 inch

Metered

Connections:

$3,275

$4,075

$4,075

$10,600

$27,800

$57,900

n/a

Fire Service

Connections:

$1,100

$1,375

n/a

$3,575

$9,250

$19,400

n/a

Alleman and Unincorporated Warren County Service Area

1 inch 2 inch 3 inch* 4 inch 6 inch 8 inch 12 inch

Metered

Connections:

$2,325

$3,750

$3,750

$10,600

$27,800

$57,900

n/a

Fire Service

Connections:

$770

$1,250

n/a

$3,575

$9,250

$19,400

n/a

All Other Service Areas (Berwick, PCRWD #1, Runnells, Unincorporated Polk

County)

1 inch 2 inch 3 inch* 4 inch 6 inch 8 inch 12 inch

Metered

Connections:

$1,750

$3,925

$3,925

$10,600

$27,800

$57,900

n/a

Fire Service

Connections:

$580

$1,325

n/a

$3,575

$9,250

$19,400

n/a

511.6.1 DMWW does not make 3” taps but 3” domestic connections can be

teed off of the fire service for the building or property.

511.6.2 System Development Fees for projects with both fire and domestic

services, or any combination of multiple services, will be the total of

all of the System Development Fees added together.

511.6.3 System Development Fees for projects with metered combination fire

and domestic services (master metered) shall be considered domestic

services with fees being charged accordingly.

511.6.4 System Development Fees for subdivisions will be based upon the

number and size of service stubs to be installed within the subdivision.

All service stubs within subdivision will be considered domestic stubs

unless sufficient evidence is provided to indicate otherwise.

511.6.5 If DMWW has record that a tap previously existed at a property,

System Development Fees will not be required for replacement taps

of equal size. Existing taps that are less than one inch in diameter and

are being replaced with new one-inch taps will not require System

Development Fees. Any replacement tap that is to be a larger size

than the original tap, other than upsizing to a one-inch diameter tap,

will require a fee that will be the difference between the fee for the

new tap size and the fee for the original tap size.

511.7 UNIFORM TAP CHARGES

Table 511.7 Uniform Tap Charges (effective January 1, 2019)

Tap Size 1” * 2” ** 3”*** 4” 6” 8” 12”

2” Main $340

4” Main $340 $1,250 $1,975

6” Main $340 $1,250 $2,225 $2,575

8” Main $340 $1,250 $2,275 $2,575 $3,300

10” Main $340 $1,350 $2,375 $2,675 $3,300

12” Main $340 $1,400 $2,375 $2,675 $3,400 $5,350

14” Main $340 $1,650 $2,375 $2,725 $3,400 $5,350

16” Main $340 $1,800 $2,725 $2,725 $3,500 $5,650

20” CI/DI Main N/A $1,850 $2,775 $3,100 $3,850 $6,000

20” Concrete Main N/A N/A $7,200 $7,500 $8,475 $10,625

24” CI/DI Main N/A $1,950 $2,825 $3,150 $4,125 $7,400

24” Concrete Main N/A N/A $7,300 $7,800 $8,525 $10,825

511.7.1 All taps larger than 12" and all mains larger than 24" to be tapped for

any size will be done on a labor-and-materials basis. Price estimates

may be quoted on request.

511.7.2 *The fee for 1” taps on ASTM D2241 pipe in the former SE Polk

system which require a tapping saddle will be $375.

511.7.3 **The fee for 2” taps made on 16” PVC, which will require a tapping

saddle, will be $2,275.

511.7.4 ***DMWW does not make 3” taps but 3” domestic connections can

be teed off of the fire service for the building or property. See 511.6

above for System Development Fees related to 3” domestic

connections.

511.8 UNIFORM TAP RETIREMENT CHARGES

Table 511.8 Uniform Tap Retirement Charges (effective January 1, 2019)

Tap retirement charges are based on the size of the main that is tapped, rather than

the size of the tap.

Main Size Fee

2” $975

4” $1,250

6” $1,350

8” $1,450

10” $1,750

12” $2,275

14” $2,575

Charges for retirements on concrete mains or mains larger than 14" will be the

current prices for materials and labor.

511.8.1 Tap retirement charges for other than corporations are based on the

size of the main that is tapped, rather than the size of the tap. Charges

for retirements on concrete mains and mains larger than 14" will be

the current prices of materials and labor.

511.28 INSPECTION FEES FOR NEW WATER MAIN EXTENSIONS

Fees shall be charged for construction inspection and related as built drawings for

installation of all new water main extensions.

Base Inspection Fee $200.00

Inspection Fee Unit Cost – first 1,000 ft. $1.50/ft.

Inspection Fee Unit Cost – all additional footage $1.00/ft.

Inspection fees of water main extensions shall be paid prior to issuance or approval

of IDNR Construction Permit.

Illustrative Example: Installation of 1500 feet of eight-inch water main for

Hawkeye Development on Cyclone Avenue.

Base Inspection $200.00

First 1,000 feet (1000 x 1.50) $1,500.00

Additional 500 feet (500 x 1.00) $500.00

Total $2,200.00

511.29 PLAN REVIEW FEE FOR NEW WATER MAIN EXTENSIONS

Fees shall be charged for plan review of all new main extensions.

Base Plan Review Fee $200.00

Unit Cost Plan Review Fee $.10/ft.

Construction Permit Fee (DMWW issued IDNR Permits) $.10/ft.

Plan review fees for water main extensions are to be paid at the time materials are

submitted for review.

Illustrative Example: Installation of 1500 feet of eight-inch water main for

Hawkeye Development on Cyclone Avenue.

Base Plan Review $200.00

Unit Cost Review (1,500 x $.10) $150.00

DMWW issued IDNR Permit (1,500 x $.10) $150.00

Total $500.00

511.30 TWO-INCH AND LARGER WATER SERVICE PLAN REVIEW FEE

Des Moines Water Works Engineering Department shall review all two-inch and

larger water service connections. Payment for plan review will be required at the

time the formal request is issued to Des Moines Water Works.

Plan Review Fee – One Tap $150.00

Plan Review Fee – Two or More Taps $250.00

Plan review fees for large water services are to be paid at the time materials are

submitted for review.

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Des Moines

Water W rksLifeWater You Can Trust for

ENGINEERING DEPARTMENTDes Moines, Iowa APPROVED BY: TPC

SCALE: NONE

DRAWN BY: JLH

M

VALVE

METERTAPS PUBLIC MAIN

SERVICE LINE

STOP BOX

PUBLIC WATER MAIN

METER ROOM

AND SHOPPING CENTERS)

(TOWNHOMES, CONDOMINIUMS, APARTMENTS

MULTIPLE UNIT METERING

FIGURE 12A

512-12A

DATE: 08/19/2014

REQUIRED

ASSEMBLY AS

CONTAINMENT RPZ

REVISED: 09/19/2016 JLH

Des Moines

Water W rksLifeWater You Can Trust for

APPROVED BY: TPC

SCALE: NONE

ENGINEERING DEPARTMENTDes Moines, Iowa

FIGURE 12B

512-12B

AND SHOPPING CENTERS)

(TOWNHOMES, CONDOMINIUMS, APARTMENTS

MULTIPLE UNIT METERING

TYPICAL METER MANIFOLD

"2

19

"2

121

LOCKING METER VALVE

MASTER BALL VALVES

SIDE VIEWS

BALL VALVE

TOP VIEWS

32"

43"

DATE: 8-19-2014

DRAWN BY: JLH

6" MIN.

BACKFLOW ASSEMBLYCONTAINMENT RPZ

BACKFLOW ASSEMBLYCONTAINMENT RPZ

REQUIRED ON ALLASSEMBLY AS ISOLATION RPZ CHECK VALVE OR

REQUIRED ON ALLASSEMBLY AS ISOLATION RPZ CHECK VALVE OR

REVISED: 09/19/2016 JLH

What Is A Leaking Underground Storage Tank (LUST)? An UST is a tank and associated piping with 10% or more of its volume below ground and which stored or is storing a regulated substance. A LUST is a leaking underground storage tank. A regulated substance is an element, compound or solution which, if released into the environment, may present danger to the public health or welfare, or the environment and includes the following:

any petroleum or petroleum based substances (motor fuels, petroleum solvents, lubricants, used oil, etc.);

any substance that exhibits hazardous characteristics defined in the Resource Conservation and Re-covery Act (RCRA) hazardous waste regulations -or-

any substance regulated under the Comprehensive Environmental Response, Compensation and Liabil-ity Act of 1980 (CERCLA).

How does a LUST site affect approval for new water service connections? Section 8.1.2 of the Ten State Standards for Water Main Materials for permeation by organic compounds requires where distribution systems are installed in areas of soil or groundwater contaminated by organic compounds, a) pipe and joint materials which do not allow permeation of the organic compounds shall be used and b) non-permeable materials shall be used for all portions of the system including pipe, joint ma-terials, hydrant leads, and service connections. All new water services larger than 2” diameter that are located within a 200’ radius of the plume within the LUST site will be required to be ductile iron pipe with nitrile gaskets and all 1” and 2” services must be type K Copper unless you provide documentation that the pipe being installed is outside of the contaminated area. How Do I Get Information About A Specific LUST Site? A list of LUST site numbers will be included in the Pre-App information packet provided by DMWW at Pre-App meetings OR you may call the Engineering Department at DMWW, 323-6204. However, sites can be added or removed at any time, it is your responsibility to research the DNR website to verify this list. When researching LUST sites in the area of a project, you may also use the IDNR’s website (https://programs.iowadnr.gov/tanks/pages/advanced.aspx). Write down the LUST site number(s) for all of the circles which fall within your project area. Keep in mind the center of the circle is tied to the address of the property where the LUST site exists, not necessarily to the actual coordinates of the LUST tank. For this reason, the IDNR has chosen to use a 500’ radius circle around the site to ensure the contamination plume is captured. Provide the LUST site numbers to the IDNR Records Center to request Utility Company Notification and associated plume maps for each LUST site. Contact information is as follows: Iowa DNR Records Center, Iowa Department of Natural Resources, 502 E 9th Street, Des Moines, IA 50319; phone: 515-242-5818; Fax: 515-281-8895; e-mail: dnr.records@dnr.iowa.gov Once you receive the information back from the IDNR Records Center, you will need to submit to DMWW for review. This information will give more exact locations for the contamination plume(s). The project must be at least 200’ away from the edge of the contamination plume in order to use PVC pipe. If your project site falls within a LUST site, you will be required to use DI pipe w/nitrile gaskets for services larger than 2” or type K copper for 2” and smaller services. Any reference in the LUST documentation to a site being “cleared for PVC pipe” does NOT mean new PVC pipe is allowed on the site, but rather that PVC wa-ter lines were either not present or not considered to be at-risk receptors when the LUST site was evaluat-ed.

LUST (Leaking Underground Storage Tank) sites And the DMWW distribution system

Des Moines Water Works