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Procedures

MSC-PRO-WS-27075Hanford Site Public Water System Tie-In

Revision 1, Change 0

Published: 06/05/2014 Effective: 06/05/2014

Topic: Water & Sewer

Subject Matter Expert : Camp, SamuelFunctional Manager: Kon, Jonathan

Use Type: MCP-Management ControlProcedure

*MSAPS.MSC-PRO-WS-27075*

JHA: Periodic Review Due Date: 06/05/2019 Publication Correction: 05/22/2017 Rev. 1, Chg. 0 USQ Screen Number:

CHANGE SUMMARY

Description of Change

Revise process to add steps that ensure the project documents that allrequirements are met and inspections are performed prior to approving waterservice tie-ins to the Hanford Public Water System.

Add process flow diagram as Appendix B.

Publication corrections:4/10/17, update to MSAPS numbers7/13/16, Reassign FM per management review

Before each use, ensure this copy is the most current version. MCP-Management Control Procedure Use

Rev. 1, Chg. 0 MSC-PRO-WS-27075 Page i of i

Hanford Site Public Water System Tie-In Published Date: 06/05/14 MSC-PRO-WS-27075 Effective Date: 06/05/14

Hanford Mission Support Contract

Hanford Site Public Water System Tie-In

MSC-PRO-WS-27075, Rev. 1 Effective Date: June 5, 2014 Page 1 of 11

NOTE: Before each use, check MSC Docs Online to ensure this copy is current.

CHANGE SUMMARY

Rev 1

Description of Change:

Revise process to add steps that ensure the project documents that all requirements are met and

inspections are performed prior to approving water service tie-ins to the Hanford Public Water

System. Add process flow diagram as Appendix B.





1.0 PURPOSE

This procedure provides the basic design guidance and requirements for connecting to a Hanford

Site Public Water System. This procedure covers the raw and potable water distribution systems.

2.0 SCOPE

This Level 2 Management Control Procedure is applicable to Mission Support Alliance LLC

(MSA) employees and to other Site Contractors and subcontractors that have a need to obtain

raw or potable water from the Site Public Water System under the jurisdiction and control of

MSA Public Works/Water and Sewer Utilities.

3.0 IMPLEMENTATION

This document is effective upon publication.

4.0 REQUIREMENTS

4.1 General Requirements

NOTE: For the tables in this section under the requirement "type" column, “V” means

verbatim and “I” means interpreted.

# Requirement Type

V or I Source

1. Project Reports/Work Packages shall be submitted and

approved prior to initiating construction/repair activities.

I Washington

Administrative Code

[WAC 246-290-110

(2)]

2. Water Purveyor design reviews will include verification

that all requirements found in the design guidance

documents have been met.

I Washington

Administrative Code

(WAC 246-290-110,

-120)

3. Ensure design documents have been reviewed by the

Washington State Department of Health (WDOH) when

required, comments incorporated, and approval has been

obtained prior to requesting Construction Approval

Authorization for Water Service Tie-In.

I Washington

Administrative Code

(WAC 246-290-110)





# Requirement Type

V or I Source

NOTE 1: Involvement of the Purveyor early in the

design process will help identify when WDOH reviews

are needed and avoid project delays due to

unanticipated review requirements.

NOTE 2: When WDOH approval is required allow,

adequate time to develop the Project Report and Design

documentation, reviews, MSA transmittal to DOE, DOE

transmittal to WDOH, and WDOH review/approval.

4. Water Purveyor approval is required on all documents

associated with the Hanford Water System that prescribe

activities, including construction projects and facilities

modifications, with potential to affect potable water or

raw water systems, including waste or hazardous

systems that cross or come near a potable system. These

documents include, but are not limited to: Statements of

Work, Facility Modification Permits (FMP), Design

Change Notices (DCN), Work Documents, Project

Completion Reports, etc.

I MSC-PRO-8635,

Appendix A

5. Ensure the design from service connections from the

water main to a building comply with the Uniform

Building Code and the Uniform Plumbing Code.

I Revised Code of

Washington (RCW)

19.27, 36.32.120(7),

36.43

6. Ensure all design drawings, Facility Modification

Packages, Engineering Change Notices, and

Specifications for any water systems are stamped by a

Washington State Licensed Professional Engineer.

I WAC 246-290-

120(5)

7. Ensure design documentation includes the requirement

to use only lead-free NSF listed materials for potable

water lines and appurtenances.

I WAC 246-290-220

8. Ensure design documentation includes the requirement

to use UL Listed or FM approved materials related to

fire protection systems.

WAC 246-290-200





# Requirement Type

V or I Source

9. Ensure design documentation includes all American

Water Works Association (AWWA) material

specifications and construction requirements.

I WAC 246-290-200

10. Ensure design documentation for potable water piping

includes the requirement to conform to

AWWA C651-05 Disinfection Water Mains (latest

edition) in the disinfection plan, and that plan is

provided for review as part of the request for Water

Service Request, Site Form A-6004-007.

I WAC 246-290-451

11. Ensure the design for fire protection systems that use

potable water have an approved backflow prevention

assembly, commensurate with the degree of hazard

assigned by the Site Water Purveyor designated Cross

Connection Control Specialist (CCCS).

I WAC 246-290-490

12. Ensure the design for fire protection systems that use

raw water have an approved backflow prevention

assembly commensurate with the degree of hazard

assigned by the Site Water Purveyor designated CCCS.

I WAC 246-290-135,

490

NOTE: Water Purveyor is identified on the

Environmental Integration Services, Subject Matter

Expert and Point-of-Contact List, found on the MSA

Environmental Integration Services website under

“Quick Links.”

13. Hanford Site contractors shall negotiate agreements for

water utility service

I MSC Contract (DE-

AC06-09RL14728),

Section J.3,

Interface Number 42

14. Construction Completion Reports shall be submitted per

the direction on the WDOH approval letter.

I WAC 246-290-

120(5)





5.0 PROCESS

NOTE: Process flow diagram is provided as Appendix B.

Actionee Step Action

Requestor 1. Complete and provide Water Service Request, requester information

section of Site Form A-6004-007, and conceptual design scope

document (functional design, work package, statement of work, etc.)

to the Water Purveyor for a determination of the need for WDOH

approval prior to the commencement of project work.

Water

Purveyor

2. Determine if the conceptual design submitted will require a project

report submittal to the WDOH.

If no, proceed to Step 7.

If yes, request customer to develop and submit a project report for

Water Purveyor review, approval and submittal to DOE-RL/WDOH

for approval.

a. Ensure all drawings and specifications affecting tie-in approvals

are complete and have been approved by the Water Purveyor.

b. Ensure the project report satisfies the requirements and addresses

all elements required for project reports.

c. Ensure design documents have been reviewed and/or approved

by the Hanford Site Fire Marshal’s office where appropriate.

d. Provide comments to Requestor for resolution, if necessary.

Requestor 3. Submit the Project Report and Design Package to the Water Purveyor

for submittal to the WDOH for review and approval.

NOTE: Projects should allow 30 days for internal processing and

60 days for Department of Health review and approval.

Water

Purveyor

4. If comments are received from the WDOH, forward to Requester for

resolution and resubmit to the Department of Health when comments

have been incorporated.

Requestor 5. Resolve comments and incorporate WDOH comments and complete

design documents.

Water

Purveyor

6. When project approval is received from WDOH, complete and sign

Water Service Request, Part A of Site Form A-6004-007.






Water

Purveyor

7. Develop Construction Approval Authorization for Water Service

Tie-In, Part B of Water Service Request Site Form A-6004-007, as

follows:

a. Assign a request number for each request.

b. Review project approval documents and identify any special

conditions or requirements.

c. Identify conditions or requirements to be satisfied prior to

providing authorization to proceed with construction and or final

authorization to tie-in to existing utility’s systems.

d. Review Construction Approval Authorization for Water System

Tie-In Request, Part B of Water Service Request Site Form

A-6004-007, with requester.

Requestor 8. Sign Construction Approval Authorization for Water System Tie-In

Request form, Part B of Water Service Request Site Form A-6004-007

acknowledging understanding of conditions and requirements.

Water

Purveyor

9. Sign Construction Approval Authorization for Water System Tie-In

Request form, Part B of Water Service Request Site Form

A-6004-007, authorizing construction activities to proceed.

Requestor 10. Submit design changes made after the Construction Approval

Authorization for Water Service Tie-In Request, Part B of Water

Service Request Site Form A-6004-007, to the Site Water Purveyor for

approval prior to implementing change via MSC review and approval

process. Use Site Form A-6002-913, MSC Comment Resolution Sheet

in accordance with MSC-PRO-8635.

NOTE: Design changes made without Water Purveyor review and

approval may invalidate the tie-in approval and if so, the approval will

be suspended and construction activities may be stopped.

CCCS 11. Review design changes that potentially affect tie-in approvals and

ensure approval remains valid in accordance with previous steps.

NOTE: Design changes, not requiring additional WDOH review, will

have a disposition in a timely manner, but no longer than 7 days from

the design change submittal.

Requester 12. Notify Water Purveyor whenever construction is completed on those

portions of the system requiring inspection as identified in the

construction approval.






CCCS 13. Perform inspections and notify requester of any noted deficiencies.

Requester 14. Review Water Service Tie-In Approval Request, Part C of Water

Service Request Site Form A-6004-007, and submit with applicable

documents to the Water Purveyor.

Water

Purveyor

15. Perform final inspection of the system and review construction

approval to ensure approval conditions/requirements have been

completed.

16. Approve tie-in by completing and signing Water Service Tie-In

Approval Request, Part C of Water Service Request Site Form

A-6004-007.

Requestor 17. Conduct system tie-in work in accordance with MSC-PRO-12115,

Work Management.

Water

Purveyor

18. Request the Requester to submit Construction Completion Report

prior to authorizing use of the system.

Requester 19. Submit Construction Completion Report to Water Purveyor.

Water

Purveyor

20. Submit Construction Completion Report to WDOH.

21. Provide approval for use by completing Water Service Use Approval,

Section D of Water Service Request Site Form A-6004-007.

22. Notify Requester that system is authorized for use.

6.0 FORMS

Form A-6004-007, Water Service Request

Form A-6002-913, MSC Comment Resolution Sheet





7.0 RECORD IDENTIFICATION

Records Capture Table

Name of Document Submittal

Responsibility

Retention

Responsibility

Water Service Request, Site Form A-6004-007

Project Report and Design Package (if applicable)

Construction Completion Report

Requestor Water & Sewer

Utilities

Completed and Signed Water Service Request, Site

Form A-6004-007

Water Purveyor Water & Sewer

Utilities

Construction Completion Report Water Purveyor WDOH

8.0 REFERENCES

8.1 Source References

MSC Contract (DE-AC06-09RL14728), Section J.3, Interface Number 42

MSC-PRO-8635, Review and Approval of Technical Documents

RCW 19.27, State Building Code

RCW 36.32.120(7), Adoption of Building, Electrical Codes, etc.

RCW Chapter 36.43, Building Codes

Washington Administrative Code (WAC) 246-290, -291, -292, -294

8.2 Working References

American Water Works Association (AWWA)

CRD O 420.1A (Supp Rev. 2)

MSC-IMP-00001, Hanford Site Interface Management Plan

MSC-PRO-589, Mission Support Contract Management System Documents

MSC-PRO-12115, Work Management

National Fire Protection Association (NFPA)

National Sanitation Foundation (NSF)

Latest edition of the PNWS-AWWA Cross-Connection Control Manual, or the University of

Southern California (USC) Manual of Cross-Connection Control

Recommended Standards for Water Works, A Committee Report of the Great Lakes – Upper

Mississippi River Board of State Public Health and Environmental Managers

Uniform Plumbing Code (UPC)

U0-A-00.63, MSC Water Systems Requirements Matrix

Washington State Department of Ecology Criteria for Sewage Works Design

Washington State Department of Health Water System Design Manual (WSDM)





APPENDIX A

Special Terms

Service connection A water line that provides water to one building. A service connection

may provide water for fire protection, domestic use, or a combination

of both in the same building. A service connection can also provide

water to a fire hydrant, truck fill station, or special purpose facility.

Water main A water line that provides water to more than one independent facility

or service connection regardless of size.





APPENDIX B Process Flow

Start

Water Purveyor:Will Conceptual Design require Project Report submittal to WDOH?

Yes

Water Purveyor:Approve Project

Report?No

Yes

WDOH:Approve Project?

60 Days

Water Purveyor:Forward comments

to Requestor for resolution

No

Requestor:Develop Project

Report and Design Package

Requestor:Submit Project

Report to Water Purveyor for review

30 Days

Water Purveyor:Submit Project

Report to WDOH

Requestor:Resolve/Incorporate

WDOH comments and complete design

documents

Water Purveyor:Assign a permit

number for each request

Water Purveyor:Review project

approval documents and identify any

special conditions or requirements

Water Purveyor:Identify conditions or

requirements to be satisfied prior to providing authorization

to proceed with construction and or final authorization to tie-

in to existing utility’s systems

Go To “Begin Construction”

Requestor:Complete Water Service

Request, Requestor Information Section of Site Form A-6004-007.

Submit form and conceptual design scope

document to Water Purveyor

Water Purveyor:Develop Construction

Approval Authorization for Water Service Tie-In, Section B of Site Form A-6004-007, Water Service

Request

No

Yes

Water Purveyor:Review Construction

Approval Authorization for Water System Tie-In

Request, Section B of Site Form A-6004-xx1, Water

Service Request

Requestor:Sign Construction Approval

Authorization for Water System Tie-In Request,

Section B of Site Form A-6004-007, Water Service Request, acknowledging

understanding of conditions and requirements

Water Purveyor:Sign Construction Approval

Authorization for Water System Tie-In Request,

Section B of Site Form A-6004-007, Water Service

Request, authorizing construction activities to

proceed

Water Purveyor:Complete and sign Water Service Request, Section A of Site Form A-6004-007,

Water Service Request





APPENDIX B Process Flow (Continued)

Requestor:Design changes

needed?

Requestor:Submit design

changes to Water Purveyor prior to

implementing change

Yes

Water Purveyor:Review design changes that

potentially affect tie-in approvals and ensure

approval remains valid in accordance with previous

steps

7 Days

WDOH:Approval needed

for design changes?

Water Purveyor:Submit design

changes to WDOH

Yes

Requestor:Notify Water Purveyor of construction

completion for portions requiring

inspection

No

No

WDOH:Approve design

changes?YesNo

Water Purveyor:Perform inspections

Water Purveyor:Perform final inspection

of the system and review construction approval to

ensure approval conditions/requirements

have been completed

Requester:Conduct system tie-

in in accordance with MSC-PRO-

12115 Work Management

Water Purveyor:Request the

Requestor to submit Construction

Completion Report prior to

authorization of use of the system

Requestor:Submit Construction Completion Report to Water Purveyor

Water Purveyor:Submit Construction Completion Report

to WDOH

Water Purveyor:Notify Requestor

that system is authorized for use

End

Water Purveyor:Are there

deficiencies?

Water Purveyor:Notify Permit Requestor of deficiencies

Yes

Begin Construction

Requestor:Review Water Service Tie-

In Approval Request, Section C of Site Form A-6004-007, Water Service

Request, and submit applicable documents to

Water Purveyor

No

Water Purveyor:Approve tie-in by

signing Water Service Tie-In Approval

Request, Section C of Site Form A-6004-007, Water Service Request

Water Purveyor:Provide approval for use

by completing Water Service Use Approval,

Section D of Site Form A-6004-007, Water Service

Request