Fillable CITY OF DuPONT Water Availability Form (City of DuPont)

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CITY OF DuPONT Water Availability Form (City of DuPont)

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CITY OF DuPONT
1700 Civic Drive DuPont, WA 98327
Phone: (253) 912-5381 Fax: (253) 964-1455
www.dupontwa.gov
Water Availability Form
Part A
To Be Completed By Applicant
Project Address_______________________________Application Number__________________________
Subdivision/Project Name______________________________________Parcel______________________
Proposed Water Usage_________________ Commercial Residential # of Units___________
Customer Type (circle one) Rural Residential Residential Multi-family Commercial Industrial
I, the undersigned, or my appointed representative have requested the following purveyor to certify willingness and ability to provide
the indicated service. I have read and understand the information provided by the water purveyor on this Certificate, and
acknowledge that the proposed project may require improvements to the water system which would incur my financial obligation.
Prior to final approval for water service, operational responsibility, and financial obligation may be required.
Printed Name_________________________________________Signature__________________________
Address_____________________________________City_______________State_______Zip__________
Part B
To Be Completed by Water Purveyor
Water system to provide service: City of DuPont State ID#: 20500P
The proposed development is / is not within our approved service area (circle one).
This water utility will / will not be providing service (circle one).
Approved number of connections ____________________________ Existing Source Capacity______________________
Number of current/existing users_____________________________Existing Storage_____________________________
Water service will be provided by:
________Direct connection to approved, existing water main
________Extension of existing water main(s)
________New water system in accordance with WAC 246-290
______________________________________ ____________________________________ _________________
Water Purveyor Signature Printed Name Date
*****NOTE: Completion of page 2 and water purveyor signature are required*****
700 Station Drive
Taco Bell
3000500111
38 ccf/mo
Pedro DeGuzman, PE
5027 51st Avenue SW
Seattle
WA
Max Domestic Flow= 25 gpm
CITY OF DuPONT
1700 Civic Drive DuPont, WA 98327
Phone: (253) 912-5381 Fax: (253) 964-1455
www.dupontwa.gov
FLOW AND PRESSURE FOR FIRE SUPPRESSION DESIGN
Project Name:__________________________________________________________________________________
Project Location:________________________________________________________________________________
Developer’s Engineer:____________________________________________________________________________
Telephone:_____________________________________________________________________________________
Date:__________________________________________________________________________________________
Minimum Fire Flow per Ordinance No 10-905:___________________
______________________________________
Required F
ire Flow per I.F.C. 2012:_________________________________________________________________
2011 Water System Model (see notes 2, 3 and 4 below):
Street Intersection:_______________________________________________________________________________
Node Number:__________________________________________________________________________________
Static Pressure:_________________________________________________________________________________
Fire Flow:_____________________________________________________________________________________
Residual Pressure:_______________________________________________________________________________
Fire Suppression System Design Criteria (see note 5 below):
Street Intersection:______________________________________________________________________________
Static Pressure:_________________________________________________________________________________
Fire Flow:_____________________________________________________________________________________
Residual Pressure:_______________________________________________________________________________
Notes:
1. Actual fire flow will be based on building construction type and building square footage with credits for fire
sprinklers.
2. The 2011 Water System Model results are based on the build out condition using the land use indicated in the 2011
Water System Comprehensive Plan.
3. A
vai
lable fire suppression storage is based on the criteria presented in the 2011 Water System Comprehensive Plan,
which is
defined as 4,000 gpm for 4 hours, or 960,000 gallons.
4. Pipe vel
ocities are limited to 10 feet/second in pipes used for fire flow runs.
5. The model results have been adjusted per City policy. The policy reduces the model results as follows:
Static pressure is reduced by 10 psi
Available fire flow is reduced by 10% at a minimum allowable pressure of 20 psi
Cc: Public Works Department, Building Department, Fire Department
Taco Bell
700 Station Drive
Pedro DeGuzman, PE
(206) 923-0590
1/29/20
1550 gpm for min. of two (2) hours
1500 gpm for min. of two (2) hours (Ty. V-B, 2887 sf)
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CITY OF DuPONT Water Availability Form (City of DuPont)

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Completed 21 January 2021

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