Water Quality Plan For (Project Number, Project Name) (Pressure Zone Location) The Water Quality Plan (Plan) for (Project name) dated (Date); located in the (Pressure Zone) Pressure Zone has been completed by (Engineers Name) for (Owner/Developers Name) and is attached hereto. The Plan is prepared in compliance with and subject to the Annexation Agreement dated (Date) (if applicable), Existing City Code, Utility Tariffs, and of Chapter 2 of the Water Line Extension and Service Standards, as amended. The Plan does not reserve capacity in the water system. Significant changes to the Development Plan will require an addendum to this Plan. Revisions to this Plan will be required if adjoining development occurs first. The Owner/Developer agrees to follow the Plan and accepts responsibility for the costs associated with implementing the Plan. Noncompliance with the Plan may result in the delay of building permits for (Project Name) until the Water Quality Requirements as defined in Chapter 2 of the Water Line Extension and Service Standards are met. (Owner/Developer Name) acknowledges that if the Plan requirements are not met for a period of at least ten days after notification of noncompliance from Colorado Springs Utilities, Colorado Springs Utilities may initiate the Plan at (Owner/Developer Name)’s expense. (Owner/Developer Name) acknowledges that the Colorado Springs Utilities Warranty and Bill of Sale for Water and/or Wastewater Facilities for Infrastructure related to this Plan, is separate and not to be considered part of this Plan. This Plan is subject to rights of setoff; Colorado Springs Utilities may set off, against any refund owed to( Owner/Developer Name), any amounts that (Owner/Developer Name) owes to Colorado Springs Utilities as a consequence of this Plan. In the event Colorado Springs Utilities exercises its right of setoff, it shall provide an accounting to (Owner/Developer Name) to the extent of the amount set off in lieu of the refund payment of such amount. Submitting Engineer P.E. Stamp Submitting Engineer: ______________________________ Colorado P.E. # Address:______________________ Telephone:____________________ Date: ________________________ Accepted by (Owner/Developer) Entity Name ______________________________ Address: ______________________________ Plan Accepted by Colorado Springs Utilities Telephone: ______________________________ Name ______________________________ Date: ____________________________________ Date: _______________________________ ________________________________________ Signature ________________________________________ Title Completion Accepted by Colorado Springs Utilities Name ______________________________ Date: ______________________________ STATE OF COLORADO) ) ss COUNTY OF EL PASO) The foregoing instrument was acknowledged before me this _ day of __________________, 20__, by _________ as (Title) of _______________________________. Witness my hand and official seal. My Commission Expires: _________________________________ 5/1/2014 Notary Public _______________________________ Page 1 of 3 Water Quality Plan Assessment (to be provided by Colorado Springs Utilities) Colorado Springs Utilities Laboratory Services Section Water Quality Support Group Phone: 719-668-4560 Fax: 719-668-4406 Email: waterquality@csu.org 5/1/2014 Page 2 of 3 Water Quality Minimum Plan Requirements per Selected Method(s) 1. Permanent Loop a. Provide plans for permanent loop 2. Temporary Loop a. Provide plans for temporary loop b. Provide easements (private and/or public) c. Provide a maintenance and ownership agreement (if applicable) d. Provide schedule of building construction 3. Irrigation Watering a. Provide irrigation schedule including volume and frequency and location. b. Provide a secondary method for non-irrigation season c. Provide schedule of building construction 4. Construction Watering a. Provide construction watering schedule including volume, duration and frequency and location. b. Provide schedule of building construction 5. Project Phasing a. Provide plan for phasing including schedule and/or development milestones b. Identify valves to be isolated with design details including lock out tag out and a schedule for when the valve will be operational c. Provide schedule of building construction 6. Use of PRV pass thru flows (Colorado Springs Utilities internal process only) a. Provide schedule of building construction 7. Manual Flushing a. Provide flushing schedule including volume and frequency and location b. Provide method of collecting and disposal of flush water c. Provide schedule of building construction 8. Other a. Annual updates to the Plan b. Applicable permits 5/1/2014 Page 3 of 3