WSSC Project Number: ________________________ HPA Project (SEP Phase 1) Submittal Request for WSSC ePlan Review (Use this same form when submitting for a SPF (System Planning Forecast)) Please provide the following information for your initial project submittal for ePlan Review to WSSC: Check here for New Project submission (WSSC Project Number not assigned as yet) Check here for Amendment to Letter of Findings. (Check here for conversion of paper to ePlan). When not a New project, ensure you have provided your current WSSC Project number on form above. Note: An applicable fee is due for the above situations. Current fees are posted on WSSC website (see address at bottom) (NEW PROJECTS) HPA Project (SEP Phase 1) Type: You must submit the following additional documents and information with this form: HPA/SPF Project Information and Amendment form (completed) Vicinity map with a NEW project submittal HPA Total Parts (provide total # of proposed parts): _____________ Water AND Sewer Modeling Water OR Sewer Modeling HPA Pressure Sewer Systems (provide # of systems): _____________ (NEW PROJECTS) FEE AMOUNT PAID: $ ____________________ NOTE: The Environmental Site Contamination Review Fee must be submitted with all NEW project submittals. Please indicate if you want WSSC to perform the Database Search: Yes No (Ensure you submit the appropriate fee). (HPA AMENDMENT) FEE DUE: $ 650.00 NOTE: The Hydraulic Project Manager will notify you of any additional fees due and the specific amount after their initial review determines the amendment does require HPA Modeling. You must include the HPA/SPF Project Information and Amendment form (completed) with this form. PROJECT NAME: _______________________________________________________ COUNTY: PG / M Ensure Project Name matches to Hydraulic Planning Analysis (HPA) Request form. ENGINEER’S CONTACT INFORMATION (MAIN CONTACT): Indicate the person who will be submitting the electronic files to WSSC for the initial submission and all subsequent re-submissions on this project in the fields below: CONTACT’S NAME: ___________________________________________________________________ CONTACT’S EMAIL: ___________________________________________________________________ CONTACT’S PHONE NUMBER: _________________________________________________________ COMPANY NAME: ____________________________________________________________________ OWNER/APPLICANT CONTACT INFORMATION: Indicate the Applicant Information as noted on the Hydraulic Planning Analysis (HPA) Request form for this project. NAME: ______________________________________________________________________________ EMAIL: ______________________________________________________________________________ PHONE NUMBER: _____________________________________________________________________ COMPANY NAME: _____________________________________________________________________ IMPORTANT NOTICE NOTE: Files must be uploaded for WSSC review within 30 days of submitting the HPA Project Submittal Request Form and fees. Once the HPA Project Submittal Request Form and fees are received, WSSC will send an email invitation with the project number to the main contact to upload HPA sketch into ePlan Review (see Applicant User’s Guide for more details - available on the WSSC website at: wsscwater.com/businesses/ developmentservices/developersformsandfees. Submit information with fees to WSSC, Permit Services Unit, 14501 Sweitzer Lane, Laurel, MD 20707 (301-206-8640). T: DDU / Common / ePlan Review / HPA / HPA Project Submittal Request for WSSC ePlan Review Page 1 of 1 (Created 3-13-13) Revised 12-13-13