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The State of New Hampshire DEPARTMENT OF ENVIRONMENTAL SERVICES ____________ Robert R. Scott, Commissioner 2017-09-06 (603) 271-2513 1 of 9 PO Box 95, Concord, NH 03302-0095 www.des.nh.gov Request for Proposals Leak Detection Surveys at NH Community Water Systems Drinking Water and Groundwater Bureau September 2017 I. Introduction The New Hampshire Department of Environmental Services (“NHDES”) is requesting proposals for leak detection surveys at 34 community water systems in New Hampshire during the 2018 field season. The purpose of the surveys is to reduce water and revenue loss by assisting water systems with leak identification and location. Projects range in size from entire distribution systems to portions thereof with the total length of pipe proposed to be surveyed spanning approximately 983 miles. Leak detection projects that are selected will be funded through a set-aside of the Drinking Water State Revolving Fund (DWSRF). II. Background In June of 2017, NHDES sent leak detection project solicitations to all community water systems in New Hampshire. A copy of the solicitation is attached. A general summary of the systems requesting leak detection assistance may be found in Appendix A. Appendix A includes thirty-four project requests. The number of miles was derived based on estimates provided by the water systems and is intended for guidance only and should not be the sole determinant of contract price for each project. III. Scope of Work The work will consist of performing acoustic listening surveys on the distribution systems of the water systems selected from the list in Appendix A. The surveys shall be conducted in accordance with the “Manual of Water Supply Practices, Water Audits and Loss Control Programs” document identification number AWWA M36, American Water Works Association, 2016. Surveys must be performed in two phases: an initial screening of the area to identify suspected leaks followed by a pinpointing phase to locate the suspected leak. A detailed report of the findings must be filed with NHDES and the water system at the conclusion of each survey. It will be the responsibility of the water system to repair any leaks found. A. Task 1 - Initial Survey The leak detection firm (“firm”) will utilize specialized equipment to “listen” for sounds on direct contact points such as, but not limited to, main line gate valves, fire hydrants, meter/curb valves, and blow-off valves. The initial survey may be performed on contact points within the system, provided that leak sounds travel the entire distance between contact points. If leak sounds may not be heard the entire distance between points as a result of pipe material, pipe diameter, contact point spacing, system pressure, soil type, equipment sensitivity, or any other factor, a ground microphone must be used to listen directly over the pipe at a six to ten foot interval in addition to listening to available contact points. The firm will utilize a test rod and/or resonance plate in conjunction with the ground microphone in instances where the main is located more than three feet off of a hard surface.
Transcript
Page 1: Request for Proposals Leak Detection Surveys at NH ... DES 2018-03.pdfdetection surveys your firm conducted at community water systems, including the method of leak detection used,

The State of New Hampshire

DEPARTMENT OF ENVIRONMENTAL SERVICES ____________

Robert R. Scott, Commissioner

2017-09-06 (603) 271-2513 1 of 9

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

Request for Proposals Leak Detection Surveys at NH Community Water Systems

Drinking Water and Groundwater Bureau September 2017

I. Introduction The New Hampshire Department of Environmental Services (“NHDES”) is requesting proposals for leak detection surveys at 34 community water systems in New Hampshire during the 2018 field season. The purpose of the surveys is to reduce water and revenue loss by assisting water systems with leak identification and location. Projects range in size from entire distribution systems to portions thereof with the total length of pipe proposed to be surveyed spanning approximately 983 miles. Leak detection projects that are selected will be funded through a set-aside of the Drinking Water State Revolving Fund (DWSRF). II. Background In June of 2017, NHDES sent leak detection project solicitations to all community water systems in New Hampshire. A copy of the solicitation is attached. A general summary of the systems requesting leak detection assistance may be found in Appendix A. Appendix A includes thirty-four project requests. The number of miles was derived based on estimates provided by the water systems and is intended for guidance only and should not be the sole determinant of contract price for each project. III. Scope of Work The work will consist of performing acoustic listening surveys on the distribution systems of the water systems selected from the list in Appendix A. The surveys shall be conducted in accordance with the “Manual of Water Supply Practices, Water Audits and Loss Control Programs” document identification number AWWA M36, American Water Works Association, 2016. Surveys must be performed in two phases: an initial screening of the area to identify suspected leaks followed by a pinpointing phase to locate the suspected leak. A detailed report of the findings must be filed with NHDES and the water system at the conclusion of each survey. It will be the responsibility of the water system to repair any leaks found.

A. Task 1 - Initial Survey The leak detection firm (“firm”) will utilize specialized equipment to “listen” for sounds on direct contact points such as, but not limited to, main line gate valves, fire hydrants, meter/curb valves, and blow-off valves. The initial survey may be performed on contact points within the system, provided that leak sounds travel the entire distance between contact points. If leak sounds may not be heard the entire distance between points as a result of pipe material, pipe diameter, contact point spacing, system pressure, soil type, equipment sensitivity, or any other factor, a ground microphone must be used to listen directly over the pipe at a six to ten foot interval in addition to listening to available contact points. The firm will utilize a test rod and/or resonance plate in conjunction with the ground microphone in instances where the main is located more than three feet off of a hard surface.

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2017-09-06 (603) 271-2513 2 of 9

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

B. Task 2 - Pinpointing Phase In areas where leakage is detected, the firm will first confirm the locations of mains and services through the use of maps and/or pipe locators. The firm will then perform an intensified pattern of sonic tests directly over the mains and services to identify the location of the leak. An electronic digital leak noise correlator may be used as a pinpointing tool, but a ground microphone shall be used to confirm the correlator results.

C. Task 3 - Leak Report The firm will prepare illustrated leak locations on diagrammatic reports. Each leak that is identified will be classified according to estimated size and hazard to help facilitate repair by the water system. The firm will meet with the designated representative of the water system on a daily basis and deliver leak reports from the previous day. At the conclusion of the survey, a final report will be prepared and submitted to NHDES and copied to the water system. The report will include the original leak reports, a breakdown of the rate of water loss by classification, a breakdown of the loss by source of leakage, and a summary of the project, including feedback on the accuracy of the survey as a result of system characteristics, such as the availability of listening points and the precise location of the water main.

IV. Proposal Format Please limit the information submitted to the below:

A. Proposal Materials: Please do not submit the proposal in a plastic binder or any other unnecessary materials.

B. Firm Background: One page maximum related to the services and background of the firm.

C. Contact Information: The name, phone number, and email address of the contact to which questions about the application may be directed and updates about the review process provided, and if different, the contact information for the firm.

D. Personnel & Qualifications

1. The names of all personnel who will be assigned to this project and what their role will be. 2. The number of personnel who will be in the field at any one time completing the survey. 3. A description of the field crews’ technical qualifications, training received, and experience.

E. Methodology:

The methodology should reflect III. Scope of Work and specifically the below:

1. The systems proposing leak detection surveys range from larger residential systems, to clustered condominium complexes, to mobile home parks. These systems also vary in pipe materials, pipe sizes, number of listening points, and accuracy of information. It is expected that some systems will receive a more accurate survey due to the characteristics of the system. Please describe the main methodology that will be used to conduct the survey and describe variations in methodology and steps that will be taken to deliver the most accurate survey possible under the varying circumstances.

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2017-09-06 (603) 271-2513 3 of 9

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

2. The methods for determining how far a small leak sound will travel, how this method may vary based on the system characteristics, and what alterations to the leak detection methodology will be made to address findings. 3. A description of the technology and equipment to be used to detect leaks and determine field location, as well as a description of the means to estimate leak volume.

F. Cost & Time: A breakdown of the cost and time required to complete each of the individual thirty-four

project requests. All of the projects may not be funded. Projects selected for funding will be determined in part based on the total cost of the proposals received.

G. Previous Work: A reference for and a brief summary of the three most recently completed leak

detection surveys your firm conducted at community water systems, including the method of leak detection used, the approximate age of the system, the number of miles and type of pipe surveyed, and the number and type of leaks (ex. service, main, hydrant, valve) discovered.

H. Attachment: Please include an example of the daily and final leak report format that would be used in

Task 3 (Section III.C.), above. V. Additional Information Multiple contracts may be awarded to complete the surveys if time and/or personnel constraints present a problem such that the work could not be completed by a single firm during the 2018 season. All firms are responsible for consulting with the individual water systems and/or reviewing NHDES files to ensure an accurate price is provided in the proposal(s). Many of the systems included a distribution map with their request for funding. The maps are of varying quality but may be viewed by contacting NHDES (see Section VIII. Questions). All water systems receiving assistance are required to work with the selected firm to ensure successful implementation. The firm selected will be responsible for contacting each water system to confirm the availability of water system staff to conduct the necessary work before and during the actual leak detection surveys. VI. Evaluation Criteria A selection committee consisting of NHDES representatives will be used to evaluate the submitted proposals based on the following criteria:

Overall understanding of the services to be provided 20%

Adequacy of approach to identify leaks in diverse situations 20%

Qualifications and experience of staff 20%

Cost of projects 20%

Time to complete 20%

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2017-09-06 (603) 271-2513 4 of 9

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

VII. Proposal Submittal Date Three copies of the firm’s proposal should be submitted no later than October 6th, 2017 at 4:00 pm to:

Stacey Herbold Drinking Water & Groundwater Bureau

New Hampshire Department of Environmental Services 29 Hazen Drive, PO Box 95 Concord, NH 03302-0095

NHDES expects to notify all firms as to the outcome of the selection process by January 31, 2018. VIII. Questions All inquiries related to this Request for Proposals should be made to Stacey Herbold, who may be reached using the address above, by telephone at (603) 271-6685, or by email at [email protected]. IX. Attachments Leak project solicitation General map showing locations of proposed surveys

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2017-09-06 5 of 9 (603) 271-2513

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

Appendix A. System Information

Water System Name Location

(City/Town)

% of System to Be

Surveyed

Miles to be

Surveyed Pipe Material Avg Pipe Age Approx Miles

Abenaki Water Belmont Belmont 100% 8.5 Plastic 41 8.5

Abenaki Water Bow Bow 100% 7.7 Plastic 60 7.7

Antrim Water & Sewer Antrim 94% 7.41

Cast Iron 65 4

Ductile Iron 25 3

Plastic 20 1

Ashland Water Department Ashland 33% 4

Cast Iron 90 4

Plastic 26 4

Ductile Iron 9 1

Bartlett Village Water Precinct Bartlett 100% 4.8

Plastic 26 4

Ductile Iron 9 1

Belmont Water Department Belmont 12% 6

Ductile Iron Cement Lined 25 2

Cast Iron 25 1

Ductile Iron Cement Lined 10 3

Bennington Water & Sewer Bennington 100% 6.83

Cast Iron 107 4

Ductile Iron 54 2

Plastic 40 1

Bow Municipal Water System Bow 100% 6 Ductile Iron Cement Lined 6 6

Claremont Water Department Claremont 69% 48

Cast Iron Cement Lined 35 4

Ductile Iron Cement Lined 39 7

Cast Iron Cement Lined 80 20

Ductile Iron 40 7

Other 50 10

Colebrook Water Works Colebrook 100% 10

Ductile Iron 46 8

Cast Iron 100 2

Other 20 2

Commons of Atkinson Atkinson 100% 1.1 Plastic 30 1

Concord General Services Concord 31% 61.25

Cast Iron Cement Lined 75 39

Ductile Iron Cement Lined 75 22.25

County Village Way Gilford 100% 1 Plastic 30 1

Crotched Mountain Rehab Center Greenfield 40% 1 Unknown 40 1

Emerald Lake Village District Hillsboro 100% 13

Plastic 46 2

Plastic 46 9

Ductile Iron 3 2

Epsom Village Water District Epsom 100% 10

Cast Iron 86 3

Ductile Iron 35 1

Asbestos Cement (Transite) 61 6

Exeter River Landing Exeter 100% 1.8 Plastic 57 2

Glencliff Home Benton 100% 3.67

Ductile Iron Cement Lined 18 1

Ductile Iron Cement Lined 13 1

Asbestos Cement (Transite) 64 1

Other 13 1

Gunstock Acres Village Water District Gilford 97% 15

Cast Iron 60 10

Ductile Iron 40 2

Plastic 30 3

Hanover Water Department Hanover 35% 13 Cast Iron 75 13

Jackson Water Precinct Jackson 100% 2.5

Ductile Iron 36 2

Cast Iron 43 1

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(603) 271-2513 PO Box 95, Concord, NH 03302-0095

www.des.nh.gov

Continued . . .

Water System Name Location

(City/Town)

% of System to Be

Surveyed

Miles to be

Surveyed Pipe Material Avg Pipe Age Approx Miles

Manchester Water Works Manchester 100% 500

Cast Iron 100 50

Cast Iron Cement Lined 80 111

Ductile Iron Cement Lined 25 200+

Steel 60 3

Plastic 20 3

Meredith Water and Sewer Meredith 100% 17

Cast Iron 5

Cast Iron Cement Lined 5

Ductile Iron Cement Lined 40 10

Michawanic Village Condo Asso Wakefield 100% 4 Plastic 32 4

Newport Water Works Newport 100% 42

Asbestos Cement (Transite) 50 7

Cast Iron Cement Lined 40 7

Ductile Iron Cement Lined 20 5

Cast Iron 100 21

Plastic 30 2

Ossipee Water & Sewer Center Ossipee 81% 10.5

Ductile Iron 19 6

Cast Iron 50 5

Black Iron 40 1

Plastic 20 1

Penacook-Boscawen Water Precinct Boscawen 50% 12.5

Asbestos Cement (Transite) 47 2

Ductile Iron Cement Lined 50 1

Asbestos Cement (Transite) 40 1

Cast Iron 60 2

Asbestos Cement (Transite) 45 4

Cast Iron 60 2

Pennichuck East Utilities Litchfield 100% 54

Plastic 40 10

Ductile Iron 25 44

Copper 37 1

Pennichuck Water Works Inc. Nashua 14% 49

Asbestos Cement (Transite) 40 9

Cast Iron 60 3

Cast Iron Cement Lined 50 14

Ductile Iron Cement Lined 25 14

Plastic 25 8

Copper 20 1

Raymond Raymond 100% 16

Ductile Iron 47 7

Plastic 24 2

Cast Iron 64 6.5

Asbestos Cement 57 0.19

River Run Condominiums Bartlett 100% 1.2 Plastic 42 1.2

Rye Water District Rye 100% 40

Cast Iron Cement Lined 73 22

Ductile Iron Cement Lined 40 17

Plastic 4 2

Other 1 1

Stillings Grant Bartlett 100% 1.9 Plastic 30 2

Tamworth Mobile Home Park Tamworth 100% 0.8 Plastic 34 1

TOTAL 981.46

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2017-09-06 7 of 9

(603) 271-2513 PO Box 95, Concord, NH 03302-0095

www.des.nh.gov

PWSID Town System Name # Connections Hydrants

0202010 Belmont Abenaki Water Belmont 158 N

0262020 Bow Abenaki Water Bow 95 N

0091010 Antrim Antrim Water & Sewer 368 Y

0101010 Ashland Ashland Water Department 570 Y

0161010 Bartlett Bartlett Village Water Precinct 250 Y

0201010 Belmont Belmont Water Department 645 Y

0211010 Bennington Bennington Water & Sewer 215 Y

0261010 Bow Bow Municipal Water System 22 Y

0461010 Claremont Claremont Water Department 3600 Y

0481010 Colebrook Colebrook Water Works 480 Y

0112060 Atkinson Commons of Atkinson 38 N

0501010 Concord Concord General Services 12000 Y

0882170 Gilford County Village Way 40 N

0972010 Greenfield Crotched Mountain Rehab Center 22 Y

1141020 Hillsboro Emerald Lake Village District 528 N

0771010 Epsom Epsom Village Water District 285 Y

0803030 Exeter Exeter River Landing 259 N

0224010 Benton Glencliff Home 11 N

0881020 Gilford Gunstock Acres Village Water District 576 N

1071010 Hanover Hanover Water Department 2100 Y

1211010 Jackson Jackson Water Precinct 207 Y

1471010 Manchester Manchester Water Works 31000 Y

1521010 Meredith Meredith Water and Sewer 1105 Y

2392030 Wakefield Michawanic Village Condominium Association 48 N

1741010 Newport Newport Water Works 1597 Y

1841010 Center Ossipee Ossipee Water & Sewer 325 Y

0251010 Boscawen Penacook-Boscawen Water Precinct 1137 Y

1371010 Litchfield Pennichuck East Utilities Litchfield 1934 Y

1621010 Nashua Pennichuck Water Works Inc. Nashua High Pines 25095 Y

1971010 Raymond Raymond 1200 Y

0162170 Bartlett River Run Condominiums 360 N

2041010 Rye Rye Water District 1575 Y

0162410 Bartlett Stillings Grant 45 N

2313010 Tamworth Tamworth Mobile Home Park 30 N

Page 8: Request for Proposals Leak Detection Surveys at NH ... DES 2018-03.pdfdetection surveys your firm conducted at community water systems, including the method of leak detection used,

2017-09-06 8 of 9 (603) 271-2513

PO Box 95, Concord, NH 03302-0095 www.des.nh.gov

Water System Name Location (City/Town)

Point of Contact (POC) POC Title POC Phone POC E-mail

Abenaki Water Belmont Belmont Alex Crawshaw Operator 603-293-8580

[email protected]

Abenaki Water Bow Bow Alex Crawshaw Operator 603-293-8580

[email protected]

Antrim Water & Sewer Antrim Matt Miller Superintendent 603-588-2433 [email protected]

Ashland Water Department Ashland Russell Cross Project Manager 603-968-7193 [email protected]

Bartlett Village Water Precinct Bartlett Bob Blake Owner 603-986-6922 [email protected]

Belmont Water Department Belmont Donald Hurd Water Tech 603-520-7582 [email protected]

Bennington Water & Sewer Bennington Matt Miller Superintendent 603-588-2433 [email protected]

Bow Municipal Water System Bow Eric Burkett Certified Operator 774-230-4158 [email protected]

Claremont Water Department Claremont Victor R St Pierre Assistant Director 603-542-7020 [email protected]

Colebrook water works Colebrook Brian Sullivan Water/Sewer Superintendent 603-237-8019 [email protected]

Commons of Atkinson Atkinson Gene Schneider N/A 603-362-6170 [email protected]

Concord General Services Concord Marco Philippon WTP Superintendent 603-228-2737 [email protected]

County Village Way Gilford James Mull Owner 293-0192 [email protected]

Crotched Mountain Rehab Center Greenfield Richard Bedore Asst Dir Building Services

603-547-3311 ext. 2121 [email protected]

Emerald Lake Village District Hillsboro Keith Huber ELVD Commissioner 603-464-9769 [email protected]

Epsom Village Water District Epsom Joseph P. Damour Operator 603-428-3525 [email protected]

Exeter River Landing Exeter Lisa Klingelhoefer Park Manager 603-772-5377 [email protected]

Glencliff Home Benton David Brown Plant Maintenance Engineer IV

603-989-3111 ext.1601 [email protected]

Gunstock Acres Village Water District Gilford

Alex Crawshaw Operator 603-293-8580

[email protected]

Hanover Water Department Hanover Todd Cartier Superintendent 603-640-3236 [email protected]

Jackson Water Precinct Jackson Karl Meyers Commissioner 603-383-6539 [email protected]

Manchester Water Works Manchester Guy Chabot, P.E. Deputy Director 603-792-2801 [email protected]

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www.des.nh.gov

Continued . . .

Water System Name Location (City/Town)

Point of Contact (POC) POC Title POC Phone POC E-mail

Meredith Water and Sewer Meredith Courtney Mitchell Superintendent 603-279-3046 [email protected]

Michawanic Village Condominium Assoc Wakefield

Donna Faucette President 603-522-6306 [email protected]

Newport Water Works Newport Josh Worthen Superintendent 603-863-4271 [email protected]

Ossipee Water & Sewer Center Ossipee Wayne Eldridge Superintendent 603-539-7150 [email protected]

Penacook-Boscawen Water Precinct Boscawen Peter Miner Superintendent 796-2206 [email protected]

Pennichuck East Utilities Litchfield Litchfield Jim Lavacchia Distribution Manager 603-913-2392 [email protected]

Pennichuck Water Works Inc. Nashua Jim Lavacchia Distribution Manager 603-913-2392 [email protected]

Raymond Raymond Scott Keddy Superintendent 603-895-7050 [email protected]

River Run Condominiums Bartlett Rick Scienzo Owner's Representative 603-374-6500 x1191 [email protected]

Rye Water District Rye Ken Aspen Superintendent 603-817-1342 [email protected]

Stillings Grant Bartlett Steve Blum Owner 603-986-0078 [email protected]

Tamworth Mobile Home Park Tamworth Adam Robinson Owner 603-986-7855 [email protected]

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1471010

1621010

0501010

0461010

1071010

2041010

1371010

0251010

1971010

1521010

1741010

0881020

18410100101010

0201010

0091010

026101011410200771010

0481010

0161010

0211010

1211010

0201010

2313010

0803030

2392030

0224010

0112060

New HampshireDepartment of Environmental Services

Proposed Leak Detection Surveys-Field Season 2018-

®0 10 20 30 405

Miles

Drinking Water and Groundwater BureauWater Conservation Program

Contact: [email protected]

Public Water SystemTown Boundary

PWSID Water System Town0202010 Abenaki Water Belmont Belmont0262020 Abenaki Water Bow Bow0091010 Antrim Water & Sewer Antrim0101010 Ashland Water Department Ashland0161010 Bartlett Village Water Precinct Bartlett0201010 Belmont Water Departmnt Belmont 0211010 Bennington Water & Sewer Bennington0261010 Bow Municipal Water System Bow0461010 Claremont Water Department Claremont0481010 Colebrook water works Colebrook0112060 Commons of Atkinson Atkinson0501010 Concord General Services Concord0882170 County Village Way Gilford0972010 Crotched Mountain Rehab Center Greenfield1141020 Emerald Lake Village District Hillsboro0771010 Epsom Village Water District Epsom0803030 Exeter River Landing Exeter0224010 Glencliff Home Benton0881020 Gunstock Acres Village Water District Gilford1071010 Hanover Water Department Hanover1211010 Jackson Water Precinct Jackson1471010 Manchester Water Works Manchester1521010 Meredith Water and Sewer Meredith2392030 Michawanic Village Condominium Association Wakefield1741010 Newport Water Works Newport1841010 Ossipee Water & Sewer Center Ossipee0251010 Penacook-Boscawen Water Precinct Boscawen1371010 Pennichuck East Utilities Litchfield Litchfield1621010 Pennichuck Water Works Inc. Nashua High Pines Nashua 1971010 Raymond Raymond0162170 River Run Condominiums Bartlett2041010 Rye Water District Rye0162410 Stillings Grant Bartlett2313010 Tamworth Mobile Home Park Tamworth

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NHDES-W-03-181

Introduction:

The New Hampshire Department of Environmental Services (NHDES) is pleased to

announce the opening of the grant application period for the 2017/2018 Community

Water System Leak Detection Survey Grant. Application packages will be accepted

through 4:00 pm on July 15, 2017. Community water systems in New Hampshire

are encouraged to submit the electronic grant application for consideration to

receive a free acoustic leak detection survey during the 2018 field season.

Proactive leak detection and repair can reduce a water system’s pumping and

treatment costs, provide an opportunity to better manage and prioritize system

projects, and protect water supply quality and quantity.

Leaks may be found on water mains, service lines, hydrants, and valves. While

some leaks are easy to identify, as they are visible, there are many leaks that go

unseen – from smaller leaks to leaks in well-drained soils to those that find their

way underground into a storm drain. Through a competitive bid process, a

professional leak detection specialist will be retained by NHDES to identify these

leakage sounds and pinpoint leaks.

NHDES Drinking Water and Groundwater Bureau

Community Water System Leak Detection Survey

Grant Application

Page 1 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018

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Application Process: (You may want to print this application out to work on it prior

to entering information, as you cannot save and go back to an incomplete

application.)

By 4pm on July 15, 2017:

1. Submit this online application; and

2. Submit a copy of the as-built plan or record drawing for the distribution system,

with the sections of the system proposed to be surveyed highlighted, and

any sections of unknown pipe material type highlighted. Submit the plan by mail or

email to:

Attn: Stacey Herbold

NH Department of Environmental Services

Drinking Water and Groundwater Bureau

PO Box 95

Concord, NH 03302

[email protected]

(603) 271-6685

Water System

Name:

Location

(City/Town):

PWSID:

Name of point of

contact for survey:

Title:

Phone:

Email:

1. System Information*

Page 2 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018

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Name of certified

operator who will

assist with the

survey:

Phone:

Email:

2. How many miles of pipe does the distribution system contain?*

3. How many miles of pipe are proposed to be surveyed?*

How many miles

of pipe with an

unknown location

are proposed to

be surveyed?

Is the material of

the pipe with an

unknown location

metal, non-metal,

or unknown?

4. If the location of pipe is not known in sections of the system proposed to be

surveyed, please provide the information below. If the location of the pipe is known

in all areas, enter zero.

*

Pipe Material: Age: Miles:

5. Please provide the specifics of the total distribution pipe to be surveyed:*

Page 3 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018

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Pipe Material: Age: Miles:

Type 1

Type 2

Type 3

Type 4

Type 5

Type 6

Type 7

Please provide any details or clarifications to the above.

6. What is the maximum number of days following discovery that leak repair will

begin?

*

7. Optional: Please provide any information that may justify your water system as

being a priority system for a leak detection survey, such as calculated water losses,

a history of ongoing leak detection and repair, water shortages, or loss of pressure.

8.

required to be sent by mail or email with the area of the system to be surveyed

*

Page 4 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018

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highlighted and any areas where the pipe location to be surveyed is unknown

highlighted. Please choose which best describes the format of the plan available.

GIS/AutoCAD Electronic Format

Sketch

Hand drawn plan done to scale

Other (please specify)

Other (please specify)

9. Please check off what is included in the plan.*

Distribution pipe location

Distribution pipe type

Service line and shutoffs

Non-service line valves

Hydrants

Scale of Plan

10. Below are the Eligibility Requirements/Terms for the Leak Detection Survey

Grant. Choosing "I Accept" confirms that as the owner of the system or the owner's

representative of the system, you agree with and accept the terms below:

- The grant application is for a leak detection survey at an active New Hampshire

community water system.

*

Page 5 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018

Page 16: Request for Proposals Leak Detection Surveys at NH ... DES 2018-03.pdfdetection surveys your firm conducted at community water systems, including the method of leak detection used,

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by the leak detection firm, to ensure successful implementation of the survey.

- The Certified Operator selected to provide assistance for the survey has been

informed of the system’s plans to apply for the Leak Detection Survey Grant.

- The water system shall locate and paint all main line valves prior to the leak

detection survey.

- The water system shall locate curb stops, as needed by the leak detection firm, to

ensure successful implementation of the survey.

- Upon receipt of the final report from the leak detection firm, the water system shall

prepare a response plan to address all leaks identified during the survey and repair

the leaks.

I Accept

I Do Not Accept

Page 6 of 6Community Water System Leak Detection Survey Grant Application

6/6/2017https://www.surveymonkey.com/r/leak20172018


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