Idaho College of Steopathic Medicine QLPE Approval LetterCivil Survey Consultants, Inc.
Glenn K. Bennett, P.L.S. (208)888-4312
President 2893 S. Meridian Road Fax 888-0323
Meridian, Idaho 83642
Timothy A. Burgess, P.E.
Vice President
June 7, 2017
Amanda McNutt
Development Services Division
City of Meridian
33 E. Broadway Avenue
Meridian, ID. 83642
Re: Proposed Idaho College of Osteopathic Medicine QLPE Review:
Dear Ms. McNutt:
I, Corey J. Peacock, a qualified licensed professional engineer (QLPE) have reviewed the plans
June 2, 2017 for the above mentioned project, and I have verified that the plans comply with the
facility and design standards (IDAPA 58.01.08 and IDAPA 58.01.16) and engineering standards
of care.
The completed IDEQ "Qualified Licensed Professional Engineer (QLPE) Review and Approval
Checklist" is attached. The City shall transmit to IDEQ a copy of this checklist, a will -serve
letter and a copy of the QLPE approved plans with the "Approved Construction Stamp" signed.
to IDEQ.
We are returning one copy of the approved plans to the City for your use. Please call if you have
any questions.
Sincerely,
Civil Survey Consultants, Inc.
Corey Peacock, P.E.
State of Idaho
Department of Environmental Quality
1410 North Hilton - Boise, Idaho 83706 • (208) 373-0502
QUALIFIED LICENSED PROFESSIONAL ENGINEER (QLPE)
REVIEW AND APPROVAL CHECKLIST
About this form
• This checklist is optional to use and is guidance from DEQ to qualified licensed professional
engineers (QLPE). This checklist describes the required elements of a QLPE project transmittal letter
and is intended to assist DEQ in the tracking of drinking water and wastewater projects, as well as
assist the QLPE in reviewing and approving certain types of Plans and Specifications.
• This checklist should be filled out by the qualified licensed professional engineer (QLPE) when the
QLPE is reviewing and approving a project for construction under Idaho Code § 39-118(2)(d). If the
project requires DEQ approval prior to construction, the QLPE shall direct the Design Engineer to
submit the plans and specifications through the normal DEQ review process.
• This checklist may be used in place of a transmittal letter from the QLPE.
• This and other design checklists are available at any DEQ regional office or online at
http://www.deq.state.id.us/water/assist business/engineers/checklists.cfm.
• The other checklists include additional information about submitting a package of plans and
specifications for DEQ review.
L GENERAL PROJECT INFORMATION
Project Name: Proposed Idaho College of Osteopathic Medicine
2 Approving Authority*: City of Meridian
3 Qualified Licensed Professional Engineer:
Name: Corey Peacock, PE
Employer: Civil Survey Consultants, Inc.
4 This approval is for:
® Public drinking water system simple water main extension
® Public sewer system simple wastewater main extension
Design Engineer
Name: Ryan Morgan, PE
Employer: Keller Associates, Inc.
6 Project Owner or Developer: (Please provide exact name of owner or authorized representative)
Name: Dr. Robert
Firm: Idaho State University - Meridian
Address: 1311 E. Central Drive
Meridian
State: ID ZIP: 83642
* Approving Authority refers to the City, County, Quasi -Municipal Corporation, or Regulated Public Utility that
is approving the plans and specifications per Idaho Code 39-118(2)(d).
QLPE Review and Approval Form Page 1 of 3
Revised November 2008
QLPE CHECKLIST
IL REQUIRED CERTIFICATIONS
A) As the QLPE for the Approving Authority, I have approved the plans and
Checklist Item
Yes
A) I am the QLPE representing the Approving Authority.
involved in the design.
B) This project consists of simple wastewater main extension(s), simple water main
B) The plans and specifications have been marked as "Approved for Construction", and
extension(s), or both. It complies with the current facility plan or preliminary
a copy of the approved plans were transmitted to DEQ with this checklist.
engineering report. The water or wastewater system has adequate capacity for the
C) The plans are for simple wastewater main extension(s), simple water main
project. (If required, please include declining balance spreadsheet to demonstrate
extension(s), or both. No mechanical systems such as drinking water sources, treatment
capacity)
facilities, booster stations, storage facilities, or wastewater systems such as lift stations
C) The Approving Authority has committed to serve this project and has reserved
or treatment works are included with this project. **
capacity for it. (Attach separate will serve letter or other documentation if needed.)
D) This extension project will connect to:
D) The Approving Authority will own and operate the project upon completion of
1) Existing drinking water and/or wastewater mains owned by the Approving Authority.
construction. (Attach separate letter or other documentation if needed.)
E) I have reviewed the plans and specifications and verified that they comply with the
facility and design standards (IDAPA 58.01.08 and IDAPA 58.01.16) and engineering
standards of care.
M. PLAN & SPECIFICATION APPROVAL
Checklist Item
Yes
A) As the QLPE for the Approving Authority, I have approved the plans and
specifications for construction. I am not the design engineer, nor was I otherwise
involved in the design.
B) The plans and specifications have been marked as "Approved for Construction", and
a copy of the approved plans were transmitted to DEQ with this checklist.
C) The plans are for simple wastewater main extension(s), simple water main
extension(s), or both. No mechanical systems such as drinking water sources, treatment
facilities, booster stations, storage facilities, or wastewater systems such as lift stations
or treatment works are included with this project. **
D) This extension project will connect to:
1) Existing drinking water and/or wastewater mains owned by the Approving Authority.
NO
2) A future main(s) not existing at the time of approval. The future main(s) will be
owned by the Approving Authority. In such cases, sanitary restrictions will remain in
force.
** Portions of a project that require DEQ approval must be approved by DEQ prior to the QLPE
approval of the drinking water or wastewater extensions. Alternatively, the drinking water and/or
wastewater extensions may be submitted to DEQ for approval of the entire project.
QLPE Review and Approval Form Page 2 of 3
Revised November 2008
QLPE CHECKLIST
IV. SANITARY RESTRICTIONS
If the project includes drinking water and wastewater main extensions that will be reviewed and
approved separately, the two Approving Agencies must coordinate the review and approval as it
pertains to the lifting of sanitary restrictions.
Recommendation
I have reviewed and approved all drinking water and wastewater improvements included
in this project, and I recommend that the district health department release sanitary
restrictions.
N'
I have reviewed and approved only the drinking water❑ wastewater ❑ (check one)
improvements included in this project, and I recommend that the district health
department release sanitary restrictions once they receive the approval from the other
Approving Authority.
Yes
OR
I recommend that the district health department leave sanitary restrictions in place. ❑
V. NOTE ON RULES AND STANDARDS
This checklist addresses the majority of common items from the Idaho Rules for
Public Drinking Water Systems (IDAPA 58.01.08), the Wastewater Rules (IDAPA
58.01.16, for QLPE approval of projects. However, this checklist is not all-inclusive,
and users are expected to fully understand the rules and standards, apply them
where necessary, and request interpretations from DEQ if there are any questions.
DEQ regional offices may have additional written information that will assist in the
design/approval process.
Vl. QLPE CERTIFICATION
All responses indicated on the checklist above are accurately reflected in the attached Plans and
Specifications.
blllV'o
OF
\F1'J. ?S
QLPE's, Signature, Date and Seal
QLPE Review and Approval Form Page 3 of 3
Revised November 2008