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Human Services Department
234 N. Central Ave., 3rd Floor
Phoenix, Arizona 85004
P: 602.506.5911
F: 602.506.8789
Human Services Department Rural and Unincorporated Water & Wastewater Infrastructure
Task Order
{Insert Main Project Address Here}
Date: TBD
Description of Project: TBD
Number of Units Impacted: TBD
Water Infrastructure Work to be Completed in compliance with the EPA 40 CFR Part 141 Part 143 as well as ADEQ
Safe Drinking Water Act Regulations:
☐Install or upgrade facilities to improve drinking water quality to comply with EPA & ADEQ Safe Drinking Water Act
regulations.
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☐Rehabilitation, replacement, or installation of pipes to improve water pressure to safe levels or to prevent
contamination caused by leaky or broken pipes.
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☐Rehabilitation of wells or development of eligible sources to replace contaminated sources.
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☐Installation or upgrade of finished water storage tanks to prevent microbiological contamination from entering
the distribution system.
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☐Consolidation: Interconnecting two or more water systems.
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☐Creation of new systems: Construct a new system to serve homes with contaminated individual wells or
consolidate existing systems into a new regional water system.
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Human Services Department
234 N. Central Ave., 3rd Floor
Phoenix, Arizona 85004
P: 602.506.5911
F: 602.506.8789
Wastewater Infrastructure Work to be Completed in compliance with the Clean Water Act, EPA 40 CFR Part 503 &
Part 133 for Municipal Wastewater Effluent Standards
☐Construction of publicly owned treatment works: Assistance to any private owner, municipality or intermunicipal,
interstate, or state agency for construction of publicly owned wastewater collection and treatment works such as a
sewer main extension in the right-of-way that would be owned by a utility company as well as the connection to this
sewer main by a collection system installed on private property to collect wastewater from homes. For example, if a
mobile home park transitioned from failed on-site septic systems to connecting to a city sewer system there would
likely be a required extension of the city’s sewer main and construction of a collection system in the mobile home
park that would connect to the extension from the city’s sewer system.
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☐Decentralized wastewater treatment systems: Assistance to any public, private, or
nonprofit entity for the construction, repair, or replacement of decentralized wastewater treatment systems that
treat municipal wastewater or domestic sewage.
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☐Repair or Replace of On-Site Septic System
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Site Specific Project Notes: TBD
See Attached Engineering Report & Site Plan(s): {use specific name of Civil Engineering report & drawing
here}
Bid has been awarded to: {insert name of construction company}
On-site Contact: {insert name of construction company PM & phone number}
Total Bid Price Award for Water Infrastructure Work: {insert number here)
Total Bid Price Award for Wastewater Infrastructure Work: {insert number here)
Total Project Price: {insert total number here}