Technical Capacity 1. Source Adequacy - Does the documentation demonstrate 50 gallons of water per person per day for 100 years or does the system have an Arizona Department of Water Resources Certificate of assured water supply? 2. Source Adequacy - Does the source approval information demonstrate that the source meets drinking water quality standards or have applicable drinking water technologies been described? 3. Infrastructure - Do the design criteria meet the requirements of R18-4-502 through R18-4-509 ? 4. Treatment - Do the design criteria include treatment technologies approved by ADEQ in 18 A.A.C. 4, Articles 2, 3, and 5? 5. Does the system have a certified operator of the appropriate grade and type? 6. Does the documentation include an elementary business plan containing technical and engineering needs projections for a time period covering day 1 to final build-out or for a five-year time period, which ever is greater? 7. Does the documentation include the proposed water system design specifications and proposed uses including commercial and domestic use phases? 8. Does the documentation include an elementary business plan containing the information on the components used in the design and construction of the system along with the components life span based upon manufacturer's specifications? 9. Does the documentation include an Operations and Maintenance Plan that contains standards that are nationally recognized on all site-specific components, such as American Water Works Association, National Sanitation Foundation, or Underwriter's Laboratory? 10. Does the documentation include an operation and maintenance plan with the manufacturer's specifications on all components used in the construction of the water system? 11. Does the documentation include an operations and maintenance plan and emergency operation plan to address site-specific component replacement or repair protocols based on manufacturer's recommendations or engineer's specifications? | Yes No N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ |
Managerial Capacity 12. Does the documentation include ownership type? Select all that apply. Sole Proprietor Major Stockholders Board of Directors Cooperative Government Agency or District Corporation Limited Liability Corporation Partnership Other__________________________ 13. Does the documentation include name, address, and telephone number of owner? 14. Does the documentation include an organizational chart of owners, management, and staff with their position or job titles? 15. Does the documentation include staff job descriptions and responsibilities? 16. Does the documentation include a capital improvement plan up to the proposed full system build-out or for a five-year projection, whichever is greater? 17. Does the documentation identify the grade and type of certified operator that will be needed to operate the system according to site-specific components? 18. Does the documentation identify the intent to create a CWS or NTNCWS? 19. Does the documentation transfer the ownership of the water system as part of the build-out phase of the project? 20. Does the documentation identify the policies or mechanisms to ensure that all system-specific technical, managerial, and financial information of the water system is transferred to a new owner? 21. Does the documentation include the owner's signed disclosure statement agreeing to comply with the requirements of these Articles and a general disclosure statement agreeing to disclose all information relevant to the operation of the water system to any transferee of ownership? (See Appendix B). | Yes No N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ |
Financial Capacity 22. Is the system regulated by the Arizona Corporation Commission (ACC) or ADWR? If Yes go to Question 23. If No go to Question 25. 23. Has the system received an approval from the ACC on its fee structure, or ADWR on its financial capacity? 24. Systems regulated by the Arizona Corporation Commission or Department of Water Resources shall provide information required in 22 and 23 for the financial capacity determination review by ADEQ. 25. For New CWSs and NTNCWS NOT regulated by ACC, is all information listed in Appendices C and D included? | Yes No N/A _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ |
Ariz. Admin. Code tit. 18, ch. 4, art. 6, app A