Payments - Water Supply Construction Permit Form

Iowa Department of Natural Resources
Water Supply Construction Permit Application Form
Info

PWS Contact
:
:
:
Required
Submitter
Water Mains

Fee: First 1,000 feet: $100.00
Next 19,000 feet: $0.10/ft.
Next 300,000 feet: $0.01/ft.
Over 320,000 feet: No additional charge

This fee is based only on the length of the water main in the project but covers all aspects of water main construction (i.e. hydrants, valves, tapping sleeves, bends, thrust blocks, fittings, etc.)

$

Other Water Supply Related Construction

Fee: First $50,000: $100.00
Next $950,000: 0.2% of estimated construction cost
Next $14,000,000: 0.1% of estimated construction cost
Over $15,000,000: No additional charge

This fee covers all other water supply construction (e.g. wells, treatment plants, storage tanks, pump stations, etc.)

$

As-Built Project
Required

$

If yes, also complete, “WATER MAINS” and “OTHER WATER SUPPLY RELATED CONSTRUCTION” above

If yes, Additional As-Built Construction Fee: $200.00

Request For Time Extension

Extensions may only be requested within one year of the permit issuance date. If more than one year has elapsed and construction has not commenced, a new permit application is required; resubmittal of plans and specifications may not be necessary under certain conditions.

Required

$

If yes, Request for Time Extension Fee: $50.00

Change Orders, Addenda and Supplements
Water Main
Required

$


Fee: $0.10 per foot of additional water main (Minimum fee = $50)

Other Water Supply Related Construction
Required

$


Fee: 0.2% of additional non-water main related construction costs (Minimum fee = $50)

Amount Paid By Owner of the Public Water Supply, Year to Date

Maximum Annual Fee: $5,000

Maximum Annual Fee: $16,000

Calculated Fees to be paid:

$ 0.00

Reduction To Annual maximum:

-$ 0.00

Total Fees Due:

 $ 0.00