Form ECY070-39 "Dam Safety - Operation and Maintenance Plan Form" - Washington

What Is Form ECY070-39?

This is a legal form that was released by the Washington State Department of Ecology - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2015;
  • The latest edition provided by the Washington State Department of Ecology;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form ECY070-39 by clicking the link below or browse more documents and templates provided by the Washington State Department of Ecology.

ADVERTISEMENT
ADVERTISEMENT

Download Form ECY070-39 "Dam Safety - Operation and Maintenance Plan Form" - Washington

687 times
Rate (4.4 / 5) 41 votes
Water Resources Program
Dam Safety Office – Operation and Maintenance Plan Form
Project Data:
Dam Name:
Reservoir Name:
Owner Name:
Creek /River:
Dam Type:
Section:
Township:
Range:
Dam Height:
Crest Length:
Crest Width:
Individuals Who Are Responsible For:
Operation:
Name:
Title:
Telephone:
Maintenance:
Name:
Title:
Telephone:
Inspections:
Name:
Title:
Telephone:
Monitoring of Instrumentation:
Name:
Title:
Telephone:
Listing of Hydraulic Elements for Controlling Inflow to or Outflow From Reservoir:
(Include gates, valves, spillways, stoplogs, structures, etc. location and dimensions of structures)
ECY 070-39 (Rev 12-2015)
1
Water Resources Program
Dam Safety Office – Operation and Maintenance Plan Form
Project Data:
Dam Name:
Reservoir Name:
Owner Name:
Creek /River:
Dam Type:
Section:
Township:
Range:
Dam Height:
Crest Length:
Crest Width:
Individuals Who Are Responsible For:
Operation:
Name:
Title:
Telephone:
Maintenance:
Name:
Title:
Telephone:
Inspections:
Name:
Title:
Telephone:
Monitoring of Instrumentation:
Name:
Title:
Telephone:
Listing of Hydraulic Elements for Controlling Inflow to or Outflow From Reservoir:
(Include gates, valves, spillways, stoplogs, structures, etc. location and dimensions of structures)
ECY 070-39 (Rev 12-2015)
1
Rules and Procedures for Reservoir Operation:
(How is reservoir level controlled? Include proposed reservoir levels for given time of year, periods of
drawdown and filling, and operation during floods)
List of Items Requiring Periodic Maintenance, and Procedures for Performing
Maintenance:
(Include type of maintenance performed, frequency, method, and record keeping)
List of Instrumentation, Frequency of Monitoring, and Method of Record Keeping:
List of Equipment to be Periodically Test Operated:
(Gates, valves, hoists, etc. Include frequency of test operation.)
Frequency of Routine Inspections:
(e.g. Weekly, monthly, or quarterly. Include list of key elements inspected)
Annual Inspections By Owner:
(Time of year when performed, special items to be examined, reviewed, and/or test operated)
ECY 070-39 (Rev 12-2015) To request ADA accommodation including materials in a format for the visually impaired, call Ecology Water Resources Program
at 360-407-6872. Persons with impaired hearing may call Washington Relay Service at 711. Persons with speech disability may call TTY at 877-833-6341.
2
Page of 2