R&M was responsible for civil site design, utility installation inspections and associated permitting for a new 100,000 SF hospital located on ice-rich permafrost. Civil site design included insulated embankments for access, parking lots and a perimeter fire protection road; sewer and circulating water service connections to the hospital; a water line fire protection loop (approximately 3,000 LF of 8”, 6” and 3” HDPE water and sewer pipe); and five fire hydrant/valve vaults.