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Home My WebLink AboutWayne Claassen Engineering and Surveying, Inc.-7/13/2015Iowa Department of Natural Resources Wastewater Section Construction Permit Application SEWAGE TREATMENT AGREEMENT INSTRUCTIONS This agreement must be executed for all projects where construction and sewage treatment will be provided by different parties; i.e., a private subdivision connecting to a municipal system. This agreement must be executed by the parties who are owners at the time the permit is issued, regardless of whether title to the proposed construction project will be transferred after completion of the project. This agreement is not necessary when a contract for sewage treatment already exists; i.e., service contracts between municipalities. However, the Department of Natural Resources must be informed in writing that the contractual agreement does exist. OWNER APPLICANT ENGINEER Friendship Village ADDRESS FIRM Wayne Claassen Engineering and Surveying, Inc. 600 Park Lane, Waterloo, Ia 50702 REPRESENTATIVE ADDRESS PO Box 898, Waterloo, Ia 50704 Velda Phillips, Administrator PROJECT IDENTIFICATION TELEPHONE 3'9-291-8100 PROJECT OFFICER Thomas J. Noonan TELEPHONE 319-235-6294 Landmark Meadows, Waterloo, Iowa OWNER AND SYSTEM RECEIVING WASTES City of Waterloo CERn FICATE I am the authorized representative of the owner identified above and state that the proposed sanitary sewerage facilities shall be constructed in accordance with the plans and specifications and all wastes contributed by this project shall be discharged to the treatment system identified above. SIGNATURE 1,I_'` i OSA' .I HLE Administrator DATE AGREEMENT TO PROVIDE SEWAGE TREATMENT I am the authorized representative of the owner of the system identified above and state that the connection of the proposed sanitary sewerage facilities identified above is approved by the owner, and that the owner accepts responsibility for providing adequate treatment of all wastes contributed by this project, rn accordance with the provisions of Chapter 455B, Code of Iowa, and the rules of the Department of Natural Resources. This agreement shall not be construed in any way to affect any local ordinances, sewer service agreements, or fee systems entered into between the parties. Mayor DNR form 29 (Nov 00) TYPED OR PRINTED NAME Ernest G. Clark PHONE NUMBER 319-291-4301 DATE 542-3219 IOWA DEPARTMENT OF NATURAL RESOURCES Wastewater Disposal System Construction Permit Application Fee Form CASHIER'S USE O(LY 0945-542-N PDE -CP -0570 32-3202 Owner Owner Name: Friendship Village Address: 600 Park Lane City, State, Zip: Waterloo, la 50702 Project Identification: Landmark Meadows [®] $100 Fee enclosed Please sign and return this form with a check or money order payable to "Iowa Department of Natural Resources". Place it and the check or money order on t• p of other Construction Permit Application documents. Effective beginning July 1, 2006, Applicat Iowa Code 455B.173 and rules in Iowa Ad Iowa Code 455B.197 and Iowa Administrat The fee is $100 for each application, re. stations, treatment units or a combination necessary to apply for a construction perm as the appropriate schedules indentified o planning for construction begins. Planning c precedes submittal of technical document fee is not necessary when submitting a documents. A fee should accompany each p Failure to submit a fee with the application regarding the application fee, please conta Signature of Owner or Representative: 7) Printed Name: Velda Philips, Administrator ons for Construction Permits for wastewater disposal systems required by inistrative Code 567 IAC 64, must be accompanied by the fee required by e Code 567 IAC 64.16(3)"c". ardless of project size and project type including sanitary sewers, pump hereof. The fee shall be submitted with the certified engineering documents t (plans, specifications and related application schedules A, F, and G as well page -2 of Schedule A). The construction permitting process is initiated as •ordination and submittal of preliminary engineering reports or facility plans necessary to constitute a construction permit application. The application lanning document but must accompany construction permit application rmit application received on or after July 1, 2006. ay delay the processing of a construction permit. If you have any questions Donna Gomm at 515-725-8427 or Donna.Gomm@dnr.lowa.gov 1074 h Telephone or email contact: 319-291-8100 Mail to: Iowa Department of Natural Resources Wastewater Engineering Section 502 East 9th Street Des Moines, IA 50319-0034 11/2014 cmc DNR Form 542-1245 Exhibit 11A Iowa Department of Natural Resources Wastewater Engineering Section C nstruction Permit Application CHEDULE A, General information OWNER AIPPLICA NT ENGINEER E - ADDRESS Wayne Claassen Engineering and Surveying, Inc. Friendship Village 600 Park Lane, Waterloo, Ia 50702 Velda Phillips, Administrator Landmark Meadows PO Box 898, Waterloo, Ia 50704 Thomas J. Noonan 6/1/2015 11/1/2015 PLEASE RESPOND TO 1. Has an engineering report, facilities plan o If Ye> PROJECT IDENTIFY 2. Does the project and construction permit loadings, construction schedule, permit facilities plan? If No=> Provide the design basis and tec 3. Are there three complete sets of plans and For a minor gravity sewer extension Standard 11.1, two complete sets will three sets of plans and specifications 4. Are approved standard specifications a p If Yes=> APPROVED STANDARD S (municipality or firm) Waterloo 5. Does each set of plans and specifications "professional engineering seal" executed in If No=> Processing will be delayed pending specifications or engineering report. 6. Is this a joint wastewater and water supply If Yes=> A construction permit application f Water Supply Section. A water sup 7. Is the applicant to provide treatment of effl If No=> A Sewage Treatment Agreement (D accompany this application. 8. Is a new or amended operation permit nece If Yes=> A new or amended permit to operat 9. Is any waterline located within 10 feet; or within 400 feet of the proposed constructio If Yes=> Identify and locate the facility(s) rel 10. Will construction inspection be conducted b If No=> NAME OF ENGINEERING 1 Wayne Claassen Engine 11. Will this project utilize CWSRF loan funds? 11 ALL QUESTIONS other information previously been submitted for this pro'ect? DATE SUBMITTED lication, as submitted, follow the recommendations, design its, and conclusions of the approved engineering report or 'cal information justifying all changes. pecifications accompanying this application? thin the meaning of 455B.183.3 Code of Iowa and Design e adequate for expeditious approval. For more complex projects, ay be requested. of this application? ECIFICATIONS OF DATE APPROVED r engineering report accompanying this application contain a conformance with 542B.16, Code of Iowa? eceipt of applicable design schedules and certified plans, project? r the water supply project should be submitted separately to the ly permit fee may be required. ent resulting from this construction? Form 29) executed by the authority providing treatment must to use the facilities described in this application? may be requested prior to the receipt of a construction permit. y private or public well, lake, or public recreation area located tive to the proposed construction. a licensed engineer employed by the ap licant? CONDUCTING INSPECTION g and Surveying, Inc. • APPLICANT I certify that I am the authorized representative of state that the project identified above is approved b (.0 SIGNATURE YES 0 NO ❑ ❑ ® ❑ ►I ❑ El 0 ❑ ►1 1�( CERTIFICATION DATE * Estimated Construction Start Date: Complet starting construction in accordance with Rul PLEASE COMPLETE THE SCUED DNR form 28A (Sept 2010) ENGINEER e owner and I certify that all aspects of design included in this application the owner. conform to applicable standards contained in Chapter 567 IAC 64, or that an explanation and justification for any proposed variations from such standards is attached. I am familiar with the information contained in this application, and to the best of my 2d�i( 5 knowled e, such information is com . lete and accurate. SIGN,9rTE applications must be sub 567 IAC 60.4 and 64.2 DATE ..5--/a 7 fi f- ed at least 120 days in advance of the date for E CHECKLIST ON THE FOLLOWING PAGE OF THIS FORM Construction Permit Applic<: tion 542-3129 SCHEDULE A, General information, page 2 DOCUMENT CHECKLIST Identify all categories included in this project. Also, identify schedules attached to this application. INCLUDED IN SUBMITTAL SCHEDULE =LP ATTACHED PROJECT DATE B Collection system ® 0 C Lateral Sewer Extension D Trunk & Interceptor Sewer E Wastewater Pump Station F Treatment Project Site Selection G Treatment Project Design Data H1 Schematic Flow Diagram H2 Treatment Process Loading and Removal Efficiency H3 Mechanical Plant Reliability I Screening, Grit Removal and Flow Measurement J Septic Tank System Ki Controlled Discharge Pond K2 Aerated Pond K3 Anaerobic Lagoon L Setting Tanks M Fixed Film Reactor — Stationary Media N Rotating Biological Contactor O Aeration Tanks or Basins P Gas Chlorination Q Sludge Digestion and Holding RI Sludge Dewatering and Disposal R2(A & B) Low Rate Land Application of Sludge R3 Land Application of Sewage Sludge (To be developed) S Land Application of Wastewater (To be developed) Sewage Treatment Agreement ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Identify any categories included in this project which are not provided in the above list of schedules. DNR form 28A (Sept 2010) 542-3129 DATE PREPARED 5/6/2015 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B, Collection system DATE REVISED PROJECT IDENTITY Landmark Meadows, Waterloo, Iowa IPrint Form 1 DNR USE PROJECT NO. PERMIT NO. 1. Identify proposed construction which is subject to flooding and explain what is proposed to prevent water from entering the system. If no portion is subject to flooding, state none. Segment Flooding Protection N.A. N.A. *2. Indicate hydraulic capacity of: 1) the nearest downstream main or interceptor, 2) the nearest downstream lift station, and 3) all downstream segments where flow restriction may occur. Indicate the source and accuracy of numerical data. Segment Segment Segment *3. Location Design capacity, MGD Peak Hourly Dry weather Flow MGD (actual) Peak Hourly Wet Weather Flow MGD (actual) 12" at tie -In downstream 36" 88,000 2.1 18.7 31,500 avg day 1 0.1 0.48 48,000 peak day 0.1 0.93 Identify treatment facility, the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility name and number Waterloo Water Pollution Control Plant Facility Loading Design Average Wet Weather (ac al) Peak Hourly Wet Weather (actual) MGD #BODS/da 34.8 88,000 24.53 31,500 avg day 1 60+ 48,000 peak day Provide projected design loading increase, w ch will be added to this facility as a result of this project. Design Loading Design Year (2035 ) Residential service area 0 Acres 6 Acres Population 0 Persons 52 Persons Flow (100 GPCD) 0 GPD 5200 GPD BOD5 (0.17 #/d/cap) 0 #/day 8.84 it/day Industrial service area 0 Acres 0 Acres Rated flow 0 GPD 0 GPD BOD5 Other 0 #/day 0 #/day 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BOD5 Total BOD5 0 #/day 0 #/day 0 #/day 8.84 #/day Total Flow 0 GPD 5200 GPD Peak Hourly Flow 0 GPD 20,800 GPD m Include a written explanation of items 2 and 3 ithe sewer system and/or treatment facility are overloaded. DNR form 28B (Nov 00) Initial 542-3095 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE C, Lateral Sewer Extension DATE PREPARED 5/6/2015 DATE REVISF.n PROJECT IDENTITY Landmark Meadows 1. Design Basis Residential service area Population Flow (100 GPCD) BOD5 (0.17 #/d/cap) Industrial service area Rated Flow BOD5 Other DNR USE PROJECT NO. PERMIT NO. Rated Flow BOD5 Total BOD5 Total Flow Peak Hourly Flow 2. Pipe Diameter Material Joint Minimum Slope Maximum Manhole Space Total Sewer Length Maximum Cover Minimum Cover Initial 0 0 0 0 0 0 0 0 0 0 0 0 0 8 Inch PVC TRUSS ELASTOMERIC 0.4 363 ft. 994 ft,. 17 ft, 10 ft, Acres Persons GPD #/day Acres GPD #/day Acres GPD #/day #/day GPD GPD 10 Inch Design Year ( 2035 6 Acres 52 5200 8.84 Persons GPD #/day 0 Acres 0 GPD 0 #/day 0 Acres 0 GPD 0 #/day 8.84 #/day 5200 20,800 ft. ft. ft. ft. 12 Inch GPD GPD ft. ft. ft. ft. 3. Construction specifications (indicate ASTM No. or other standard included in the specifications). A brief description is required in each part. A. Bedding class CLASS 1A, 95% STD PROCTOR B. Pipe laying ASTM D3034, D2321, SEC305-4 C. Compaction ASTM D698 D. Manhole ASTM C476 E. Specified maximum Infiltration/exfiitration rate 200 GPDPMPI F. Infiltration/exfilt ation test procedures LOW PRESSURE AIR G. Alignment & grade test procedures (1) During construction: Stake & batter board Laser X (2) After construction: Lamping Other TV H. Deflection test procedures N.A. 4. Are detailed manhole drawings included: Yes ® No ❑ Typical frame and cover assembly Are manhole covers nonvented: Yes❑ No 0 Manhole diameter NEENAH R1643 in. Manhole opening diameter 24 in. Material PRECAST PCC & CAST IRON 5. Minimum sewer & water main separation: Horizontal Are specifications included? YES 10 ft. Vertical 18 in. 6. Stream, road, or railroad crossing protection N.A. Are specifications included? N.A. DNR form 28C (Nov 00) 542-3096