HomeMy WebLinkAboutCity Engineering Department-8/24/2015Exhibit 11A
Iowa Department of Natural Resources Wastewater Engineering Section
Construction Permit Application
SCHEDULE A, General Information
APPLICANT
ENGINEER
OWNER E-MAIL ADDRESS
CITY OF WATERLOO
FIRM E-MAIL ADDRESS
CITY ENGINEERING DEPT dennis.gentz@waterloo-ia.org
ADDRESS
715 MULBERRY ST., WATERLOO, IA 50703
ADDRESS
715 MULBERRY ST., WATERLOO, IA 50703
REPRESENTATIVE TELEPHONE
Ernest G. Clark, Mayor 319-291-4301
PROJECT OFFICER TELEPHONE
Dennis J. Gentz 319-291-4312
PROJECT IDENTIFICATION
FISHER DRIVE SANITARY SEWER EXTENSION
ESTIMATED START DATE *
September 2015
ESTIMATED COMPLETION DATE
October 2015
PLEASE RESPOND TO ALL QUESTIONS
1. Has an engineering report, facilities plan or other information previously been submitted for this project?
If Yes=>
PROJECT IDENTITY
DATE SUBMITTED
YES NO
❑ X
2. Does the project and construction permit application, as submitted, follow the recommendations, design
loadings, construction schedule, permit limits, and conclusions of the approved engineering report or
facilities plan? N/A ❑
If No=> Provide the design basis and technical information justifying all changes.
3. Are there three complete sets of plans and specifications accompanying this application? X ❑
For a minor gravity sewer extension within the meaning of 455B.183.3 Code of Iowa and Design
Standard 11.1, two complete sets will be adequate for expeditious approval. For more complex projects,
three sets of plans and specifications may be requested.
4. Are approved standard specifications a part of this application?
If Yes=>
APPROVED STANDARD SPECIFICATIONS OF
(municipality or firm)
CITY OF WATERLOO
DATE APPROVED
5. Does each set of plans and specifications or engineering report accompanying this application contain a
"professional engineering seal" executed in conformance with 542B.16, Code of Iowa?
If No=> Processing will be delayed pending receipt of applicable design schedules and certified plans,
specifications or engineering report.
6. Is this a joint wastewater and water supply project?
If Yes=> A construction permit application for the water supply project should be submitted separately to the
Water Supply Section. A water supply permit fee may be required.
7. Is the applicant to provide treatment of effluent resulting from this construction?
If No=> A Sewage Treatment Agreement (DNR Form 29) executed by the authority providing treatment must
accompany this application.
8. Is a new or amended operation permit necessary to use the facilities described in this application?
If Yes=> A new or amended permit to operate may be requested prior to the receipt of a construction permit.
9. Is any waterline located within 10 feet; or any private or public well, lake, or public recreation area located
within 400 feet of the proposed construction?
If Yes=> Identify and locate the facility(s) relative to the proposed construction.
10. Will construction inspection be conducted by a licensed engineer employed by the applicant?
If No=>
NAME OF ENGINEERING FIRM CONDUCTING INSPECTION
11. Will this project utilize CWSRF loan funds?
X
❑ X
X ❑
❑ x
CERTIFICATION
APPLICANT
I certify that I am the authorized representative of the owner and
state that the project identified above is approved by the owner.
14144e 66e
SIGNAT
Ernest G. Clark, Mayor
DATE
7/�
I
2015
ENGINEER
I certify that all aspects of design included in this application
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
knowledge, suc , •s fo ;s atio i ; -s complete and accurate.
D Ty
* Estimated Construction Start Date: Complete applications must be s bmitted east 120 s ays in advance of the date for
starting construction in accordance with Rules 567 IAC 60.4 and 64.2
2015
PLEASE COMPLETE THE SCHEDULE CHECKLIST ON THE FOLLOWING PAGE OF THIS FORM
DNR form 28A (Sept 2010)
542-3129
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE B, Collection system
DATE PREPARED
August 14, 2015
DATE REVISED
PROJECT IDENTITY
Fisher Drive Sanitary Sewer Extension
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
None
Flooding Protection
None
*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.
Location
Design capacity, MGD
Peak Hourly Dry weather Flow
MGD (actual)
Peak Hourly Wet Weather Flow
MGD (actual)
Segment
Segment
Segment
15" @ tie in
LS @ Kimball
and SanMaman
3.53
2-240 gpm
pumps .
0.18
w/ 50,000 gallon
storage capacity
0.18
*3. 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 (actual)
Peak Hourly Wet Weather (actual)
MGD
#BODS/day
34.8
88,000
24.53
31,500 Avg. Day
60+
48,000 Peak Day
Provide projected design loading increase, which will be added to this facility as a result of this project.
Design Loading
Initial
Design Year (
Residential service area Acres Acres
Population Persons Persons
Flow (100 GPCD) GPD GPD
BOD5 (0.17 #/d/cap) #/day #/day
Industrial service area Acres Acres
Rated flow GPD GPD
BOD5 #/day #/day
Other Office & Institutional 60 Acres 60 Acres
Rated Flow 72,000 GPD 72,000 GPD
BOD5 122.4 #/day 122.4 #/day
Total BOD5 122.4 #/day 122.4 #/day
Total Flow 72,000 GPD 72,000 GPD
Peak Hourly Flow 180,000 GPD 180,000 GPD
Include a written explanation of items 2 and 3 if the sewer system and/or treatment facility are overloaded.
DNR form 28B (Nov 00)
542-3095
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE C, Lateral Sewer Extension
DATE PREPARED
August 14, 2015
DATE REVISED
PROJECT IDENTITY
Fisher Drive Sanitary Sewer Extension
DNR USE
PROJECT NO.
PERMIT NO.
1. Design Basis Initial Design Year
Residential service area Acres
Population Persons
Flow (100 GPCD) GPD
BOD5 (0.17 #/d/cap) #/day
Industrial service area Acres
Rated Flow GPD
BOD5 #/day
Other Office & 60 Acres 60
Industrial
Rated Flow 72000 GPD 72000
BOD5 122.4 #/day 122.4
Total BOD5 122.4 #/day 122.4
Total Flow 72000 GPD 72000
Peak Hourly Flow 180000 GPD 180000
2. Pipe
Acres
Persons
GPD
#/day
Acres
GPD
#/day
Acres
GPD
#/day
#/day
GPD
GPD
Diameter 8 Inch 10 Inch 12 Inch
Material PVC Truss
Joint Rubber
Minimum Slope 0.4 % % %
Maximum Manhole Space 450 ft. ft. ft.
Total Sewer Length 400 ft.. ft. ft.
Maximum Cover ft. ft. ft.
Minimum Cover 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
B. Pipe laying D3034, D2321
C. Compaction D698 95%
D. Manhole C476, C433
E. Specified maximum Infiltration/exfiltration rate 200 GPDPMPI
F. Infiltration/exfiltration test procedures Air
G. Alignment & grade test procedures
(1) During construction: Stake & batter board Laser X
(2) After construction: Lamping X Other Televising
H. Deflection test procedures Mandrel
4. Are detailed manhole drawings included: Yes No ❑
Typical frame and cover assembly Neenah R-1642 or Deeter 1247
Are manhole covers nonvented: Yes No ❑
Manhole diameter 48" in.
Manhole opening diameter 24" in. Material Precast Concrete, Cast Iron
5. Minimum sewer & water main separation: Horizontal 10
Are specifications included? Yes
ft. Vertical 18 in.
6. Stream, road, or railroad crossing protection No
Are specifications included? N/A
DNR form 28C (Nov 00)
542-3096