HomeMy WebLinkAboutIowa Department of Natural Resources-4/28/2014Mayor
BUCK
CLARK
COUNCIL
MEMBERS
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JONES
Ward
CAROLYN
COI .E
Ward 2
PATRICK
MORRISSEY
Ward
QUEN IN
IIAR1'
Ward 4
RON
WELDER
Ward
TOM
LIND
At -Lame
STEVE
SCI (MITT
At -Large
CITY OF WATERLOO, IOWA
WASTE MANAGEMENT SERVICES
3505 EASTON AVE. WATERLOO, IA 50702 (319) 291-4553 FAX (319) 291-4523
LARRY N. SMITH SUPERINTENDENT
Council Communication
City Council Meeting: 4/28/14
Prepared: 4/22/2014
Dept. Head Signature: a/244/4 eirs.
# of Attachments:
SUBJECT: IDNR Construction Permit Application
Submitted by: Larry N. Smith, WMS Superintendent
Recommended City Council Action: Resolution approving Construction Permit
Application with the Iowa Department of Natural resources for the wastewater disposal
system construction in conjunction with WPCF Belt Press Addition City Contract 869.
Summary Statement:
Expenditure Required: $100.00
Source of Funds:
Policy Issue:
Alternative:
Background Information:
WE'RE WORKING FOR YOU!
An Equal Opportunity/Affirmative Action Employer
IOWA DEPARTMENT OF NATURAL RESOURCES
Wastewater Disposal System Construction Permit
Application Fee Form
CASHIER'S USE ONLY
0945-542- N P D E -C P-0570
32-3202
Owner
Owner Name: City of Waterloo, IA
Address: 715 Mulberrty St
City, State, Zip: Waterloo, IA 50703
Project Identification: Construction for Water Pollution Control Facility Belt Press
$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 top of other Construction Permit Application documents.
Effective beginning July 1, 2006, Applications for Construction Permits for wastewater disposal systems required by
Iowa Code 455B.173 and rules in Iowa Administrative Code 567 IAC 64, must be accompanied by the fee required by
Iowa Code 4556.197 and Iowa Administrative Code 567 IAC 64.16(3)"c".
The fee is $100 for each application, regardless of project size and project type including sanitary sewers, pump
stations, treatment units or a combination thereof. The fee shall be submitted with the certified engineering documents
necessary to apply for a construction permit (plans, specifications and related application schedules A, F, and G as well
as the appropriate schedules indentified on page 2 of Schedule A). The construction permitting process is initiated as
planning for construction begins. Planning coordination and submittal of preliminary engineering reports or facility
plans precedes submittal of technical documents necessary to constitute a construction permit application. The
application fee is not necessary when submitting a planning document but must accompany construction permit
application documents. A fee should accompany each permit application received on or after July 1, 2006.
Failure to submit a fee with the application may delay the processing of a construction permit. If you have any questions
regarding the application fee, please contact Donna Gomm at 515-281-8502 or iDonna.Gornm Jdnr.iowa.gov
Signature of Owner or Representative:
Printed Name:
La.'? s pi%
Telephone or email contact: 3j 9 - oZ 9 -- `JSP r 3
Mail to:
Iowa Department of Natural Resources
Wastewater Engineering Section
502 East 9th Street
Des Moines, IA 50319-0034
06/2011 cmz
DNR Form 542-1245