The URL can be used to link to this page

Home My WebLink AboutVJ Engineering-4/1/2013Iowa 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. APPLICANT ENGINEER OWNER...._... — �....__...... Allen Memorial Hospital ADDRESS 1825 Logan Avenue, Waterloo, IA 50703 REPRESENTATIVE Terry Flynn, Director of Plant Services PROJECT IDENTIFICATION FIRM VJ Engineering ADDRESS 1501 Technology Parkway, Suite 100, Cedar Falls, IA 50613 TELEPHONE 319-235-3604 PROJECT OFFICER Bruce P. Radue, P.E. rELEP1-IONE 319-266-5829 United Medical Park - South Sanitary Sewer Extension OWNER AND SYSTEM RECEIVING WASTES City of Waterloo CF.RTIF1CATE 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. TITLE Director of Plant Services AGREEMENT TO PROVIDE SEWAGE TREATMENT 1 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, in 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. TUR 1—TYPED OR PRINTED NAME _.__....-- - - ... lit PHONE NUMBER DATE DNR form 29 (Nov 00 m -0q i- 41i /61 542-3219 Exhibit 11A Iowa Department of Natural Resources Wastewater Engineering Section Construction Permit Application SCHEDULE A, General Information APPLICANT ENGINEER OWNER E-MAIL ADDRESS Allen Memorial Hospital F1ynnTM@ihs.org FIRM E-MAIL ADDRESS VJ Engineering bradue@vjengineering.com ADDRESS 1825 Logan Avenue, Waterloo, IA 50703 ADDRESS 1501 Technology Parkway, Suite 100, Cedar Falls, IA 50613 REPRESENTATIVE TELEPHONE Terry Flynn, Director of Plant Services 319-235-3604 PROJECT OFFICER TELEPHONE Bruce P. Radue, P.E. 319-266-5829 PROJECT IDENTIFICATION United Medical Park— South Sanitary Sewer Extension ESTIMATED START DATE * March 15, 2013 ESTIMATED COMPLETION DATE July 31, 2013 1. Has an engineering If Yes=> 2. Does the loadings, facilities If No-=> 3. Are there For a Standard three 4. Are approved If Yes=> 5. Does each "professional If No=> Processing specifications 6. Is this a If Yes=> A Water 7. Is the applicant If No=> A accompany 8. Is a new If Yes=> A 9. Is any waterline within 400 If Yes=> Identify 10. Will construction If No=> 11. Will this project construction plan? Provide three minor sets joint construction Sewage or new PLEASE RESPOND TO ALL QUESTIONS report, facilities plan or other information previously been submitted for this project? YES NO ❑ /1 PROJECT IDENTITY DATE SUBMITTED and construction permit application, as submitted, follow the recommendations, design schedule, permit limits, and conclusions of the approved engineering report or the design basis and technical information justifying all changes. complete sets of plans and specifications accompanying this application? gravity sewer extension within the meaning of 455B.183.3 Code of Iowa and Design 11.1, two complete sets will be adequate for expeditious approval. For more complex projects, of plans and specifications may be requested. standard specifications a part of this application? 11 ❑ /1 ❑ 4 ❑ APPROVED STANDARD SPECIFICATIONS OF (municipality or firm) City of Waterloo DATE APPROVED set of plans and specifications or engineering report accompanying this application contain a engineering seal" executed in conformance with 542B.16, Code of Iowa? will be delayed pending receipt of applicable design schedules and certified plans, or engineering report. wastewater and water supply project? permit application for the water supply project should be submitted separately to the Supply Section. A water supply permit fee may be required. to provide treatment of effluent resulting from this construction? Treatment Agreement (DNR Form 29) executed by the authority providing treatment must this application. amended operation permit necessary to use the facilities described in this application? or amended permit to operate may be requested prior to the receipt of a construction permit. located within 10 feet; or any private or public well, lake, or public recreation area located feet of the proposed construction? and locate the facility(s) relative to the proposed construction. inspection be conducted by a licensed engineer employed by the applicant? w ❑ ❑ ►' ❑ w ❑ �/ ❑ N w ❑ ❑ 11 NAME OF ENGINEERING FIRM CONDUCTING INSPECTION project utilize CWSRF loan funds? 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. J r' S 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, such information is complete and accurate. SIGNATUR //ll DATE o✓ SIGNATURE DATE i fP g� ��"'-%�--d c Gi=-_� jv= 1°''ter " i % y * Estimated Construction Start Date: Complete applications must be submitted at least 120 days in advance of the date for starting construction in accordance with Rules 567 IAC 60.4 and 64.2 PLEASE COMPLETE THE SCHEDULE CHECKLIST ON THE FOLLOWING PAGE OF THIS FORM orm 28A (Sept 2010) 542-3129 Construction Permit Application 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 TITLE ATTACHED PROJECT DATE B Collection system ® ❑ 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 K1 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 R1 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 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B, Collection system DATE PREPARED 1/9/2013 DATE REVISED PROJECT IDENTITY United Medical Park - South 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 *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 NW1/4, 5-88-13 2.29 0.78 1.56 *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 60+ 48,000+ Provide projected design loading increase, which will be added to this facility as a result of this project. Design Loading Initial Design Year (2020) 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 BODS #/day #/day Other Comm. 1.6 Acres 4.0 Acres Rated Flow 8,000 GPD 20,000 GPD BODS 13.6 #/day 34.0 #/day Total BOD5 13.6 #/day 34.0 #/day Total Flow 8,000 GPD 20,000 GPD Peak Hourly Flow 32,000 GPD 80,000 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 1/9/2013 DATE REVISED PROJECT IDENTITY United Medical Park - South Sanitary Sewer Extension DNR USE PROJECT NO. PERMIT NO. 1. Design Basis Initial Design Year (2020) Residential service area Acres Acres Population Persons Persons Flow (100 GPCD) GPD GPD BOD5 (0.17 #/d/cap) #/day #/day Industrial service area 5.4 Acres 22.2 Acres Rated Flow 27,000 GPD 111,000 GPD BOD5 45.9 #/day 188.7 #/day Other Acres Acres Rated Flow GPD GPD BOD5 #/day #/day Total BODS 45.9 #/day 188.7 #/day Total Flow 27,000 GPD 111,000 GPD Peak Hourly Flow 102,600 GPD 421,800 GPD 2. Pipe Diameter 8 Inch 10 Inch 12 Inch Material PVC Truss Joint Elastomeric Minimum Slope 2.80 % % % Maximum Manhole Space 175 ft. ft. ft. Total Sewer Length 205 ft.. ft. ft. Maximum Cover 8.3 ft. ft. _ ft. Minimum Cover 7.1 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 ASTM Class II, D2321-75 except as modified by ASTM D2680-01 B. Pipe laying ASTM Class II, D2321-75 except as modified by ASTM D2680-01 C. Compaction 95% Standard Proctor Density D. Manhole ASTM C478, 48" dia. E. Specified maximum Infiltration/exfiltration rate 200 GPDPMPI F. Infiltration/exfiltration test procedures v -notch weir, televising, or air test G. Alignment & grade test procedures (1) During construction: Stake & batter board yes Laser yes (2) After construction: Lamping yes Other televising H. Deflection test procedures NA 4. Are detailed manhole drawings included: Yes ❑ No Typical frame and cover assembly Neenah R-1642 Are manhole covers nonvented: Yes ® No ❑ Manhole diameter 48 in. Manhole opening diameter 24 in. Material Concrete 5. Minimum sewer & water main separation: Horizontal 10 Are specifications included? No ft. Vertical 18 in. 6. Stream, road, or railroad crossing protection NA Are specifications included? NA DNR form 28C (Nov 00) 542-3096