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Home My WebLink AboutIowa Department of Transportation-5/6/2013IOWA 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, Iowa Address: 715 Mulberry Street City, State, Zip: Waterloo, Iowa, 50703 Project Identification: La Porte Road Pumping Station and Force Main, City Contract No. 847 $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 455B.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 Donna.Gomm@dnr.iowa.gov Signature of Owner or Representative: Printed Name: C -d 6u - Telephone or email contact: Cwt 0I CC) 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 Exhibit 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, IA larry.smith@waterloo-ia.org FIRM E-MAIL ADDRESS AECOM todd.aliyn@aecom.com ADDRESS 715 Mulberry Street, Waterloo, IA 50703 ADDRESS 500 SW 7t' Street, Suite 301, Des Moines, Iowa 50309 REPRESENTATIVE TELEPHONE Larry Smith 319-291-4553 PROJECT OFFICER TELEPHONE Todd Allyn 515-323-7921 PROJECT IDENTIFICATION La Porte Road Pumping Station & Force Main City Contract No. 847 ESTIMATED START DATE * 06/03/13 ESTIMATED COMPLETION DATE 09/30/13 PLEASE RESPOND TO ALL QUESTIONS YES NO 1. Has an engineering report, facilities plan or other information previous! been submitted for this project? 0 ►� If Yes=> PROJECT IDENTITY DATE SUBMITTED 2. Does the project and construction permit application, as submitted, fol ow the recommendations, design loadings, construction schedule, permit limits, and conclusions of the approved engineering report or facilities plan? 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? For a minor gravity sewer extension within the meaning of 4558.183.3 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? 0 ►t 1 / CI ■ 0 If Yes=> APPROVED STANDARD SPECIFICATIONS OF (municipality or firm) SUDAS Specifications DATE APPROVED 2012 5. Does each set of plans and specifications or engineering report accompanying this application contain a "professional engineering seal" executed in conformance with 5428.16, 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? 0 0 /1 • i4 ■ 0 ►i ■ 11 0 // If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION AECOM 11. Will this project utilize CWSRF loan funds? 0 CERTIFICATION APPLICANT I certify that I am the authorized representative of the owner and state tha project identified abov is a oved by the owner. 5/1/ LP IN 3 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. SIG TU IRE / I ORA (. 01,14 i diuku ' DATE ` r SIGNATURE DATE 47 evtZ2 V_3 * Estimated Construction Start Date: Complete applications must be sub e a 20 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 rm 28A (Sept 2010 Ldwarklpmo)ed\602788T400 Teeh*a11420 Specs180278887 - LaPorte Road Pump Ste -Force Mein )O La Porto Road -SCHEDULE Ad= 542-3129 Construction Permit Application SCHEDULE A, General Information, page 2 SCHEDUL E B C D E F G H1 H2 H3 J K1 K2 K3 L M N 0 P Q R1 R2(A & B) R3 S DOCUMENT CHECKLIST Identify all categories included in this project. Also, identify schedules TITLE ATTACHED Collection system Lateral Sewer Extension Trunk & Interceptor Sewer Wastewater Pump Station Treatment Project Site Selection Treatment Project Design Data Schematic Flow Diagram Treatment Process Loading and Removal Efficiency Mechanical Plant Reliability Screening, Grit Removal and Flow Measurement Septic Tank System Controlled Discharge Pond Aerated Pond Anaerobic Lagoon Setting Tanks Fixed Film Reactor — Stationary Media Rotating Biological Contactor Aeration Tanks or Basins Gas Chlorination Sludge Digestion and Holding Sludge Dewatering and Disposal Low Rate Land Application of Sludge Land Application of Sewage Sludge (To be developed) Land Application of Wastewater (To be developed) Sewage Treatment Agreement 0 0 0 0 0 0 0 attached to this application. INCLUDED IN PROJECT SUBMITTAL DATE ® 04/03/13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 04/03/13 Identify any categories included in this project which are not provided in the above list of schedules. DNR form 28A (Sept 2010) L•Mork proJedto02788B7\400 Technicall420 Spece180278887 - Laporte Road Pump Sta-For MainU0Hs Porte Road -SCHEDULE AA= 542-3129 DATE PREPARED 04/03/13 DATE REVISED Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B, Collection system PROJECT IDENTITY La Porte Road Pumping Station & Force Main, City of Waterloo, Iowa City Contract No. 847 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 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. *3. Location Design capacity, MGD Peak Hourly Dry weather Flow MGD (actual) Peak Hourly Wet Weather Flow MGD (actual) Segment Segment Segment 15"Dia. @ Discharge of New F.M. 88,000 24.5 1.6 60± 48,000 0.01 0.03 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 Facility - IDNR Permit #0790001 Facility Loading Design Average Wet Weather (actual) Peak Hourly Wet Weather (actual) MGD #BOD5/day 34.8 88,000 24.5 31,500 60± 48,000 Provide projected design loading increase, which will be added to this facility as a result of this project. None. This project replaces an existing private pumping station with a city -owned pumping station and reroutes flow from a problem area; however, it does not add any flow or area to the system. 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 Acres Acres Rated Flow GPD GPD BOD5 #/day #/day Total BOD5 #/day #/day Total Flow GPD GPD Peak Hourly Flow GPD 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) 60279867/50W—La Porte Road -SCHEDULE B.docx 542-3095 DATE PREPARED 04/03/13 DATE REVISED Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE E, Wastewater Pump Station PROJECT IDENTITY La Porte Road Pumping Station & Force Main, City of Waterloo, Iowa City Contract No. 847 DNR USE PROJECT NO. PERMIT NO. 1. Design Basis Design Year ( Residential Area, Acres Population, Persons PHDW Flow, MGD Type Opening (in) HP Capacity GPM TDH (ft.) Operating Level Computed Industrial Area, Acres PHDW Flow, MGD On Off 1 Submersible Sewage Pump 4 Other , Acres 60 68 PHDW Flow, MGD 843.75 2 Submersible Sewage Pump Peak Hourly Infiltration, MGD 10 200 60 Peak Hourly Inflow, MGD 846.25 843.75 3 Total PHDW Flow, MGD Total PI-IWW Flow, MGD 2. Provide pump information Pump No. Type Opening (in) HP Capacity GPM TDH (ft.) Operating Level Computed Rated On Off 1 Submersible Sewage Pump 4 10 200 60 68 846.25 843.75 2 Submersible Sewage Pump 4 10 200 60 68 846.25 843.75 3 4 5 Sump Are pumps specified as being capab e of passing three-inch diameter spheres? Yes ® No Can remaining pumps handle PHWW flow with largest pump out of service? Yes No 0 3. Wet -well effective volume 1,000 gallons. Maximum retention time: Initial flow Design flow 4. Is forced air ventilation provided? No Continuous: wet -well dry -well Intermittent wet -well dry -well air changes/hour dry -well Are spark -proof materials specified? Yes ►�0 No D 5 minutes. 5 minutes. dry -well air changes/hour 5. Force main: Is profile of force main provided? Yes 11- No 0 Size 6 in. Length 4,857 ft. Detention time at ADW design flow hours. Pipe material PVC Joint Restrained @ Trenchless & Unrestrained @ Trenched Minimum cover 6 ft. Minimum velocity fps Number of high points 2 Are air relief valves provided? Yes ® No 0 Number of thrust blocks provided? At location(s) Is pressure test specified? Yes a No ❑ Does installation conform to AWWA C600? Yes IN No 0 If no, explain 6. Are valves provided on the suction & discharge lines? Yes ►/ No 0 Type: Discharge Gate & Check Valves Suction 7. Is an alarm system provided? Yes ® No 0 Type SCADA System Indicate where audio/visual warning signals will be located Waterloo Wastewater Treatment Plant 8. Method of pump control Floats 9. Are the pumps protected from clogging? Yes ® No 0 Method of cleaning Self -Cleaning Pumps Method of pump removal Guides & Lifting Cable Are lifting hook/arms provided? Yes 10. Are permanent emergency piping bypass connections provided? Is an emergency power supply available? Yes No Describe station operation in an emergency (equipment, piping, bypass, etc.) Portable generator connected to station during power outage. Duplex system allows station to function even with single pump failure. 11. Is the wastewater pump station located in a floodplain? Yes ❑ No Elevation of 100 year flood (MSL) Elevation of 25 year flood (MSL) DNR form 28E (Nov 00) 60279867/420/—La Porte Road -SCHEDULE E.docx 542-3098