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Home My WebLink AboutIowa Department of Natural Resources-1/10/2011Iowa 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 Lost Island Real Estate, LC FIRM Wayne Claassen Engineering and Surveying, Inc. ADDRESS 2225 E. Shaulis Rd, Waterloo, IA 50701 ADDRESS P.O. Box 898, Waterloo, IA 50704 REPRESENTATIVE Gary Bertch. TELEPHONE 319-233-8414 PROJECT OFFICER William J. Claassen, P.E. TELEPHONE 319-235-6294 PROJECT IDENTIFICATION Bamboo Ridge Area Sanitary Sewer Relocation and Improvements, Waterloo, Iowa OWNER AND SYSTEM RECEIVING WASTES City of Waterloo CERTIFICATE 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. / TURE 777 TITLE Owner DATE /- 7/C 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, 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. SIGN R�E� (4? il .�2��lu'/+� � � TYPED OR PRINTED NAME Buck Clark TITLE Mayor PHONE NUMBER 319-291-4301 DATE I] L D gti I DNR form 29 (Nov 00) 542-3219 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE A, General Information APPLICANT ENGINEER OWNER E-MAIL ADDRESS Lost Island Real Estate, LC Gary.Bertch@bertch.com FIRM E-MAIL ADDRESS Wayne Claassen Engineering and Surveying, Inc claassen@wcesinc.com ADDRESS 2225 E. Shaulis Rd, Waterloo, IA 50701 ADDRESS 2705 University Ave., Waterloo, IA 50704-0898 REPRESENTATIVE TELEPHONE Gary Bertch 319-233-8414 PROJECT OFFICER TELEPHONE William J. Claassen 319-235-6294 PROJECT IDENTIFICATION Bamboo Ridge Area Sanitary Sewer Relocation and Improvements ESTIMATED START DATE * 02/01/2011 ESTIMATED COMPLETION DATE 04/01/2011 PLEASE RESPOND TO ALL QUESTIONS YES NO 1. Has an engineering report, facilities plan or other information previously been submitted for this project? ❑ X If Yes=> PROJECT IDENTITY DATE SUBMITTED 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? 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 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? N A ❑ ❑ X ❑ X ❑ If Yes=> APPROVED STANDARD SPECIFICATIONS OF (municipality or firth) 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? X ❑ 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? ❑ X 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? ❑ X 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? ❑ X 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? ❑ X 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? ❑ X If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION Wayne Claassen Engineering and Surveying, Inc 11. Will this project utilize CWSRF loan funds? ❑ 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. 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. SIGNAT DATE a -- /z z//� 9 �=-ti.-• /2 /ZZ//C� SIGNATURE VAL'j44 DATE * Estimated Construction Start Date: Complete applications must be submitted a ast 120 days in advance f 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 DNR form 28A (Sept 2010) 542-3129 Iowa Department ofNatural Resources Wastewater Section Construction Permit Application SCHEDULE A, General Information SCHEDULE Identify all categories TITLE B Collection system C D E F G H1 H2 H3 I J K1 K2 K3 L M N 0 P DOCUMENT CHECKLIST included in this project. Also, identify schedules attached to this application. INCLUDED IN ATTACHED PROJECT X ❑ 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 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 X SUBMITTAL DATE 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 DAZE PREPARED PROJECT IDENTITY 12/21/2010 Bamboo Ridge Area Sanitary Sewer Relocation and Improvements, Waterloo, IA DATE REVISED 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 San -S1 & S8 Flooding Protection Water -tight manholes *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 30" Sink Creek Interceptor 15" at tie-in San -S1 24.53 18.72 2.83 48,000 peak day 1.1 0.1 1.31 0.2 9. Identify treatment facility, the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility name and number 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 (20 30 Residential service area Acres Acres Population 378 Persons 2,079 Persons Flow (100 GP CD) 37,800 GPD 207,900 GPD BOD5 (0.17 #/d/cap) 64 #/day 353 #/day Industrial service area 0 Acres 0 Acres Rated flow 0 GPD 0 GPD BOD5 0 #/day 0 #/day Other RV park and 0 Acres 60 Acres Commercial Rated Flow BOD5 Total BOD5 Total Flow Peak Hourly Flow 0 GPD 23,300 GPD #/day 39.6 #/day 64 #/day 393 #/day 37,800 GPD 231,200 GPD 151,200 GPD 924,800 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 D, Trunk & Interceptor Sewer DATE PREPARED 12/21/10 DATE REVISED PROJECT IDENTITY Bamboo Ridge Area Sanitary Sewer Relocation and Improvements, Waterloo,IA DNR USE PROJECT NO. PERMIT NO. 1. Design of reach above A. Manhole No. Initial area — acres Ultimate area — acres Initial — BOD5, #/day Ultimate — BOD5, #/day Initial PHWW flow — MGD Design PHWW flow - MGD Ultimate PHWW flow - MGD B. Critical section of reach Pipe diameter - inches Slope - % Carrying capacity - MGD 2. Pipe Diameter — inches Material Joint Maximum manhole space — feet Total length - feet S17 S7 S1 20 60 60 160 300 400 34 64 64 188.7 348.5 393 .0.08 0.15 0.15 0.44 0.82 0.92 0.44 0.82 0.92 S17/S8 S17/S8 SI/S7 12-Exis 12-Exis 15 0.74 0.74 0.4 1.98 1.98 2.64 3. Construction specifications (indicate ASTM No. or other standard included in the specifications). A. Bedding class CLASS 1A B. Pipe laying ASTM D3034,D2321 C. Compaction 95% PROCTOR D. Manhole ASTM C476, C443 E. Specified maximum infiltration/exfiltration rate 200 F. Infiltration/exfiltration test procedures air G. Alignment & grade test procedures TV (1) During construction: Stake & batter board Laser X (2) After construction: Lamping X Other TV H. Deflection test procedures Mandrel 4. Are detailed manhole drawings included? Yes // No ❑ Typical frame and cover assembly : Are manhole covers nonvented? Yes ® No ❑ Manhole diameter 48-72 in. Manhole opening diameter 24 in. Material PRECAST PCC & CAST IRON R1643 5. Minimum sewer & water main separation: Horizontal 10 ft. Vertical 18 in. Are specifications included? 6. Stream, road, or railroad crossing protection NA Are specifications included? NA DNR form 28D (Nov 00) 542-3097 8 15 Truss Truss Rubber Rubber 396 415 2645 2354 3. Construction specifications (indicate ASTM No. or other standard included in the specifications). A. Bedding class CLASS 1A B. Pipe laying ASTM D3034,D2321 C. Compaction 95% PROCTOR D. Manhole ASTM C476, C443 E. Specified maximum infiltration/exfiltration rate 200 F. Infiltration/exfiltration test procedures air G. Alignment & grade test procedures TV (1) During construction: Stake & batter board Laser X (2) After construction: Lamping X Other TV H. Deflection test procedures Mandrel 4. Are detailed manhole drawings included? Yes // No ❑ Typical frame and cover assembly : Are manhole covers nonvented? Yes ® No ❑ Manhole diameter 48-72 in. Manhole opening diameter 24 in. Material PRECAST PCC & CAST IRON R1643 5. Minimum sewer & water main separation: Horizontal 10 ft. Vertical 18 in. Are specifications included? 6. Stream, road, or railroad crossing protection NA Are specifications included? NA DNR form 28D (Nov 00) 542-3097