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Home My WebLink AboutIDNR FY19 Brock 3rd Add. Cont 954 - 4/16/2018 Exhibit 11A Iowa Department of Natural Resources Wastewater Engineering Section Construction Permit Application SCHEDULE A, General Information APPLICANT ENGINEER OWNER E-MAIL ADDRESS FIRM E-MAIL ADDRESS City of Waterloo ERIC.THORSON@WATERLOO-IA.ORG Wayne Claassen Engineering and Surveying claassen@wcesinc.com ADDRESS ADDRESS 715 Mulberry St.,Waterloo, IA 50703 2705 University Ave.Waterloo, IA 50701-0898 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE Eric Thorson 319-291-4312 William J.Claassen 319-235-6294 PROJECT IDENTIFICATION ESTIMATED START DATE* ESTIMATED COMPLETION DATE FY 2019 Brock 3rd Add Sanitary Sewer Ext,Waterloo. IA 07-01-18 10-31-18 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? 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? x ❑ If Yes=> APPROVED STANDARD SPECIFICATIONS OF DATE APPROVED (municipality or firm) SUDAS 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 theapplicant? ❑ x If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION Wayne Claassen Engineering and Surveying 11. Will this project utilize CWSRF loan funds? ❑ X CERTIFICATION APPLICANT ENGINEER I certify that I am the authorized representative of the owner and I certify that all aspects of design included in this application state that the project identified above is approved by the owner. 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. SIGNATURE DATE SIGN A /URE DATE *Estimated Construction Start Date: Complete applications must be subm!tVd 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 DNR form 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 X ❑ C Lateral Sewer Extension X ❑ 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 ❑ ❑ KI 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 C,Lateral Sewer Extension DATE PREPARED PROJECT IDENTITY DNR USE 4-05-2018 FY 2019 Brock 3rd Add Sanitary Sewer Ext,Waterloo.IA PROJECT NO. DATE REVISED PERMIT NO. 1. Design Basis Initial Design Year(2018) Residential service area Acres Acres Population Persons Persons Flow(100 GPCD) GPD GPD BOD5(0.17#/d/cap) #/day #/day Industrial service area Acres 35 Acres Rated Flow GPD 35000 GPD BOD5 #/day 59.5 Nday Other Acres Acres Rated Flow GPD GPD BOD5 #/day Nday Total BOD5 #/day 59.5 #/day Total Flow GPD 35000 GPD Peak Hourly Flow GPD 140000 GPD 2. Pipe Diameter 8 Inch 10 Inch 12 Inch Material Truss Joint Rubber Minimum Slope 0.4 % % % Maximum Manhole Space 427 ft. ft. ft. Total Sewer Length 1678.2 ft.. ft. ft. Maximum Cover 18 ft. ft. ft. Minimum Cover 3.6 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 IA B. Pipe laying ASTM D3034 C. Compaction 95%std proctor D. Manhole ASTM C476,C433 E. Specified maximum Infiltration/exfiltration rate 200 GPDPMPI F. Infiltration/exfiltration test procedures low pressure air G. Alignment&grade test procedures (1) During construction: Stake&batter board Laser yes (2) After construction: Lamping Other internal tv H. Deflection test procedures mandrel 4. Are detailed manhole drawings included: Yes ® No ❑ Typical frame and cover assembly R-1643 Are manhole covers nonvented: Yes ® No ❑ Manhole diameter 48 in. Manhole opening diameter 24 in. Material C.I. 5. Minimum sewer&water main separation: Horizontal na ft. Vertical na in. Are specifications included? na 6. Stream,road,or railroad crossing protection na Are specifications included? na DNR form 28C(Nov 00) 542-3096 Item Coversheet Page 1 0 1 CITY OF WATERLOO Cff I" Council Communication Resolution approving Iowa Department of Natural Resources Wastewater Disposal System Construction Permit Application Fee Form and Construction Permit Application Schedule A,General Information for the FY 2019 Brock 3rd Addition Sanitary Sewer Extension,Contract No. 954,and authorizing Mayor to sign said application. City Council Meeting:4/16/2018 Prepared:4/11/2018 Resolution approving Iowa Department of Natural Resources Wastewater Disposal System SUBJECT: Construction Permit Application Fee Form and Construction Permit Application Schedule A,General Information for the FY 2019 Brock 3rd Addition Sanitary Sewer Extension,Contract No.954,and authorizing Mavor to sign said application. Submitted by: Submitted By:Jamie Knutson,PE,Associate Engineer https://waterloo.novusagenda.com/AgendaWeb/CoverSheet.aspx?ItemID=11393 4/12/2018