The URL can be used to link to this page

Home My WebLink AboutIDNR Construction Permit App 5/21/2018Exhibit 11A we Department of Natural Resources Wastewater Engineering Section Construction Permit Application SCHEDULE A, General Information APPLICANT ENGINEER OWNER E-MAILADDRESS FIRM E-MAILADDRESS CityofWaterloo jamie.knutson@WATERLOO-IA.ORG Wayne Claassen Engineering and Surveying claasseu@wcminc.com ADDRESS ADDRESS 715 Mulberry St., Waterloo, IA 50703 2705 University Ave. Waterloo, IA 50701-0898 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE Jamie Knutson 319-291-4312 William J. Claassen 319-235-6294 PROJECT IDENTIFICATION ESTIMATED START DATE ESTIMATED COMPLETION DATE Northwest Interceptor Sewer, Waterloo, IA 04-01-2019 10-31-2022 PLEASE RESPOND TO ALL QUESTIONS YES NO 1. Has an engineering report, facilities plan or other information previously been submitted for this project? IfYes=> PROJECT IDENTITY DATE SUBMITTED Northwest Interceptor Sewer 05-23-2018 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 informationjustifying 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 app lication? 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 H 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 Su"e ing 11. Will this project utilize CWSRF loan funds? 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 DATE TSIGNTa"At::: A^^ C5 �16 121 * Estimated Construction Start Date: Complete applications must be subm ed 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 2$A (Sept 2010) 542-3129 Identify any categories included in this project which are not provided in the above list of schedules. 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 ❑ C Lateral Sewer Extension ❑ D Trunk & Interceptor Sewer ❑ E Wastewater Pump Station ❑ F Treatment Project Site Selection ❑ ❑ G Treatment Project Design Data ❑ ❑ Hl 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 ❑ ❑ RI 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