HomeMy WebLinkAboutState Revolving Fund - FY21 CIP Pipelining Phase IVA2 Plan, Cont. no. 1043 - 6.7.2021 CLEAN WATER STATE REVOLVING FUND
INTENDED USE PLAN (IUP) APPLICATION lip
Application Packet Checklist
Application Packet Instructions SRF
IUP Application Form
Real Property Assurance Form STATE
REVOLVING FUND
The application for inclusion on the Clean Water State Revolving Fund (CWSRF) IUP can be submitted only when the
wastewater project is at the right stage of the construction permitting process. This packet outlines the requirements of
the permitting process that must be met and includes the materials and information needed to complete the IUP
application. Please use the checklist and instructions to make sure your application is complete before submitting it.
APPLICATION PACKET CHECKLIST
A. Construction Permitting Information--To Be Completed by Applicant For DNR Use
Applicant Name City of Waterloo
1. DNR Number(e.g. W2014-####or 52014-####) S2016-0285 Yes❑ No❑
SUPPLEMENTAL FUNDS
2. DNR Project Manager Name Larry Bryant Yes LJ No
3. Project Identification: Collection System Improvements—CIPP Phase III Yes No❑
4. Project Initiation Meeting Held (date) 03/11/2016 Yes❑ No❑
5. Flows and Loads Concurrence by DNR (date or N/A) N/A Yes❑ No❑
If N/A, state reason: No Additional loads or flows added because of
this Project.
6. Wasteload Allocation Completed (date or N/A—see 5. above) N/A Yes❑ No❑
7. Antidegradation Alternatives Analysis Required (if no, go to 8.) Yes❑ No E Yes❑ No❑
7a. Alternatives Analysis Approved by DNR (date or N/A) N\A Yes❑ No❑
8.Three Copies of Certified Facility Plan Yes❑ Yes❑ No❑
8a. If Already Submitted (submitted date) 5/25/2016 Yes U No❑
Certification Date: 6/24/2016
9. Iowa Construction Permit Application Schedule A Yes® Yes❑ No❑
10. Schedules F and G (if needed for the project) Yes N/A® Yes❑ No❑
If N/A, state reason:Work is Maintenance to existing facilities
For DNR Use: The Applicant has followed the DNR Wastewater Construction Permitting Process and the project is eligible
to be placed on the IUP pending review of the SRF information requirements.
DNR Project Manager: Date:
B. State Revolving Fund Information --To Be Completed by Applicant For SRF Use
11. IUP Application Signed Yes 2 Yes❑ No
12. DUNS Number Included (note: Form 4700-4 no longer Yes® Yes❑ No❑
required)
13. Property Assurance Form Signed Yes® Yes❑ No
14. SRF Environmental Review Checklist and Attachments Yes® Yes❑ No U
Completed and Submitted
For SRF Use: The IUP application materials are complete.
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February 2015
DNR Form 542-1320
f)
SRF
STATE
REVOLVING FUND
FD
he application will be placed on the IUP (IUP YearJ, (IUP Quarter)with CWSRF Number CS1920
NR SRF Administrative Assistant: Date:
CLEAN WATER STATE REVOLVING FUND
INTENDED USE PLAN (IUP) APPLICATION INSTRUCTIONS
ITEMS 1—9: Wastewater Permitting
The Clean Water SRF Intended Use Plan Application will only be accepted when Items 1-9 have been completed through
the Wastewater Construction Permitting Process of the DNR Wastewater Engineering Section. Please refer to the
Wastewater Permitting Process Manual for detailed information on these steps.
1. DNR Number(e.g. W2014-####or 52014-####): All wastewater construction projects are assigned unique
numbers for tracking by DNR. A number beginning with W and the fiscal year indicates a Work Record. A
number beginning with S and the fiscal year indicates a Project.
2. DNR Project Manager Name: A project manager from the DNR Wastewater Engineering Section is assigned to
each project.
3. Project Identification:A brief description of the project is required in Design Schedule A, General Information.
The project description must fall under the project scope established at the project initiation meeting. An accurate
description is necessary because multiple construction contracts may have the same project numbers,
4. Project Initiation Meeting Held (date): A project initiation meeting must be held with the DNR, Owner,
Consulting engineer(licensed professional engineer), and other parties.
5. Flows and Loads Concurrence by DNR (date): If flows and loadings will change due to the project, the DNR
Project Manager must concur with the proposed design flows and loadings prior to preparing the Facility Plan.
6. Wasteload Allocation Completed (date): If a Wasteload Allocation is required for the project, it must be
received by the Owner before preparing the Facility Plan.
7. Antidegradation Alternatives Analysis Required; 7a. Alternatives Analysis Approved by DNR (date): If an
antidegradation alternatives analysis is required for the project, it must be approved by the DNR Project
Manager before the Owner prepares the Facility Plan. If a Facility Plan is submitted prior to DNR approval of
Antidegradation Alternatives Analysis, it will not be accepted for review.
8. Three Copies of Certified Facility Plan; 8a. If Already Submitted (date)and Certification Date: After completing
all applicable planning steps as discussed above,the Facility Plan may be submitted to DNR. If three copies of
INVESTING IN IOWA'S WATER
February 2015
DNR Form 542-1320
the Facility Plan have already been submitted, please note the date submitted and certified and
do not send additional copies. it
9. Iowa Construction Permit Application Schedule A: Design Schedule A must be certified by both
the Owner and the Consulting engineer(licensed professional engineer). It is required for all
wastewater projects. Schedule A must indicate that Clean Water SRF financing will be requested
to be considered as part of this IUP application. SRF
STATE
10. Schedules F and G (if needed for the project): Schedule G provides Wastewater Treatment Plant REVOLVING FUND
project design information and Schedule F provides site information for treatment process site
selection.
ITEMS 11- 14: Clean Water SRF
11. IUP Application Signed: The Intended Use Plan application must be signed by the Owner's authorized
representative.
12. DUNS Number Included: The Dun and Bradstreet Number(DUNS)was collected as part of EPA 4700-4 form.
That form is no longer required for SRF applicants. If the Owner does not have a DUNS number,go to
httg:/Lfedgov.dnb.cam/webform to request one. While loan recipients no longer have to fill out the 4700-4
form, it is important to note that they are still required to comply with Title VI of the Civil Rights Act of 1964.
Title VI provides that no person in the United States shall, on the grounds of race, color, or national origin, be
excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program
or activity receiving Federal financial assistance.
13. Property Assurance Form Signed: This form is required whether or not the Owner currently intends to purchase
land using SRF funds. Land for siting treatment facilities is an eligible cost as of October 1, 2014.
14. SRF Environmental Review Checklist and Attachments Completed and Submitted: The ER checklist outlines the
information needed to start the SRF ER Services.
Supporting materials may be requested to document funding requests and system needs.
Please include the following items with your application:
• Three official copies of the Facility Plan (unless previously submitted)
• Iowa Construction Permit Application Schedules A(and F and G where applicable).
• Materials included in Exhibit 5:SRF Environmental Review Checklist
• Real Property Assurance Form with authorized signature
Application materials should be sent to:
State Revolving Fund, c/o DNR Wastewater Engineering Section
Iowa Department of Natural Resources
502 E. 9th Street
Des Moines, IA 50319-0034
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February 2015
DNR Form 542-1320
Quarterly Am lication Deadlines
For More Information about the Clean Water SRF IUP Application, contact Patti Cale-Finnegan, 515-
725-0498 or Patti.tale-finnegan@dnr.iowa.go-. SRF
STATE
REVOLVING FUND
INVESTING IN IOWA'S WATER
February 2015 www.eowasrt.c0M
DNR Form 542-1320
CLEAN WATER STATE REVOLVING FUND
INTENDED USE PLAN (IUP) APPLICATION FORM
This form may be used to apply for inclusion on the project priority list of the Clean Water SRF IUP at the
time a complete Facility Plan is submitted. IUPs are developed on an annual basis with quarterly updates
as needed. This form is not an application for a loan. SRF loan application materials may be obtained at
SRF
www.lowaSRF.com. The loan application should not be completed until after bids are received. STATE
REVOLVING FUND
Instructions:
Complete the requested information in the following sections to the best of your ability. Please print or type the
information on the form. If a particular item does not apply to your system, enter n/a for"not applicable." Attach
supporting documentation as needed. Keep a copy of the completed application for your records, submit a copy to your
engineer, and submit the original signed form to the following address:
State Revolving Fund, c/o DNR Wastewater Engineering Section
Iowa Department of Natural Resources
502 E. 9th Street
Des Moines, IA 50319-0034
Section 1: Applicant and Consulting Engineer Information
Applicant Name: City of Waterloo
Mailing Address: 715 Mulberry Street
City, State, Zip+4 Waterloo, IA 50703
Authorized Representative: Quentin Hart
Signature: Qve— :11 H�r_
Title: Mayor
Telephone Number: 319-291-4301
E-mail: mayor@waterloo-ia.org
DUNS Number: 058005404
Consulting Engineer: Christopher G Oelkers, PE
Firm: AECOM
Firm Address: 501 Sycamore Street, STE 222
City, State, Zip+4 Waterloo, IA 50703
Telephone Number: 319-231-6531
E-mail: Christy her.oelkers aecom.com
NPDES Facility No.: 0790001
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February 2015 WWWJO"NasFf.co,m
DNR Form 542-1320
Section 2: Project Schedule
Anticipated final plans and specifications submittal date: May 2021
Anticipated construction start date: July 2021
Section 3: Brief Project Summary (Attach additional pages if necessary.)
Describe the reasons or the needs for the proposed project: (i.e. specific water quality problem or system
improvement)
The city was issued a Consent Decree bv the Environmental Protection Agency EPA and the State of Iowa due
to Sa nitaEy Sewer Overflows SSOs and sewer bypasses that the city has ex erienced.The overflows and bypasses are
likely caused by inflow and infiltration which is caused in Part, by the deteriorated collections stem.The sewer
system in Waterloo is divided into service areas. Service Areas 15 16 and 19 have been identified via sewer televising
as the area's most in need of sewer rehabilitation. Furthermore some sections of the sewer in various portions of the
cit have been identified to be not remediable via trenchless technologies that are typically used for sewer pipe
rehabilitation.These areas require remedial actions that include excavating and repairing the ripe using traditional
methods.
Describe the scope of the proposed project: (i.e., specific solution to the water quality problem, or proposed system
improvement)
SUPPLEMENTAL FUNDS RE UESTTO COMPLETE THE ORIGINAL SCOPE OF WORK.
1: To rehabilitate sanitary sewers in Service Area 19.
2. To rehabilitate manholes that have deteriorated in Service Areas 19.
Please see the attached man of the work area in SA 19.
Various trenchless technolo ies were evaluated for reha bi I i tati ng sewers in Service Area 19.Cl PP was determined to
be the most suitable technology for this application. Manhole rehabilitation was
also evaluated;and cementitious mortar topped with an epoxy liner was determined to be the most
suitable method. The city has successfully used this method in the past to rehabilitate manholes.
Which other funding programs Check all that apply:
are you considering to assist in ❑ Community Development Block Grant(CDBG)
completion of this project? ❑ Rural Development Grant and/or Loan
❑ Reserve Funds
❑ Other:
Compliance Status ❑ Has been referred to the Iowa Attorney General
❑ Has received administrative order from DNR
❑ Under compliance schedule in the NPDES permit
® Other: City is under a consent decree by the EPA and the State of Iowa
Section 4: Project Environmental Outcomes
Primary Impacted Waterbody NHD Reach Code: Cedar River
Designated Surface Water Uses(e.g. Al, BWW): Al, Class B (WW1), Class HH
Project Will Contribute to ❑ Improvement ® Maintenance ❑ Not Applicable
Water Quality... (check one)
Project Will Allow the System ® Achieve Compliance ❑ Maintain Compliance ❑ Not Applicable
to... (check one)
Project Will Allow the System ® Existing TMDL ❑ Projected TMDL
to Address...(check all that ❑ Watershed Management Plan
apply)
February 2015
Section 5: Project Cost
Cost Category Estimated Total Cost in$
Legal Expenses $20,000
Land and Easements +
Engineering Planning Fees +
Engineering Design Fees + $80,000
Engineering Construction Fees + $87,000
Construction + $1,736,000
Equipment +
Other: +
Other: +
PROJECT SUBTOTAL = $1,923,000
Contingencies + $200,000
Planning and design loan proceeds, if rolling into construction loan +
Less Any Funds Requested from Other Sources -
LOAN SUBTOTAL = $2,1231
000
Loan Initiation Fee (Loan Subtotal x .005) + $10,615
TOTAL IUP REQUEST(Round to the nearest$1,000) _ $2,133,700
Section 6: Consultants
Bond Counsel Firm: Ahlers Cooney
Name of Contact Person: Kristin Billingsley Cooper
Mailing Address: 100 Court Avenue, STE 600
City, State, and Zip: Des Moines, IA 50309-2231
Telephone Number: 515-246-0330
Email Address: kcooper@ahlerslaw.com
Municipal Advisor Firm: Speer Financial, Inc.
Name of Contact Person: Maggie J. Burger
Mailing Address: 531 Commercial Street, STE 608
City, State, and Zip: Waterloo, IA 50701
Telephone Number: 319-291-2077
Email Address: mburger@speerfinancial.com
Please provide these contacts if known at the time of application. The requirement to engage a Municipal (Financial)
Advisor is new to SRF for projects starting in fiscal year 2015.
February 2015
Section 7: Acquisition of Property by SRF Applicants
U.S. ENVIRONMENTAL PROTECTION AGENCY
ASSURANCE WITH RESPECT TO REAL PROPERTY ACQUISITION
OF TITLE III OF THE UNIFORM RELOCATION ASSISTANCE AND REAL PROPERTY
ACQUISITION POLICIES ACT OF 1970 AS AMENDED
The City of Waterloo (Applicant) hereby assures that it has authority under applicable State and local law to comply with
Section 213 of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, Public Law 91-646,
84 Stat. 1894 (42 U.S.C.4601) as amended by the Surface Transportation and Uniform Relocation Assistance Act of 1987,
Title IV of Public Law 100-17, 101 Stat. 246-256 (42 U.S.C.4601 note) and 49 CFR 1.48(cc); and certifies, assures and
agrees that, notwithstanding any other provision set forth in the application:
1. For projects resulting in the displacement of any person:
a. It will adequately inform the public of the relocation payments and services which will be available as set forth
in Subparts A, C, D and E of 49 CFR 24.
b. It will provide fair and reasonable relocation payments to displaced persons as required by Subparts D and E
of 49 CFR 24.
c. It will provide a relocation assistance program for displaced persons offering services described in Subpart C of
49 CFR 24.
d. Comparable replacement dwellings will be available pursuant to Subpart F of 49 CFR 24, or provided if
necessary, a reasonable period in advance of the time any person is displaced.
e. In acquiring real property, it will provide at least 90 days written notice to each lawful occupant of real
property acquired, stating the date such occupant is required to move from a dwelling or to move his business or farm
operation.
2. For projects resulting in the acquisition of real property:
a. It will fully comply with the requirements of Subpart B of 49 CFR 24.
b. It will adequately inform the public of the acquisition policies, requirements and payments which apply to the
p roj a ct.
c. It will make every effort to acquire real property expeditiously through negotiation.
d. Before the initiation of negotiations it will have the real property appraised and give the owner or his
representative an opportunity to accompany the appraiser during inspection of the property, except as provided in 49
CFR 24.102(c)(2).
e. Before the initiation of negotiations it will establish an amount which it believes to be just compensation for
the real property, and make a prompt offer to acquire the property for that amount; and at the same time it will provide
the owner a written statement of the basis for such amount in accordance with 49 CFR 24.102.
f. Before requiring any owner to surrender possession of real property it will pay the agreed purchase price; or
deposit with the court,for the benefit of the owner, an amount not less than the approved appraisal of the fair market
value of the property; or pay the amount of the award of compensation in a condemnation proceeding for the property.
February 2015
g. If interest in real property is to be acquired by exercise of the power of eminent domain, it will institute
formal condemnation proceedings and not intentionally make it necessary for an owner to institute legal proceedings to
prove the fact of the taking of this real property; and
h. It will offer to acquire the entire property, if acquisition of only part of a property would leave its owner with
an uneconomic remnant.
References to 49 CFR are citations to Title 49, Code of Federal Regulations, Part 24, published in the Federal Register Vol.
54, No.40, March 2, 1989.
This document is hereby made part of and incorporated in any contract or agreement, or any supplements and
amendments thereto, relating to the above-identified application and shall be deemed to supersede any provision
therein to the extent that such provisions conflict with the assurances or agreements provided therein.
CitV of Waterloo
(Legal Name of Applicant)
By Qvz/1-�i/1 Ha rT
(Signature of Authorized Representative)
6/7/2021
(Date)
February 2015
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