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Home My WebLink AboutIowa Department of Natural Resources - Sewage Treatment Agrement - 8.21.2006 Iowa Department of Natural ResourcesIV*!12ro G 71 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 FIRM Hayek Enterprises,Inc. WAYNE CLAASSEN ENGINEERING,INC. ADDRESS ADDRESS 4720 W.4`s St.,,WATERLOO,IA 50701 P.O.BOX 898,WATERLOO,IA 50704 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE Norm Hayek 319-236-0270 WILLIAM J.CLAASSEN,P.E. 319-235-6294 PROJECT IDENTIFICATION Nottingham Addition,Waterloo,IA OWNER AND SYSTEM RECEIVING WASTES CITY OF WATERLOO,IOWA 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. SIGNATURE TIT DATE 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. SIGNATURE TYPED OR PRINTED NAME Tim Hurley. TITLE PHONE NUMBER DATE Mayor 319-2914312 -a/-off DNR form 29(Nov 00) 542-3219 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE A,General Information OWNER APPLICANT ENGINEER FIRM HAYEK ENTERPRISES,INC.. WAYNE CLAASSEN ENGINEERING AND SURVEYING, INC. ADDRESS ADDRESS 4720 W.4TH ST., WATERLOO,IA 50701 P.O.BOX 898,WATERLOO,IA 50704 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE NORM HAYEK 319-236-0270 WILLIAM J.CLAASSEN,P.E. 319-235-6294 PROJECT IDENTIFICATION ESTIMATED START DATE* ESTIMATED COMPLETION DATE Nottingham Heights Addition,Waterloo,Iowa 9-30-06 12-01-06 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 I DATE SUBMITTED 2. Does the project and construction permit application,as submitted,follow the recommendations,design N loadings,construction schedule,permit limits,and conclusions of the approved engineering report or A 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 standardspecifications a part of this application? X ❑ If Yes=> APPROVED STANDARD SPECIFICATIONS OF DATE APPROVED (municipality or firm) CITY OF WATERLOO,IA 5. Does each set of plans and specifications or engineering report accompanying this application contain a X "professional engineering seal"executed in conformance with 542B.16,Code of Iowa? ElIf 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 premit 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,INC. 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 5671A 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 SIGNAPPM/ DATE *Estimated Construction Start Date: Complete applications must be submittat 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 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B,Collections stem DATE PREPARED PROJECT IDENTITY 8-10-2006 Nottingham Heights Addition,Waterloo,Iowa PROJECT NO. DATE REVISED 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. Se went Flooding Protection NA NA *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. Segment Segment Segment *Meaasured Location 01/23/04 by Waterloo 21"on US 63 WPFC Design capacity,MGD 3.2 Peak Hourly Dry weather Flow **Measured MGD(actual) 0.10* 05/29/04 by Peak Hourly Wet Weather Flow Waterloo MGD(actual) 0.93** WPFC *3. Identify treatment facility,the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility name and number Waterloo Water 0042650 Pollution Control Plant Facility Loading MGD #BOD5/day Design 20.35 125,000 Average Wet Weather(actual) 16 77,000 Peak Hourly Wet Weather(actual) 26.5 100,000 Provide projected design loading increase,which will be added to this facility as a result of this project. Design Loading Initial Design Year( 2008 ) Residential service area 0 Acres 4.9 Acres Population 0 Persons 24 Persons Flow(100 GPCD) 0 GPD 2,400 GPD BODS(0.17#/d/cap) 0 #/day 4.08 #/day Industrial service area 0 Acres 0 Acres Rated flow 0 GPD 0 GPD BODS 0 #/day 0 #/day Other 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BOD5 0 #/day 0 #/day Total BOD5 0 #/day 4.08 #/day Total Flow 0 GPD 2,400 GPD Peak Hourly Flow 0 GPD 9,600 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 C,Lateral Sewer Extension DATE PREPARED PROJECT IDENTITY DN} FUSE s 08-10-06 Nottingham Heights Addition,Waterloo,Iowa /PROJECT NO. DATE REVISED PERMIT NO. 1. Design Basis Initial Design Year(2008) Residential service area 0 Acres 4.9 Acres Population 0 Persons 24 Persons Flow(100 GPCD) 0 GPD 2,400 GPD BODS(0.17#/d/cap) 0 4/day 4.08 #/day Industrial service area 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BODS 0 #/day 0 #/day Other 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BODS 0 #/day 0 #/day Total BODS 0 #/day 4.08 #/day Total Flow 0 GPD 2,400 GPD Peak Hourly Flow 0 GPD 9,600 GPD 2. Pipe Diameter 8 Inch 10 Inch 12 Inch Material PVC TRUSS Joint ELASTOMERIC Minimum Slope 3.51 % % % Maximum Manhole Space 124 ft, ft. ft Total Sewer Length 240 ft.. ft. ft. Maximum Cover 9.5 ft ft ft Minimum Cover 9.5 3. Construction specifications(indicate ASTM No. or other standard included in the specifications). A brief description is required in each part. A. Bedding class CLASS IA,95%STD PROCTOR B. Pipelaying ASTM D3034,D2321,SEC 3054 WATERLOO STD SPECS C. Compaction ASTM D698 D. Manhole ASTM C476,C443 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 X (2) After construction: Lamping Other TV H. Deflection test procedures GO-NO-GO MANDREL 4. Are detailed manhole drawings included: Yes X No ❑ Typical frame and cover assembly DEETER 1268/NEENAH R1643 Are manhole covers nonvented: Yes X No Manhole diameter 48 in. Manhole opening diameter 24 in. Material PRECAST PCC&CAST IRON 5. Minimum sewer&water main separation: Horizontal 10 ft. Vertical 18 in. Are specifications included? YES 6. Stream,road,or railroad crossing protection NA Are specifications included? NA DNR form 28C(Nov 00) 542-3096