HomeMy WebLinkAboutDNR - construction plans for Edison Addition - 8.15.2022IOWA DEPARTMENT OF NATURAL RESOURCES
Wastewater Disposal System Construction Permit
Application Fee Form
CASHIER'S USE ONLY
0945-542-N PDE-CP-0570
32-3202
Owner
Owner Name: Big Hand Pepper, LLC
Address: 616 Clay St.
City, State, Zip: Cedar Falls, IA 50613
Project Identification: Edison Addition
n $100 Fee enclosed
Please sign and return this form with a check or money order payable to "Iowa Department of Natural Resources".
Place it and the check or money order on top of other Construction Permit Application documents.
Effective beginning July 1, 2006, Applications for Construction Permits for wastewater disposal systems required by
Iowa Code 4556.173 and rules in Iowa Administrative Code 567 IAC 64, must be accompanied by the fee required by
Iowa Code 455B.197 and Iowa Administrative Code 567 IAC 64.16(3)"c".
The fee is $100 for each application, regardless of project size and project type including sanitary sewers, pump
stations, treatment units or a combination thereof. The fee shall be submitted with the certified engineering documents
necessary to apply for a construction permit (plans, specifications and related application schedules A, F, and G as well
as the appropriate schedules indentified on page 2 of Schedule A). The construction permitting process is initiated as
planning for construction begins. Planning coordination and submittal of preliminary engineering reports or facility plans
precedes submittal of technical documents necessary to constitute a construction permit application. The application
fee is not necessary when submitting a planning document but must accompany construction permit application
documents. A fee should accompany each permit application received on or after July 1, 2006.
Failure to submit a fee with the application may delay the processing of a construction permit. If you have any questions
regarding the application fee, please contact Donna Gomm at 515-725-8427 or Donna.GommPdnr.iowa.Rov
Signature of Owner or Representative:
Printed Name:
Kevin Fittro
Telephone or email contact:
319-493-0919
Mail to:
Iowa Department of Natural Resources
Wastewater Engineering Section
502 East 9th Street
Des Moines, IA 50319-0034
11/2014 cmc
DNR Form 542-1245
04/2016 cmc
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE A, Construction Permit Application
Exhibit 11A
APPLICANT
Owner: Big Hand Pepper,LLC
Address: 616 Clay St. Cedar Falls, IA 50613
Representative: Kevin Fittro
Phone Number: 319-493-0919
Email: kevin.fittro@pantherhomebuilders.com
Project Identification: Edison Addition, Waterloo, IA 50701
ENGINEER
Firm: Earthworx Civil Solutions, LLC
Address: 2920 McClain Dr. Cedar Falls, IA 50613
Project Officer: William N. Wright, P.E.
Phone Number: 319-269-9445
Email: wwright@cfu.net
Estimated Start Date*: 10/19/2022 Estimated Completion Date: 12/31/2022
PLEASE RESPOND TO ALL QUESTIONS
1. Has an engineering report, facilities plan or other information previously been submitted for this project?
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 4556.183.3 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?
If Yes: Approved Standard Specifications of
(municipality or firm): Iowa SUDAS & City of Waterloo Specs Date Approved: 2022
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?
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?
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? ❑
If No: A Sewage Treatment Agreement executed by the authority providing treatment must accompany this form.
8. Is a new or amended operation permit necessary to use the facilities described in this application?
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?
If Yes: Identify and locate the facility(ies) relative to the proposed construction.
10. Will construction inspection be conducted by a licensed engineer employed by the applicant?
If No: Name of Engineering Firm Conducting Inspection:
11. Will this project utilize CWSRF loan funds?
%❑ ❑
CERTIFICATION
Yes No
❑ EXEl El
El ❑
El
CI
❑
❑ ❑X
APPLICANT
I certify that I am the authorized representative of the owner
and state that the project identified above is approved by the
owner.
Signature /A/ J, Date ')" "2J - Z1-
ENGINEER
I certify that all aspects of the 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, su h.infor-rnation is c ple and accurat
Signature Date 77 /Z-Z
*Estimated Construction Start Date: Complete applications must be submitted 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 542-3129; 28A
DOCUMENT CHECKLIST
Identify all categories included in this project. Also, identify schedules attached to this application.
Schedule Title Attached Included in Project Submittal Date
B Collection System
C Lateral Sewer Extension 0
D Trunk & Interceptor Sewer El El
E Wastewater Pump Station ❑ ❑
F Treatment Project Site Selection 0 0
G Treatment Project Design Data El 0
H1 Schematic Flow Diagram El❑
H2 Treatment Process Loading and Removal Efficiency 0 ❑
H3 Mechanical Plant Reliability 00
I Screening, Grit Removal and Flow Measurement El ❑
J Septic Tank System El❑
K1 Controlled Discharge Pond El❑
K2 Aerated Pond El El
K3 Anaerobic Lagoon
L Setting Tanks ❑ ❑
M Fixed Film Reactor -Stationary Media El El
N Rotating Biological Contactor El El
O Aeration Tanks or Basins El El
P Gas Chlorination El❑
Q Sludge Digestion and Holding El❑
R1 Sludge Dewatering and Disposal El❑
R2 (A&B) Low Rate Land Application of Sludge El El
R3 Land Application of Sewage Sludge (To be developed) El El
S Land Application of Wastewater (To be developed) 0 0
Sewage Treatment Agreement 0
El
Identify any categories included in this project which are not provided in the above list of schedules.
11/2015 cmc
DNR Form 542-3129; 28A
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE B, Collection System
DNR USE ONLY
Project No.
Permit No.
Date Prepared
7/16/2022
Date Revised
Project Identity
Edison Addition
Wateloo, IA 50701
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 Flooding Protection
None
None
*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
900 Block
Magnolia Pkwy.
0.36
0.005
0.03
*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 Pollution Control Plant IA 079001- FED 0042650
Facility Loading
Design
Average Wet Weather (actual)
Peak Hourly Wet Weather (actual)
MGD
#BOD5/da
34.8
88,000
24.53
31,500
60+
48,000
Provide projected design loading increase, which will be added to this facility as a result of this project.
Design Loading Initial Design Year (23 )
Residential Service Area Acres 0.78 Acres
Population Persons 24 Persons
Flow (100 GPCD) GPD 2400 GPD
BOD5 (0.17/#/d/cap) #/day 4.1 #/day
Industrial Service Area Acres Acres
Rated Flow GPD GPD
BODs #/day #/day
Other Acres Acres
Rated Flow GPD GPD
BOD5 #/day #/day
Total BOD5 #/day 4.1 #/day
Total Flow GPD 2400 GPD
Peak Hourly Flow GPD 9600 GPD
*Include a written explanation of items 2 and 3 if the sewer system and/or treatment facility are overloaded.
11/2015 cmc
DNR Form 542-3095; 28B
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE C, Lateral Sewer Extension
DNR USE ONLY
Project No.
Permit No.
Date Prepared
7/16/2022
Date Revised
Project Identity
Edison Addition
Wateloo, IA 50701
1. Design Basis Initial Design Year (23 )
Residential Service Area Acres .78 Acres
Population Persons 24 Persons
Flow (100 GPCD) GPD 2400 GPD
BOD5 (0.17/#/d/cap) #/day 4.1 #/day
Industrial Service Area Acres Acres
Rated Flow GPD GPD
BOD5 #/day #/day
Other Acres Acres
Rated How GPD GPD
BOD5 #/day #/day
Total BOD5 #/day 4.1 #/day
Total Flow GPD 2400 GPD
Peak Hourly Flow GPD 9600 GPD
2. Pipe Diameter 8 Inch 10 Inch 12 Inch
Material PVC Truss Pipe
Joint Bell and Spigot
Minimum Slope 0.40 % %
Maximum Manhole Space 147.5 ft. ft. ft.
Total Sewer Length 251 ft. ft. ft.
Maximum Cover 9.3 ft. ft. ft.
Minimum Cover 8.5 ft. ft. ft.
3. Construction specifications (indicate ASTM Number or other standard included in the specifications). A brief description is
required in each part.
A. Bedding class SUDAS Section 3010
B. Pipe laying
C. Compaction
D. Manhole
SUDAS Section 4010
SUDAS Section 4010
SUDAS Section 6010
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 & batterboard
(2) After construction Lamping
H. Deflection test procedures Mandrel Test, SUDAS Section 4060 3.0
Laser X
Other Television
4. Are detailed manhole drawings included: ® Yes ❑ No Typical frame and cover assembly Neenah R-1642
Are manhole covers nonvented: /Ki Yes n No Manhole diameter 48 in.
Manhole opening diameter 27 (SUDAS Typ) In Material Cast Iron
5. Minimum sewer & water main separation: Horizontal 7 ft. Vertical 18 in.
Are specifications included SUDAS 2022
6. Stream, road, or railroad crossing protection N/A
Are specifications included N/A
11/2015 cmc
DNR Form 542-3096; 28C
Iowa 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
Owner: Big Hand Pepper,LLC
ENGINEER
Firm: Earthworx Civil Solutions, LLC
Address: 616 Clay St. Cedar Falls, IA 50613
Address: 2920 McClain Dr. Cedar Falls, IA 50613
Representative: Kevin Fittro
Project Officer: William N. Wright, P.E.
Phone Number: 319-493-0919
Phone Number: 319-269-9445
Project Identification: Edison Addition
Owner and System Receiving Wastes: City of Waterloo Waste Water Management
CERTIFICATION
I am the authorized representative of the owner identified above and state that the proposed sanitary sewage 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 identifi d above.
Signature Title: / "`L..� . r Date `,- 2../ - 12
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 sewage 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.
Name: Quentin Hart Title: Mayor
Signature Date 8/15/2022 Phone:
9/2018 cmc
DNR Form 542-3219; 29