Loading...
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