HomeMy WebLinkAboutIowa DNR-Construction Permit Application-04.14.2008 Iowa Department of Natural Resources (�-vJ iD' 4'5
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
City of Waterloo,IA JACOBS
ADDRESS ADDRESS
715 Mulberry Street,Waterloo,IA 50703 421 Lawrence Drive,DePere,WI 54115
REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE
Timothy J.Hurley,Mayor 319-291-4301 Robert W.Reynolds 920-347-1309
PROJECT IDENTIFICATION
Flow Equalization Facility-Phase II Expansion
OWNER AND SYSTEM RECEIVING WASTES
City of Waterloo,Municipal WWTP
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 TITLE DATE
Mayor
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
Timothy J.Hurley
TIT E PHONE NUMBER DATE
Mayor,City of Waterloo 319-291-4301
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DNR form 29(Nov 00) 542-3219
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Exhibit 8A
Iowa Department of Natural Resources Wastewater Section
Construction Permit Application
SCHEDULE A,General Information
APPLICANT ENGINEER
OWNER FIRM
City of Waterloo JACOBS
ADDRESS ADDRESS
715 Mulberry Street,Waterloo,IA 50703 421 Lawrence Drive,DePere,WI 54115
REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE
Timothy J.Hurley,Mayor 319-291-4301 Robert W.Reynolds,P.E. 920-347-1309
PROJECT IDENTIFICATION ESTIMATED START DATE* ESTIMATED COMPLETION DATE
Flow Equalization Plant-Phase II Expansion 5-19-2008 10-3-2008
PLEASE RESPOND TO ALL QUESTIONS YES NO
1. Has an engineering re ort,facilities plan or other information previously been submitted for this project? ❑
El
If Yes=> PROJECT IDENTITY DATE SUBMITTED
FLOW EQUALIZATION FACILITY-PHASE II 14 April 2008
EXPANSION
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? ® El
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 s ecifications a art of this application? ❑
El
If Yes=> APPROVED STANDARD SPECIFICATIONS OF DATE APPROVED
(municipality or firm)
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? ® El
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? El
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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? ® El
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? ❑
El
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? El
lA
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 the applicant? ❑
El
If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION
JACOBS
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[AC
64,or that an explanation and justification for any proposed
variations from such standards is attached. I am familiar with the
� p/ information contained in this application,and to the best of my
t7
SIGNA URE DATE -ei/U b knowledge,such information is complete and accurate.
J SIGNATU DATE
�/ 4- j-2c r
*Estimated Construction Start Date: Complete applications must be submitte t12 d s in y advance of the date for
starting construction in accordance with Rules 567 RC 60.4 and 64.2
PLEASE COMPLETE THE SCHEDULE CHECKLIST ON THE FOLLOWING PAGE OF THIS FORM
Exhibit 8A
Iowa Department of Natural Resources Wastewater Section
Construction Permit Application
SCHEDULE A,General Information
DOCUMENT CHECKLIST
Identify all categories included in this project. Also,identify schedules attached to this application.
SCHEDULE INCLUDED IN SUBMITTAL
TITLE ATTACHED PROJECT DATE
B Collection system ❑ ❑
C Lateral Sewer Extension ❑ ❑
D Trunk&Interceptor Sewer ❑ ❑
E Wastewater Pump Station ❑ ❑
F Treatment Project Site Selection I
❑ 14 April 2008
G Treatment Project Design Data ❑ ❑
HI Schematic Flow Diagram ® ❑ 14 April 2008
H2 Treatment Process Loading and 0 ❑
Removal Efficiency
H3 Mechanical Plant Reliability ❑ ❑
I Screening,Grit Removal and Flow El
El
Measurement
J Septic Tank System El El
Kl Controlled Discharge Pond ❑
El
K2 Aerated Pond 0 ❑
K3 Anaerobic Lagoon ❑ ❑
L Setting Tanks 00
M Fixed Film Reactor—Stationary Media 0 ❑
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 0 ❑
(To be developed)
Sewage Treatment Agreement ® ❑ 14 April 2008
Identify any categories included in this project which are not provided in the above list of schedules.
DNR form 28A(Apr 04) 542-3129
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE F,Treatment Project Site Selection
DATE PREPARED PROJECT IDENTITY
09 April 2008 Flow Equalization Facility-Phase II Expansion Pt
DATE REVISED PROJECT NO.
PERMIT NO.
1. Project Location: County Black Hawk Section 4 Township 89 Range 14
Is this a new site? Existing site? or Expansion of existing site? Yes
2. Provide the following as attachments(minimum of three each needed):
(a) General plat layout of area within a five mile radius of the project,noting all important features.
(U.S.G.S.map may be used).
(b) Site layout of area within a 1,500 foot radius of the project with a scale of approximately 1 inch equal to 200 feet,noting
project and all features listed in Subrule 567 IAC 64.2(3):inhabitable residences,commercial buildings,inhabitable
structures,public shallow wells,public deep wells,private wells,lakes and public impoundments,property lines and rights-
of-way,etc.
3. Does the project lie in a floodplain? Yes [] No El
Elevation of 100 year flood(MSL) <855 Elevation of 25 year flood(MSL) <855
Will the treatment works structures,including the electrical and mechanical equipment,be protected from physical damage by
the 100-year flood? Yes ® No ❑
Will the plant remain operational during the 25-year flood? Yes ® No ❑
Method of flood protection None
4. Minimum distance to high water table II Ft
5. Describe geology of area Flat to Rolling Topography
6. Describe soil conditions Silty Clay and Silty-Sand Overlain by Sand
7. State the minimum distances and direction to:
(a) Municipal wells 10,500 Ft Southwest
(b) Private wells 8,000 Ft Northeast
(c) Residences or Businesses 950 ft to Nearest Residence,850 ft to nearest business
(d) Recreation areas 3,000 ft Southwest to George Wyth State Park
(e) Other
8. Direction of the prevailing winds Northwest
9. Sulfate content of the raw water supply source 140 mg/l. Identify source City Water
10. Is this area available for expansion? Yes Eg No ❑ If yes,how much? 50%
Location of area North and South Identify owner of property City of Waterloo
11. Will site be accessible via an all weather access road? Yes ® No ❑ Type Existing Crushed Stone Drive
12. Source of STP water supply:
Maintenance/Cleanup City of Waterloo Potable? Yes ® No ❑
Laboratory/Sanitary N/A Potable? Yes ❑ No ❑
Potable? Yes ❑ No D
13. Receiving Stream City WWTP tributary to Cedar River
7-day 10-year Low Flow cfs. Source of stream flow data
Drainage area above site square miles
Is stream a dry run intermittent continuous flow
Describe downstream usage of the receiving stream
DNR form 28F(Apr 04) 542-3099
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FIGURE 1
ATTACHMENT B
IDNR CONSTRUCTION PERMIT
JE JAC0BS SCHEDULE F
PRETREATMENT PLANT PHASE II EXPANSION
WATERLOO,IOWA
APRIL 2008
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE Hl,Schematic Flow Diagram
DATE PREPARED PROJECT IDENTITY
14 April 2008 Flow Equalization Facility-Phase II Expansion IZ17i
DATE REVISED PROJECT NO.
PERMIT NO.
Exist Exist. New — Elev.865.0
Influent Valve Valve Etev 864.0 High Level p Gravi Lift Pit Pit - _ ry
Station — New 70 ft Equalization Tank Discharge
Existing 46 ft Equalization Tank 350 GPM
Max
New By-Pass Line
Mixer 2,
Gravity 2-200 GPM
Influent City of Waterloo
1275 GPM Flow Equalization Facility
Max
Phase ll Expansion
a, 2-750 GPM 309,132 gallons
DNR form 28H1 (Nov 00) 542-3101
IOWA DEPARTMENT OF NATURAL RESOURCES
Wastewater Disposal System Construction Permit
Application Fee Form
OWNER: City of Waterloo 32-3202
ADDRESS: 715 Mulberry St
Waterloo, IA 50703
PROJECT IDENTIFICATION: Fl ow Focal i zrti or
Facility — Phase II Expansion
City Of Waterloo, IA
X
$100 Fee enclosed IDNR Cashier's Use Only
0945-542-NPDE-0570
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 455B.173 and rules in Iowa Administrative Code 567 IAC 64, must be
accompanied by the fee required by Iowa statute(HF2540).
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 identified 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 Wayne Farrand at 515/281-8877 or
wayne.farrand@dnr.state.ia.us
Signature of owner or representative
Telephone or email contact •
Send with application to:
Iowa Department of Natural Resources,Wastewater Construction Section
Wallace State Office Building
502 East 9th Street
Des Moines,IA 50319
STATE OF IOWA
DEPARTMENT OF NATURAL RESOURCES
HENRY A. WALLACE BUILDING
DES MOINES, IOWA 50319
CONSTRUCTION PERMIT
City of Waterloo PERMIT NO.: 08-428-S
715 Mulberry Street
Waterloo, Iowa 50703 FILE: Sewage
Attn: Timothy J. Hurley, Mayor RE: Waterloo
PROJECT NO: S08-288
In accordance with the provisions of Section 455B.173.3 and 455B.174.4, Code of
Iowa, and Rule 567--64.2(455B) of the Iowa Administrative Code, the Director of
the Department of Natural Resources does hereby issue a permit for the construction
of:
A new 70 ft. diameter raw waste equalization tank, with associated piping,
and a new chemical feed line to the existing 46 ft diameter raw waste
equalization tank. No increase in the design loading capacity of the
wastewater treatment system is authorized by issuance of this permit.
Construction of the project shall be initiated within one year of issuance of this
permit or this permit is no longer valid. Within thirty days after completion of
construction, the permit holder shall submit a certification by a registered
professional engineer that the project was completed in accordance with the
approved project documents.
Pursuant to Section 455B.174.4, Code of Iowa, you have the right to appeal any
condition of this permit by filing with the Director of the Department of Natural
Resources a notice of appeal and request for administrative hearing within thirty
days of receipt of this permit. Issuance of this permit in no way relieves the
permittee of the responsibility for complying with any other local, state, and federal
laws, ordinances, regulations or other requirements applicable to this facility.
Please contact Robert Palla at 515/281-8868 with any questions or comments.
For the Department of Natural Resources:
RICHARD A. LEOPOLD, DIRECTOR
/ 1 .y. 1/Cti-IV)-L-e-- Fa44.-a-)-1,0‘
• ENVIRONMENTAL SERVICES DIVISION
Date: 6,li1,14 l e 0 0
cc: Robert Reynolds, Jacobs, 421 Lawrence Drive, DePere, WI. 54115
DNR Field Office 1
Plan Distribution: 1 Engineer; 1 Field Office; 1 DNR File
66-/
RECEIVED JUN2 6 2196
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