HomeMy WebLinkAboutDepartment of Natural Resources-Construction Permit-07.09.2007 STATE OF IOWA
DEPARTMENT OF NATURAL RESOURCES
HENRY A.WALLACE BUILDING
DES MOINES,IOWA 50319
CONSTRUCTION PERMIT
Lost Island Real Estate,LC PERMIT NO: 2008-0068-S
2225 E. Shaulis Road FILE: Waterloo, Sewage
Waterloo, Iowa 50701 RE: Lost Island East Addition SSE
PROJECT NO: S2008-0039
In accordance with the provisions of Section 455B.173.9 and 455B.174.4, Code of Iowa, and Rule
567--64.2(455B) or Rule 567--65.5(455B), or Rule 567--41.12(455B) of the Iowa Administrative Code, the
Director of the Department of Natural Resources does hereby issue a permit for the construction of:
---903 feet of 8 inch sanitary sewer---
The 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no longer valid.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 licensed 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.
Contact Billy Chen at 515/281-4305 with any questions or comments.
For the Department of Natural Resources
Richard A. Leopold,Director
By:dii /� C.' CX----------
iEIRONMENTAL PROTECTION DIVISION
Date: August 9,2007
cc: City Clerk-Waterloo
Field Office No. 1
Wayne Claassen-Waterloo
Plan Distribution
[2] Engineer; [0] Field Office; [0] DNR File
Iowa Department of Natural Resources _3-'77
Wastewater Section �, , ().07
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
Lost Island Real Estate,LC Wayne Claassen Engineering and Surveying,Inc.
ADDRESS ADDRESS
2225 E. Shaulis Rd,Waterloo,IA 50701 P.O.Box 898,Waterloo,IA 50704
REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE
Gary Bertch. 319-233-8414 William J.Claassen,P.E. 319-235-6294
PROJECT IDENTIFICATION
Lost Island East Addition,Waterloo,Iowa
OWNER AND SYSTEM RECEIVING WASTES
City of Waterloo
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
Owner
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
TITLE ..*"..°?1517- PHONE NUMBER DATE
Mayor 319-291-4301
-7-9-07
DNR form 29(Nov 00) 542-3219
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE A,General Information
APPLICANT ENGINEER
OWNER FIRM
Lost Island Real Estate,LC Wayne Claassen Engineering and Surveying,Inc.
ADDRESS ADDRESS
2225 E. Shaulis Rd,Waterloo,IA 50701 2705 University Ave.,Waterloo,IA 50704-0898
REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE
Gary Bertch,Owner. 319-233-8414 William J.Claassen,P.E. 319-235-6294
PROJECT IDENTIFICATION ESTIMATED START DATE* ESTIMATED COMPLETION DATE
Lost Island East Addition 8/01/07 08/031/07
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 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 N
facilities plan? A ❑
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 standard specifications a part of this application? X ❑
If Yes=> APPROVED STANDARD SPECIFICATIONS OF DATE APPROVED
(municipality or firm)
Waterloo
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? X ❑
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? ❑ 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 the applicant? ❑ X
If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION
Wayne Claassen Engineering and Surveying,Inc
11. Will this project utilize CWSRF loan funds? El 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 567 IAC
Hayek Enterprises,Inc.,Norm Hayek,President 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 SIG TURF DATE
6:8/5 f36 A7
*Estimated onstruction Start Date: Complete applications must be submit at least 120 days in advance of the date for
starting co struction 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 28A (Apr 04) 542-3129
m 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.
INCLUDED IN SUBMITTAL
SCHEDULE TITLE ATTACHED PROJECT DATE
B Collection system X
C Lateral Sewer Extension X
D Trunk&Interceptor Sewer ❑
E Wastewater Pump Station ❑ ❑
F Treatment Project Site Selection ❑ 0
G Treatment Project Design Data
H1 Schematic Flow Diagram ❑ 0
H2 Treatment Process Loading and ❑ 0
Removal Efficiency
H3 Mechanical Plant Reliability ❑ 0
I Screening,Grit Removal and Flow 0 0
Measurement
J Septic Tank System El ❑
K1 Controlled Discharge Pond 0 0
K2 Aerated Pond 0 0
K3 Anaerobic Lagoon 0 0
L Setting Tanks El ❑
M Fixed Film Reactor—Stationary Media 0 0
N Rotating Biological Contactor 0 0
O Aeration Tanks or Basins 0 ❑
P Gas Chlorination ❑ ❑
Q Sludge Digestion and Holding 0 0
RI Sludge Dewatering and Disposal El 0
R2(A&B) Low Rate Land Application of Sludge ❑ 0
R3 Land Application of Sewage Sludge El 0
(To be developed)
S Land Application of Wastewater 0 El
(To be developed)
Sewage Treatment Agreement ❑ 0
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 B,Collection system
DATE PREPARED PROJECT IDENTITY DNR USE
6/30/07 Lost Island East Addition,Waterloo,IA 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.
Segment Flooding Protection
N.A. N.A.
*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
Location 30"Sink Creek
Interceptor
Design capacity,MGD
18.72
Peak Hourly Dry weather Flow
MGD(actual) 1.1
Peak Hourly Wet Weather Flow
MGD(actual) 1.31
*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 IA 079001 Fed 0042650
Pollution Control Plant
Facility Loading MGD #BOD5/day
Design 34.8 88,000
Average Wet Weather(actual) 24.53 31,500 avg day
Peak Hourly Wet Weather(actual) 60+ 48,000 peak day
Provide projected design loading increase,which will be added to this facility as a result of this project.
Design Loading Initial Design Year(2010 )
Residential service area 0 Acres 0 Acres
Population 0 Persons 0 Persons
Flow(100 GPCD) 0 GPD 0 GPD
BOD5(0.17#/d/cap) 0 #/day 0 #/day
Industrial service area 0 Acres 0 Acres
Rated flow 0 GPD 0 GPD
BOD5 0 #/day 0 #/day
Other Commercial 0 Acres 13.3 Acres
Rated Flow 0 GPD 52,000 GPD
BOD5 0 #/day 89 #/day
Total BOD5 0 #/day 89 #/day
Total Flow 0 GPD 52,000 GPD
Peak Hourly Flow 0 GPD 260,000 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 DNR USE
06/30/07 Lost Island East Addition,Waterloo,IA PROJECT NO.
DATE REVISED
PERMIT NO.
1. Design Basis Initial Design Year(2010)
Residential service area 0 Acres 0 Acres
Population 0 Persons 0 Persons
Flow(100 GPCD) 0 GPD 0 GPD
BOD5 (0.17#/d/cap) 0 #/day 0 #/day
Industrial service area 0 Acres 0 Acres
Rated Flow 0 GPD 0 GPD
BOD5 0 #/day 0 #/day
Other Commercial 0 Acres 13.3 Acres
Rated Flow 0 GPD 52,000 GPD
BOD5 0 #/day 89 #/day
Total BOD5 0 #/day 89 #/day
Total Flow 0 GPD 52,000 GPD
Peak Hourly Flow 0 GPD 260,000 GPD
2. Pipe
Diameter 8 Inch 10 Inch 12 Inch
Material PVC TRUSS
Joint ELASTOMERIC
Minimum Slope 0.4 % % %
Maximum Manhole Space 287 ft. ft. ft.
Total Sewer Length 903 ft.. ft. ft.
Maximum Cover 9.5 ft. ft. ft.
Minimum Cover 9 ft. ft. ft.
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 1A,95%STD PROCTOR
B. Pipe laying ASTM D3034,D2321, SEC 305-4
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 NA
4. Are detailed manhole drawings included: Yes X No 0
Typical frame and cover assembly NEENAH R1643
Are manhole covers nonvented: Yes X No 0
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
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