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Home My WebLink AboutIowa Department of Natural Resources-Sewage Treatment Agreement-07.09.2007 7 9 17 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 ENGINEER OWNER FIRM Leondorf, L.L.C. Shive-Hattery,Inc. ADDRESS ADDRESS 209 Washington Street,Denver,IA 50622 201 3`1 Ave SE-Ste 500,PO Box 1803,Cedar Rapids,IA 52406 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE Gene Leonhart 319-232-5400 Ervin G. Mussman,P.E. 319-364-0227 PROJECT IDENTIFICATION Country Club Business Center Addition 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 TITLE 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 Depai tment 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 Timoth TITLE PHONE NUM ER DATE Mayor 319-291-4301 July 9, 2007 DNR form 29(Nov 00) 542-3219 • Exhibit 8A Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE A,General Information APPLICANT ENGINEER OWNER FIRM Leondorf L.L.C. Shive-Hattery,Inc. ADDRESS ADDRESS 209 Washington Street 201 3`d Avenue S.E.-Ste 500;P.O.Box 1803,Cedar Rapids,IA Denver,IA 50622 52406-1803 REPRESENTATIVE TELEPHONE PROJECT OFFICER TELEPHONE Gene Leonhart (319)232-5400 Ervin G.Mussman,P.E. (319)364-0227 PROJECT IDENTIFICATION ESTIMATED START DATE* ESTIMATED COMPLETION DATE Country Club Business Center Addition July 2007 November 2007 PLEASE RESPOND TO ALL QUESTIONS YES NO 1. Has an engineering report, facilities plan or other information previously been submitted for this project? ❑ El 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 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? ® ❑ If Yes=> APPROVED STANDARD SPECIFICATIONS OF DATE APPROVED (municipality or firm) City of 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? ® ❑ 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 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? ❑ 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 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? ❑ If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION Shive-Hattery,Inc. 11. Will this project utilize CWSRF loan funds? ❑ El 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 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 SIGNAT DATE o6-Z.5a *Estimated Construction Start Date: Complete applications must be sub d 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 28A (Apr 04) 542-3129 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. INCLUDED IN SUBMITTAL SCHEDULE TITLE ATTACHED PROJECT DATE B Collection system El El C Lateral Sewer Extension [El El D Trunk&Interceptor Sewer ❑ ❑ E Wastewater Pump Station ❑ ❑ F Treatment Project Site Selection ❑ ❑ G Treatment Project Design Data ❑ ❑ H 1 Schematic Flow Diagram ❑ ❑ H2 Treatment Process Loading and ❑ ❑ Removal Efficiency H3 Mechanical Plant Reliability ❑ ❑ I Screening,Grit Removal and Flow ❑ ❑ Measurement J Septic Tank System ❑ ❑ K1 Controlled Discharge Pond ❑ ❑ K2 Aerated Pond ❑ ❑ K3 Anaerobic Lagoon ❑ ❑ L Setting Tanks ❑ ❑ M Fixed Film Reactor—Stationary Media ❑ ❑ N Rotating Biological Contactor ❑ ❑ O Aeration Tanks or Basins ❑ ❑ P Gas Chlorination ❑ ❑ Q Sludge Digestion and Holding ❑ ❑ R1 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 ❑ ❑ (To be developed) Sewage Treatment Agreement ❑ ❑ 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 June 8,2007 Country Club Business Center Addition 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 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. Segment Segment Segment Location Existing 8" lateral @ 0,40% Design capacity,MGD 0.39 MGD Peak Hourly Dry weather Flow MGD(actual) Peak Hourly Wet Weather Flow MGD(actual) *3. Identify treatment facility,the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility name and number Waterloo Wastewater Treatment Facility #0790001 Fed# Facility Loading MGD #BOD5/day Design 34.8 88,000 Average Wet Weather(actual) 24.53 31,500 Peak Hourly Wet Weather(actual) 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( ) Residential service area Acres Acres Population Persons Persons Flow(100 GPCD) GPD GPD BOD5 (0.17#/d/cap) #/day #/day Industrial service area Acres Acres Rated flow GPD GPD BOD5 #/day #/day Other Commerical 25.46 Acres 30 Acres Rated Flow 127,300 GPD 150,000 GPD BOD5 #/day #/day Total BOD5 #/day #/day Total Flow 127,300 GPD 150,000 GPD Peak Hourly Flow 509,200 GPD 600,000 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 June 8,2007 Country Club Business Center Addition PROJECT NO. DATE REVISED PERMIT NO. 1. Design Basis Initial Design Year( ) Residential service area Acres Acres Population Persons Persons Flow(100 GPCD) GPD GPD BOD5(0.17#/d/cap) #/day #/day Industrial service area Acres Acres Rated Flow GPD GPD BOD5 #/day #/day Other Commercial 25.46 Acres 30 Acres Rated Flow 127,300 GPD 150,000 GPD BOD5 #/day #/day Total BOD5 #/day #/day Total Flow 127,300 GPD 150,000 GPD Peak Hourly Flow 509,200 GPD 600,000 GPD 2. Pipe Diameter 8 Inch 10 Inch 12 Inch Material PVC Truss Joint Gasketed Minimum Slope 0.40 Maximum Manhole Space 400 ft. ft. ft. Total Sewer Length 2850 ft.. ft. ft. Maximum Cover 15 ft. ft. ft. Minimum Cover 515 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 ASTM Class II,D2321-05 except as modified by ASTM D2680-01 B. Pipe laying ASTM Class II, D2321-05 except as modified by ASTM D2680-01 C. Compaction 95%Standard Proctor Density D. Manhole ASTM C478 48"Dia. E. Specified maximum Infiltration/exfiltration rate 200 GPDPMPI F. Infiltration/exfiltration test procedures V-Notch Weir,Televising, or Air Test G. Alignment&grade test procedures (1) During construction: Stake&batter board X Laser X (2) After construction: Lamping X Other Televising H. Deflection test procedures NA 4. Are detailed manhole drawings included: Yes ❑ No Typical frame and cover assembly Neenah R-1643 Are manhole covers nonvented: Yes ® No ❑ Manhole diameter 48 in. Manhole opening diameter 24 in. Material Pre-cast concrete 5. Minimum sewer&water main separation: Horizontal 10 ft. Vertical 6 in. Are specifications included? No 6. Stream,road,or railroad crossing protection N/A Are specifications included? IOWA DEPARTMENT OF NATURAL RESOURCES Wastewater Disposal System Construction Permit Application Fee Form OWNER: Leondorf,LLC 32-3202 ADDRESS: 209 Washington Street,Denver,IA 50622 PROJECT IDENTIFICATION: Country Club Business Center Addition $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 31 q - Z3 - 5—goo Send with application to: Iowa Department of Natural Resources,Wastewater Construction Section Wallace State Office Building 502 East 9th Street Des Moines, IA 50319 I