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Home My WebLink AboutDNR - Prairie Meadows Estates Combined Sanitary - 9.16.2024IOWA DEPARTMENT OF NATURAL RESOURCE Wastewater Disposal System Construction Per it Application Fee Form Owner Name: Robson Homes Inc. Address: 5901 WILLIAMS BLVD SW City, State, Zip: CEDAR RAPIDS, IA 52404 Project Identification: PRAIRIE MEADOW ESTATES FIRST ADDITION ■❑ $100 Fee enclosed CASHIER' 0945-542-N 32-3202 Owner S USE PDE-C ONLY P-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 4556.173 and rules in Iowa Administrative Code 567 IAC 64, must be accompanied by the fee required by Iowa Code 4556.197 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.Gomm@dnr.iowa.gov Signature of Owner or Representative: Printed Name: (logo,-. 1-1-Ctriz " IA_ , c�l� " obSCry-Nl Telephone or email contact: Q.A Scrn hovxz.5 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 Iowa Department of Natural ¶tesources Wastewater Sectior Construction Permit Appli SCHEDULE A, Construction Perm Exhibit 11A ration t Application APPLICANT Owner: Robson Homes Inc. Firm: Snyder & As ENGINEER ociates, Inc. Address: 5901 WILLIAMS BLVD SW CEDAR RAPIDS, IA 52404 Address: 2727 SW nyder Blvd., Ankeny, IA 50023 Representative: Joe Robson Project Officer: Eri Cannon Phone Number: 319-350-3781 Phone Number: 51 -964-2020 Email: Email: ecannon@s der-associates.com Project Identification: PRAIRIE MEADOW ESTATES FIRST ADDITION Estimated Start Date*: 08/01/2024 Estimated Completion Date: 08/01/2027 I PLEASE RESPOND TO ALL QUESTIONS 1. Has an engineering report, facilities plan or other information previously been submit If Yes: Project Identity: Date Submitted: 2. Does the project and construction permit application, as submitted, follow the recom construction schedule, permit limits, and conclusions of the approved engineering re If No: Provide the design basis and technical information justifying all changes. 3. Are there three complete sets of plans and specifications accompanying this applicati For a minor gravity sewer extension within the meaning of 455B.183.3 Code of Iowa sets will be adequate for expeditious approval. For more complex projects, three set requested. 4. Are approved standard specifications a part of this application? If Yes: Approved Standard Specifications of (municipality or firm): SUDAS 5. Does each set of plans and specifications or engineering report accompanying this app "professional engineering seal" executed in conformance with 542B.16, Code of lowa If No: Processing will be delayed pending receipt of applicable design schedules a 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 su 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 treat 8. Is a new or amended operation permit necessary to use the facilities described in this If Yes: A new or amended permit to operate may be requested prior to the receip 9. Is any waterline located within 10 feet; or any private or public well, lake, or public re( 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 al If No: Name of Engineering Firm Conducting Inspection: City of Waterloo 11. Will this project utilize CWSRF loan funds? t ed for this project? mendations, design loadings, port or facilities plan? on? and Design Standard 11.1, two complete s of plans and specifications may be Yes No ❑ a ❑X ❑ CERTIFICATION Date Approved: 2024 lication contain a ❑X ❑ El 0 El El nd certified plans, specifications or ❑x ❑ bmitted separately to the Water Supply El a ment must accompany this form. application? ❑ ❑X t of a construction permit. reation area located within plicant? ❑ a O El ❑ ❑ APPLICANT I certify that I am the authorized representative of the owner and state that the project identified above is approved by the owner. Date 1-ZZ-ZY 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, such information is complete and accurate. Signature Date 7/23/2024 *Estimated Cop 'truction 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. 04/2016 cmc DNR Form 542-3129; 28A DOCUMENT CHECKLIST Identify all categories included in this project. Also, identify schedules attached to this application. Schedule Title B Collection System C Lateral Sewer Extension D Trunk & Interceptor Sewer E Wastewater Pump Station F Treatment Project Site Selection G Treatment Project Design Data H1 Schematic Flow Diagram H2 Treatment Process Loading and Removal Efficiency H3 Mechanical Plant Reliability Screening, Grit Removal and Flow Measurement 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 Attached 0 0 0 0 0 0 Included in Project El Submittal Date 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 Sewage Treatment Agreement INSTRUCTIONS This agreement must be executed for all projects where construction and sewage treat i.e., a private subdivision connecting to a municipal system. This agreement must be exe time the permit is issued, regardless of whether title to the proposed construction proje project. This agreement is not necessary when a contract for sewage treatment already exists; i. However, the Department of Natural Resources must be informed in writing that the co ent will be provided by different parties; uted by the parties who are owners at the t will be transferred after completion of the ., service contracts between municipalities. tractual agreement does exist. APPLICANT Owner: Robson Homes Inc. Firm: Snyder & Asgociates, ENGINEER Inc. Address: 5901 WILLIAMS BLVD SW Address: 2727 Snyder Blvd., Ankeny, IA 50023 Representative: CEDAR RAPIDS, IA 52404 Project Officer: Eric Cannon Phone Number: 319-350-3781 Phone Number: 515-964-2020 Project Identification: PRAIRIE MEADOW ESTATES FIRST ADDITION Owner and System Receiving Wastes: City of Waterloo 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 identified a ove. Signature I---- Title: U Date 2-Z Z_ e i AGREEMENT TO PROVIDE SEWAGE TREATMENT 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 Que J (LG SIGNED Date 9/16/2024 Phone: 9/2018 cmc DNR Form 542-3219; 29 Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B, Collection System DNR USE ONLY Project No. Permit No. Date Prepared 7/23/2024 Date Revised Project Identity PRAIRIE MEADOW ESTATES FIRST ADDITION 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 none Flooding Protection *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 Design Capacity, MGD Peak Hourly Dry weather Flow MGD (actual) Peak Hourly Wet weather Flow MGD (actual) Segment 41723-41722 0.72 0.0001 0.09 All values provided from sanitary sewer model *3. Identify treatment facility, the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility Name and Number Waterloo City of STP, IA 079001 Facility Loading Design Average Wet Weather (actual) Peak Hourly Wet Weather (actual) MGD #BOD5/day 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 (2029 ) Residential Service Area 9.6 Acres 9.6 Acres Population 0 Persons 153 Persons Flow (100 GPCD) 0 GPD 15,300 GPD BOD5(0.17/#/d/cap) 0 #/day 26.0 #/day Industrial Service Area 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BOD5 0 #/day 0 #/day Other 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BOD5 0 #/day 0 #/day Total BOD5 0 #/day 26 #/day Total Flow 0 GPD 15,300 GPD Peak Hourly Flow 0 GPD 64,080 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 7/23/2024 Date Revised Project Identity PRAIRIE MEADOW ESTATES FIRST ADDITION 1. Design Basis Residential Service Area Population Flow (100 GPCD) BODS (0.17/#/d/cap) Industrial Service Area Rated Flow BODS Other Initial 9.6 Design Year (2029 ) Acres 9.6 Acres 0 Persons 153 Persons 0 GPD 15,300 GPD 0 #/day 26.0 #/day 0 Acres 0 Acres 0 GPD 0 GPD 0 #/day 0 #/day 0 Acres 0 Acres Rated Flow 0 GPD 0 GPD BODS 0 #/day 0 #/day Total BODs 0 #/day 26 #/day Total Flow 0 GPD 15,300 GPD Peak Hourly Flow 0 GPD 64,084 GPD 2. Pipe Diameter 8 Inch 10 Inch 12 Inch Material PVC Joint Gasketed Minimum Slope 0.5 Maximum Manhole Space 305 Total Sewer Length 1,663 Maximum Cover 16.70 Minimum Cover 9.06 ft. ft. ft. ft. ft. ft. ft. ft. ft. 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 Figure 3010.103 - Class I Bedding Material B. Pipe laying Section 4010 3.02 B Proceed upstream with bells pointing upstream C. Compaction Section 3010.306 D. Manhole Section 6010 Precast 48" Manhole E. Specified maximum infiltration/exfiltration rate 200 GPDPMPI F. Infiltration/exfiltration test procedures Section 4060.304 Water and air pressure G. Alignment & grade test procedures (1) During construction Stake & batterboard Laser Section 4010 3.02 (2) After construction Lamping Section 4060 3.02 Other Video Inspection H. Deflection test procedures Section 4060 3.05 Ball of mandrel pulled through 95% DIA. 4. Are detailed manhole drawings included: ❑ Yes No Typical frame and cover assembly Figure 6010.601 Are manhole covers nonvented: Yes ❑ No Manhole diameter 48 in. Manhole opening diameter 24 In Material Cast Iron frame and grate, concrete manhole 5. Minimum sewer & water main separation: Horizontal 10 Are specifications included No ft. Vertical 18 in. 6. Stream, road, or railroad crossing protection No Are specifications included 11/2015 cmc DNR Form 542-3096; 28C