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HomeMy WebLinkAboutIowa DNR - Village West Subdivision-8/8/2016Iowa 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: BCS Properties ENGINEER Firm: Clapsaddle-Garber Associates Address: 604 Clay Street Cedar Falls, Iowa 50613 Address: 16 East Main Street Marshalltown, Iowa 50158 Representative: Brent Dahlstrom Project Officer: Adam Daters Phone Number: 515-867-7000 Phone Number: 641-752-6701 Project Identification: Village West Subdivision Owner and System Receiving Wastes: City of Waterloo - Water Pollution Control Plant 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 above. Signature Title: Owner Date i IP -P-1 ce 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 be construed in any way to affect any local ordinances, sewer service agreements,{or feesystemsentered into between the parties. Name:-�'\`A1V1 `L� -i- Title: Mayor, City of Waterloo Signature i ��_1�-1' —7 Date � / j 6 Phone: 11/2015 cmc DNR Form 542-3219; 29 Exhibit 11A Iowa Department of Natural Resources Wastewater Engineering Section Construction Permit Application SCHEDULE A, General Information APPLICANT ENGINEER OWNER E-MAIL ADDRESS BCS Properties brentdahlstrom@gmail.com FIRM E-MAIL ADDRESS Clapsaddle-Garber Associates, Inc adaters@cgaconsultants.com ADDRESS 604 Clay Street, Cedar Falls, Iowa 50613 ADDRESS 16 E Main Street, Marshalltown, Iowa 50158 REPRESENTATIVE TELEPHONE Brent Dahlstrom 515-867-7000 PROJECT OFFICER TELEPHONE Adam Daters 641-752-6701 PROJECT IDENTIFICATION Village West Subdivision ESTIMATED START DATE * 6-1-16 ESTIMATED COMPLETION DATE 11-1-17 1. Has an engineering If Yes=> 2. Does the loadings, facilities If No=> 3. Are there For a Standard three 4. Are approved If Yes=> 5. Does each "professional If No=> Processing specifications 6. Is this a If Yes=> A Water 7. Is the applicant If No=> A accompany 8. Is a new If Yes=> A 9. Is any waterline within 400 If Yes=> Identify 10. Will construction If No=> 11. Will this project construction plan? Provide three minor sets joint construction Sewage or new PLEASE RESPOND TO ALL QUESTIONS report, facilities plan or other information previously been submitted for this project? YES NO ■*❑ PROJECT IDENTITY DATE SUBMITTED and construction permit application, as submitted, follow the recommendations, design schedule, permit limits, and conclusions of the approved engineering report or the design basis and technical information justifying all changes. complete sets of plans and specifications accompanying this application? gravity sewer extension within the meaning of 455B. 183.3 Code of Iowa and Design 11.1, two complete sets will be adequate for expeditious approval. For more complex projects, of plans and specifications may be requested. standard specifications a part of this application? I© ❑ © ❑ 0 0 0 ❑ APPROVED STANDARD SPECIFICATIONS OF (municipality or firm) Iowa Sudas 2016 Edition DATE APPROVED 2016 set of plans and specifications or engineering report accompanying this application contain a engineering seal" executed in conformance with 542B.16, Code of Iowa? will be delayed pending receipt of applicable design schedules and certified plans, or engineering report. wastewater and water supply project? premit application for the water supply project should be submitted separately to the Supply Section. A water supply permit fee may be required. to provide treatment of effluent resulting from this construction? Treatment Agreement (DNR Form 29) executed by the authority providing treatment must this application. amended operation permit necessary to use the facilities described in this application? or amended permit to operate may be requested prior to the receipt of a construction permit. located within 10 feet; or any private or public well, lake, or public recreation area located feet of the proposed construction? and locate the facility(s) relative to the proposed construction. inspection be conducted by a licensed engineer employed by the applicant? © • 0 0 ❑ 0 ❑ 0 0 0 ■ NAME OF ENGINEERING FIRM CONDUCTING INSPECTION Clapsaddle-Garber Associates project utilize CWSRF loan funds? CERTIFICATION APPLICANT I certify that I am the authorized representative of the owner state that the project identified above is approved by the owner. and ENGINEER I certify that all aspects of 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 info ation is complete and accurate. SIGNAT " / DATE / i 51/4 609 l ' c PP -11(0 E SI T-- DATE * 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 28A (Sept 2010) 542-3129 Construction Permit Application SCHEDULE A, General Information, page 2 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 C Lateral Sewer Extension D Trunk & Interceptor Sewer E Wastewater Pump Station F Treatment Project Site Selection G Treatment Project Design Data HI 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 KI 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 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 (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 (Sept 2010) 542-3129 Print Fors Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE B, Collection system DATE PREPARED 5-2-16 DATE REVISED 6-30-6 PROJECT IDENTITY Village West Subdivision NR USE PROJECT NO. 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 NA NA *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 W. Ridgeway Ave 8" @ 0.40% 88,000 24.53 0.40 60+ 48,000 .021 NA *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 #BODS/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 Residential service area Population Flow (100 GPCD) BOD5 (0.17 #/d/cap) Industrial service area Rated flow BOD5 Initial N/A N/A N/A N/A N/A N/A N/A Other Commercial 14.71 Rated Flow BOD5 Total BOD5 Total Flow Peak Hourly Flow 73,550 73,550 73,550 Design Year ( 2026 ) Acres 3.6 Acres Persons 54 Persons GPD 5,400 GPD #/day 9,18 #/day Acres N/A Acres GPD N/A GPD #/day N/A #/day Acres 14.71 Acres GPD 73,550 GPD #/day #/day #/day #/day GPD 78,950 GPD GPD 84,350 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 5-2-16 DATE REVISED PROJECT IDENTITY Village West Subdivision DNR USE PROJECT NO. PERMIT NO. I. Design Basis Residential service area Population Flow (100 GPCD) BOD5 (0.17 #/d/cap) Industrial service area Rated Flow BOD5 Other Commercial Rated Flow BOD5 Total BOD5 Total Flow Peak Hourly Flow 2. Pipe Diameter Material Joint Minimum Slope Maximum Manhole Space Total Sewer Length Maximum Cover Minimum Cover Initial N/A N/A N/A N/A N/A N/A N/A 14.71 73,550 73,550 73,550 8 Inch Truss Bell and Spigot 0.40 284 1780 5 12 ft. ft.. ft. ft. Acres Persons GPD #/day Acres GPD #/day Acres GPD #/day #/day GPD GPD 10 Inch Design Year ( 2026 3.6 54 5,400 9.18 N/A N/A N/A 14.71 73,550 78,950 84,350 ft. ft. ft. ft. 12 Inch Acres Persons GPD #/day Acres GPD #/day Acres GPD #/day #/day GPD GPD ft. 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 classSUDAS SECTION 3010 B. Pipe laying SUDAS SECTION 4010 C. CompactionSUDAS SECTION 4010 D. Manhole SUDAS SECTION 6010 with chimney seals E. Specified maximum Infiltration/exfiltration rate 200 GPDPMPI F. Infiltration/exfiltration test procedures Low Pressure Air G. Alignment & grade test procedures (I) During construction: Stake & batter board Laser X (2) After construction: Lamping X Other Television H. Deflection test procedures Mandrel Test, SUDAS Section 4060 3.05 4. Are detailed manhole drawings included: Yes ® No 0 Typical frame and cover assembly SW -601 Casting (SUDAS TYP) Are manhole covers nonvented: Yes ❑X No 0 Manhole diameter 48 (SUDAS TYP) in. Manhole opening diameter 27 (SUDAS TYP) in. Material Cast Iron 5. Minimum sewer & water main separation: Horizontal 10 Are specifications included? Iowa SUDAS 2016 Edition ft. Vertical 18 n 6. Stream, road, or railroad crossing protection N/A Are specifications included? N/A DNR form 28C (Nov 00) 542-3096 Item Coversheet w CITY OF WATERLOO Council Communication Page 1 of 1 Srj fl Resolution approving Construction Plans for Sanitary Sewer, Storm Sewer, and Paving Serving the Village West Development, as submitted by Clapsaddle-Garber Associates, Inc.; and Sewage Treatment Agreement DNR Fonn 28A (Sept 2010) with the Department of Natural Resources and the final acceptance of construction plans subject to the review and acceptance by the DNR, and authorize Mayor to execute said document. City Council Meeting: 8/8/2016 Prepared: 8/3/2016 Resolution approving Construction Plans for Sanitary Sewer, Storm Sewer, and Paving Serving the Village West Development, as submitted by Clapsaddle-Garber Associates, Inc.; and Sewage SUBJECT: Treatment Agreement DNR Form 28A (Sept 2010) with the Department of Natural Resources and the final acceptance of construction plans subiect to the review and acceptance by the DNR, and authorize Mayor to execute said document. Submitted by: Submitted By: Dennis Gentz, PE, Assistant City Engineer Summary Statement: Documents are available for review in the City Clerk's Office. http://waterloo.novusagenda.com/AgendaWeb/CoverSheet.aspx?ItemID=5922 8/3/2016