HomeMy WebLinkAboutPage 1Exhibit 11A
Iowa Department of Natural Resources
Wastewater Section
Construction Permit Application
SCHEDULE A, Construction Permit Application
APPLICANT
Owner: City of Waterloo, Iowa
Address: 625 Glenwood Street
ENGINEER
Firm: AECOM
Address: 501 Sycamore Street, Waterloo, Iowa 50703
Representative: Randy Bennett Project Officer: Nick Schrock, P.E.
Phone Number: 319-291-4445 ext. 3656 Phone Number: 319-874-6581
Email: randy.bennett@waterloo-ia.org Email: nick.schrock@aecom.com
Project Identification: US Highway 63 Lift Station, Force Main and Sanitary Sewer Improvements - Phase 2
Estimated Start Date*: Spring 2027 Estimated Completion Date: Spring 2028
PLEASE RESPOND TO ALL QUESTIONS
1. Has an engineering report, facilities plan or other information previously been submitted for this project?
If Yes: Project Identity: Waterloo - Master Plan Date Submitted: December, 2017
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. Is there an electronic set of plans and specifications accompanying this application?
Attachment size is limited to 25MB. Please use zip files or other options to submit attachments greater than 25MB.
4. Are approved standard specifications a part of this application?
If Yes: Approved Standard Specifications of
(municipality or firm): 2026 SUDAS
Date Approved: 12/16/2025
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? ❑ 0
If Yes: A construction permit 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? 0 ❑
If No: A Sewage Treatment Agreement executed by the authority providing treatment must accompany this form.
8. Is a new or amended operation permit necessary to use the facilities described in this application? ❑ 0
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 ❑ 0
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 applicant? 0 ❑
If No: Name of Engineering Firm Conducting Inspection:
11. Will this project utilize CWSRF loan funds? 0 ❑
CERTIFICATION
Yes No
APPLICANT
I certify that I am the thorized representa ive of the owner and state that the project identified above is approved by the owner.
Signature �- Date
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 08/05/26
*Estimated Construction Start Date: Complete applications must be submitted at (east 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.
09/2024 cmc
DNR Form 542-3129; 28A
DOCUMENT CHECKLIST
Identify all categories included in this project. Also, identify schedules attached to this application.
Schedule Title Attached Included in Project Submittal Date
B Collection System ❑ ❑X
C Lateral Sewer Extension ❑ ❑
D Trunk & Interceptor Sewer ❑ 0
E Wastewater Pump Station ❑ 0
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 ❑ ❑
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.
09/2024 cmc
MNR Form 542-3129; 28A