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HomeMy WebLinkAboutIowa Department of Natural Resources Wastewater Section-4/26/2010Iowa 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 Commonbond Communities FIRM Ament, Inc ADDRESS 328 Kellogg Boulevard west c) o._ c+ I\,: Ji s. Vii_. ADDRESS 3628 University Avenue, Waterloo, Iowa 50701 REPRESENTATIVE Cynthia Lee TELEPHONE 651-291-1750 PROJECT OFFICER Larry Buchholz TELEPHONE 319233-1323 PROJECT IDENTIFICATION Unity Square 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 r2/t'. (/e% TITLE e, oc A. e 1l a W e6c t, DATE 5/5///O 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? ural Resources. This agreement shall not be construed in any way to affect any local ordinances, sewer service agreemen ,'fee sys,-ms ter ; P to between the parties. / V+ SIGNATURE TYPED ORPRINTED NAME (( -ernes4- 6. TITLE LAVT— PHONE NUMBER ( 11)A 1- y3d1 DATE i( (2o(d DNR form 29 (Nov 0 542.3219 Exhibit 8A Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCITEDULE A, General Information APPLICANT ENGINEER OWNER Commonbond Communities FIRM Arnent, Inc,. ADDRESS 328 Kellogg Boulevard West SI ?6, A ) S J (','. ADDRESS 3628 University Avenue, Waterloo, Ia 50701 REPRESENTATIVE TELEPHONE Cynthia Lee (651) 291-1750 PROJECT OFFICER TELEPHONE Larry Buchholtz (319) 233-1323 PROJECT IDENTIFICATION Unity Square ESTIMATED START DATE * March, 2010 ESTIMATED COMPLETION DATE May, 2010 PLEASE RESPOND TO ALL QUESTIONS YES NO 1. Has an engineering report, facilities plan or other information previously been submitted for thisproject? ❑IZI If Yes=> PROJECT IDENTITY DATE SUBMITTED 2. Does the project and construction permit application, as submitted, follow the recommendations, design Ioadings, construction schedule, permit limits, and conclusions of the approved engineering report or facilities plan? IfNo=> Provide the design basis and technical information justifying all changes. 3. Are there three complete sets of plans and specifications accompanying this application? For anunor 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? ►5 ❑ ■ ❑ 0 If Yes=> APPROVED STANDARD SPECIFICATIONS OF (municipality or firm) DATE APPROVED 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, Cade 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? 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? 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? �1 i4 ® It ❑ I ❑ ❑ ❑ ❑ .4 ■ If No=> NAME OF ENGINEERING FIRM CONDUCTING INSPECTION 11. Will this project utilize CWSRF loan funds? ❑ I4 CERTIFICATION APPLICANT I certify that I am the authorized representative of the owner and state that the project identified above is approved by the owner, t l ' • 3 / /U ENGINEER 1 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 any knowl - d _e, such inforrnation is com Mete and accurate. SIG ATURE DATE SIGAJA URL DATE r 0 * Estimated Construction Start Date: Complete applications ust 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 (Apr 04) 542-3129 Exhibit 8A Iowa Department of Natural Resources Wastewater Section Construction Permit Application SCHEDULE A, General Information DOCUMENT CHECKLIST Identify a 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 Hl 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 & 13) 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 DATE REVISED PROJECT IDENTITY Unity Square DNR 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 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. Location Design capacity, MGD Peak Hourly Dry weather Flow MGD (actual) Peak Hourly Wet Weather Flow MGD (actual) Segment Segment Segment pito55tLE Sr/ Gui tr Sr t3 ?moo 24.53 ©.'113 Co0+ 4B,o00+ o. 064 *3. Identify treatment facility, the design loadings and present raw waste loadings. Indicate source and accuracy of numerical data. Facility name and number \M4{wtvo WadetioaCer Veatww>eud— -cu , ,Ql9cx 1 Facility Loading Design Average Wet Weather (actual) Peak Hourly Wet Weather (actual) MGD #BODS/day 34,8 t3 ?moo 24.53 345O0 Co0+ 4B,o00+ 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 160 Persons 160 Persons Flow (100 GPCD) 16,000 GPD 16,000 GPD BOD5 (0.17 #/d/cap) 27.2 #/day 27.2 #/day Industrial service area Acres Acres Rated flow GPD GPD BOD5 #/day #/day Other Acres Acres Rated Flow GPD GPD BOD5 #/day #/day Total 130D5 27.2 #/day 27.2 #/day Total Flow 16,000 GPD 16,000 GPD Peak Hourly Flow 64,000 GPD 64,000 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 DATE REVISED PROJECT IDENTITY DNR USE PROJECT NO. PERMIT NO. 1. Design Basis Residential service area Population Flow (100 GPCD) BOD5 (0.17 #/d/cap) Industrial service area Rated Flow BOD5 Other Rated Flow BOD5 Total BOD5 Initial 3.7 Design Year ( Acres 3.7 160 Persons 160 16,000 GPD 16,000 27.2 #(day 27.2 Acres GPD #/day Acres GPD #/day 27.2 #/day 27.2 Total Flow 16,000 Peak Hourly Flow 64,000 GPD 64,000 GPD 16,000 2. Pipe Diameter Material Joint Minimum Slope Maximum Manhole Space Total Sewer Length Maximum Cover Minimum Cover 8 Inch ASTM D-3034, SDR -26 ASTM D-3212 0.47 210 887 8.4 5.1 % ft. ft.. ft. ft. 10 Inch 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 class Class B B. Pipe laying ASTM -D2321-00 C. Compaction ASTM -D2321-00 D. Manhole ASTM C-478 E. Specified maximum Infiltration/exfiltration rate 200 F. Infiltration/exfiltration test procedures City of Waterloo GPDPMPI G. Alignment & grade test procedures (1) During construction: Stake & batter board (2) After construction: Lamping X H. Deflection test procedures City of Waterloo Other Laser X 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 Concrete/Precast 5. Minimum sewer & water main separation: Horizontal 10 ft. Vertical 18 Are specifications included? No in. 6. Stream, road, or railroad crossing protection City of Waterloo Are specifications included? No DNR form 28C (Nov 00) 542-3096