HomeMy WebLinkAboutSanitary Sewer Construction Permit 03-16-22,,,
Indiana Department of Environmental Management
APPLICATION FOR SANITARY SEWER
office of water Quality
CONSTRUCTION PERMIT PER 327 IAC
On
Facility Construction and Engineering Support Section,
3 Mall Code 8542FC
State Form 53169 (R712-20)
100 North Senate Avenue, Room N1255
Indianapolis, IN 46204-2251
•' • •-
Name Mr. or ❑ Ms.
Name ❑■ Mr. or ❑ Ms.
Douglas B. Wagner
David J. Stoeppelwerth
Name of Organization
Name of Company
Jackson's Grant Real Estate Company, LLC
Stoeppelwerth & Associates, Inc.
Address (number and street, city, state, and ZIP)
Address (number and street, city, state, and ZIP)
13578 East 131 st Street, Suite 200
7965 East 106th Street
Fishers, Indiana 46037
Fishers, Indiana 46038
Telephone Number
Telephone Number
( 317 ) 770= lye I
( 317 ) 849-5935
E-Mail Address
E-Mail Address
dwagner@republicdev.com
brobinson@stoeppelwerth.com
Name
Describe the scope and/or purpose of this project
Jackson's Grant Village, Section 2
This section will consist of 52 single-family residential lots
Location or Project Boundaries
on approximately 8,834 acres.
Northwest corner of 116th Street and Spring Mill Road.
City or Town
Carmel
County
Hamilton
SOURCE OF
•
❑ IFA's Wastewater State Revolving Fund Loan Program ❑ Local Funds
❑ OCRA's Community Development Block Grant
❑■ Private Funds
❑ USDA's Rural Development Loan and Grant Assistance ❑ Other:
CERTIFICATION■
SIGNATURE
I swear or affirm, under penalty of perjury as specified
by IC 3544.1-2-1 and other penalties specified by IC
13-30-10 and IC 13-154A (3), that the statements and
representations in this application are true, accurate,
and complete.
Printed Name of Person Signing
Douglas B. Wagner
Title
Senior Vice President
Signature of Applicant (�
Date Signed (month/day/year)
e& / 16 / 2022
U U
(Please refer to IC 1340-10 for penalties of submission of false information.)
Page 1 of 6
COLLECTION SYSTEM DESIGN SUMMARY
Part of State Form 53159 (R7 / 2-20)
3.
Number of pumps:
4.
Constant or variable speed:
5.
Design pump rate (gpm) and TDH (ft):
6.
Operating volume of the wet well (gal):
7.
Average detention time in the wet well (min):
8.
Type of standby power/pump provisions:
9.
Type of alarm:
10.
Additional information:
❑ Applicable ❑■ Not Applicable
1.
Number of stations: simplex duplex triplex
2.
Number of residential connections per simplex station (two maximum):
3.
Design pump rate (gpm) at maximum TDH (ft):
4.
Type of alarm:
5.
Privately or utility owned and maintained:
6.
Additional information:
❑ Applicable X Not Applicable
1.
Location:
2.
Total volume of vacuum tank (gal):
3.
Operating volume of the vacuum tank (gal):
4.
Number and size (HP) of vacuum pumps:
5.
Number and type of sewage pumps:
6.
Constant or variable speed:
7.
Design pump rate (gpm) and TDH (ft):
8.
Type of standby power/pump provisions:
9.
Type of alarm:
%
Additional information:
Certification
Seal, Signature, and
Date
Printed Name of Engineer or Land Surveyor
David J. Stoeppelwerth
Signature
Date Signed (month / day / year)
3 / 16 / 2022
A factor of tour (4) is prescribed by 327 IAC 3-6-11. However, an alternative peaking factor may be
r„r„nrrr,r,r
justified by other means (3271AC 3-6-32) or as provided by Ten State Standards 11,243: Peaking
STOEPpr�i,'
Factor = (18 + JPI / K + 4131, where P = population in thousands.
%00%%.
O;Q�GisTER�o
Provide pump and system curves and design calculations for TDH. If connecting to an existing force
•..ti
main, provide upstream lift station pump curves and describe how the proposed flow will affect the
`
No. '
lift station performance during simultaneous operation.
_
19358 c
For small diameter low-pressure sanitary sewer systems, provide a spreadsheet that includes the
maximum expected simultaneous operation of the proposed grinder pumps, maximum expected flow
-0.1. STATE OF
(gpm) and fluid velocity (f fsec), static head and accumulated friction loss, and expected
' '9 '• 7 ;'(/ �:
YDI
accumulated total dynamic head (TDH).
•""•••••
p4
The average detention time in the wet well (cycle time between pump ontoff settings) should be
r@IDNAi
betw` minutes, he cycle e may be calculated from the wet
n 6 and3Q))
n�?
Timeee (V / (D + IV I Q),0 where D'= discharge flow rateut of the well (dowing esign pump e)
in gpm, Q = inflow rate into wet well (average design flow) in gpm, and V = operating volume of wet
well (between pump onloff settings) In gallons.
Page 3 of 6
Part of State Form 53159 (R7 / 2-20)
CAPACITY CERTIFICATION
This form must be filled -out in its entirety with no alterations.
Name of Applicant: Jackson's Grant Real Estate Company, LLC
Name of Applicant Representative: Douglas B. Wagner
Name of Project: Jackson's Grant village, Section 2
CERTIFICATION
I, ,representing the
(Name of individual)
(Name of municipality or utility)
have the authority to act on behalf of the
in my capacity as
(Title) (Name of municipality or utility)
certify that I have reviewed and understand the requirements of 327 IAC 3 and that the sanitary
collection system proposed, with the submission of this application, plans and specifications, meets
all requirements of 327 IAC 3. 1 certify that the daily flow generated in the area that will be collected
by the project system will not cause overflowing or bypassing in the collection system other than
NPDES authorized discharge points and that there is sufficient capacity in the receiving water
pollution treatment/control facility to treat the additional daily flow and remain in compliance with
applicable NPDES permit effluent limitations. I certify that the proposed average flow will not result in
hydraulic or organic overload. I certify that the proposed collection system does not include new
combined sewers or a combined sewer extension to existing combined sewers. I certify that the
ability for this collection system to comply with 327 IAC 3 is not contingent on water pollution/control
facility construction that has not been completed and put into operation. I certify that the project
meets all local rules or laws, regulations and ordinances. The information submitted is true, accurate,
and complete, to the best of my knowledge and belief. I am aware that there are significant penalties
for submitting false information, including the possibility of fine and imprisonment.
Average Design Flow (gallons per day)
16,120
Peak Design Flow (gallons per day)
64,480
Owner of Receiving Collection System
TriCo Regional Sewer Utility
Name of Wastewater Treatment Plant
TriCo Michigan Road WRRF
Mailing Address of Certifying Representative
(number and street, city, state, and ZIP code)
E-mail Address of Certifying Representative
I am certifying for the ❑ Collection System
❑
Treatment Facility
Signature
Date Signed (month/day/year)
(Please refer to IC 13-30-10 for penalties of submission of false information.)
Page 4 of 6
Part of State Form 53159 (R7 / 2-20)
CERTIFICATION OF REGISTERED PROFESSIONAL ENGINEER OR LAND SURVEYOR
This form must be filled -out in its entirety with no alterations.
Name
of
Applicant:
Jackson's Grant Real Estate Company, LLC
Name
of
Applicant Representative:
Douglas B. Wagner
Name
of
Project:
Jackson's Grant Village, Section 2
CERTIFICATION
David J. Stoeppelwerth ,representing the project applicant, in my capacity as a
(Name of Individual)
registered professional Engineer
(Engineer or Land Surveyor)
19358
(Indiana registration number)
certify the following under penalty of law: The design of this project has been performed under my
direction or supervision to assure conformance with 327 IAC 3 and the plans and specifications
require the construction of said project to be performed in conformance with 327 IAC 3-6. The peak
daily flow rates, in accordance with 327 IAC 3-6-11 generated from within the specific area that will
be collected by the proposed collection system that is the subject of the application, plans, and
specifications (when functioning as designed and properly installed), will not cause overflowing or
bypassing in the same specific area serviced by the proposed collection system other than from
NPDES authorized discharge points. The proposed collection system does not include new
combined sewers (serving new areas) or a combined sewer extension to existing combined sewers.
The sewer at the point of connection is physically in existence and operational. Based upon
information provided by the owner of the Wastewater System, the ability for this collection system to
comply with 327 IAC 3 is not contingent on downstream water pollution/control facility construction
that has not been completed and put into operation. The design of the proposed project meets
applicable local rules or laws, regulations and ordinances. The information submitted is true,
accurate, and complete, to the best of my knowledge and belief. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fine and imprisonment.
Average Design Flow (ga/Ions per day)
is,12o
Peak Design Flow (gallons per day)
64,480
Owner of Receiving Collection System
TnCo Regional
Sewer Utility
Name of Wastewater Treatment Plant
TriCo Michigan
Road WRRF
Signature
Date Signed (month/day/year)
3 9e / 16 / 2022
(Please refer to IC 13-30-10 for penalties of submission of false information.)
Page 5 of 6
Part of State Form 53159 (R7 / 2-20)
IDENTIFICATION OF
POTENTIALLY AFFECTED PERSONS
Please list any and all persons whom you
have reason to believe have a substantial or proprietary
interest in this matter, or could otherwise
be considered to be potentially affected under law. Failure
to notify a person who is later determined
to be potentially affected could result in voiding IDEM's
decision on procedural grounds. To ensure conformance with Administrative Orders and Procedures
Act (AOPA) and to avoid reversal of a decision, please list all
such parties. The letter on the opposite
side of this form will further explain the requirements under the AOPA. Attach additional names and
addresses on a separate sheet of paper, as needed.
CERTIFICATION
I certify that to the best of my knowledge I
have listed all potentially affected parties, as defined by IC
4-21.5-3-5,
Name
Please see attached.
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State
ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Name
Address (number and street)
City
State
ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Name
Address (number and street)
City
State ZIP Code
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Name
Address (number and street)
City
State ZIP Code
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Proposed Facility Name City
Jackson's Grant Village, Section 2 Carmel
Printed Name of Person Signing County
David J. Stoeppelwe
h Hamilton
Signature Date Signed (month /day/year)
8� / 16 / 2022
Page 6 of 6
Page 6 of 6