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HomeMy WebLinkAbout2022 IEPA Becketts Landing RK Signature 7.4.1 Additional Certificate by Intermediate Sewer Owner I hereby certify that(Please check one): (.� 1, The sewers to which this project will be tributary have adequate reserve capacity to transport the wastewater that will be added by this project without causing a violation of the Illinois Environmental Protection Act or Subtitle C. Chapter I, or (� 2. The Illinois Pollution Control Board, in PCB dated granted a variance from Subtitle C, Chapter I to allow construction of facilities that are the subject of this application. 3. Not applicable. Name and location of sewer system to which this project will be tributary: Bowes Road Interceptor Sewer - 66 inch sewer IEPA Permit# 1991-HB-2485 Sewer System Owner: City of Elgin Address: 150 Dexter Court City: Elgin State: IL Zip+4: 60120 _ Email Address: kozal_r@cityofelgin.org Phone: (847) - 931 - 5590 Printed Name: Richard Kozal 4ao-14��e ,2�� A 5 0 � riginal Signature Date 7.5 Certificate by Waste Treatment Works Owner I hereby certify that(Please check one).- 1. The wastewater treatment plant to which this project will be tributary has adequate reserve capacity to treat the wastewater that will be added by this project without causing a violation of the Illinois Environmental Protection Act or Subtitle C. Chapter I, or (� 2. The Illinois Pollution Control Board, in PCB dated granted a variance from Subtitle C, Chapter I to allow construction and operation of the facilities that are the subject of this application. (�. 3. 1 also certify that, if applicable, the industrial waste discharges described in the application are capable of being treated by treatment works. (^: 4. Not applicable. Name of Waste Treatment Works:Fox River Water Reclamation District-West WRF (IL0035891) Waste Treatment Works Owner: Fox River Water Reclamation District(FRWRD) Address: 1957 N. La Fox Street City: South Elgin State: IL Zip +4: 60177-1228 Email Address. BVogt@FRWRD.com Phone: 847-742-2068 Printed Name: Beth Vogt Original Signature Date Save Form with New Name Print Form IL 532-0010 WPC 150 3/2018 Application for Permit or Construction Approval WPC-PS-1 Page 6 of 6 14 Illinois Environmental Protection Agency 1021 North Grand Avenue East • P.O. Box 19276 • Springfield • Illinois • 62794-9276 • (217) 782-3397 Instructions for Application for Construction/Operation Permit Approval WPC-PS-1 This form must be submitted for all Authorizations to Construct or Permit Applications. Two sets of the applications must be submitted. Items which are self-explanatory are omitted in these instructions. Signatures on at least one (1) submittal must be original. 1. Name and Location of the Project. Include the nearest street and city address. 2. Provide a brief description of the scope of the project such as"A sanitary sewer extension serving Happy Hills Subdivision" or"A sanitary sewer system and activated sludge, sand filter, and disinfection waste treatment facilities serving Happy Hills Subdivision." 3. A detailed explanation of when each of the indicated schedules must be submitted is indicated on the instruction sheet for the appropriate schedule. Generally, if the project involves any of the items listed, submit the corresponding schedule and check the appropriate space(s). 3.1 Submit a copy of the IHPA approval letter if available. 4. The Land Trust Disclosure Submittal should be made on Schedule T. 5. Indicate the type of application (construction, operating permit, supplemental permit, etc.) being filed with the Agency. 5.B If there is an existing NPDES Permit, indicate the Permit Number and the date of issuance. 5.E If there is an existing NPDES Permit, indicate the Permit Number and the date of issuance. Submit a completed WPC-PS-1 form and any appropriate schedule for a Supplemental Permit request. The Supplemental Permit request should itemize the modifications to the original project/permit. 5.2 Permit Fees 415 ILCS 5./12.2 requires the following permit fees for the following types of permits: Permit Type Fee Design P.E. Municipal Sludge Generator $2,500 N/A Industrial Sludge $2,500 N/A Sludge User $5,000 N/A $100 (1) $400 (2 to 20) Sewer Construction $800 (21 to 100) $1,200 (101 to 499) $2,400 (500 or more) Industrial Construction/No Pretreatment (1) $1,000 N/A Industrial Construction/Pretreatment- No Toxics (2) $3,000 N/A Industrial Construction/Pretreatment-Toxics (3) $6,000 N/A (1)The industrial wastewater source does not require pretreatment prior to discharge to the publicly owned treatment works or the publicly regulated treatment works. (2)The industrial wastewater sources require pretreatment of the wastewater for non-toxic pollutants prior to discharge to the publicly owned treatment works or the publicly regulated treatment works. (3)The industrial wastewater sources require pretreatment of the wastewater for toxic pollutants prior to discharge to the publicly owned treatment works or the publicly regulated treatment works. IL 532-0010 WPC 150 3/2018 Application for Permit or Construction Approval WPC-PS-1 Page 1 of 6 6. Certificate by Design Engineer 6.1 The Design Engineer should complete this section. This certificate must be provided by all applicants for a construction permit. The Illinois Professional Engineering Act requires that engineers practicing in Illinois be registered in Illinois. 7. Certifications and Approvals for Permits 7.1.1 This certificate applies to the person, firm, or other entity which intends to construct the proposed sewer, wastewater source or treatment works. The applicant to construct is the person, firm, agency or the entity paying for the cost of construction. An application submitted by a corporation must be signed by a principal executive officer of at least the level of vice president, or his duly authorized representative, if such representative is responsible for the overall operation of the facility from which the discharge described in the application form originates. In the case of a partnership of a sole proprietorship, the application must be signed by a general partner or the proprietor respectively. In the case of a publicly owned facility, the application must be signed by either a principal executive officer, ranking elected official or other duly authorized employee. 7.1.2 The certificate applies to the person, agency, firm, or other entity which owns or is responsible for the operation and maintenance of the proposed project. 7.2 Provide the name of the applicant as it is officially or legally referred to, i.e., the Springfield Metro Sanitary District, Metropolitan Water Reclamation District of Greater Chicago, the City of Marion, or the Super Deluxe Development Corporation. Do not use colloquial names as a substitute for the official name. This must be certified by the city clerk, village clerk, sanitary district clerk, etc. for governmental bodies. 7.3 The mailing address of the applicant should be the complete mailing address as its main office. This often will not be the same address as is used to designate the location of the work or activity. 7.4 These certificates apply to the owners of the intercepting sewers to which the project will be tributary. This section must be completed even for projects where the intercepting sewer is owned by the same entity as the receiving treatment works. The Additional Certificate by Intermediate Sewer Owner: must be completed if intermediate sewers are owned by more than one governing body. If additional certifications are required, please supply the required information on a plain sheet of paper and attach hereto. 7.5 35 III. Adm. Code 309.222(b) indicates that permit applications for sewer construction or modification shall be accompanied by signed statements from the owners of all intermediate receiving sewers and the receiving treatment works certifying that their facilities have adequate capacity to transport and/or treat the wastewater that will be added through the proposed sewer without violating any provisions of the Act and Subtitle C, Chapter I. Therefore, it will be necessary to have all such owners provide a certification as required by Subtitle C, Chapter I. Note: Original signatures on the application forms must be submitted to the Agency. Original signatures are also required on other application forms. MWRDGC Service Area --A copy of an approved permit from MWRDGC may be submitted in lieu of a_signed WPC-PS-1 form. An unsigned WPC-PS-1 form and Schedule A/B are required with any MWRDGC permit submitted to the Agency. This form must be submitted to: Illinois Environmental Protection Agency Permit Section, Division of Water Pollution Control 1021 North Grand Avenue East P.O. Box19276 Springfield, IL 62794-9276 IL 532-0010 WPC 150 3/2018 Application for Permit or Construction Approval WPC-PS-1 Page 2 of 6 Illinois Environmental Protection Agency 1021 North Grand Avenue East • P.O. Box 19276 • Springfield • Illinois • 62794-9276 • (217) 782-3397 For IEPA Use Only Application for Permit or Construction Approval WPC-PS-1 This form must be typewritten or printed legibly. This form may be completed manually or online using Adobe Reader, a copy of it saved locally, printed, and signed before it is submitted to: Illinois Environmental Protection Agency Permit Section, Division of Water Pollution Control 1021 North Grand Avenue East P.O. Box 19276 Springfield, IL 62794-9276 1. Owner Name:M/I Homes Name of Project: Becketts Landing Subdivision Project Location Address(include nearest street and city address): South McLean Boulevard and North Lancaster Road City: South Elgin Zip Code:60177 Township:41 N and 40N County: Kane 2. Brief Description of the Project: Development consisting of 170 single family homes and 36 multifamily buildings with 178 units 3. Documents being Submitted: If the Project involves any of the items listed below, submit the corresponding schedule, and check the appropriate boxes Schedule Schedule Private Sewer Connection/Extensions A/B ® Spray Irrigation H ❑ Sewer Extension Construction Only C ❑ Septic Tanks I ❑ Sewage Treatment Works D ❑ Industrial Treatment/Pretreatment J ❑ Excess Flow Treatment E ❑ Waste Characteristics N ❑ Lift Station/force Main F ® Erosion Control P Fast Track Service Connection FTP ❑ Trust Disclosure T ❑ Sludge Disposal G ❑ Plans: Title: Final Engineering Plans for Becketts Landing No. of Pages: 41 Specifications: Title: See Plans No. of Books/Pages: Other Documents: (Please specify) 3.1 Illinois Historic Preservation Agency approval letter {: Yes C No (If you have a copy of the IHPA approval letter, please send in with the Permit Application Package) IL 532-0010 WPC 150 3/2018 Application for Permit or Construction Approval WPC-PS-1 Page 3 of 6 Land Trust: Is the project identified in item Number 1 therein, for which a permit is requested, to be constructed on land which is the subject of a trust? C'Yes C- No If yes, Schedule T(Trust Disclosure) must be completed and item 7.1.1 must be signed by a beneficiary trustee or trust officer. 5 This is an application for(Check appropriate box): Ce A. Joint Construction and Operating Permit (`, B. Authorization to Construct(See Instructions) NPDES Permit No. IL00: Issuance Date: (7. C. Construction Only Permit(Does Not Include Operations) (7, D. Operate Only Permit(Does Not Include Construction) (' E. Supplemental Permit Request to Existing State Construction or Operating Permit No.: 6. Certifications and Approval Issuance Date: 6.1 Certificate by Design Engineer(When required: refer to instructions) I hereby certify that I am familiar with the information contained in this application, including the attached schedules indicated above, and that to the best of my knowledge and belief such information is true,complete and accurate. The plans and specifications(specifications other than Standard Specifications or local specifications on file with this Agency) as described above were prepared by me or under my direction. Licensed Professional Engineer's Name: Kevin Matray, PE Licensed Professional Engineer's Title. Vice President Registration Number: 062-058360 License Expiration Date: Company: Mackie Consultants, LLC Street Address.- 9575 W Higgins Road, Suite 500 PO Box: City: Rosemont State: IL Zip+4: 60018-4919 Email Address: kmatray@mackieconsult.com Phone: (847)-696-1400 Printed Name: VIN MATRAY Licensed Professional Engineer's Seal Ori nal ignatur �: 06�_cas361a• Date Y RF.GISTEF[D •; t1 PROFESs10NAL C� ENGRCER 7. Certifications and Approvals for Permits: o� 7.1 Certificate by Applicant(s): _ �/ •••`� I/We hereby certify that I/we have read and thoroughly understand the conditions and requirements of this Application, and am/are authorized to sign this application in accordance with the Rules and Regulations of the Illinois Pollution Control Board I/we hereby agree to conform with the Standard conditions and with any other Special Conditions made part of this Permit. 7.1.1 Name of Applicant for Permit to Construct: Title: Organization: Mil Homes Street Address: 400 East Diehl Road, Suite 230 PO Box: City: Naperville State IL Zip+4: 60563-1397 Email Address: Phone: Printed Name: Signature ate IL 532 0010 WPC 150 312018 Application for Perini!o/ ("cosMicRon Approval t-11PC-PS-1 Page 4 of 6 7.1.2 Name of Applicant for Permit to Own and Operate: Village of South Elgin Title: P1Y�for ;,'T" ?,k6k_ Work Organization: village � � L:_ , Street Address: 10 North Water Street PO ox: �``� City: South Elgin State: IL Zip+4: 60177-1602 Email Address: In'tV►'1j IQ � �' SJiA de ICI , Cv Phone: 847-695-2742 Printed Name: �j�( � I / Eeri6 � inal Signature Date 7.2 Attested(Required When Applicant is a Unit of Government) Title: V awe' }*- City clerk, Village Jerk, Sanitary District Clerk, etc.) riginal Signature Q Date 7.3 Applications from non-governmental applicants which are not signed by the owner, must be signed by a principal executive officer of at least the level of vice president, or a duly authorized representative. 7.4 Certificate by Intermediate Sewer Owner I hereby certify that(Please check one): 1. The sewers to which this project will be tributary have adequate reserve capacity to transport the wastewater that will be added by this project without causing a violation of the Illinois Environmental Protection Act or Subtitle C. Chapter I, or 2. The Illinois Pollution Control Board, in PCB dated granted a variance from Subtitle C, Chapter I to allow construction of facilities that are the subject of this application. Name and location of sewer system to which this project will be tributary: 30"sanitary sewer on Kingsport Drive to SOUTH ELGIN-West Side Trunk Sewer IEPA Permit No, 1996-HB-2005 Sewer System Owner: Village of South Elgin Address: 1957 N. La Fox Street City. South Elgin State: IL Zip +4: 60177-1228 Email Address: Phone: Printed Name: Original Signature Date IL 532-0010 WPC 150 3/2018 Application for Permit or Construclioo Approval WPC-PS-1 Page 5 of 6 7.4.1 Additional Certificate by Intermediate Sewer Owner I hereby certify that (Please check one): 1. The sewers to which this project will be tributary have adequate reserve capacity to transport the wastewater that will be added by this project without causing a violation of the Illinois Environmental Protection Act or Subtitle C. Chapter I, or C 2. The Illinois Pollution Control Board, in PCB dated granted a variance from Subtitle C, Chapter I to allow construction of facilities that are the subject of this application. C 3. Not applicable. Name and location of sewer system to which this project will be tributary: Sewer System Owner: Address: City: Elgin State: IL Zip +4: Email Address: rudd_r@cityofelgin.org Phone: 847-931-6081 Printed Name: Ron Rudd Original Signature Date 7.5 Certificate by Waste Treatment Works Owner I hereby certify that(Please check one): (; 1. The wastewater treatment plant to which this project will be tributary has adequate reserve capacity to treat the wastewater that will be added by this project without causing a violation of the Illinois Environmental Protection Act or Subtitle C. Chapter I, or 2. The Illinois Pollution Control Board, in PCB dated granted a variance from Subtitle C, Chapter I to allow construction and operation of the facilities that are the subject of this application. 3. 1 also certify that, if applicable, the industrial waste discharges described in the application are capable of being treated by treatment works. C 4. Not applicable. Name of Waste Treatment Works:Fox River Water Reclamation District-West WRF (IL0035891) Waste Treatment Works Owner: Fox River Water Reclamation District(FRWRD) Address: 1957 N. La Fox Street City: South Elgin State: IL Zip +4: 60177-1228 Email Address: RTrueblood@FRWRD.com Phone: 847-742-2068 Printed Name. Robert Trueblood Original Signature Date Save Form with New Name Print Form` IL 532-0010 WPC 150 3/2018 Application for Permit or Construction Approval WPC-PS-1 Page 6 of 6 111=21 Illinois Environmental Protection Agency 1021 North Grand Avenue East • P.O. Box 19276 • Springfield • Illinois • 62794-9276 (217) 782-3397 Schedule A/B This form must be typewritten or printed legibly. This form may be completed manually or online using Adobe Reader, a copy of it saved locally, printed, and signed before it is submitted to: Illinois Environmental Protection Agency Permit Section, Division of Water Pollution Control 1021 North Grand Avenue East P.O. Box 19276 Springfield, IL 62794-9276 Application for Sanitary Sewer: (please check one or both boxes as applicable) ® Service Connection - Schedule A ® Publicly Owned or Regulated Extensions- Schedule B 1. Name of Project: Becketts Landing Subdivision 2. Type of Service(s): ® Residential ❑ Commercial ❑ Light Industrial (Domestic Waste Only (Check all that apply) ❑ Manufacturing ❑ Recreational ❑ Other 3. Nature of Project- ® Sewer Extension ❑ Trunk Sewer ❑ Replacement Sewer M New Sanitary Sewer Project Consists of: (Check all that apply) ® Sewer Connection ❑ Relief Sewer ❑ Interceptor Sewer 4. Project Location, Service Area and Population: Submit map(s) of the service area that include the following: 4.1 An 8'/2 X 11 inch detailed project location map or USGS map or USGS map showing the project with respect to major roadways. In lieu of this map, a letter from the Illinois Historic Preservation Agency indicating compliance with the Illinois Historic Preservation Act for this project may be submitted. 4.2 The proposed sewer layout and project location. Township:40N, 41 N, 41 N Section: 03, 33, 34 Range:8E, 8E, 8E 4.3 Residential and/or non-residential areas and their associated waste loads to be immediately served by the sewers of this project. 4.4 Potential residential and/or non-residential areas and their associated loads must be included in the overall design of the sewers of this project. 5. Facilities Planning Area (FPA): This project * is O is not being constructed entirely within the Facilities Planning Area (FPA) boundaries. Name of FPA: Fox River Water Reclamation District 6. Type of Development: The following design criteria should be used in estimating the population equivalent (P.E.) of a residential building: Efficiency or Studio Apartment = 1 person 1 Bedroom Apartment = 1.5 persons 2 Bedroom Apartment = 3 people 3 Bedroom Apartment = 3 people Single Family Home = 3.5 people Mobile Home = 2.25 people This Agency is authorized to require this information under Illinois Revised Statutes, 1979, Chapter 111 1/2. Section 1039 Disclosure of this information is required under that Section.Failure to do so may prevent this form from being processed and could result in your application being denied. IL 532-0011 WPC 151 Rev. 3/2017 Schedule A/B Page 1 of 6 6.1 Residential Buildings Number of Building(s):206 Number of Single Family Dwelling Building(s):170 Number of Multiple Family Dwelling Building(s): 36 Estimated Total Population Equivalent: 1129 P.E. 'Please provide an itemized list for each multiple dwelling building including: Number of 1, 2, and 3 bedroom units; the total P.E. for each building and the total P.E. for multiple family dwellings. 4-unit multifamily buildings with 2-3 bedrooms: 19 = 76 units 6-unit multifamily buildings with 2-3 bedrooms: 17 = 102 units 76 units x 3.5 PE = 266 PE 102 units x 3.5 PE = 357 PE Multifamily Total PE = 266 PE + 357 PE = 623 PE 170 Single Family Homes x 3.5 PE = 595 PE 623 PE from Multifamily + 595 PE from Single Family = 1218 PE Total PE = 1218 PE 6.2 Non-Residential Buildings: Describe use of building(s) -This box will expand as needed Future Village owned water tower Future Park Site restrooms Principal product(s) or activities-This box will expand as needed Number of non-residential building(s) to be served under this Permit: Non domestic liquid waste O is (see Section 6.5) *. is not produced inside the building(s). If liquid wastes other than domestic are produced, submit Schedule N. Estimated number of employees:N/A Estimated number of occupants (transients): N/A Estimated population equivalent (one population equivalent is 100 gallons of sewage per day, containing 0.17 pounds of BODE and 0.20 pounds of suspended solids). Flow P.E. 0 BOD P.E. 0 Suspended Solids P.E. 0 6.3 Total Loading for project (sum of 6.1 and 6.2) Design Average Flow: 121,800 GPD P.E. 207.06 BOD Design Max. Flow: 487,200 GPD P.E: 243.6 Suspended Solids 6.4 Commencing July 1, 2003, Section 12.2 of the Environmental Protection Act (415 ILCS 5/12.2, as amended by P.A. 93-32) requires the Agency to collect a fee for certain applications for the installation of sanitary sewer connections and extensions. Except for the conditions listed below, the following fee schedule shall apply: Fee Dollars Population Equivalents 100 1 400 2-20 800 21 - 100 1200 101 -499 2400 500 or more IL 532-0011 WPC 151 Rev.3/2017 Schedule AIB Page 2 of 6 Please send the appropriate fee based upon section 6.4 or 6.5; certified or cashiers check made out to: "Treasurer, State of Illinois, Environmental Protection Permit and Inspection Fund"with the applicant's Federal Employee Identification Number(FEIN) appearing on the face of the check and submit along with this schedule. Any fee remitted to the Agency shall not be refunded at any time or for any reason, either in whole or in part. The Sewer Permit fee does not apply to: a) Any Department, Agency or Unit of State Government b) Any unit of local government where all of the following conditions are met,- 1 The cost of the installation or extension is paid wholly from monies of the unit of local government, state grants or loans, federal grants or loads, or any combination thereof; 2) The unit of local government is NOT given monies, reimbursed or paid, either in whole or in part, by another person (except for State grants or loans or federal grants or loans; c) 1) Include a certified copy of the budget item or the board or council minutes which authorize the construction of this project with only local funds; and 2) I/we hereby certify that subsections (b)(1), (b)(2) and (c)(1) have been met. (Original Signature for Unit of Government) 6.5 A$1,000 fee shall be required for any industrial wastewater source that does not require pretreatment of the wastewater prior to discharge to the publicly owned treatment works or publicly regulated treatment works. 7. DEVIATION FROM DESIGN CRITERIA: The design criteria for sewers are contained in the "Illinois Recommended Standards for Sewage Works", Current Edition. This submittal 0 does * does not include deviations from said criteria. If deviations are included, iustificat_io_n for said deviations must be attached. 8. INFILTRATION/EXFILTRATION LIMITS: 200 gallons per inch diameter of sewer pipe per mile per day. 9. SUMMARY OF SEWERS: Submit plan and profile drawings for a)I_sanitar_sewer extensions and for all sanitary sewer connections where either the domestic wastewater source serves more than_one building, where the domestic wastewater source is 1.5 P.E. or more where non-domestic_waste-is-produced or where the connection is not direct to either a publicly-owned or_publiclr-re ulg ated sewer. IL 532-0011 WPC 151 Rev 3/2017 Schedule AIB Page 3 of 6 Service Connections Publicly Owned or Regulated Extensions Pipe size— inches 6" 8" 101, Total Length—feet 75' 10,535' 3,155' Min. slope used - % 0.50% Max. slope used - % 1.91% Min. cover over sewers- feet 8 0' (3' minimum) Pipe Material & Specs. PVC, SDR 26 PVC, SDR 21 DEPTH > 16' Joint Material & Specs. ASTM D-3212 Total Manholes 90 Max. Distance Between 300' Manholes Bedding Class for Rigid Pipe N/A (A, B, or C per ASTM C 12) Bedding Class for Flexible Pipe (IA, IB, II, or III per IA ASTM D2321-89) 9.1 Is the project located in a flood plain? 0 Yes No If yes, contact the Illinois Department of Natural Resources, Division of Water Resources Management for further permit requirements. 9.2 Are watertight manhole covers used on all manholes where the manhole tops are below cover or where the tops may be flooded by surface runoff or high water? * Yes 0 No 10. EROSION CONTROL: The design criteria for Erosion Control are contained in the "Illinois Urban Manual" Current Edition, distributed by the National Resource Conservation Service. This submittal 0 does * does not include deviation from said criteria. If deviations are included,justification for said criteria must be attached. (See instructions for Schedule P to determine if Schedule P must be submitted.) 11. EXISTING SEWER SYSTEM: A. This project will connect to one of the following: 1. 0 Existing sanitary sewer 4. 0 Permitted combined sewer 2. 0 Existing combined sewer 5. 0 Proposed sanitary sewer 3. 0 Permitted sanitary sewer 6. 0 Proposed combined sewer If permitted but not constructed and operational provide permit number B. Size and location of downstream sewer(s): -This box will expand as needed Sanitary Structure at Kingsport Drive stubbed from Kingsport Villas- 30" PVC going north. South Elgin - West Side Trunk Sewer IEPA Permit No. 1996-HB-2005 IL 532-0011 WPC 151 Rev. 3/2017 Schedule AIB Page 4 of 6 Service Connections Publicly Owned or Regulated Extensions Pipe size— inches 6" 6" 8" 10" Total Length—feet 18,800' 75' 10,535' 3,155' Min. slope used - % 1.00% 1.00% 0.42% 0.40% Max. slope used - % 5.00% 1.00% 2.36% 0.90% Min. cover over sewers -feet 5.00' 11.04' 6.09' 8.10' (3' minimum) PVC SDR 18, Pipe Material & Specs. PVC, SDR 26 PVC, SDR 26 SDR 21, SDR PVC SDR 21, ASTM D-3034 26 SDR 26 Joint Material & Specs. ASTM D-3212 ASTM D-3212 ASTM D-3212 ASTM D-3212 Total Manholes - - 72 18 Max. Distance Between _ 75' 300' 260' Manholes Bedding Class for Rigid Pipe N/A N/A N/A N/A (A, B, or C per ASTM C12) Bedding Class for Flexible Pipe IA IA IA IA (IA, IB, II, or III per ASTM D2321-89) 9.1 Is the project located in a flood plain? 0 Yes No If yes, contact the Illinois Department of Natural Resources, Division of Water Resources Management for further permit requirements. 9.2 Are watertight manhole covers used on all manholes where the manhole tops are below cover or where the tops may be flooded by surface runoff or high water? Q Yes 0 No 10. EROSION CONTROL: The design criteria for Erosion Control are contained in the "Illinois Urban Manual" Current Edition, distributed by the National Resource Conservation Service. This submittal 0 does @ does not include deviation from said criteria. If deviations are included,justification for said criteria must be attached. (See instructions for Schedule P to determine if Schedule P must be submitted.) 11. EXISTING SEWER SYSTEM: A. This project will connect to one of the following: 1. @ Existing sanitary sewer 4, 0 Permitted combined sewer 2. 0 Existing combined sewer 5. 0 Proposed sanitary sewer 3. 0 Permitted sanitary sewer 6. 0 Proposed combined sewer If permitted but not constructed and operational provide permit number H. Size and location of downstream sewer(s): -This box will expand as needed Sanitary Structure at Kingsport Drive stubbed from Kingsport Villas - 30" PVC going north. South Elgin -West Side Trunk Sewer IEPA Permit No. 1996-HB-2005 IL 532-0011 WPC 151 Rev. 3/2017 Schedule AIB Page 4 of 6 12. WATER SUPPLY PROTECTION: The horizontal and/or vertical separation between sanitary sewers and watermains is in accordance with Section 370.350 of the Illinois Recommended Standards for Sewage Works. * Yes 0 No The location of proposed and existing watermain s must be shown in both the plan and profile views on plan sheets) for each water-sewer line crossing and at all locations_within 1.0 feet horizontal distance of the proposed sewer line. Detailed drawing(s)for crossings, either typical or site-specific—shall be shown on the plan sheets . 12.1 HORIZONTAL SEPARATION: All sewer line(s) is(are) 10 feet from water line(s) 0 Yes 0 No If no, provide justification AND describe the precautionary features against contamination 10 feet of horizontal separation between water and sewer lines is to be provided in all locations. If field conditions prevent 10 feet of horizontal separation from being maintained between sewer and water lines, sewer shall be constructed of water main quality pipe per"Standard Specifications for Water and Sewer Construction in Illinois" All proposed forcemain(s) 10'from water line(s) * Yes 0 No 0 N/A 12.2 VERTICAL SEPARATION: A. The water line(s) is/are at least 18 inches above the sewer line(s): Yes 0 No If no, continue with 12.2.E and provide justification below as to why this is not possible and describe precautionary measures taken to prevent contamination. B. The water line(s) is/are above the sewer lines(s) but less than 18 inches: 0 Yes 0 No If no, continue with 12.2.0 and provide justification below as to why this is not possible and describe precautionary measures taken to prevent contamination. C. The water line(s) is/are at least 18 inches below the sewer line(s): Yes 0 No If no, provide justification below as to why this is not possible and describe precautionary measures taken to prevent contamination. Justification and Precautionary Measures: - This box will expand as needed 12.3 Proximity to wells, reservoirs, and other potable water sources:0 Yes N/A If yes, minimum distance, in feet Describe precautionary measures taken to avoid contamination. Location of all potable water sources shown on plan sheets. 0 Yes 0 No 0 No Known Sources 13, PIPE AND MANHOLE TESTING: Yes No Is infiltration testing included in plans, specifications, or special provisions? 0 Is exfiltration test included in plans, specifications, or special provisions? 0 Is air testing included in plans, specifications, or special provisions? 0 0 Leakage testing for manholes included in plans, specifications, or special provisions? 0 0 IL 532-0011 WPC 151 Rev 3/2017 Schedule AIB Page 5 of 6 14. FLEXIBLE PIPE TESTING: Is deflection test included in plans, specifications, or special provisions in accordance with the Illinois Recommended Standards for Sewage Works, Current Edition? * Yes 0 No 0 N/A 15. MISCELLANEOUS REQUIREMENTS The following requirements should be included on the plan sheets where so indicated. For items where this is not specified, the requirements may be on the plan sheets, in the specifications, or in the special provisions: 15.1 Standard Specifications for Water and Sewer Main Construction in Illinois, Current Edition, govern the construction of this project. * Yes 0 No If no, provide specifications. 15.2 Pipe and joint ASTM/AWWA designation included on plan sheets. * Yes 0 No 15.3 All flexible gravity sewer pipe installed in accordance with ASTM D2321-89; embedment materials for bedding, haunching, and initial backfill to at least 6 inches over the top of the pipe with Class IA or IB or II or III, processed material produced for highway construction used in the project classified according to particle size, shape, and gradation in accordance with ASTM D2321-89, Section 9 and Table 1. 0 Yes 0 No 0 N/A 15.4 All rigid gravity sewer pipe installed in accordance with ASTM C12 and bedding material Class A, B, or C. 0 Yes 0 No * N/A 15.5 Pickholes in all manholes likely to be flooded not larger than 1 inch in diameter and of the concealed type. 0 Yes 0 No 0 N/A 15.6 All manholes numbered. * Yes 0 No 0 N/A 15.7 Match lines shown on all plan sheets. 0 Yes 0 No 0 N/A IL 532-0011 WPC 151 Rev 3/2017 Schedule AIB Page 6 of 6 Illinois Environmental Protection Agency Division of Water Pollution Control, Permit Section Post Office Box 19276 Springfield, Illinois 62794-9276 Schedule F-Sewer System Lift Station I Force Main 1. Name of Project: Becketts Landing Subdivision 2. Design Population: Area to be served 34.7 acres. Population to be served 434 P.E.. 3. Design Flows: Design Average Flow 30 gpm. Design Maximum Flow 121 gpm. 4. Lift Station will serve: ❑Only separate sewers ❑Only combined sewers ❑Separate and combined sewers ®Domestic waste sewers ❑Industrial waste sewers ❑Domestic and industrial waste sewers 5. Lift Station is designed to serve: ®Only the population indicated above ❑An anticipated additional waste contribution of P.E. 6. Force Main: Size of Force Main(inches) 6" Total Length(feet) 1460' Pipe material specifications DIP Class 51 Joint specifications Are air relief valves provided at high points?El Yes ®No Are clean-outs(blow-offs)provided at low points?❑Yes ®No 7. Design Head(Total Dynamic Head): A) Static Head: Discharge Elevation: 808.40 Low Water Elevation: 779.00 Static Head 29.40 Feet B) Pipe friction loss: 8.31 Feet at"C" = 120 C) Minor Losses (Valves, etc.) 6.57 Feet at"C" = 100 Total Dynamic Head(A+ B+C ) 44.28 Feet Maximum Suction Lift(if applicable) N/A Feet 8. Pumps Number Type of Pump GPM per at TDH H.P. of Pass 3" of Pump (Feet) Each Spheres Pumps Pump 2 Duplex System 230 44.3 10.0 OYes []No ❑Yes ❑No ■Yes []No a. Rated Capacity of Lift Station 230 gpm at 44.3 feet cf TDH. b Pumping Capacity with Largest Unit Out of Service 230 gpm at 44 3 feet of TDH. Are all pumps with positive suction head and/or self priming? RlYes ❑No d I lave provisions been made to detect shaft seal failure or potential shaft seal failure? EgYes ❑No Schedule F -Sewer System Lift Station/Force Main Page 2 9. Valves a. Discharge Pipe ❑ Gate ] Check © Other Plug b. Suction Line(it applicable) ❑Gale ❑Check ❑Other N/A 10. Wet Well a. Effective capacity(volume between pumps off and pumps on switches) = 238.87 gallons b. Detention time at design flow = 10.56 minutes c. Are there provisions for pump removal? MYes ❑No 11. Buoyancy Calculations a. Have buoyancy calculations been submitted? ❑Yes ❑No ❑N/A b. Depth of groundwater table: feet below the ground surface. 12. Accessability a_ Is the pump station accessible by an all weather road? x❑ Yes ❑ No 13. Ventilation a. Wet Well: Continuous with at least 12 complete air changes per hour? ❑Yes ❑x No Intermittent with at least 30 complete air changes per hour? ❑Yes ©No b. Dry Well(if applicable): Continuous with at least 6 complete air changes per hour? El Yes ©No [I N/A Intermittent with at least 30 complete air changes per hour? ❑Yes J No ❑N/A c. Is portable ventilation equipment available for use at all times? 0Yes ❑No 14. Emergency Operations a. In case of power failure, is an alternate power supply available? RYes ❑No If yes, please describe the source: gas generator b. Is a portable pump,with adequate pumping capacity, available for use at all times? El Yes NNo c. Has a riser from the force main been provided to hook-up portable pumps? xO.Yes ❑No d. Length of time between a power failure and commencement of pumping by emergency equipment e. Estimated time interval before damage or sewer backup will occur f. Type of alarm system proposed: ❑Telemetering System ❑Audio-Visual with self contained power g. Are personnel available at all times to operate emergency equipment? ❑x Yes ❑No 15. Flow Measurement a. Type of flow measurement provided: ❑Flow meter ®Elapsed time meters ❑ITR 16. Compliance with Illinois Recommended Standards for Sewage Works a. Can the pump station remain operational during the 25 year flood? x❑Yes [:)No b Is the pump station protected from physical damage during the 100 year flood? ®Yes [:]No c. When applicable,will electrical systems and components comply with NEC UYes ❑No requirements for Class I, Group D, Division I locations? d. Have provisions been made to automatically alternate the pumps? ❑x. Yes ❑No e. Is the motor control center located outside and protected by a conduit seal? OYes ❑No I Can the motor be electronically disconnected without disturbing the seal? x❑Yes ❑No this Agency is authorized to require this information under Illinois Revised Statutes I UN Chapter 1112 Section 1039 Disclwwfe of this Informalion rs required under that Section Failure to do so may prevent this form from being processed and could result in your appl;calion being denied. This form has been approved by the Forms Management Center l IL 532 I0015 WPC 155 This Agency is authorized to require this information under Illinois For IEPA Use: Revised Statutes,1979,Chapter 111 112,Section 1039. Disclosure of this information is required under that section. Failure to do so LOG# may prevent this form from being processed and could result in your application being denied. DATE RECEIVED: ILLINOIS ENVIRONMENTAL PROTECTION AGENCY DIVISION OF WATER POLLUTION CONTROL PERMIT SECTION Springfield, Illinois 62794-9276 Schedule P - Erosion Control 1. Name of Project Becketts Landing Subdivision 2. Total area disturbed by excavation: 87.29 acres 3. Summary of erosion control practices: Area Permanent (P) Controlled or (Sq. Ft.) Temporary (T) Vegetative Control Final Sod/Seed (Sq. Feet) 2,322,177 SF P Interceptor Ditches (Feet) Berms (Feet) Sediment Basins (Cu.Yd.) Debris Basins (Cu.Ft.) Desilting Basins (Cu.Ft.) Silt Traps (Cu. Ft.) Mulching and Matting (Cu.Ft./Sq. Ft.) Other Silt Fence(14,200 LF) (Indicate) 87.29 acres T 4. Attach topographical or plan maps of construction area and indicate erosion control practices. 5. Drainage area (above and including construction site) 6. Slope categories of construction site: Area Disposition of (acres) collected sediment 6.1 0-2% slope 61.1 Relocate to fill 6.2 2-4% slope 8.7 Relocate to fill 6.3 4 - 6% slope 13.1 Relocate to fill 6.4 6% slope or greater 4.3 Relocate to fill Please check one below. 21 Eresion control practices identified above will be constructed in accordance with Illinois Urban Manual, 1995. OR ❑Plans or specifications for the above referenced erosion control practices are attached IL 532-1627 WPC 533