HomeMy WebLinkAbout1.0 Application. COLORADO DEPARTMENT OF HEALTH
Water Quality Control Division
4300 CHERRY CREEK DRIVE SOUTH
aDenver, Colorado 80222-1530
Lift Station #1
APPLICATION FOR SITE APPROVAL FOR CONSTRUCTION OR EXPANSION OF:
A) DOMESTIC WASTEWATER TREATMENT WORKS (INCLUDING TREATMENT PLANTS,
OUTFALL SEWERS, AND LIFT STATIONS) OVER 2,000 GPD CAPACITY.
B) INTERCEPTORS (IF REQUIRED BY C.R.S. 25-8-702 (3))
APPLICANT: West Glenwood Sanitation District
ADDRESS: 0051 Hwy 6 & 24, Box 866, Glenwood Springs, CO 81601
Consulting Engineer's Name and Address: Schmueser Gordon Meyer
118 W. 6th Street, Suite 200, Glenwood Springs, CO 81601
PHONE: -.970) 945-6069
PHONE:(970) 945-1004
A. Summary of information regarding new sewage treatment plant:
1. Proposed Location: N/A
(Legal Description) 1/4, 1/4, Section
Township , Range
County.
2. Type and capacity of treatment facility proposed: Processes Used
Hydraulic Organic
gal/day lbs. BOD5/day
Present PE Design PE % Domestic
% Industrial
3. Location of facility:
Attach a map of the area which includes the following:
(a) 5 -mile radius: all sewage treatment plants, lift stations, and domestic
water supply intakes.
(b) 1 -mile radius: habitable buildings, location of potable water wells, and
an approximate indication of the topography.
4. Effluent disposal: Surface discharge to watercourse
Subsurface disposal Land
Evaporation Other
State water quality classification of receiving watercourse(s)
Proposed Effluent Limitations developed in conjunction with Planning and Standards
Section, WQCD: BOD5_ mg/1 SS
mg/1 Fecal Coliform /100 ml
Total Residual Chlorine mg/1 Ammonia
mg/1 Other
5. Will a State or Federal grant be sought to finance any portion of this project?
6. Present zoning of site area?
Zoning with a 1 -mile radius of site?
7. What is the distance downstream from the discharge to the nearest domestic water
supply intake?
(Name of Supply)
(Address of Supply)
What is the distance downstream from the discharge to the nearest other point of
diversion?
(Name of User)
(Address of User)
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WQCD-3 (Revised 8-83)
R Who has the responsibility for operating the proposed facility?
9. Who owns the land upon which the facility will be constructed?
•
(Please attach copies of the document creating authority in the applicant to
construct the proposed facility at this site.)
10. Estimated project cost:
Who is financially responsible for the construction and operation of the facility?
11. Names and addresses of all water and/or sanitation districts within 5 miles
downstream of proposed wastewater treatment facility site.
(Attach a separate sheet of paper if necessary.)
12. Is the facility in a 100 year flood plain or other natural hazard area?
If so, what precautions are being taken?
Has the flood plain been designated by the Colorado Water Conservation Board,
Department of Natural Resources or other Agency?
If so, what is that designation?
13. Please include all additional factors that might help the Water Quality Control
Division make an informed decision on your application for site approval.
(Agency Name)
B. Information regarding lift stations:
1. The proposed lift station when fully developed will generate the following additional
load: Peak Hydraulic (MGD) .15 P.E. to be served 595
2. Is the site located in a 100 year flood plain? No
If yes, on a separate sheet of paper describe the protective measures to be taken.
3. Describe emergency system in case of station and/or power failure. High level
alarm is provided and wet well is oversized to allow for extended power outages.
4. Name and address of facility providing treatment:
Facility, 0051 West Glenwood Sanitation District
Hwy 6 & 24, Glenwood Springs, CO 81601
5. The proposed lift station when fully developed will increase the loading of the
less than less than
treatment plant to 5 % of hydraulic and 5 % of organic capacity and
West Glenwood Sanitation District agrees to treat this wastewater? Yes XX No
(Treatment Agency)
Date Signature and Title
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WQCD-3 (Revised 8-83)
C. it the'facility will be located on or adjacent to a site that is owned or man
Federal or State agency, send the agency a copy of this aged by a
application.
D. Recommendation of governmental authorities:
Please address the following issues in your recommendation decision. Are the proposed
facilities consistent with the comprehensive plan and any other plans for the area,
including the 201 Facility Plan or 208 Water Quality Management Plan, as they affect water
quality? If you have any further comments or questions, please call 320-8333, Extension
5272.
1.
ate
Recommend Recommend No
ro a isannroval mme t
==, Signature of Renresentativ
2.
3. 27/7 (97
4. 2/17/Q7 �(
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6.
7.
Management Agency
Loca Government: t es or owns
site is inside boundary or within three
miles) and Sanitation Districts.
Board o o ✓,y Comm ss overs
l ;PlGC .z� •//_
cil of Governments eg ova ann ng
Sta'e eo og st
(For lift stations, the signature of the State Geologist is not required. Applications for
treatment plants require all signatures.)
I certify that I am familiar with the requirements of the "Regulations for Site Applications
For Domestic Wastewater Treatment Works," and have posted the site in accordance with the
regulations. An engineering report, as described by the regulations, has been prepared and is
enclosed.
DATE
Signature of Applicant TYPED NAME
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WQCD-3 (Revised 8-83)