HomeMy WebLinkAbout1.0 Application;OLORADO DEPARTMENT OF HEALTH
later Quality Control Division
210 East llth Avenue
Denver, Colorado 80220
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.
n) INTERCEPTORS (IF REQUIRED 13Y C.R.S. 25-8-702 (3))
APPLICANT: Colorado Department of Transportation
\DDRESS: P.O. Box 1430, Glenwood Springs, Colorado 81602 PHONE: 303/945-2901
Consulting Engineer's Name and Address: DMJM, 410 17th Street, Suite 300
Deriver, Colorado 80202 PHONE: 303/892-1300
A. Summary of information regarding new sewage treatment plant:
1. Proposed Location: (Legal Description) SW 1/4, NE 1/4, Section 2
Township 6S
, Range 89W
Garfield County.
2. Type and capacity of treatment facility proposed: Processes Used
Septic tank and leaching field
Hydraulic 3240 Organic 8.6
gal/day lbs. BOD5/day
Domestic 100
Present PE NA
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 X Land
Evaporation Other
State water quality classification of receiving watercourse(s) Not Applicable
Proposed Effluent Limitations developed in conjunction with Planning and Standards
Section, WQCD: DOD5 NA mg/1 SS NA mg/1 Fecal Coliform NA /100 ml
Total Residual Chlorine NA mg/1. Ammonia NA mg/1 Other NA
Design PE NA
Industrial U
5. Will a State or Federal grant be sought to finance any portion of this -project? No
6. Present zoning of site area? Highway Right -of -Way No Zoning
Zoning with a 1 -mile radius of site? Open Space and Rural Residential
7. What is the distance downstream from the discharge to the nearest domestic water
supply intake?
Silt, Colorado - 24 miles
(Name of Supply)
(Address of Supply)
What Is the distance downstream from the discharge to the nearest other pgint of
diversion? Talbot Enterprises - 16 miles
(Name of User)
5178 County Road New Castle, Colorado
(Address of User)
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WQCD-3 (Revised 8-83)
8. Who has the responsibility for operating the proposed facility?
Colorado Department of TransRorf ation
9. Who owns the land upon which the facility will be constructed?
Colorado Department of Transportation
(Please attach copies of the document creating authority in the applicant to
construct the proposed facility at this site.) - N.A.
10. Estimated project cost: $35,000 septic tank. Pipinq and learhfie]d
Who is financially responsible for the construction and operation of the facility?
Colorado Department of Transportation
11. Names and addresses of all water and/or sanitation districts within 5 miles
downstream of proposed wastewater treatment facility site. 1. West S,hnwnod_Spri.ngs.-Sanitation District, Box 866, Qlenwnnd Springs, CO 81 n2 2. West Glenwood Springs—
Water District Box 2171 Glenwood S'ri • CO : . 3 Mitch•l Coo.er 1'
P.O. Box 818, Glenwood Springs, CO 81602
(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? NA
No
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?
(Agency Name)
NA
13. Please include all additional factors that might help the Water Quality Control
Division make an informed decision on your application for site approval.
See attached construction drawings and specifications
B. Information regarding lift stations: Not Applicable
1. The proposed lift station when fully developed will generate the following additional
load: Peak Hydraulic (MGD) P.E. to be served
2. Is the site located in a 100 year flood plain?
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.
4. Name and address of facility providing treatment:
5. he proposed lift station when fully developed will .increase the loading of the
treatment plant to
% of hydraulic and % of organic capacity and
agrees to treat this wastewater? Yes No
(Treatment Agency)
N,A.
Date Signature and Title
-2-
C. If the facility will be located on or adjacent to a site that is owned or managed by a
Federal or State agency, send the agency a copy of this 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 wate
quality? If you have any further comments or questions, please call 320-8333, Extension
5272.
1.
2.
Date
3. e. s,4 ..
Bo f County 'omm ss on=rs
Local Health Authori y�
Recommend Recommend No
ARproval Disapproval Comment .signature of_Reprgagatt,yg
Management Agency
Local Government: Cities or Towns (If
site is inside boundary or within three
miles) and Sanitation Districts.
5. v �✓ 11),,,,":(:.-41/q(
Cityunty Bti
6.
7.
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y
Council of 6overnmenta/Regional Planning
State Geologist
(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 Ralph J. Trapani
Signature of Applicant TYPED NAME
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WQCD-3 (Revised 8-83)
M