HomeMy WebLinkAbout1.0 ApplicationCOLORADO DEPARTMENT OF HEALTH
Water Quality Control Division
4210 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.
B) INTERCEPTORS (IF REQUIRED BY C.R.S. 25-8-702 (3))
APPLICANT: Burning fountain Associates, Ltd., c/o Scott Balcomb
ADDRESS: P.O. Drawer 790, Glenwood Springs, CO 81602 PHONE:(303) 945-6546
consulting Engineer's Name and Address: Peter Belau, P.E., Enartech, Inc.
P.O. Drawer 160, Glenwood Springs, CO 81602
PHONE:(303) 945-2236
A. Summary of information regarding new sewage treatment plant:
1. Proposed Location: (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: BOD1 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)
8. 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 aut.h rIty 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) 0.115
P.E. to be served 384
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 takers.
3. Describe emergency system in case of station and/or power failure. Excess capacity
will be provided for holding time that exceeds the time of potential power outage.
4. Name and address of facility providing treatment: Town of New Castle
P.O. Box 90, New Castle, CO 81647
5. The proposed lift station when fully developed will increase the loading of the
treatment plant to % of hydraulic and % of organic capacity and
Town of New Castle agrees to treat this wastewater? Yes X
(Treatment Agency) No
6 -17-91-
Date
411kk,111.
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WQCD-3 (Revised 8-83)
S gnature an. Tit e
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 we
quality? If you have any further comments or questions, please call 320-8333, Extensic
5272.
1.
2.
Recommend Recommend No
Date Approval Disapproval Comment Signature of Representative
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4. 5--5--91-1
5.
6.
7.
x
Management Agency
Local Government: Cities or Towns (1
site is inside boundary or within thre
miles) and Saniatrion Districts.
Board of C(unty Gners
J
/2 . --
Local Heal i Authority
City/County Planning Authority
Council of Governments/Regional Plannil
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
enclosed.
DATE
Signature of Applicant TYPED NAME
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WQCD-3 (Revised 8-83)