State Of Kansas Division Of Environment Application For Sewer Extension Permit (Page 2 of 2) in pdf

State Of Kansas Division Of Environment Application For Sewer Extension Permit Page 2

DESIGN ENGINEER DATA

_____________________________________________________________________

Name of Project (as it appears on plans)

Engineers estimate of construction cost _____________________________

What are the conditions and capacity of the existing sewer system

downstream of this sewer extension?

What is the present average daily

flow at the wastewater treatment facility?

_________________MGD

CIRCLE YES OR NO

Do the downstream sewer lines presently

convey the peak flow without inducing backup

into buildings or bypass to the environment?

YES

Can the downstream receiving sewers convey the

additional peak design flow generated after

completion of this sewer extension without

backup into buildings or bypassing to the

environment?

YES

If the answer to either of the above questions is NO, what steps

are being taken to eliminate or prevent bypass or service line

backup conditions?

________________________________________________________________

___________________________Attach additional pages if necessary.

What are the design flows for this sewer extension?

(Include a copy of the calculations for flow and list the following

values)

Average daily _________________MGD

Peak____________________MGD

If wastewater pumping facilities are included in the project, provide

with this application the following: system curve, pump curve and total

head calculations and planned control elevations i.e. pumps off, low

level on, high level on, and alarm level.

The information contained above is accurate to the best of my knowledge.

Signature:

_________________________

Kansas Licensed Engineer

Print Name: _________________________

Address: _________________________

_________________________

P.E. Stamp/Date/Signature

State Of Kansas Division Of Environment Application For Sewer Extension Permit Page 2