Form DW-2 "Construction Application for Drinking Water Treatment" - Kentucky

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What Is Form DW-2?

This is a legal form that was released by the Kentucky Energy and Environment Cabinet - a government authority operating within Kentucky. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on August 30, 2010;
  • The latest edition provided by the Kentucky Energy and Environment Cabinet;
  • Easy to use and ready to print;
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  • Fill out the form in our online filing application.

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Download Form DW-2 "Construction Application for Drinking Water Treatment" - Kentucky

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Form DW-2
Commonwealth of Kentucky
Energy and Environment Cabinet
Division of Water
Construction Application
For Drinking Water Treatment
See the instructions for more information about selected portions of this application.
Questions on completing this application? Contact the Water Infrastructure Branch at 502/564-3410, by e-mail at
WIBEngineering@ky.gov
or visit our website at
http://water.ky.gov
for more information.
I.
Treatment Project Information
Project Name:
Project County:
Estimated Project Cost:
Project Latitude/Longitude (DMS):
Is this a federally funded project:
DWSRF
SPAP
Other:
If yes, has an Environmental Information Document (EID) been reviewed and approved?
If the project has been submitted to the State Clearinghouse for review, provide the SAI number:
Identify all other funding sources:
Does this project modify an existing water treatment plant?
Provide a DETAILED description of work to be performed for this project. Attach additional sheets as necessary:
Identify how the sanitary wastewater produced as a result of this project will be handled:
Sanitary Sewer
WWTP:
Septic Tank
Other:
II.
Utility Information
Utility Name:
PWSID:
Street Address:
County:
City, State, Zip:
Phone #:
Fax #:
Email:
Is the system currently under any type of waterline sanctions or Agreed Orders?
Page 1 of 8 DOW-WIB 8/30/2010
Form DW-2
Commonwealth of Kentucky
Energy and Environment Cabinet
Division of Water
Construction Application
For Drinking Water Treatment
See the instructions for more information about selected portions of this application.
Questions on completing this application? Contact the Water Infrastructure Branch at 502/564-3410, by e-mail at
WIBEngineering@ky.gov
or visit our website at
http://water.ky.gov
for more information.
I.
Treatment Project Information
Project Name:
Project County:
Estimated Project Cost:
Project Latitude/Longitude (DMS):
Is this a federally funded project:
DWSRF
SPAP
Other:
If yes, has an Environmental Information Document (EID) been reviewed and approved?
If the project has been submitted to the State Clearinghouse for review, provide the SAI number:
Identify all other funding sources:
Does this project modify an existing water treatment plant?
Provide a DETAILED description of work to be performed for this project. Attach additional sheets as necessary:
Identify how the sanitary wastewater produced as a result of this project will be handled:
Sanitary Sewer
WWTP:
Septic Tank
Other:
II.
Utility Information
Utility Name:
PWSID:
Street Address:
County:
City, State, Zip:
Phone #:
Fax #:
Email:
Is the system currently under any type of waterline sanctions or Agreed Orders?
Page 1 of 8 DOW-WIB 8/30/2010
If yes, will this project satisfy the terms of or alleviate an agreed order, water budget or any other form of sanction?
If yes, describe:
III.
Design Considerations
A. Plans and Specifications
Plans and specifications shall comply with 401 KAR 8:100 and “Recommended Standards for Water Works” 2007
Edition (Ten States’ Standards). All plans must contain a P.E. seal, signature and date of signature with at least one set
having an original seal and signature. Provide detailed plans (no larger than 24” X 36”) which must comply with 401 KAR
8:100. See the instructions for additional details.
B. Design Engineer
Name:
Firm:
Street Address:
City, State, Zip:
Phone #:
Fax #:
Email:
C. Design Capacities
Communities Served:
Identify the number of connections in the service area:
Current Treatment Plant Design Capacity:
Proposed Treatment Plant Design Capacity:
Has a Preliminary Engineering Report been submitted and approved?
Have Water Withdrawal and KPDES permits been updated?
KPDES Permit #
Water Withdrawal Permit #
What type of treatment is/will be used:
Conventional
Ballasted Flocculation
Membrane
Dissolved Air Flotation
Other:
Is pilot study data provided?
D. Other Information to be Submitted with Project
1. Site
Provide a copy of the U.S.G.S. 7 ½ minute topographic map with the location(s) of the proposed project.
What is the 100 year flood elevation for the project site?
What is the 500 year flood elevation or flood of record for the project site?
2. Intake and Raw Water Transmission
Provide the Latitude and Longitude (DMS) of the intake and River Mile Index if known:
Latitude:
Longitude:
River Mile Index:
What is the raw water source?
Page 2 of 8 DOW-WIB 8/30/2010
Provide water level elevations for surface water sources:
Low Level:
Normal Level:
Flood Level:
For surface water sources, what type of intake will be used?
Floating
Screened
Wet Well
Other:
Does the intake have the capability to draw from multiple levels?
If yes, explain:
Is the intake screened?
Is a method for cleaning provided?
If yes, describe:
Where is the raw water sample tap located?
Are any chemicals fed at the intake?
If yes, list:
Is the intake more than 5 miles downstream or 1,000 ft upstream of any sewage outfall?
What is the flow rate into the intake?
If a groundwater source is used:
Number of Wells:
Well Capacities:
Provide water quality and quantity data for test wells.
Raw Water Pump Data:
Number of Pumps
Capacity (GPM)
TDH
Power (HP)
Are variable frequency drives (VFD) to be used?
Provide proposed pump’s characteristic curve along with the efficiency, horsepower and NPSHR data.
Raw Water Transmission Main Data:
Waterline Material
Waterline Size
Linear Feet
Are any chemicals fed in the raw water transmission main or wet-well?
Page 3 of 8 DOW-WIB 8/30/2010
If yes, list:
3.
Pretreatment/Equalization
Basin Volume:
Dimensions:
Purpose:
Are any chemicals fed here?
List the chemicals fed along with the feed locations:
Is aeration used?
If yes, purpose and type:
Are provisions to feed carbon provided?
Rate:
4.
Rapid Mix
Type of Rapid Mix:
Static Mixer
Conventional Rapid Mix
Other:
Number of Mixing Basins:
Volume:
Dimension:
Retention Time:
Velocity Gradient (G):
5.
Flocculation
Number of trains:
Number of Stages:
Basin Volume:
Dimensions:
Detention Time:
Flow through Rate:
Mixer Speed (sec):
Is the flocculation speed tapered through the process?
6.
Sedimentation
Flow Velocity from Flocculation to Sedimentation:
Volume:
Dimensions:
Flow Through Velocity:
Detention Time:
2
Overflow Rate (gpm/ft
):
Weir Loading Rate (gpd/ft):
Are tube settlers to be used?
Dimensions:
Are Plate Settlers Used?
Dimensions:
What percentage of the projected horizontal plate area is the overflow rate for plate settlers based?
Is a sludge collection system provided?
Describe:
Is Ballasted Flocculation used?
If yes, provide the following:
Number of trains:
Capacity:
Basin Volumes:
Basin Dimensions:
Retention Time:
Number of Hydrocyclones:
Hydrocyclone Capacity (GPM):
Number of Recycle Pumps:
Recycle Pump Capacity (GPM):
2
Overflow Rate (GPM/ft
):
Number of Contact Basins:
Contact Basin Volume:
Contact Basin Dimensions:
Contact Time:
Page 4 of 8 DOW-WIB 8/30/2010
7.
Filtration
Granular Media
Type of Filtration:
Number of Filters:
Filter Area:
Total Filter Box Depth:
Uniformity
Media
Depth
Effective Size
Coefficient
Filtration Rate at Design Capacity:
Number of
Capacity
TDH
Power (HP)
Backwash Pumps
Backwash Rate:
What is the source of the wash water supply?
Is air scouring or surface wash utilized?
Which?
Number of Backwash Troughs:
Dimensions:
Design Flow (gpm):
Distance from media surface to bottom of backwash trough:
Are rate of flow controllers provided for backwashing?
Is filter-to-waste capability provided?
Turbidimeter Locations:
Raw Water
Top of Filter
Individual Filter Effluent (prior to filter-to-waste)
Combined Filter Effluent
Other:
Membranes
Type of membrane:
Capacity:
# of Skids:
2
Water Flux Rate (gpd/ft
):
Permeate Recovery (%):
o
Operating Pressure (psi):
Design Temperature (
F):
What cleaning agent will be used?
Cleaning Frequency:
Provide capacity calculations used to size membrane filters.
8.
Clearwell
Number of
Capacity
Dimensions
Baffled (yes/no)
Clearwells
Page 5 of 8 DOW-WIB 8/30/2010
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