HomeMy WebLinkAboutPermit Wastewater Allocation WWA-11-21Pre(,'n V
FOR INTERNAL USE ONLYWWA Permit # -.lL-~
APPLICATION for WASTEWATER ALLOCATION
oX-Items marked with an asterisk must be filled in byALL applicants
*APPLICANT INFORMATION
Applicant: O'Brien Meadowland, LLC
Contact Person: Larry Michaels
Mailing Address: P.O. Box 2184,1855 Williston Road. South Burlington. VT 05407-2184
Telephone & Fax for Contact Person: (802) 658-5000 (P); (802) 658-5002 (F)
Property Owner Name (if not applicant): Same as Above
Property Owner Mailing Address: ____________________
*Physical Location ofProject: 472 Meadowland Drive
*Signature ofApplicant
~/IAfk!
*Signature ofProperty Owner
(Both applicant and property owner MUST sign the application!)
*Project Information
Ifthe project is a single-family home, please check one: __New __Existing
Ifnot a single-family home, project name: Meadowland Business Complex
*Application or Permit Numbers: (from Planning & Zoning office)
#_-=C~U:....-=11::.._-0=2=___ #SP-1l-14 #__-__-__
Engineer's Information for flows over 1,000 gpd
N arne of Engineer: Scott Homsted
Firm: Krebs & Lansing Consulting Engineers. Inc.
Mailing Address: 164 Main Street, Suite 201. Colchester, VT 05446
Phone & Fax: (802) 878-0375 (P) (802) 878-9618 CF)
PE License #: .zH.9.3
*Flow Calculations
(You may substitute an engineer~s calculation or letter for the information requested
below)
For residential projects, list number of bedrooms and units requested:
Number of Bedrooms Number of Units X Gallons per day per
unit
Total Flows
1
2 or more
TOTAL
For commercial and industrial projects, list existing and proposed tenants, uses and
flows:
Tenant/
Business Type ofuse Number of Flows per
seats, SF, etc X unit
Other
Adjustments
Total
Flow
Unit 7 Assembly area 50 x 5 250
TOTAL 250
*Total development wastewater flow requested: §!!.gallons per day
Flow characteristics (for commercial and industrial projects)
Volume:
Flow rate:
Strength:
Please do not uJ'nte below this line
Application & Recording Fee received: -=-~c6:iooIIII..u-----j~
Name Date
Receiving Plant: __';:_.Airport Pkwy ~artlett Bay
City Center District: ---\L-No
App180ved by Water Pollution Control Department (Commercial and Industrial
Projects)
Director ofWater Pollution Control Date
p~2~tion i~ued: ~y:;:;;s not require~
Director of Planning and Zoning Date
Final allocation (payment offee is required, either in full 0.,.' pro-rated for
projects with multiple zoning permits involved)
Director of Planning and Zoning Date
Final allocation expires _________ permit
(Date)
Zoning pernlit issued"--___________with ......., .... I.-u.......
(Date)
Associated WW connection pernlit (ifapplicable)
For eY'tensions ofFinal Allocation Only
EXTENSION GRANTED
(Date)
50% EXTENSION FEE PAID
(Date) (Amount)
JlL ................... CIILI..-J.
& LANSING
Consulting Engineers, Inc.
164 Main Street, Suite 201
Colchester, VT 05446
Tel (802) 878-0375 • Fax (802) 878-9618
klengineers@comcast.net
October 25,2011
Paul Conner
Director ofPlanning & Zoning
City of South Burlington
575 Dorset Street
South Burlington, Vermont 05403
RE: Water & Wastewater Allocation Request
Unit 7 Meadowland Business Complex -South Burlington, Vermont
Dear Paul,
Please find attached Applications for Water and Wastewater Allocation related to Unit 7 ofthe
Meadowland Business Complex located at 472 Meadowland Drive. The requests are for
additional allocation associated with having up to a 50 person asserrlbly area for services related to
the approved crematorium use at the site.
This project is subject to permit applications CU-11-02 and SP-11-14. We are requesting the
allocation in order to move forward with our State ofVermont permit applications. Please
consider our requests for Water and Wastewater Allocation at your earliest convenience and
contact us with any questions or comments you may have.
Regards,
#141
Scott Homsted, P .E.
swh
enclosure
cc: Larry Michaels
alloe-request.wpd