CM-2014-539 - 9/29/2014City of Round Rock
rourso RocK Agenda Item Summary
Agenda Number:
Title: Consider executing Notice of Intent (NOI) for Stormwater Discharges
Associated with Construction Activity Under TPDES General Permit
(TXR150000) regarding the Chandler Creek 1 - Upper Phase Wastewater
Line Project.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 9/26/2014
Dept Director: Michael Thane, Director of Utilities and Environmental Services Department
Cost: $325.00
Indexes: Self -Financed Wastewater Construction
Attachments: NOI CC1U TCEQ CM9.26.14
Department: Utilities and Environmental Services
Text of Legislative File CM -2014-539
The Chandler Creek -1 Wastewater Interceptor consists of three phases. The first phase
was built with the Legends Village Section 2 -Phase 4 subdivision and was oversized with
participation by Round Rock to ensure adequate capacity to accommodate future growth to
the north. The second phase, CC - 1L, was recently completed and tied the Legends Village
portion south to the existing Chandler Creek Wastewater Interceptor.
This third phase, Chandler Creek 1- Upper Phase (CC -1 U) wastewater line, includes 5,239
linear feet of 18 -inch line and necessary appurtenances and will provide peak flow
wastewater capacity for the Avery Centre east and south. This interceptor will also provide
service to the area north of Legends Village.
The engineer for this project, Jacobs Engineering Group, Inc., has developed a Storm
Water Pollution Prevention Plan for the contractor, Prota, Inc., and the City of Round Rock.
The $325 application fee is required by the Texas Commission on Environmental Quality
(TCEQ). According to the TCEQ, the signature of an Executive Official and the application
fee is required for submission of the Notice of Intent by the City of Round Rock.
Staff recommends approval.
Ciyof Rour Rock page PHnW on WMM14
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Chandler Creek 1 - Upper Phase Wastewater
Department Name: Utnities s Enamnmemal services Project Name: Line
Project Myr/Resource: Michael Thane ContractorNendor: Texas Commission on Environmental Quality
Council Action:
ORDINANCE Q RESOLUTION
xx City Manager Approval
Attorney
CMA Wording
Consider executing Notice of Intent (Not) for Shirmwaler Discharges Associated with Construction Activity Under TPDES
General Permit (TXRI50000) regarding the Chandler Creek t -Upper Phase Wastewater Line Project.
Date
O:\wdox\SCClnts\0199\1413701MI SC\00311727.XLS Updated 6/3/08
COMPLIANCE 0.ESOU i'CES
N "t D R P [3. R A 7WI E D
September 17, 2014
Mr. Steve Norwood
City of Round Rock
221 E. Main Street
Round Rock, TX 78664
Re: Chandler Creek 1 Upper Phase Wastewater Line
Dear Mr. Norwood:
Attached is the Notice of Intent (NOT) for Storm Water Discharges Associated with Construction Activity under a
TPDES General Permit.
1. Please fill in ALL highlighted areas, then sign and date the form(s).
NOTE: Any highlighted areas not filled out could result in permit rejection from TCEQ.
2. Make multiple copies of the signed NOT (depending on the number of SWP3 binders that you have).
• Place a signed copy of the NOT in your Storm Water Pollution Prevention binder(s) behind the
NOT tab divider.
3. Send the documents with the original signatures (blue ink) to the TCEQ. We recommend you send the
information by certified mail for tracking purposes.
4. Send a check or money order in the amount of 5325.00 made out to Texas Commission on
Environmental Quality under separate cover using the payment submittal form (enclosed). We
recommend you send the information by certified mail for tracking purposes.
NOTE: The $325 jee is not provided by Compliance Resources, Inc.
5. Please email or fax a copy of all sieved documents to our office for our records.
* NOTE—YOU MUST ADD POSTAGE TO THE CERTIFIED MAIL ENVELOPES BEFORE MAILING
Please feel free to call if you require more information or have any questions.
Sincerely,
—C1 1
Misti Shafer
mshafer , comolianceresourcesinc.com
PO BOX 3000 #246 • GEORGETOWN, TFXAS 78627-3000
512.930.7733 PHONE • 512.864.7629 FAX • WWW.CCMPLIANCERESOURCESINC.COM
CkA-Z ,ly - 539
CM4PLIANCr AESOUOICES
I N C D R P 6 R A T+ E D
CERTIFIED MAIL
70132630000169149222
September 17, 2014
Texas Commission on Environmental Quality
Storm Water Processing Center (MC -228)
P.O. Box 13087
Austin, Texas 78711-3087
Re: Chandler Creek 1 Upper Phase Wastewater Line
Dear Storm Water Processing Center:
City of Round Rock is submitting the enclosed for Storm Water Discharges Associated with
Construction Activity under a TPDES General Permit.
Please feel free to call if you require more information or have any questions.
Sincerely,
�
Misti Shafer
Enc.: original signed Notice of Intent Application (6 pages)
PO 90X 3000 #246 • GEGRGETGWN, TEXAS 78627-3000
512.930.7733 PHONE • 512.864.7529 FAX • WWW. COMPLIAN CERES 0 U RCESINC.CGM
TCEQ Office Use Only
Permit No.:
RN:
CN:
Region:
TCEQ Notice of Intent (NOI) for Stormwater Discharges
Associated with Construction Activity under TPDES
General Permit (TXR150000)
IMPORTANT:
• Use the INSTRUCTIONS to fill out each question in this form.
• Use the CHECKLIST to make certain all you filled out all required information.
Incomplete applications WILL delay approval or result in automatic denial.
• Once processed your permit can be viewed at:
htto-//WWW2.tceq.texas.gov/wcj dpa/index cfm
ePERMITS: Sign up now for online NOI: htti)s•//wwwi.tceci.texas.gov/steers/index.cfm
Pay a $225 reduced application fee by using ePermits.
APPLICATION FEE:
• You must pay the $325 Application Fee to TCEQ for the paper application to be
complete.
• Payment and NOI must be mailed to separate addresses.
• Did you know you can pay on line?
• Go to https //wwwg.tceq.texas.gov/epay/index.efm
• Select Fee Type: GENERAL PERMIT CONSTRUCTION STORM WATER
DISCHARGE NOI APPLICATION
• Provide your payment information below, for verification of payment:
❑ Mailed Check/Money Order No.:
Name Printed on Check:
❑ EPAY Voucher No.:
Is the Payment Voucher copy attached? ❑ Yes
RENEWAL: Is this NOI a Renewal of an existing General Permit Authorization?
(Note: A permit cannot be renewed after June 3, 2013.)
[3 Yes The Permit number is: TXR15
(If a permit number is not provided, a new number will be assigned.)
0 No
a) If the applicant is currently a customer with TCEQ, what is the Customer Number (CN)
issued to this entity? You may search for your CN at:
http,//wwwtz teeq texas eo ,/eroub/index cfm?fuseaction=cust CwtSearch
CN 600413181
TCEQ 20022 (03/05/2013) Page 1
b) What is the Legal Name of the entity (applicant) applying for this permit?
(The legal name must be spelled exactly as filed with the Texas Secretary of State, County, or
in the legal document forming the entity.)
c) What is the name and title of the person signing the application? The person must be an
executive official meeting signatory requirements in TAC 305.44(a).
Prefix (Mr. Ms. Miss):
First/Last Name: Stever Norwood Suffix:
Title: City Manager Credential:
d) What is the Operator Contact's (Responsible Authority) contact information and mailing
address as recognized by the US Postal Service (USPS)? You may verify the address at:
htty•//zip4.usps.com/ziD4/welcome.isp
Phone #: (512) 218-5400 ext: In #: (512) 218-7097
E-mail:
Mailing Address: 221 E. Main Street
Internal Routing (Mail Code, Etc.):
Country Code:Postal
e) Indicate the type of Customer (The instructions will help determine your customer type):
❑ Individual
El Limited Partnership
❑Sole Proprietorship -DBA
❑ Joint Venture
❑ General Partnership
❑ Corporation
❑ Trust
❑ Estate
❑ Federal Government
❑ State Government
❑ County Government
❑' City Government
❑ Other Government
0 Independent Operator? ❑� Yes ❑No
(If governmental entity, subsidiary, or part of a larger corporation, check "No".)
g) Number of Employees:
❑0-20; ❑21-100; ❑101-250; El 251-500; or ❑� 501 or higher
h) Customer Business Tax and Filing Numbers:
(REQUIRED for Corporations and Limited Partnerships.
Government, or Sole Proprietors)
State Franchise Tax ID Number:
Federal Tax ID:
Texas Secretary of State Charter (filing) Number: _
DUNS Number (if known):
Not Required for Individuals,
If TCEQ needs additional information regarding this application, who should be contacted?
Is the application contact the same as the applicant identified above?
❑ Yes, go to Section 3). ❑� No, complete section below.
Prefix (Mr. Ms.
Title:
TCEQ 20022 (03/05/2013)
Page 2
Inc.
Phone No.: (512) 930-7733 ext: 231 Fax
Territory: Country Code: Postal Code:
If the site of your business is part of a larger business site or if other businesses were located at
this site before yours, a Regulated Entity Number (RN) may already be assigned for the larger
site. Use the RN assigned for the larger site. Search TCEQ's Central Registry to see if the larger
site may already be registered as a regulated site at:
http_//www12.tee(i.texas.gov/crpub/index,cfm?fteaction=regent RNSearch.
If the site is found, provide the assigned Regulated Entity Reference Number and provide the
information for the site to be authorized through this application below. The site information
for this authorization may vary from the larger site information.
a) TCEQ issued RE Reference Number (RN): RN 107702946
b) Name of project or site (the name known by the community where located):
Chandler Creek 1 Unoer Phase Wastewater Line
c) In your own words, briefly describe the primary business of the Regulated Entity: (Do not
repeat the SIC and NAICS code):
d) County (or counties if > 1) Williamson
e) Latitude: ?o sa2o140N Longitude: -u76ao78aoW
f) Does the site have a physical address?
❑ Yes, complete Section A for a physical address.
❑� No, complete Section B for site location information.
Section A: Enter the physical address for the site.
Verify the address with USPS. If the address is not recognized as a delivery address, provide
the address as identified for overnight mail delivery, 911 emergency or other online map
tools to confirm an address.
Physical Address of Project or Site:
Street Number: Street Name:
City: State: ZIP Code:
TCEQ 20022(03/05/2013) Page
Section B: Enter the site location information.
If no physical address (Street Number & Street Name), provide a written location access
description to the site. (Ex.: located 2 miles west from intersection of Hwy 290 & IH35
Start at the north point of Stone Manor Trail Drive, extending 505o LF north to the north right-of-way of Old
Settlers Blvd., turning west and extending 185 LF to the west, turning north and extending 2170 LF north to
termination point
City where the located or, if not in a city, wl at is t e nearest city:
where the site is located:
on Indian Country Lands?
is Yes, you must obtain authorization through EPA, Region 6.
❑� No
b) Is your construction activity associated with a facility that, when completed, would be
associated with the exploration, development, or production of oil or gas or geothermal
resources?
❑ Yes - If the answer is Yes, you may be under jurisdiction of the Railroad Commission
of Texas and may need to obtain authorization through EPA, Region 6.
Q No
c) What is the Primary Standard Industrial Classification (SIC) Code that best describes the
construction activity being conducted at the site?
Primary SIC Code: 1623
d) If applicable, what is the Secondary SIC Codi
e) What is the total number of acres disturbed?
f) Is the project site part of a larger common plan of development or sale?
❑ Yes - If the answer is Yes, the total number of acres disturbed can be less than 5 acres.
❑o No - If the answer is No, the total number of acres disturbed most be 5 or more. If
the total number of acres disturbed is less than 5 then the project site does not
qualify for coverage through this Notice of Intent. Coverage will be denied. See
the requirements in the general permit for small construction sites.
g) What is the name of the first water body(s) to receive the stormwater runoff or potential
runoff from the site?
h) What is the segment number(s) of the classified water body(s) that the discharge will
eventually reach?
TCEQ 20022(03/05/2013) Page
i) Is the discharge into an M94?
❑m Yes - If the answer is Yes, provide the name of the MS4 operator below.
❑ No
the name of the MS4 operator:
Note: The general permit requires you to send a copy of the NOI to
j) Are any of the surface water bodies receiving discharges from the construction site on the
latest EPA -approved CWA 303(d) List of impaired waters?
❑o Yes - If the answer is Yes, provide the name(s) of the impaired water body(s) below.
❑ No
If Yes, provide the names) of the impaired water body(s):
1244 - Brushv Creek
k) Is the discharge or potential discharge within the Recharge Zone, Contributing Zone, or
Contributing Zone within the Transition Zone of the Edwards Aquifer as defined in 30 TAC
Chapter 213?
❑ Yes - If the answer is Yes, complete certification below by checking "Yes."
❑o No
I certify that a copy of the TCEQ approved Plan required by the Edwards Aquifer Rule
(3o TAC Chapter 213) is either included or referenced in the Stormwater Pollution
Prevention Plan.
❑ Yes
TCEQ 20022 (03/05/2013) page 5
Check Yes to the certifications below. Failure to indicate Yes to ALL items may result in denial
of coverage under the general permit.
a) I certify that I have obtained a copy and understand the terms and conditions of the
Construction General Permit (TXRr50000). E Yes
b) I certify that the full legal name of the entity applying for this permit has been provided
and is legally authorized to do business in Texas. E Yes
c) I understand that a Notice of Termination (NOT) must be submitted when this
authorization is no longer needed. ❑� Yes
d) I certify that a Stormwater Pollution Prevention Plan has been developed, will be
implemented prior to construction and to the best of my knowledge and belief is
compliant with any applicable local sediment and erosion control plans, as required in
the general permit TXRr50000. Note: For multiple operators who prepare a shared
SWP3, the confirmation of an operator may be limited to its obligations under the
SWP3 provided all obligations are confirmed by at least one operator. ❑� Yes
Operator Certification:
I, Steve Norwood City Manager
Typed or printed name Title
certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware there are significant penalties for submitting false
information, including the possibility of fine and imprisonment for knowing violations.
I further certify that I am authorized under 3o Texas Administrative Code 305.44 to sign and
submit this document, and can provide documentation in proof of such authorization upon
request.
Signature: Date:
(Me blue ink)
TCEQ 20022 (03/05/2013) Page 6
C04 PLIANCE,,, ES0U 0,CES
N 'C D R P R A l� E D
CERTIFIED MAIL
70080150000284703005
September 17, 2014
Texas Commission on Environmental Quality
Financial Administration Division
Cashier's Office (MC -214)
P.O. Box 13088
Austin, Texas 78711-3088
Re: Storm Water Application Fee for Chandler Creek 1 Upper Phase Wastewater Line
Dear Cashier.
City of Round Rock is submitting the enclosed Storm Water Application Fee for the Notice of
Intent for Storm Water Discharges Associated with Construction Activity under a TPDES
General Permit.
Please feel free to call if you require more information or have any questions.
Sincerely,
�%
Misti Shafer
Enc.: Notice of Intent Payment Submittal Form with payment (I page)
PO BOX 3000 #246 TEXAS 76627-3000
512.930.7733 PHONE • 512.064.7629 FAX • WWW.COMPLIANCERESOURCESINC.COM
Crn-zoH-53,1
Texas Commission on Environmental Quality
General Permit Payment Submittal Form
• Complete items 1 through 5 below:
• Staple your check in the space provided at the bottom of this document.
• Do not mail this form with your NOI form.
• Do not mail this form to the same address as your NOI.
Mail this form and your check to
BYREGULAR U.S. MAIL BY OVERNIGHT/EXPRESS MAIL
Texas Commission on Environmental Texas Commission on Environmental
Quality Quality
Financial Administration Division Financial Administration Division
Cashier's Office, MC -214 Cashier's Office, MC -214
P.O. Box 13088 12100 Park 35 Circle
Austin, TX 78711-3o88 Austin, TX 78953
I Fee Code: GPA General Permit: TXR150000 I
1. Check / Money Order No: I
2. Amount of Check/Money Order: $325.00
3. Date of Check or Money Order:
4. Name on Check or Money Order:
5. NOI INFORMATION
If the check is for more than one NOI, list each Project/Site (RE) Name and Physical
Address exactly as provided on the NOI. DO NOT SUBMIT A COPY OF THE NOI WITH
THIS FORM AS IT COULD CAUSE DUPLICATE PERMIT ENTRIES.
See Attached List of Sites (If more space is needed, you may attach a list.)
Project/Site (RE) Name: Chandler Creek 1 Upper Phase Wastewater Line
Project/Site (RE) Physical Address
Start at the north point of Stone Manor Trail Drive, extending 5050 LF north to the
north right-of-way of Old Settlers Blvd., turning west and extending 185 LF to the
west, turning north and extending 217o LF north to termination point
Round Rock, Texas 98664
Stable Check in This Svace
TCEQ- 20134(04/13/2oo6) Pagel