CM-2015-732 - 4/10/2015City of Round Rock
TTEEXASeM« Agenda Item Summary
Agenda Number:
Title: Consider executing TCEQ "Agent Authorization Form For Required
Signature Edwards Aquifer Protection Program Relating to 30 TAC
Chapter 213" authorizing Derek T. Schwanke to represent and act on
behalf of the City regarding the 2014 Wastewater Collection System
Rehabilitation Project.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 4/102015
Dept Director: Michael Thane, Director of Utilities and Environmental Services
Cost:
Indexes:
Attachments: AgentAuthorizationForm_TCEQ_2014WWRehab_CM4.10.15
Department: Utilities and Environmental Services
Text of Legislative File CM -2015-732
The City of Round Rock is required by the Texas Commission on Environmental Quality
(TCEQ) to obtain an Organized Sewer Collection System (SCS) approval from TCEQ prior
to conducting work over the Edwards Aquifer Recharge Zone (EARZ). The 2014
Wastewater Collection System Rehabilitation Project is located over the EARZ and as a
result, the City must address the EARZ requirements. By the City executing the Agent
Authorization form, this will authorize the City's consultant, Derek T. Schwanke of RJN
Group Inc., to act as an agent to the City and submit the application for approval of the SCS
for this project.
Staff recommends approval.
City or Round Ruck Faye 1 vnn(ea nn L1.dfe
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
2014 wastewater Cdlecdon System
Department Name: utilities and EnWormental SWws Project Name: Rehabilitation Project
Project Mgr/Resource: Eddie 2apam ConlractorNendor: Texas Commbsion on Environmental Quality
Council Action:
Q ORDINANCE F' -J RESOLUTION
QCity Manager Approval
Attorney Apprc
QAttorney
CMA Wording
Canaider axacoliog TCEQ "Agent Authorization Form For Required Signature Edwems Aquifer Protection Program Relating to 30
TAC Chapter 213" authorizing Derek T. Schwanke to represent and act on behalf of the City regarding the 2014 Wastewater
Collection Syakm Rehabilitation Project.
Date 2
O:\wdm=Clntst014M14251MISCW0331978.XLS Updated &3108
Agent Authorization Form
For Required Signature
Edwards Aquifer Protection Program
Relating to 30 TAC Chapter 213
Effective June 1, 1999
Print Mime
Mahaaer ,
Title - Ow rlPresident/Other
Of Ck" n'� ���r� CCL ,
orporationlParinership/ ntityName
have authorized Derek T. Schwanke, P.E.
Print Name of Agent/Engineer
of RJN Group, Inc.
Print Name of Firm
to represent and act on the behalf of the above named Corporation, Partnership, or Entity for
the purpose of preparingand submitting this plan application to the Texas Commission on
Environmental Quality TCEQ) for the review and approval consideration of regulated
activities.
I also understand that:
1. The applicant is responsible for compliance with 30 Texas Administrative Code
Chapter 213 and any condition of the TCEQ's approval letter. The TCEQ is authorized
to assess administrative penalties of up to $10,000 per day per violation.
2. For those submitting an application who are not the property owner, but who have the
right to control and possess the property, additional authorization is required from the
owner.
3. Application fees are due and payable at the time the application is submitted. The
application fee must be sent to the TCEQ cashier or to the appropriate regional office.
The application will not be considered until the correct fee is received by the
commission.
4. A notarized copy of the Agent Authorization Form must be provided for the person
preparing the application, and this form must accompany the completed application.
5. No person shall commence any regulated activity on the Edwards Aquifer Recharge
Zone, Contributing Zone or Transition Zone until the appropriate application for the
activity has been filed with and approved by the Executive Director.
CM-aolS- -13a
TCEO-0599 (Rev.04/0112010) Page 1 of 2
SIGNATURE PAGE:
U! 4-(0-(5
Applicant's Signatur Date
THE STATE OF kXaii §
Countyof §
BEFORE ME, the undersigned authority, on this day personally appeared �aeY known
to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged to
me that (s)he executed same for the purpose and consideration therein expressed.
GIVEN under my hand and seal of office on this (0-iaay of A1,
O!(/i,V� WiI/l/tiL
NOTARY PUBLIC
SRRA LEIGHWHIIE r �IL
11 MV COMMISSION E%PIRES Z:/A tlt
1,411.2015 Typed or Printed Name of Notary
MY COMMISSION EXPIRES: 7-0 Uo
TCEQ-0599 (Re,04/01/2010) Page 2 of 2