CM-2017-1554 - 11/17/2017F1
0 TCEa Use Only
XEQTCEQ Core Data Form
For detailed instructions regarding completion of this form, please read the Core Data Form Instructions or call 512-239-5175
SECTION I: General Information
1. Reason for Submission (If other is checked please describe in space provided.)
❑x New Permit, Registration or Authorization (Core Data Form should be submitted with the program application.)
❑ Renewal (Core Data Form should be submitted with the renewal form) I ❑ Other
2. Customer Reference Number (if issued) 3 RAnulated BUN RefprAnre Numher (if bmipril
CN 600413181
SECTION II: Customer Information
Follow this link to search
for CN or RN numbers in RN 102766417
Central_Registryr**
4. General Customer Information
5. Effective Date for Customer Information Updates (mmlddlyyyy)
10/23/2017
❑ New Customer ❑X Update to Customer information ❑ Change in Regulated Entity Ownership
El Change in Legal Name Werifiable with the Texas Secretary of State or Texas Comptroller of Public Accounts
The Customer Name submitted here may be updated automatically based on what is current and active with the
Texas Secretary of State (SOS) or Texas Comptroller of Public Accounts (CPA).
6. Customer Legal Name (If an individual, print last name first: e.g.: Doe, John) If new Cuslo[ner. enLer arevious Customer, below*
City of Round Rack
7. TX SOSICPA Filing Number
B. TX State Tax ID ttt digits)
9, Federal Tax ID tsa�ts)
10. DUNS Number (if applicable)
11. T of Customer,
❑ Corporation
[EllIndividual
Partnership: [I General ❑Limited
Government: 0 City ❑ County ❑ Federal ❑ state❑other
❑ Sole Proprietorship
❑ Other.
12. Number of Employees
❑0-20 ❑21-100 ❑101-250 ❑251-500 0501 and higher
13. Independently Owned and Operated?
1 ❑ Yes ❑ No
14. Customer Role (Proposed or Actual) - as it relates to the Regulated Entity listed on this form. Please check one of the following
❑Owner ❑ Operator 9 Owner & Operator
❑Occupational Licensee ❑ Responsible Party ❑ Voluntary Cleanup Applicant ❑Other
15. Mailing
221 East Main Street
Address:
City
I Round Rock State
I TX
ZIP 178664
ZIP +4
16. Country Mailing information if outside USA
17. E -Mail Address (if applicable)
18. Telephone Number
( 512 ) 218 - 5400
19. Extension or Code
20. Fax Number (if applicable)
( ) -
SECTION III: Regulated Entity Information
21. General Regulated Entity Information (if 'New Regulated Entity" is selected below this form should be accompanied by a permit application)
❑ New Regulated Entity ❑ Update to Regulated Entity Name 0 Update to Regulated Entity Information
The Regulated Entity Name submitted may be updated in order to meet TCEQ Agency Data Standards (removal
of organizational endings such as Inc, LP, or LLC).
22. Regulated Entity Name (Enter name of the site where the regulated action is taking place.)
Luther Peterson Subdivision
TCEQ-10400 (04115) Page lof 2
C" -Zai']- a4
23. Street Address of the
Regulated Entity:
{No PO Boxes}
3220 Sunrise Road
26. Nearest City
City
I Round Rock
State
TX
ZIP
78665
ZIP +4
Seconds DegreesMinutes
24. County
Williamson
tmer lenysical Location uescnption it no street address is provided.
25. Description to
Physical Location:
❑ Districts
26. Nearest City
State Barest ZIP Code
Round Rock I
TX 178665
27. Latitude (N) In Decimal:
130.5483 28. Longitude (W) In Decimal:
-97.6773
Degrees Minutes
Seconds DegreesMinutes
❑ PWS
I Seconds
30 132
53 97
40
138
29. Primary SIC Code (4 digifs) 30. Secondary SIC Code (4 digits) 31. Primary NAICS Code 32. Secondary NAILS Code
5 or 6 di its 5 or 6 di Its
9199
9229
921190
922190
33. What is the Primary Business of this entity? (Do not repeat the SIC or NAICS description.)
Municipal government
departments overseeing planning, operations, and maintenance of public works
34. Mailing
Address:
3400 Sunrise Road
❑Other.
City
I Round Rock
State
TX
ZIP
1 78665
ZIP +4
35. E -Mail Address: I twilkes@roundrocktexas.gov
36. Telephone Number
37. Extension or Code 38. Fax Number (if applicable)
( 512 ) 671 - 2890
{ ) -
39. TCED Pmgrams and ID Numbers Check all Programs and write in the permitslregistration numbers that will be affected by the updates submitted on this form See the Core Data
Form instructions for additional guidance
❑ Dam Safety
❑ Districts
❑ Edwards Aquifer ❑Emissions Inventory Air
❑ Industrial Hazardous Waste
Name(InP►fnQ:
I L ie Hadley
Phone
(i2 )M -52H]
❑ Municipal Solid Waste
[]New Source Review Air
❑ OSSF ❑Petroleum Storage Tank
❑ PWS
❑ Sludge
❑ Storm Water
❑ Title V Air ❑ Tires
❑ Used Oil
Tim Henne
❑ Voluntary Cleanup
❑ Waste Water
E] Wastewater Agriculture ❑ Water Rights
❑Other.
SECTION V: Authorized Signature
46. By my signature below, I certify, to the best of my knowledge, that the information provided in this form is true and complete, and that I have signature authority
to submit this form on behalf of the entity specified in Section II, Field 6 and/or as required for the updates to the ID numbers identified in field 39.
Company:
City of Round Rock
Job Title.
CityManager
Name(InP►fnQ:
I L ie Hadley
Phone
(i2 )M -52H]
Signature:
Date
fA
TCEO.10400 (04115) Page 2 of 2
Application Fee Form
Texas Commission on Environmental Quality
Name of Proposed Regulated Entity: Luther p t rson Subdivision
Regulated Entity Location: Northwest corner of Luther Peterson Place and Sunrise Drive
Name of Customer•. City of Round Rock
Contact Person: Travis Wilkes - Phone: (5121671-2890
Customer Reference Number (if issued) -CN 600413181
Regulated Entity Reference Number (if issued) -RN 102766417
Austin Regional Office (3373)
❑ Hays ❑ Travis
San Antonio Regional Office (3362)
® Williamson
❑ Bexar ❑ Medina ❑ Uvalde
❑ Comal ❑ Kinney
Application fees must be paid by check, certified check, or money order, payable to the Texas
Commission on Environmental Quality. Your canceled check will serve as your receipt. This
form must be submitted with your fee payment. This payment is being submitted to:
® Austin Regional Office
❑ San Antonio Regional Office
❑ Mailed to: TCEQ - Cashier
❑ Overnight Delivery to. TCEQ- Cashier
Revenues Section
12100 Park 35 Circle
Mail Code 214
Building A, 3rd Floor
P.O. Box 13088
Austin, TX 78753
Austin, TX 78711-3088
(512)239-0357
Site Location (Check All That Apply):
® Recharge Zone ❑ Contributing Zone ❑ Transition Zone
_ Type of Plan
Sire
Fee Due
Water Pollution Abatement Plan, Contributing Zone
Plan: One Single Family Residential Dwelling
Acres
$
Water Pollution Abatement Plan, Contributing Zone
Plan: Multiple Single Family Residential and Parks
Acres
$
Water Pollution Abatement Plan, Contributing Zone
Plan: Non-residential i
Acres
$
Sewage Collection System
�- 942 L.F.
$ 650
Lift Stations_ without sewer lines
Acres
$
_
Underground or Aboveground Storage Tank Facility
Tanks
$
Piping S stem(s)(only)
Each
$
Exception _
Each
$
Extension of Time
$
Each
Signature:, Date:
1 of 2
TCEQ-0574 (Rev. 02-24-15)
Application Fee Schedule
Texas Commission on Environmental Quality
Edwards Aquifer Protection Program 30 TAC Chapter 213 (effective 05/01/2008)
Water Pollution Abatement Plans and Modifications
Contributing Zone Plans and Modifications
Organized Sewage Collection Svstems and Modifications
Project
Project Area in
Minimum Fee -
Maximum Fee
Project
Acres
Fee
One Single Family Residential Dwelling
< 5
$650
Multiple Single Family Residential and Parks
< 5
$1,500
5 < 10
$3,000
10 < 40
$4,000
40 < 100
$6,500
100 < 500
$8,000
>_ 500
$10,000
Nonresidential (Commercial, industrial, institutional,
< 1
$3,000
multi -family residential, schools, and other sites
1 < 5
$4,000
where regulated activities will occur)
5 < 10
$5,000
10 < 40
$6,500
40 < 100
$8,000
100 1
$10,000
Organized Sewage Collection Svstems and Modifications
Project
Cost per Linear
Foot
Minimum Fee -
Maximum Fee
Sewage Collection Systems
$0.50
$650 - $6,500
Underground and Aboveground Storage Tank System Facility Plans and
Modifications
Project
Cost per Tank or
Piping System
Minimum Fee -
Maximum Fee
Underground and Aboveground Storage Tank Facility
$650
$650 - $6,500
Exception Reguests
Project Fee
Exception Request $500
Extension of Time Reguests
Project Fee
Extension of Time Request $150
2of2
TCEQ-0574 (Rev. 02-24-15)
Organized Sewage Collection System
Application
Texas Commission on Environmental Quality
For Regulated Activities on the Edwards Aquifer Recharge Zone and Relating to 30 TAC
§213.5(c), Effective June 1, 1999
To ensure that the application is administratively complete, confirm that all fields in the form
are complete, verify that all requested information is provided, consistently reference the
same site and contact person in all forms in the application, and ensure forms are signed by
the appropriate party.
Note: Including all the information requested in the form and attachments contributes to
more streamlined technical reviews.
Regulated Entity Name: Luther Peterson Subdivision
I. ® Attachment A — SCS Engineering Design Report. This Engineering Design Report is
provided to fulfill the requirements of 30 TAC Chapter 217, including 217.10 of
Subchapter A, §§217.51— 217.70 of Subchapter C, and Subchapter D as applicable, and
is required to be submitted with this SCS Application Form.
Customer Information
2. The entity and contact person responsible for providing the required engineering
certification of testing for this sewage collection system upon completion (including private
service connections) and every five years thereafter to the appropriate TCEQ region office
pursuant to 30 TAC §213.5(c) is:
Contact Person: Travis Wilkes
Entity: City of Round Rock
Mailing Address: 212 Commerce Cove
City, State: Round Rock, Texas Zip: 78664
Telephone: (512)671-2890 Fax: (512) 218-5576
Email Address: twilkes@roundrocktexas.gov
The appropriate regional office must be informed of any changes in this information
within 30 days of the change.
3. The engineer responsible for the design of this sewage collection system is:
Contact Person: Kevin Hunt
Texas Licensed Professional Engineer's Number: 91842
Entity: Jacobs
Mailing Address: 911 Central Parkway North, Suite 425
City, State:San Antonio, Texas Zip: 78232
Telephone: 210 494-0088 Fax:(210)494-4525
Email Address:kevin.hunt@jacobs.com
1of10
TCEQ-0582 (Rev. 02-11-15)
Project Information
4. Anticipated type of development to be served (estimated future population to be served,
plus adequate allowance for institutional and commercial flows):
❑ Residential: Number of single-family lots:
❑ Multi -family: Number of residential units:
❑ Commercial
® Industrial
❑ Off-site system (not associated with any development)
❑ Other:
5. The character and volume of wastewater is shown below:
Domestic gallons/day
100% Industrial 12.060 Average gallons/day
% Commingled gallons/day
Total gallons/day: 12,060 Average Daily Flow
6. Existing and anticipated infiltration/inflow is 18,900 gallons/day. This will be addressed by:
designing the sewage collection system based on a peak wet weather flow that includes a
peaking factor and the expected I&I. The peak wet weather flow was calculated to be
approximately 70,386 gallons/day.
7. A Water Pollution Abatement Plan (WPAP) is required for construction of any associated
commercial, industrial or residential project located on the Recharge Zone.
❑ The WPAP application for this development was approved by letter dated A
copy of the approval letter is attached.
The WPAP application for this development was submitted to the TCEQ on the same
date as this SCS . but has not been approved.
❑ A WPAP application is required for an associated project, but it has not been submitted.
0 There is no associated project requiring a WPAP application.
8. Pipe description:
Table 1 - Pipe Description
Pipe
Diameter(Inches)
Linear Feet (1)
Pipe Material (2)
Specifications (3)
8
942
PVC SDR26
City of Round Rock
Utility Criteria Manual
Total Linear Feet: 942
2of10
TCEQ-0582 (Rev. 02-11-15)
(1) Linear feet - Include stub -outs and double service connections. Do not include private
service laterals.
(2) Pipe Material - If PVC, state SDR value.
(3) Specifications - ASTM / ANSI / AWWA specification and class numbers should be included.
9. The sewage collection system will convey the wastewater to the City of Round Rock
Wastewater (name) Treatment Plant. The treatment facility is:
® Existing
❑ Proposed
10. All components of this sewage collection system will comply with:
® The City of Round Rock standard specifications.
❑ Other. Specifications are attached.
11. ® No force main(s) and/or lift station(s) are associated with this sewage collection system.
❑ A force main(s) and/or lift station(s) is associated with this sewage collection system and
the lift Station/Force Main System Application form (TCEQ- 0624) is included with this
application.
Alignment
12. ® There are no deviations from uniform grade in this sewage collection system without
manholes and with open cut construction.
13. ® There are no deviations from straight alignment in this sewage collection system
without manholes.
❑ Attachment B - Justification and Calculations for Deviation in Straight Alignment
without Manholes. A justification for deviations from straight alignment in this sewage
collection system without manholes with documentation from pipe manufacturer
allowing pipe curvature is attached.
❑ For curved sewer lines, all curved sewer line notes (TCEQ-0596) are included on the
construction plans for the wastewater collection system.
Manholes and Cleanouts
14. ® Manholes or clean -outs exist at the end of each sewer line(s). These locations are listed
below: (Please attach additional sheet if necessary)
Table 2 - Manholes and Cleanouts
Line
Shown on Sheet
Station
Manhole or Clean -
out?
WW A
C-120 Of
13+32.96
Manhole
WW A
C-120 Of
15+21.08
Manhole
WW D
C-120 Of
10+97.36
Manhole
WWF
C-120 Of
13+24.08
Manhole
3 of 10
TCEQ-0582 (Rev. 02-11-15)
Line
Shown on Sheet
Station
Manhole or Clean -
out?
Of
Of
Of
Of
Of
Of
15. Z Manholes are installed at all Points of Curvature and Points of Termination of a sewer
line.
16. ® The maximum spacing between manholes on this project for each pipe diameter is no
greater than:
Pipe Diameter (inches) Max. Manhole Spacing (feet)
6-15 500
16-30 800
36-48 1000
>_54 2000
❑ Attachment C — Justification for Variance from Maximum Manhole Spacing. The
maximum spacing between manholes on this project (for each pipe diameter used) is
greater than listed in the table above. A justification for any variance from the
maximum spacing is attached, and must include a letter from the entity which will
operate and maintain the system stating that it has the capability to maintain lines with
manhole spacing greater than the allowed spacing.
17. ❑ All manholes will be monolithic, cast -in-place concrete.
® The use of pre -cast manholes is requested for this project. The manufacturer's
specifications and construction drawings, showing the method of sealing the joints, are
attached.
Site Plan Requirements
Items 18 - 25 must 8e included on the Site Plan.
18. ® The Site Plan must have a minimum scale of 1" = 400'.
Site Plan Scale: 1" = 60'.
19. ® The Site Plan must include the sewage collection system general layout, including
manholes with station numbers, and sewer pipe stub outs (if any). Site plan must be
overlain by topographic contour lines, using a contour interval of not greater than ten
feet and showing the area within both the five-year floodplain and the 100 -year
floodplain of any drainage way.
4of10
TCEQ-0582 (Rev. 02-11-15)
20. Lateral stub-outs.-
F]
tub-outs:
❑ The location of all lateral stub -outs are shown and labeled.
® No lateral stub -outs will be installed during the construction of this sewer collection
system.
2 1. Location of existing and proposed water lines:
® The entire water distribution system for this project is shown and labeled.
® If not shown on the Site Plan, a Utility Plan is provided showing the entire water and
sewer systems.
❑ There will be no water lines associated with this project.
22. 100 -year floodplain:
® After construction is complete, no part of this project will be in or cross a 100 -year
floodplain, either naturally occurring or manmade. (Do not include streets or concrete -
lined channels constructed above of sewer lines.)
❑ After construction is complete, all sections located within the 100 -year floodplain will
have water -tight manholes. These locations are listed in the table below and are shown
and labeled on the Site Plan. (Do not include streets or concrete -lined channels
constructed above sewer lines.)
Table 3 - 100 -Year Floodplain
Line I Sheet
Station
of I to
_ rt I - of - _ � to
of
to
ofto
23. 5 -year floodplain:
® After construction is complete, no part of this project will be in or cross a 5 -year
floodplain, either naturally occurring or man-made. (Do not include streets or concrete -
lined channels constructed above sewer lines.)
❑ After construction is complete, all sections located within the 5 -year floodplain will be
encased in concrete or capped with concrete. These locations are listed in the table
below and are shown and labeled on the Site Plan. (Do not include streets or concrete -
lined channels constructed above sewer lines.)
Table 4 - 5 -Year Flondnlain
Line
Sheet
Station
of
to
of
to
of
to
of
to
5of10
TCEQ-0582 (Rev. 02-11-15)
24. ® Legal boundaries of the site are shown.
25. ® The final plans and technical specifications are submitted for the TCEQ's review. Each
sheet of the construction plans and specifications are slated, signed, and sealed by the
Texas Licensed Professional Engineer responsible for the design on each sheet.
Items 26 - 33 must be included on the Plan and Profile sheets.
26. ® All existing or proposed water line crossings and any parallel water lines within 9 feet of
sewer lines are listed in the table below. These lines must have the type of pressure
rated pipe to be installed shown on the plan and profile sheets. Any request for a
variance from the required pressure rated piping at crossings must include a variance
approval from 30 TAC Chapter 290.
❑ There will be no water line crossings.
❑ There will be no water lines within 9 feet of proposed sewer lines.
Table 5 - Water Line Crossin s
Line
Station or
closest Point
Crossing or
Parallel
Horizontal
Separation
Distance
Vertical
Separation
Distance
WW A
10+49.38
Crossing
11.68'
WW A
14+46.12
Crossing
3.14'
WW D
10+49.07
Crossing
2.10'
WW F
10+83.05
Crossing
2.26'
27. Vented Manholes-
® No part of this sewer line is within the 100 -year floodplain and vented manholes are not
required by 30 TAC Chapter 217.
❑ A portion of this sewer line is within the 100 -year floodplain and vented manholes will
be provided at less than 1500 foot intervals. These water -tight manholes are listed in
the table below and labeled on the appropriate profile sheets.
❑ A portion of this sewer line is within the 100 -year floodplain and an alternative means of
venting shall be provided at less than 1500 feet intervals. A description of the
alternative means is described on the following page.
❑ A portion of this sewer line is within the 100 -year floodplain; however, there is no
interval longer than 1500 feet located within. No vented manholes will be used.
Table 6 - Vented Manholes
Line Manhole Station Sheet
6 of 10
TCEQ-0582 (Rev. 02-11-15)
Cine Manhole Station Sheet
o
28. Drop manholes:
❑There are no drop manholes associated with this project.
® Sewer lines which enter new or existing manholes or "manhole structures" higher than
24 inches above the manhole invert are listed in the table below and labeled on the
appropriate profile sheets. These lines meet the requirements of 30 TAC
§217.55(I)(2)(H).
Table 7 - Drop Manholes
Line
Manhole
Station
Sheet
WW A
A2
13+32.96
C-121
WW D
D2
10+97.39
C-121
29. Sewer line stub -outs (For proposed extensions):
® The placement and markings of all sewer line stub -outs are shown and labeled.
❑ No sewer line stub -outs are to be installed during the construction of this sewage
collection system.
30. Lateral stub -outs (For proposed private service connections):
❑ The placement and markings of all lateral stub -outs are shown and labeled.
® No lateral stub -outs are to be installed during the construction of this sewage collection
system.
31. Minimum flow velocity (From Appendix A)
® Assuming pipes are flowing full; all slopes are designed to produce flows equal to or
greater than 2.0 feet per second for this system/line.
32. Maximum flow velocity/slopes (From Appendix A)
® Assuming pipes are flowing full, all slopes are designed to produce maximum flows of
less than or equal to 10 feet per second for this system/line.
7of10
TCEQ-0582 (Rev. 02-11-15)
❑ Attachment D — Calculations for Slopes for Flows Greater Than 10.0 Feet per Second.
Assuming pipes are flowing full, some slopes produce flows which are greater than 10
feet per second. These locations are listed in the table below. Calculations are attached.
Table 8 - Flows Greater Than 10 Feet Per Second
Line
Profile Sheet
Station to Station
FPS
% Slope
Erosion/Shock
Protection
Alternate method of joining lateral to existing SCS line for potential future
connections [Required]
of
Typical trench cross-sections [Required]
C-506 of
Bolted manholes [Required]
of
Sewer Service lateral standard details [Required]
of
Clean-out at end of line [Required, if used]
C-505 of
Baffles or concrete encasement for shock/erosion protection [Required, if
flow velocity of any section of pipe >10 fps]
of
33. Assuming pipes are flowing full, where flows are >_ 10 feet per second, the provisions noted
below have been made to protect against pipe displacement by erosion and/or shock under
30 TAC §217.53(1)(2)(B)•
❑ Concrete encasement shown on appropriate Plan and Profile sheets for the locations
listed in the table above.
❑ Steel -reinforced, anchored concrete baffles/retards placed every 50 feet shown on
appropriate Plan and Profile sheets for the locations listed in the table above.
® N/A
Administrative Information
34. ® The final plans and technical specifications are submitted for TCEQ review. Each sheet
of the construction plans and specifications are dated, signed, and sealed by the Texas
Licensed Professional Engineer responsible for the design on each sheet.
35. ❑ Standard details are shown on the detail sheets, which are dated, signed, and sealed by
the Texas Licensed Professional Engineer, as listed in the table below:
Table 9 - Standard Details
Standard Details
Shown on Sheet
Lateral stub -out marking [Required]
of
Manhole, showing inverts comply with 30 TAC §217.55(1)(2) [Required]
C-505 of
Alternate method of joining lateral to existing SCS line for potential future
connections [Required]
of
Typical trench cross-sections [Required]
C-506 of
Bolted manholes [Required]
of
Sewer Service lateral standard details [Required]
of
Clean-out at end of line [Required, if used]
C-505 of
Baffles or concrete encasement for shock/erosion protection [Required, if
flow velocity of any section of pipe >10 fps]
of
8of10
TCEQ-0582 (Rev. 02-11-15)
standard Details
shown on Sheet
Detail showing Wastewater Line/Water Line Crossing [Required, if
of
crossings are proposed]
Mandrel detail or specifications showing compliance with 30 TAC
of
§217.57(b) and (c) [Required, if Flexible Pipe is used]
Drop manholes [Required, if a pipe entering a manhole is more than 24
of
inches above manhole invert]
36. ® All organized sewage collection system general construction notes (TCEQ-0596) are
included on the construction plans for this sewage collection system.
37. ® All proposed sewer lines will be sufficiently surveyed/staked to allow an assessment
prior to TCEQ executive director approval. If the alignments of the proposed sewer lines
are not walkable on that date, the application will be deemed incomplete and returned.
® Survey staking was completed on this date: 12/1/2017
38. ® Submit one (1) original and one (1) copy of the application, plus additional copies as
needed for each affected incorporated city, groundwater conservation district, and
county in which the project will be located. The TCEQ will distribute the additional
copies to these jurisdictions. The copies must be submitted to the appropriate regional
office.
39. � Any modification of this SCS application will require TCEQ approval, prior to
construction, and may require submission of a revised application, with appropriate
fees.
Signature
To the best of my knowledge, the responses to this form accurately reflect all information
requested concerning the proposed regulated activities and methods to protect the Edwards
Aquifer. This Organized Sewage Collection System Application is hereby submitted for TCEQ
review and executive director approval. The system was designed in accordance with the
requirements of 30 TAC §213.5(c) and 30 TAC §217 and prepared by:
Print Name of Licensed Professional Engineer: Kevin Hunt
Date:
Place engineer's seal here:
Signature of Licensed Professional Engineer:
9of10
TCEQ--0582 (Rev. 02-11-15)
Appendix A -Flow Velocity Table
Flow Velocity (Flowing pull) All gravity sewer lines on the Edwards Aquifer Recharge Zone shall
be designed and constructed with hydraulic slopes sufficient to give a velocity when flowing full
of not less than 2.0 feet per second, and not greater than 10 feet per second. The grades
shown in the following table are based on Manning's formula and an n factor of 0.013 and shall
be the minimum and maximum acceptable slopes unless provisions are made otherwise.
Table 10 - Slope Velocity
% Slope required for
Pipe Diameter(Inches) minimum flow velocity of 2.0
fps
% Slope which produces flow
velocity of 10.0 fps
6
0.50
12.35
8
0.33
8.40
10
0.25
6.23
12
0.20
4.88
15
0.15
3.62
18
0.11
2.83
21
0.09
2.30
24
0.08
1.93
27
0.06
1.65
30
0.055
1.43
33
0.05
1.26
36
0.045
1.12
39
0.04
1.01
>39
*For lines larger than 39 inches in diameter, the slope may be determined by Manning's formula
(as shown below) to maintain a minimum velocity greater than 2.0 feet per second when
flowing full and a maximum velocity less than 10 feet per second when flowing full.
10 of 10
TCEQ-0582 (Rev. 02-11-15)
1.49
v= xRlo.67X-�S
Figure i - Manning's Formula
Where:
v = velocity (ft/sec)
n = Manning's roughness coefficient
(0.013)
Rh = hydraulic radius (ft)
S = slope (f[/ft)
11 of 10
TCE=Q-0582 (Rev. 02-11-15)
General Information Form
Texas Commission on Environmental Quality
For Regulated Activities on the Edwards Aquifer Recharge and Transition Zones and Relating to
30 TAC §213.4(b) & §213.5(b)(2)(A), (8) Effective June 1, 1999
To ensure that the application Is administratively complete, confirm that all fields In the form
are complete, verify that all requested Information Is provided, consistently reference the
same site and contact person in all forms In the application, and ensure forms are signed by
the appropriate party.
Nate: Including all the Information requested In the form and attachments contributes to
more streamlined technical reviews.
Signature
To the best of my knowledge, the responses to this form accurately reflect all information
requested concerning the proposed regulated activities and methods to protect the Edwards
Aquifer. This General Information Form is hereby submitted for TCEQ review. The application
was prepared by: _
Print Name of Customer/Agent: i Jk!J oT P'O'A k
Date: 1
Signature of Customer/Agent:
Project Information
1. Regulated Entity Name: Luther Peterson Subdivision
2. County: Williamson
3. Stream Basin: Brazos River Basin
4. Groundwater Conservation District (If applicable): N/A
S. Edwards Aquifer Zone:
® Recharge Zone
❑ Transition Zone
6. Plan Type:
❑ WPAP
® SCS
❑ Modification
TCEQ-0587 (Rev. 02-11-15)
❑ AST
❑ UST
❑ Exception Request
1 of 4
7. Customer (Applicant):
Contact Person: Travis Wilkes
Entity: City of Round Rock
Mailing Address: 212 Commerce Cove
City, State: Round Rock, Texas Zip: 78664
Telephone: (512) 671-2890 FAX: (512)_218-5576
Email Address: twilkes@round rocktexas.eoy
8. Agent/Representative (If any):
Contact Person: Kevin Hunt
Entity: Jacobs
Mailing Address: 911 Central Parkway North Suite 425
City, State: San Antonio, Texas Zip: 78232
Telephone: 210 403-5538 FAX: (210) 494-4525
Email Address: kevin.huntPiacobs.com
9. Project Location:
® The project site is located inside the city limits of Round Rock.
❑ The project site is located outside the city limits but inside the ETJ (extra -territorial
jurisdiction) of
❑ The project site is not located within any city's limits or ETJ.
10. ® The location of the project site is described below. The description provides sufficient
detail and clarity so that the TCEQ's Regional staff can easily locate the project and site
boundaries for a field investigation.
Luther Peterson Park at the northwest corner of Luther Peterson Place and Sunrise Road
in Round Rock, Texas 78665
11. ® Attachment A— Road Map. A road map showing directions to and the location of the
project site is attached. The project location and site boundaries are clearly shown on
the map.
12. ® Attachment B - USGS / Edwards Recharge Zone Map. A copy of the official 7 % minute
USGS Quadrangle Map (Scale: 1" = 2000') of the Edwards Recharge Zone is attached.
The map(s) clearly show:
® Project site boundaries.
® USGS Quadrangle Name(s).
® Boundaries of the Recharge Zone (and Transition Zone, if applicable).
® Drainage path from the project site to the boundary of the Recharge Zone.
13. ® The TCEQ must be able to inspect the project site or the application will be returned.
Sufficient survey staking is provided on the project to allow TCEQ regional staff to locate
the boundaries and alignment of the regulated activities and the geologic or manmade
features noted in the Geologic Assessment.
2 of 4
TCEQ-0587 (Rev. 02-11-15)
Z Survey staking will be completed by this date: 12/1/2017
14. ® Attachment C — Project Description. Attached at the end of this form is a detailed
narrative description of the proposed project. The project description is consistent
throughout the application and contains, at a minimum, the following details:
® Area of the site
® Offsite areas
❑ Impervious cover
❑ Permanent BMP(s)
® Proposed site use
® Site history
® Previous development
❑ Area(s) to be demolished
15. Existing project site conditions are noted below:
❑ Existing commercial site
❑ Existing industrial site
❑ Existing residential site
❑ Existing paved and/or unpaved roads
® Undeveloped (Cleared)
❑ Undeveloped (Undisturbed/Uncleared)
❑ Other:
Prohibited Activities
16. ® I am aware that the following activities are prohibited on the Recharge Zone and are not
proposed for this project:
(1) Waste disposal wells regulated under 30 TAC Chapter 331 of this title (relating to
Underground Injection Control);
(2) New feedlot/concentrated animal feeding operations, as defined in 30 TAC §213.3;
(3) Land disposal of Class I wastes, as defined in 30 TAC §335.1;
(4) The use of sewage holding tanks as parts of organized collection systems; and
(5) New municipal solid waste landfill facilities required to meet and comply with Type
standards which are defined in §330.41(b), (c), and (d) of this title (relating to Types
of Municipal Solid Waste Facilities).
(6) New municipal and industrial wastewater discharges into or adjacent to water in the
state that would create additional pollutant loading.
17. ❑ I am aware that the following activities are prohibited on the Transition Zone and are
not proposed for this project:
(1) Waste disposal wells regulated under 30 TAC Chapter 331 (relating to Underground
Injection Control);
3 of 4
TCEQ-0587 (Rev. 02-11-15)
(2) Land disposal of Class I wastes, as defined in 30 TAC §335.1; and
(3) New municipal solid waste landfill facilities required to meet and comply with Type I
standards which are defined in §330.41(b), (c), and (d) of this title.
Administrative Information
18. The fee for the plan(s) is based on:
❑ For a Water Pollution Abatement Plan or Modification, the total acreage of the site
where regulated activities will occur.
® For an Organized Sewage Collection System Plan or Modification, the total linear
footage of all collection system lines.
❑ For a UST Facility Plan or Modification or an AST Facility Plan or Modification, the total
number of tanks or piping systems.
❑ A request for an exception to any substantive portion of the regulations related to the
protection of water quality.
❑ A request for an extension to a previously approved plan.
19. ® Application fees are due and payable at the time the application is filed. If the correct
fee is not submitted, the TCEQ is not required to consider the application until the
correct fee is submitted. Both the fee and the Edwards Aquifer Fee Form have been
sent to the Commission's:
❑ TCEQ cashier
® Austin Regional Office (for projects in Hays, Travis, and Williamson Counties)
❑ San Antonio Regional Office (for projects in Bexar, Comal, Kinney, Medina, and
Uvalde Counties)
20. ® Submit one (1) original and one (1) copy of the application, plus additional copies as
needed for each affected incorporated city, groundwater conservation district, and
county in which the project will be located. The TCEQ will distribute the additional
copies to these jurisdictions. The copies must be submitted to the appropriate regional
office.
21. ® No person shall commence any regulated activity until the Edwards Aquifer Protection
Plan(s) for the activity has been filed with and approved by the Executive Director.
4 of 4
TCEQ-0587 (Rev. 02-11-15)
GT
of
Agent Authorization Form
For Required Signature
Edwards Aquifer Protection Program
Relating to 30 TAC Chapter 213
Effective June 1, 1999
me
rtnership/Entity Name
have authorized Kevin Hunt
Print Name of Agent/Engineer
of Jacobs
Print Name of Firm
to represent and act on the behalf of the above named Corporation, Partnership, or Entity for
the purpose of preparing and 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:
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.
TCEQ-0599 (Rev.0410112010) Page 1 of 2
SIGNATURE PAGE:
xmq)
Applicant's Signature
THE STATE OF I V §
County of M I I I am[Y r §
Date
BEFORE ME, the undersigned authority, on this day personally appearedkQknown
to me to be the person whose name is subscribed to the foregoing instrument, and acknowl dged to
me that (s)he executed same for the purpose and consideration therein expressed.
GIVEN under my hand and seal of office on this V day of
Mcd�, K -
MY COMMISSION EXPIRES: 3 —1 S -U20
TCEO-0599 (Rev.0410112010) Page 2 of 2
AAAQ
BLANCA GILLIS
=Notary Public, of Texas
NOT RY PUBLIC
n
Comm. EExpiress 03- 03-18-2020
9 161
Nolafy ID 130582367
Typed or Printed Name of Notary
MY COMMISSION EXPIRES: 3 —1 S -U20
TCEO-0599 (Rev.0410112010) Page 2 of 2
Temporary Stormwater Section
Texas Commission on Environmental Quality
for Regulated Activities on the Edwards Aquifer Recharge Zone and gelating to 30 TAC
§213.5(b)(4)(A), (B), (13)(1) and (G); Effective lune 1, 1999
To ensure that the application Is administratively complete, confirm that all fields in the form
are complete, verify that all requested Information is provided, consistently reference the
some site and contact person in all forms in the application, and ensure forms are signed by
the appropriate party.
Note: Including all the Information requested in the form and attachments contributes to
more streamlined technical reviews.
Signature
To the best of my knowledge, the responses to this form accurately reflect ail information
requested concerning the proposed regulated activities and methods to protect the Edwards
Aquifer. This Temporary Stormwater Section is hereby submitted for TCEQ review and
executive director approval. The application was prepared by:
Print Name of Customer/Agent: 7hS w kkT e.J G :}l p� kWA V OCA
Date:
Signature of Customer/Agent:
Regulated Entity Name: Luther Peterson Subdivision
Project Information
Potential Sources of Contamination
Examples: Fuel storage and use, chemical storage and use, use of asphaltic products,
construction vehicles tracking onto public roads, and existing solid waste.
1. Fuels for construction equipment and hazardous substances which will be used during
construction:
® The following fuels and/or hazardous substances will be stored on the site: Hydrocarbon
fuel for construction equipment
These fuels and/or hazardous substances will be stored in:
® Aboveground storage tanks with a cumulative storage capacity of less than 250
gallons will be stored on the site for less than one (1) year.
1of5
TCEQ-0602 (Rev. 02-11-15)
❑ Aboveground storage tanks with a cumulative storage capacity between 250
gallons and 499 gallons will be stored on the site for less than one (1) year.
❑ Aboveground storage tanks with a cumulative storage capacity of 500 gallons or
more will be stored on the site. An Aboveground Storage Tank Facility Plan
application must be submitted to the appropriate regional office of the TCEQ
prior to moving the tanks onto the project.
❑ Fuels and hazardous substances will not be stored on the site.
2. ® Attachment A - Spill Response Actions. A site specific description of the measures to be
taken to contain any spill of hydrocarbons or hazardous substances is attached.
3. ® Temporary aboveground storage tank systems of 250 gallons or more cumulative
storage capacity must be located a minimum horizontal distance of 150 feet from any
domestic, industrial, irrigation, or public water supply well, or other sensitive feature.
4. ❑ Attachment B - Potential Sources of Contamination. A description of any activities or
processes which may be a potential source of contamination affecting surface water
quality is attached.
Sequence of Construction
5. ® Attachment C - Sequence of Major Activities. A description of the sequence of major
activities which will disturb soils for major portions of the site (grubbing, excavation,
grading, utilities, and infrastructure installation) is attached.
® For each activity described, an estimate (in acres) of the total area of the site to be
disturbed by each activity is given.
® For each activity described, include a description of appropriate temporary control
measures and the general timing (or sequence) during the construction process that
the measures will be implemented.
6. ® Name the receiving water(s) at or near the site which will be disturbed or which will
receive discharges from disturbed areas of the project: Chandler Branch Creek
Temporary Best Management Practices (TBMPs)
Erosion control examples: tree protection, interceptor swales, level spreaders, outlet
stabilization, blankets or matting, mulch, and sod. Sediment control examples: stabilized
construction exit, silt fence, filter dikes, rock berms, buffer strips, sediment traps, and sediment
basins. Please refer to the Technical Guidance Manual for guidelines and specifications. All
structural BMPs must be shown on the site plan.
7. ® Attachment p —Temporary Best Management Practices and Measures. TBMPs and
measures will prevent pollution of surface water, groundwater, and stormwater. The
construction -phase BMPs for erosion and sediment controls have been designed to
retain sediment on site to the extent practicable. The following information is attached:
2of5
TCEQ-0602 (Rev. 02-11-15)
® A description of how BMPs and measures will prevent pollution of surface water,
groundwater or stormwater that originates upgradient from the site and flows
across the site.
® A description of how BMPs and measures will prevent pollution of surface water or
groundwater that originates on-site or flows off site, including pollution caused by
contaminated stormwater runoff from the site.
® A description of how BMPs and measures will prevent pollutants from entering
surface streams, sensitive features, or the aquifer.
® A description of how, to the maximum extent practicable, BMPs and measures will
maintain flow to naturally -occurring sensitive features identified in either the
geologic assessment, TCEQ inspections, or during excavation, blasting, or
construction.
8. ® The temporary sealing of a naturally -occurring sensitive feature which accepts recharge
to the Edwards Aquifer as a temporary pollution abatement measure during active
construction should be avoided.
❑ Attachment E - Request to Temporarily Seal a Feature. A request to temporarily
seal a feature is attached. The request includes justification as to why no reasonable
and practicable alternative exists for each feature.
® There will be no temporary sealing of naturally -occurring sensitive features on the
site.
9. ® Attachment F - Structural Practices. A description of the structural practices that will be
used to divert flows away from exposed soils, to store flows, or to otherwise limit runoff
discharge of pollutants from exposed areas of the site is attached. Placement of
structural practices in floodplains has been avoided.
10. ® Attachment G - Drainage Area Map. A drainage area map supporting the following
requirements is attached:
❑ For areas that will have more than 10 acres within a common drainage area
disturbed at one time, a sediment basin will be provided.
❑ For areas that will have more than 10 acres within a common drainage area
disturbed at one time, a smaller sediment basin and/or sediment trap(s) will be
used.
❑ For areas that will have more than 10 acres within a common drainage area
disturbed at one time, a sediment basin or other equivalent controls are not
attainable, but other TBMPs and measures will be used in combination to protect
down slope and side slope boundaries of the construction area.
❑ There are no areas greater than 10 acres within a common drainage area that will be
disturbed at one time. A smaller sediment basin and/or sediment trap(s) will be
used in combination with other erosion and sediment controls within each disturbed
drainage area.
3of5
TCEQ-0602 (Rev. 02-11-15)
® There are no areas greater than 10 acres within a common drainage area that will be
disturbed at one time. Erosion and sediment controls other than sediment basins or
sediment traps within each disturbed drainage area will be used.
11. ❑ Attachment H - Temporary Sediment Pond(s) Plans and Calculations. Temporary
sediment pond or basin construction plans and design calculations for a proposed
temporary BMP or measure have been prepared by or under the direct supervision of a
Texas Licensed Professional Engineer. All construction plans and design information
must be signed, sealed, and dated by the Texas Licensed Professional Engineer.
Construction plans for the proposed temporary BM Ps and measures are attached.
® N/A
12. ® Attachment 1- Inspection and Maintenance for BMPs. A plan for the inspection of each
temporary BMP(s) and measure(s) and for their timely maintenance, repairs, and, if
necessary, retrofit is attached. A description of the documentation procedures,
recordkeeping practices, and inspection frequency are included in the plan and are
specific to the site and/or BMP.
13. ® All control measures must be properly selected, installed, and maintained in accordance
with the manufacturer's specifications and good engineering practices. If periodic
inspections by the applicant or the executive director, or other information indicate a
control has been used inappropriately, or incorrectly, the applicant must replace or
modify the control for site situations.
14. ® If sediment escapes the construction site, off-site accumulations of sediment must be
removed at a frequency sufficient to minimize offsite impacts to water quality (e.g.,
fugitive sediment in street being washed into surface streams or sensitive features by
the next rain).
15. ® Sediment must be removed from sediment traps or sedimentation ponds not later than
when design capacity has been reduced by 50%. A permanent stake will be provided
that can indicate when the sediment occupies 50% of the basin volume.
16. ® Litter, construction debris, and construction chemicals exposed to stormwater shall be
prevented from becoming a pollutant source for stormwater discharges (e.g., screening
outfalls, picked up daily).
Soil Stabilization Practices
Examples: establishment of temporary vegetation, establishment of permanent vegetation,
mulching, geotextiles, sod stabilization, vegetative buffer strips, protection of trees, or
preservation of mature vegetation.
17. ® Attachment J - Schedule of Interim and Permanent Soil Stabilization Practices. A
schedule of the interim and permanent soil stabilization practices for the site is
attached.
4of5
TCEQ-0602 (Rev. 02-11-15)
IS. ® Records must be kept at the site of the dates when major grading activities occur, the
dates when construction activities temporarily or permanently cease on a portion of the
site, and the dates when stabilization measures are initiated.
19. ® Stabilization practices must be initiated as soon as practicable where construction
activities have temporarily or permanently ceased.
Administrative Information
20. ® All structural controls will be inspected and maintained according to the submitted and
approved operation and maintenance plan for the project.
21. ® If any geologic or manmade features, such as caves, faults, sinkholes, etc., are
discovered, all regulated activities near the feature will be immediately suspended. The
appropriate TCEQ Regional Office shall be immediately notified. Regulated activities
must cease and not continue until the TCEQ has reviewed and approved the methods
proposed to protect the aquifer from any adverse impacts.
22. ® Silt fences, diversion berms, and other temporary erosion and sediment controls will be
constructed and maintained as appropriate to prevent pollutants from entering
sensitive features discovered during construction.
5of5
TCEQ-0602 (Rev. 02-11--15)
Texas Commission on Environmental Quality
Edwards Aquifer Application Cover Page
Our Review of Your Application
The Edwards Aquifer Program staff conducts an administrative and technical review of all
applications. The turnaround time for administrative review can be up to 3o days as outlined
in 3o TAC 213.4(e). Generally administrative completeness is determined during the intake
meeting or within a few days of receipt. The turnaround time for technical review of an
administratively complete Edwards Aquifer application is go days as outlined in 3o TAC
213.4(e). Please know that the review and approval time is directly impacted by the quality
and completeness of the initial application that is received. In order to conduct a timely
review, it is imperative that the information provided in an Edwards Aquifer application
include final plans, be accurate, complete, and in compliance with 3o TAC 21R.
Administrative Review
1. Fdwzkr 1 must be deemed administratively complete before a technical review can
begin. To be considered administratively complete, the application must contain completed forms and
attachments, provide the requested information, and meet all the site plan requirements. The submitted
application and plan sheets should be final plans. Please submit one full-size set of plan sheets with the
original application, and half-size sets with the additional copies.
To ensure that all applicable documents are included in the application, the program has developed tools to
guide you and web pages to provide all forms, checklists, and guidance. Please visit the below website for
assistance: hUpa/ww%v.t=.texas.gov/fieldlean .
2. This Edwards Aquifer Application Cover Page form (certified by the applicant or agent) must be included in
the application and brought to the administrative review meeting.
3. Administrative reviews are scheduled with program staff who will conduct the review. Applicants or their
authorized agent should call the appropriate regional office, according to the county in which the project is
located, to schedule a review. The average meeting time is one hour.
4. In the meeting, the application is examined for administrative completeness. Deficiencies will be noted by
staff and emailed or faxed to the applicant and authorized agent at the end of the meeting, or shortly after.
Administrative deficiencies will cause the application to be deemed incomplete and returned.
An appointment should be made to resubmit the application. The application is re-examined to ensure all
deficiencies are resolved. The application will only be deemed administratively complete when all
administrative deficiencies are addressed.
5. If an application is received by mail, courier service, or otherwise submitted without a review meeting, the
administrative review will be conducted within 3o days. The applicant and agent will be contacted with the
results of the administrative review. If the application is found to be administratively incomplete, it can be
retrieved from the regional office or returned by regular mail. If returned by mail, the regional office may
require arrangements for return shipping.
6. If the geologic assessment was completed before October 1, 2004 and the site contains "possibly sensitive"
features, the assessment must be updated in accordance with the Instructions to Geologists (TCEQ-0585
Instructions).
Technical Review
1. When an application is deemed administratively complete, the technical review period begins. The regional
office will distribute copies of the application to the identified affected city, county, and groundwater
conservation district whose jurisdiction includes the subject site. These entities and the public have 3o days
to provide comments on the application to the regional office. All comments received are reviewed by TCEQ.
2. A site assessment is usually conducted as part of the technical review, to evaluate the geologic assessment
and observe existing site conditions. The site must be accessible to our staff. The site boundaries should be
TCEQ-20705 (Rev. 02-17-17) 1 of 4
clearly marked, features identified in the geologic assessment should be flagged, roadways marked and the
alignment of the Sewage Collection System and manholes should be staked at the time the application is
submitted. If the site is not marked the application may be returned.
3. We evaluate the application for technical completeness and contact the applicant and agent via Notice of
Deficiency (NOD) to request additional information and identify technical deficiencies. There are two
deficiency response periods available to the applicant. There are 14 days to resolve deficiencies noted in the
first NOD. If a second NOD is issued, there is an additional 14 days to resolve deficiencies. If the response to
the second notice is not received, is incomplete or inadequate, or provides new information that is
incomplete or inadequate, the application must be withdrawn or will be denied. Please note that because the
technical review is underway, whether the application is withdrawn or denied the application fee will be
forfeited.
4. The program has 90 calendar days to complete the technical review of the application. If the application is
technically adequate, such that it complies with the Edwards Aquifer rules, and is protective of the Edwards
Aquifer during and after construction, an approval letter will be issued. Construction or other regulated
activity may not begin until an approval is issued.
Mid -Review Modifications
It is important to have final site plans prior to beginning the permitting process with TCEQ to avoid delays.
Occasionally, circumstances arise where you may have significant design and/or site plan changes after your
Edwards Aquifer application has been deemed administratively complete by TCEQ. This is considered a "Mid -
Review Modification". Mid -Review Modifications may require redistribution of an application that includes the
proposed modifications for public comment.
If you are proposing a Mid -Review Modification, two options are available:
• If the technical review has begun your application can be denied/withdrawn, your fees will be forfeited,
and the plan will have to be resubmitted.
• TCEQ can continue the technical review of the application as it was submitted, and a modification
application can be submitted at a later time.
If the application is denied/withdrawn, the resubmitted application will be subject to the administrative and
technical review processes and will be treated as a new application. The application will be redistributed to the
affected jurisdictions.
Please contact the regional office if you have questions. If your project is located in Williamson, Travis, or Hays
County, contact TCEQ's Austin Regional Office at 512-339-2929• If your project is in Coma], Bexar, Medina,
Uvalde, or Kinney County, contact TCEQ's San Antonio Regional Office at 210-490-3096
Please fill out all required fields below and submit with your application.
1. Regulated Entity Name: Luther Peterson Subdivision
2. Regulated Entity No.: RNio2766417
3. Customer Name: City of Round Rock
4. Customer No.: CN600413181
5. Project Type:
(Please circle/check one)
New
Modification
Extension
Exception
6. Plan Type:
(Please circle/eck one)
WPAP
CZP
Ech
UST
AST
EXP
EXT
Technical
Clarification
Optional Enhanced
Measures
7. Land Use:
(Please circle/check one)
Residential
on -residential
8. Site (acres):
15.599
9. Application Fee:
$650
1o. Permanent BMP(s):
11. SCS (Linear Ft.):
942
12. AST/UST (No. Tanks):
13. County: 7—Twilliamson
14. Watershed:
Chandler Branch – Brushy Creek
TCEQ-20705 (Rev. 02-17-17) 2 of 4
Application Distribution
Instructions: Use the table below to determine the number of applications required. One original and one copy
of the application, plus additional copies (as needed) for each affected incorporated city, county, and
groundwater conservation district are required. Linear projects or large projects, which cross into multiple
jurisdictions, can require additional copies. Refer to the "Texas Groundwater Conservation Districts within the
EAPP Boundaries" map found at:
httl);?:+ r� �v.tee+ ,taxa;.gok,fa s ss' 4 b i ,'cQmpliancer'field vobTea FAPP �t ' .I u��or�yap ,df
For more detailed boundaries, please contact the conservation district directly.
Austin Region
County:
Hays
Travis
Williamson
Original (i req.)
Uvalde
Original (i req.)
i
Region (t req.)
0
t
County(ies)
Edwards Aquifer
—Edwards
County(ies)
Authority
Groundwater Conservation
Distriet(s)—
Barton Springs/
p is/
—Barton Springs/
Edwards Aquifer
Edwards Aquifer
NA
_ Edwards Aquifer
Hays Trinity
EAA
–"
c EAA
District(s)
Plum Creek
Authority
Medina
Austin
Austin
Buda
—Austin
._Cedar Park
Springs
—Bee Cave
Florence
City(ies) Jurisdiction
_Dripping
Kyle
_Pflu erville
g
Georgetown
—Fair Oaks Ranch
_Rollingwood
Jurisdiction
—Mountain
Mountain City
_Round Rock
_Jerrell
Leander
Antonio ETJ
Marcos
—Sunset Valley
Liberty Hill
—New Braunfels
—Wimberley
West Lake Hills
Pflugerville
Woodcreek
—Schertz
i Round Rock
San Antonio Region
County:
Bexar
Coma]
Kinney
Medina
Uvalde
Original (i req.)
—
Region (i req.)
County(ies)
Groundwater
Edwards Aquifer
Conservation
— Authority
_ Edwards Aquifer
Kinne y
EAA
–"
c EAA
District(s)
Trinity -Glen Rose
Authority
Medina
Uvalde
Castle Hills
Fair Oaks Ranch
_Bulverde
City(ies)
—Helotes
—Fair Oaks Ranch
San
Jurisdiction
_Hill Country Village
_Garden Ridge
NA
Antonio ETJ
NA
—Hollywood Park
—New Braunfels
(SAWS)
San Antonio (SAWS)
—Schertz
Shavano Park
TCEQ-20705 (Rev. 02-17-17) 3 of 4
I certify that to the best of my knowledge, that the application is complete and accurate. This
application is hereby submitted to TCEQ for administrative review and technical review.
Print Na e f Customer/Authori d Agent
i
Signature of Customer/Aut ort ed Agent Date
"FOR TCEQ INTERNAL USE ONLY"
Date(s)Reviewed:
Date Administratively Complete:
Received From:
Correct Number of Copies:
Received By:
Distribution Date:
EAPP File Number:
Complex:
Admin. Review(s) (No.):
No. AR Rounds:
Delinquent Fees (Y/N):
Review Time Spent:
Lat./Long. Verified:
SOS Customer Verification:
Agent Authorization
Complete/Notarized (Y N):
Fee
Check:
Payable to TCEQ (YIN):
Core Data Form Complete (YIN):
Signed (YIN):
Core Data Form Incomplete Nos.:
Less than go days old (Y/N):
TCEQ-20705 (Rev. 02-17-17) 4 (,f 4
City of Round Rock
IuN1 ROCK
XAS Agenda Item Summary
Agenda Number:
Title: Consider authorizing a TCEQ Core Data Form for Sewage Collection
System Application at Luther Peterson Project.
Type. City Manager Item
Governing Body: City Manager Approval
Agenda Date: 11/17/2017
Dept Director: Chad McDowell, General Services Director
Cost:
Indexes:
Attachments: CMAF TCEQ Sewage Collection Application - LAF, SCS Luther Peterson
Department: General Services Department
Text of Legislative File CM -2017-1554
Consider authorizing a TCEQ Core Data Form for Sewage Collection System Application
at Luther Peterson Project.
A Sewage Collection System form outlines best practices that will be implemented in
order to protect water quality when an organized SCS is constructed in the Edwards
Aquifer recharge zone.
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