CM-2024-219 - 8/23/2024f :Tel II:I'I:Toll(AI EV
0
CEDAR
PARK
City Of
of A U Lean�ey
CITY OF ROUND ROCK, CITY OF CEDAR PARK,
CITY OF AUSTIN, AND CITY OF LEANDER
BRUSHY CREEK REGIONAL WEST
WASTEWATER TREATMENT FACILITY
TPDES PERMIT RENEWAL APPLICATION
PERMIT NO. WQ0010264001
SUBMITTED TO:
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
CITY OF ROUND ROCK, CITY OF CEDAR PARK, CITY OF AUSTIN, AND CITY OF LEANDER
BRUSHY CREEK REGIONAL WEST WASTEWATER TREATMENT FACILITY
TPDES PERMIT RENEWAL APPLICATION
TABLE OF CONTENTS
I. ADMINISTRATIVE REPORT
Domestic Administrative Report 1.0
Supplemental Permit Information Form (SPIF)
TECHNICAL REPORT
Domestic Technical Report 1.0
Domestic Worksheet 2.0
Domestic Worksheet 4.0
Domestic Worksheet 5.0
Domestic Worksheet 6.0
III. ATTACHMENTS
No. Description
A Core Data Form
B Plain Language Summary
C USGS Map
D Process Flow Diagram
E Site Drawing
F Pollutant Analysis of Treated Effluent
G Summary of WET Test Results
H Effluent Parameters Above the MAL
Reference
Admin Rpt 1.0, Section 3.0
Admin Rpt 1.0, Section 8.F
Admin Rpt 1.0, Section 13
Tech Rpt 1.0, Section 2.0
Tech Rpt 1.0, Section 3
Tech Rpt 1.0, Section 7; Wks 4.0 Section 1 & 2
Wks 5.0 Section 3
Wks 6.0 Section 2.0
TOC-1
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PERMIT APPLICATION
CHECKLIST
Complete and submit this checklist with the application.
APPLICANT NAME: City- of Round Rock. City of Cedar Park. City of Austin, and City of Leander
PERMIT NUMBER (If new, leave blank): WQ0010264001
Indicate U each of the following items is included in your application.
VM Z1
Administrative Report 1.0
®
❑
Administrative Report 1.1
❑
SPIF
®
❑
Core Data Form
®
❑
Public Involvement Plan Form
❑
Technical Report 1.0
®
❑
Technical Report 1.1
❑
Worksheet 2.0
®
❑
Worksheet 2.1
❑
Worksheet 3.0
❑
Worksheet 3.1
❑
Worksheet 3.2
❑
Worksheet 3.3
❑
Worksheet 4.0
®
❑
Worksheet 5.0
®
❑
Worksheet 6.0
®
❑
Worksheet 7.0
❑
For TCEQ Use Only
Original USGS Map
Affected Landowners Map
Landowner Disk or Labels
Buffer Zone Map
Flow Diagram
Site Drawing
Original Photographs
Design Calculations
Solids Management Plan
Water Balance
Segment Number-----------------------------------County-----------
Expiration Date ------------------------------------- Region -_____------
Permit Number---------------------------------------------------_---_---
Y N
■❑
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 1 of 21
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
I t�
r DOMESTIC WASTEWATER PERMIT APPLICATION cw.. ADMINISTRATIVE REPORT 1. O 0
For any questions about this form, please contact the Applications Review and Processing
Team at 512-239-4671.
Indicate the amount submitted for the application fee (check only one).
Flow
New/Major Amendment
Renewal
<0.05 MGD
$350.00 ❑
$315.00 ❑
z0.05 but <0.10 MGD
$550.00 ❑
$515.00 ❑
;->0.10 but <0.25 MGD
$850.00 ❑
$815.00 ❑
z0.2 5 but <0.50 MGD
$1,2 50.00 ❑
$1,215.00 ❑
2-0.50 but <1.0 MGD
$1,650.00 ❑
$1,615.00 ❑
z1.0 MGD
$2,050.00 ❑
$2,015.00
Minor Amendment (for any flow) $150.00 ❑
Payment Information:
Mailed Check/Money Order Number: Click to enter text.
Check/Money Order Amount: $2,01A.00
Name Printed on Check: City of Round Rock
EPAY Voucher Number:
Copy of Payment Voucher enclosed? Yes ❑ N/A
a. Check the box next to the appropriate authorization type.
® Publicly -Owned Domestic Wastewater
❑ Privately -Owned Domestic Wastewater
❑ Conventional Wastewater Treatment
b. Check the box next to the appropriate facility status.
® Active ❑ Inactive
TCEQ 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 2 of 21
c. Check the box next to the appropriate permit type.
N TPDES Permit
❑ TLAP
❑ TPDES Permit with TLAP component
❑ Subsurface Area Drip Dispersal System (SADDS)
d. Check the box next to the appropriate application type
❑ New
❑ Major Amendment with Renewal
❑ Major Amendment without Renewal
® Renewal without changes
❑ Minor Amendment with Renewal
❑ Minor Amendment without Renewal
❑ Minor Modification of permit
e. For amendments or modifications, describe the proposed changes: NLA
f. For existing permits:
Permit Number: WQ00 10264001
EPA I.D. (TPDES only): TX oo7.167
Expiration Date: ii 202
A. The owner of the facility must apply for the permit.
What is the Legal Name of the entity (applicant) applying for this permit?
City of Round Rock
(The legal name must be spelled exactly as filed with the Texas Secretary of State, County, or in
the legal documents forming the entity.)
If the applicant is currently a customer with the TCEQ, what is the Customer Number (CN)?
You may search for your CN on the TCEQ website at htt wwwl S.tce .texas. ov cr ub
CN: 60o413181
What is the name and title of the person signing the application? The person must be an
executive official meeting signatory requirements in 30 TAC § 305.44.
Prefix: Ms. Last Name, First Name: Hadley, Laurie
Title: City Manager Credential:
S. Co -applicant information. Complete this section only if another person or entity is required
to apply as a co-permittee.
What is the Legal Name of the co -applicant applying for this permit?
City of Cedar Park
(The legal name must be spelled exactly as filed with the TX SOS, with the County, or in the
legal documents forming the entity)
TCEQ 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 3 of 21
If the co -applicant is currently a customer with the TCEQ, what is the Customer Number (CN)?
You may search for your CN on the TCEQ website at: http://wwwl5.tceg.texas.gov/crpub/
CN: 6004o79_r1
What is the name and title of the person signing the application? The person must be an
executive official meeting signatory requirements in 30 TAC § 305.44.
Prefix: Ms. Last Name, First Name: Eivens, Brenda
Title: City Manager Credential:
Provide a brief description of the need for a co-permittee: Co-owner of Brushy Creek Regional
West Wastewater Treatment Facility
C. Co -applicant information. Complete this section only if another person or entity is required
to apply as a co-permittee.
What is the Legal Name of the co -applicant applying for this permit?
City of Austin
(The legal name must be spelled exactly as filed with the TX SOS, with the County, or in the
legal documents forming the entity.)
If the co -applicant is currently a customer with the TCEQ, what is the Customer Number (CN)?
You may search for your CN on the TCEQ website at: http://wwwl S.tceg.texas.gov/crpub/
CN: 600135198
What is the name and title of the person signing the application? The person must be an
executive official meeting signatory requirements in 30 TAC § 305.44.
Prefix: Ms. Last Name, First Name: Roalson, Shay Rails
Title: Director of Austin Water Credential: P.E.
Provide a brief description of the need for a co-permittee: Co-owner ofBrushyCreek Regional
West Wastewater Treatment Facility
D. Co -applicant information. Complete this section only if another person or entity is required
to apply as a co-permittee.
What is the Legal Name of the co -applicant applying for this permit?
City of Leander
(The legal name must be spelled exactly as filed with the TX SOS, with the County, or in the
legal documents forming the entity.)
If the co -applicant is currently a customer with the TCEQ, what is the Customer Number (CN)?
You may search for your CN on the TCEQ website at: http://wwwl5.tceq.texas.gov/crpub/
CN: 600646o12
What is the name and title of the person signing the application? The person must be an
executive official meeting signatory requirements in 30 TAC § 305.44.
Prefix: Mr. Last Name, First Name: Parton, Todd
Title: City Manager Credential:
Provide a brief description of the need for a co-permittee: Co-owner of Brushy Creek Regional West
Wastewater Treatment Facility
E. Core Data Form
TCEQ 10053 (01/09/2024) Domestic Wastc%vater Permit Application Administrative Report Page 4 of 21
Complete the Core Data Form for each customer and include as an attachment. If the
customer type selected on the Core Data Form is Individual, complete Attachment 1 of
Administrative Report 1.0. A
This is the person(s) TCEQ will contact if additional information is needed about this
application. Provide a contact for administrative questions and technical questions.
A. Prefix: Mr. Last Name, First Name: Thane, Michael
Title: Director - Utilities and Environmental Services Credential: P.E.
Organization Name: City of Round Rock
Mailing Address: ,A400 Sunrise Rd City, State, Zip Code: Round Rock, TX 7866s
Phone No.: (512) 218-3236 E-mail Address: mthaneProundrocktexas.gov
Check one or both: ® Administrative Contact ® Technical Contact
B. Prefix: Ms. Last Name, First Name: Lewis, Ashley
Title: Water Quality/Permitting Team Leader Credential:
Organization Name: Plummer Associates, Inc.
Mailing Address: 8911 N Capital of Texas Hwy, Bldg 1- Ste 125o City, State, Zip Code: Austin,
TX 78759
Phone No.: (;12) 687-21S4 E-mail Address: alewisOplummer.com
Check one or both: ® Administrative Contact ® Technical Contact
Provide the names and contact information for two individuals that can be contacted
throughout the permit term.
A. Prefix: Mr. Last Name, First Name: Thane, Michael
Title: Director - Utilities and Environmental Services Credential: P.E.
Organization Name: City of Round Rock
Mailing Address: 3400 Sunrise Rd City, State, Zip Code: Round Rock, TX 78665
Phone No.: (512) 218-�2,;6 E-mail Address: mthanp,@roundrocktexas.gov
B. Prefix: Mr. Last Name, First Name: Carr, Laton
Title: Principal Utility Engineer - Utilities and Environmental Services Credential: P.E.
Organization Name: City of Round Rock
Mailing Address: s400 Sunrise Rd City, State, Zip Code: Round Rock, TX 7866s
Phone No.: (S12) 218-A2.q8 E-mail Address: lcarroroundrocktexas.gov
TCEQ 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 5 of 21
The permittee is responsible for paying the annual fee. The annual fee will be assessed to
permits in effect on September I of each year. The TCEQ will send a bill to the
address provided in this section. The permittee is responsible for terminating the permit
when it is no longer needed (using form TCEQ 20029).
Prefix: Mr. Last Name, First Name: Thane. Michael
Title: Director - Utilities and Environmental Services Credential: P.E.
Organization Name: City of Round Rock
Mailing Address: 3400 Sunrise Rd City, State, Zip Code: Round Rock, TX 28665
Phone No.: (,r,,12) 218-R2R6 E-mail Address. mthaneOroundrocktexas.gov
Provide the name and complete mailing address of the person delegated to receive and
submit Discharge Monitoring Reports (DMR) (EPA 3320-1) or maintain Monthly Effluent
Reports (MER).
Prefix: Mr.
Last Name, First Name: Heaps, John
Title: Superintendent — Utilities_ Services Credential:
Organization Name: City of Round Rock
Mailing Address: g400 Sunrise Rd
Phone No.: (,512) 218-663
A. Individual Publishing the Notices
Prefix: Ms.
City, State, Zip Code: Round Rock, TX_7866
E-mail Address: jheaps@roundrocktexas.gov
Last Name, First Name: Griesel, Jenni
Title: Project Engineer Credential: P.E.
Organization Name: Plummer Associates, Inc.
Mailing Address: 8911 N Capital of Texas Hwy, Bldg 1- Ste 1250 City, State, Zip Code: Austin,
TX 7875A
Phone No.: (512) 682-219 E-mail Address: igriesel0plummer.com
B. Method for Receiving Notice of Receipt and Intent to Obtain a Water Quality Permit
Package
Indicate by a check mark the preferred method for receiving the first notice and instructions:
® E-mail Address
❑ Fax
❑ Regular Mail
C. Contact permit to be listed in the Notices
Prefix: Mr.
Last Name, First Name: Thane, Michael
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 6 of 21
Title: Dirgctor - Utilities and Environmental Services Credential: P.E.
Organization Name: City of Round Rock
Mailing Address: 3400 Sunrise Rd City, State, Zip Code: Round Rock, TX 7866s,
Phone No.: (_512) 218-'12_q6 E-mail Address: mthane@roundrocktexas.gov
D. Public Viewing Information
If the facility or outfall is located in more than one county, a public viewing place for each
county must be provided.
Public building name: Utilities and Environmental Services Building
Location within the building: Customer Service Desk
Physical Address of Building: 3400 Sunrise Rd
City: Round Rock County: Williamson
Contact (Last Name, First Name): Carr, Laton
Phone No.: (-9;12) =8-1218 Ext.:
E. Bilingual Notice Requirements
This information is required for new, major amendment, minor amendment or minor
modification, and renewal applications.
This section of the application is only used to determine if alternative language notices will
be needed. Complete instructions on publishing the alternative language notices will be in
your public notice package.
Please call the bdingual/ESL coordinator at the nearest elementary and middle schools and
obtain the following information to determine whether an alternative language notices are
required.
1. Is a bilingual education program required by the Texas Education Code at the elementary
or middle school nearest to the facility or proposed facility?
® Yes ❑ No
If no, publication of an alternative language notice is not required; skip to Section 9
below.
2. Are the students who attend either the elementary school or the middle school enrolled in
a bilingual education program at that school?
❑ Yes ® No
3. Do the students at these schools attend a bilingual education program at another
location?
® Yes ❑ No
4. Would the school be required to provide a bilingual education program but the school has
waived out of this requirement under 19 TAC §89.1205(g)?
❑ Yes N No
5. If the answer is yes to question 1, 2, 3, or 4, public notices in an alternative language are
required. Which language is required by the bilingual program? Spanish
TCEQ-100S3 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 7 of 21
F. Plain Language Summary Template
Complete the Plain Language Summary (TCEQ Form 20972) and include as an attachment.
Attachment: B
G. Public Involvement Plan Form
Complete the Public Involvement Plan Form (TCEQ Form 20960) for each application for a
new permit or mayor amendment to a permit and include as an attachment.
Attachment: N A
A. If the site is currently regulated by TCEQ provide the Regulated Entity Number (RN) issued to
this site. RN 100822SA2
Search the TCEQ's Central Registry at http://wwwl5.tceg.texas.gov/crpubz to determine if
the site is currently regulated by TCEQ.
B. Name of project or site (the name known by the community where located):
Brushy Creek Regional West Wastewater Treatment Facility
C. Owner of treatment facility: City of Round Rock. City of Cedar Park. City of Austin, and City of
Leander
Ownership of Facility: ® Public ❑ Private ❑ Both ❑ Federal
D. Owner of land where treatment facility is or will be:
Prefix: N A
Title: NJA
Last Name, First Name: N A
Credential: N/A
Organization Name: City of Round Rock. City of Cedar Park. City of Austin. and City of Leander
Mailing Address: 212 E. Main Street City, State, Zip Code: Round Rock, TX 78664
Phone No.: (512) 218-5410 E-mail Address: lhadleyoroundrocktexas.gov
If the landowner is not the same person as the facility owner or co -applicant, attach a lease
agreement or deed recorded easement. See instructions.
Attachment: N/A
E. Owner of effluent disposal site:
Prefix: N jA
Title: N A
Organization Name: NL..,A.
Mailing Address: N/A
Phone No.:
Last Name, First Name: N A
Credential: NLA
City, State, Zip Code: N/A
E mail Address: WA
If the landowner is not the same person as the facility owner or co -applicant, attach a lease
agreement or deed recorded easement. See instructions.
Attachment: N:,A
F. Owner sewage sludge disposal site (if authorization is requested for sludge disposal on
TCEQ•10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 8 of 21
property owned or controlled by the applicant)::
Prefix: N/A Last Name, First Name: N A
Title: NL Credential:.NJA,
Organization Name: N/A
Mailing Address: N A City, State, Zip Code: NLA
Phone No.: NLA E-mail Address: N A
If the landowner is not the same person as the facility owner or co -applicant, attach a lease
agreement or deed recorded easement. See instructions.
Attachment: N/A
A. Is the wastewater treatment facility location in the existing permit accurate?
❑ Yes ® No
f no, or a new permit application, please give an accurate description:
1116 East Austin Avenue, Round Rock, Williamson County, TX 78664
B. Are the point(s) of discharge and the discharge route(s) in the existing permit correct?
® Yes ❑ No
If no, or a new or amendment permit application, provide an accurate description of the
point of discharge and the discharge route to the nearest classified segment as defined in 30
CAC Chapter 307:
NLA
City nearest the outfall(s): Round Rock
County in which the outfalls(s) is/are located: Williamson
C. is or will the treated wastewater discharge to a city, county, or state highway right of way, or
a flood control district drainage ditch?
❑ Yes N No
If yes, indicate by a check mark if:
❑ Authorization granted ❑ Authorization pending N/A
For new and amendment applications, provide copies of letters that show proof of contact
and the approval letter upon receipt.
Attachment: NLA
D. For all applications involving an average daily discharge of 5 MGD or more, provide the
names of all counties located within 100 statute miles downstream of the point(s) of
discharge: NLA,
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 9 of 21
A. For TLAPs, is the location of the effluent disposal site in the existing permit accurate?
❑ Yes ❑ No N/A - Not a TLAP
If no, or a new or amendment permit application, provide an accurate description of the
disposal site location:
N/A
B. City nearest the disposal site: N,L
C. County in which the disposal site is located: iv A
D. For TLAPs, describe the routing of effluent from the treatment facility to the disposal site:
N/A
E. For TLAPs, please identify the nearest watercourse to the disposal site to which rainfall
runoff might flow if not contained: NLA
A. Is the facility located on or does the treated effluent cross American Indian Land?
❑ Yes ® No
B. If the existing permit contains an onsite sludge disposal authorization, is the location of the
sewage sludge disposal site in the existing permit accurate?
❑ Yes ❑ No ® Not Applicable
If No, or if a new onsite sludge disposal authorization is being requested in this permit
application, provide an accurate location description of the sewage sludge disposal site.
N/A
C. Did any person formerly employed by the TCEQ represent your company and get paid for
service regarding this application?
❑ Yes ® No
If yes, list each person formerly employed by the TCEQ who represented your company and
was paid for service regarding the application: NLA
D. Do you owe any fees to the TCEQ?
❑ Yes ® No
If yes, provide the following information:
Account number:
Amount past due: NL
TCEQ- 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 10 of 21
E. Do you owe any penalties to the TCEQ?
❑ Yes ® No
If yes, please provide the following information:
Enforcement order number: NNA.
Amount past due: NLA
Indicate which attachments are included with the Administrative Report. Check all that apply:
❑ Lease agreement or deed recorded easement, if the land where the treatment facility is
located or the effluent disposal site are not owned by the applicant or co -applicant.
® Original full-size USGS Topographic Map with the following information:
Applicant's property boundary See Attachment C
• Treatment facility boundary
• Labeled point of discharge for each discharge point (TPDES only)
Highlighted discharge route for each discharge point (TPDES only)
• Onsite sewage sludge disposal site (if applicable)
Effluent disposal site boundaries (TLAP only)
New and future construction (if applicable)
• 1 mile radius information
• 3 miles downstream information (TPDES only)
• All ponds.
❑ Attachment 1 for Individuals as co -applicants
® Other Attachments. Please specify: See Table of Contents
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 11 of 21
If co -applicants are necessary, each entity must submit an origina4 separate signature page.
Permit Number: WQ001026400i
Applicant: City of Round Rock
Certification:
I 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 30 Texas Administrative Code § 305.44 to sign and
submit this document, and can provide documentation in proof of such authorization upon
request.
Signatory name (typed or printed): Laurie Hadley
Signatory title: City Manager. City of Round Rock
Signature: Date: AA .
(Use blue ink)
Subscribed and Sworn to before me by the said LAmlt.,u AA -A ktl � ylp
on this3�d day of w-�- , 20
My commission expires on the day of AVLi-i�-) , 20_2Z
1
Ptai, &� J- b�� —
County, Texas
MONIQUEADAMS
_• •=
My Notary iD # 126257913
r.'•'
Expires March 22, 2026
JAL]
TCEQ 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 12 of 21
If co -applicants are necessary, each entity must submit an original, separate signature page.
Permit Number: W000142&401
Applicant: City of Cedar Park
Certification:
I 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 30 Texas Administrative Code § 305.44 to sign and
submit this document, and can provide documentation in proof of such authorization upon
request.
Signatory name (typed or printed): Brenda Eivens
Signatory title: City Manager. City of Cedar Park
Signature: Date:
(Use blue ink)
Subscribed and Sworn to before me by the said
on this
day of , 201_ .
My commission expires on the day of , 20
Notary Public
County, Texas
fSEAL]
TCEQ 10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 13 of 21
If co -applicants are necessary, each entity must submit an original, separate signature page.
Permit Number: WQ001026400l
Applicant: City of Austin
Certification:
I 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 1 am authorized under 30 Texas Administrative Code § 305.44 to sign and
submit this document, and can provide documentation in proof of such authorization upon
request.
Signatory name (typed or printed): Shay Rails Roalson
Signatory title: Director of Austin Water. City of Austin
Signature: Date:
(Use blue ink)
Subscribed and Sworn to before me by the said
on this
... ----day of-.-- --
My commission expires on the day of
Notary Public
County, Texas
, 20
20
[SEAL]
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 14 of 21
If co -applicants are necessary, each entity must submit an origina4 separate signature page.
Permit Number: M0010264001
Applicant: City of Leander
Certification:
I 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 30 Texas Administrative Code § 305.44 to sign and
submit this document, and can provide documentation in proof of such authorization upon
request.
Signatory name (typed or printed): Todd Parton
Signatory title: City Manager. City of Leander
Signature: Da
(Use blue ink)
Subscribed and Sworn to before me by the said
on this day of , 20
My commission expires on the day of , 20
Notary Public
County, Texas
ISEAL]
TCEQ-10053 (01/09/2024) Domestic Wastewater Permit Application Administrative Report Page 15 of 21
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
SUPPLEMENTAL PERMIT INFORMATION FORM (SPIF)
FOR AGENCIES REVIEWING DOMESTIC OR INDUSTRIAL
TPDES WASTEWATER PERMIT APPLICATIONS
TCEQ USE ONLY:
Application type: Renewal Major Amendment Minor Amendment New
County:
Admin Complete Date:
Agency Receiving SPIF:
Segment Number:
Texas Historical Commission U.S. Fish and Wildlife
Texas Parks and Wildlife Department U.S. Army Corps of Engineers
This form applies to TPDES permit applications only. (Instructions, Page 53)
Complete this form as a separate document. TCEQ will mail a copy to each agency as required by
our agreement with EPA. If any of the items are not completely addressed or further information
is needed, we will contact you to provide the information before issuing the permit. Address
each item completely.
Do not refer to your response to any item in the permit application form. Provide each
attachment for this form separately from the Administrative Report of the application. The
application will not be declared administratively complete without this SPIF form being
completed in its entirety including all attachments. Questions or comments concerning this form
may be directed to the Water Quality Division's Application Review and Processing Team by
email at WO--ARPTeam@tceg.texas.gov or by phone at (512) 239 4671.
The following applies to all applications:
1. Permittee: City of Round Rock, City of Cedar Park, and City of Austin
Permit No. WQ00 10264001
EPA ID No. TX 0075167
Address of the project (or a location description that includes street/highway, city/vicinity,
and county):
1116 East Austin Avenue, Round Rock, Williamson County, TX 78664
TCEQ-20971(08/31/2023) Page a of 3
wastewater Individual Permit Application, Supplemental Permit Information Form (SPIF)
Provide the name, address, phone and fax number of an individual that can be contacted to
answer specific questions about the property.
Prefix (Mr., Ms., Miss): Mr.
First and Last Name: Michael Thane
Credential (P.E, P.G., Ph.D., etc.): P.E.
Title: Director -- Utilities and Environmental Services
Mailing Address: 3400 Sunrise Rd
City, State, Zip Code: Round Rock, TX 78665
Phone No.: (512) 218 3236 Ext.: N/A Fax No.: (512) 218-5563
E-mail Address: mthane@roundrocktexas.gov
2. List the county in which the facility is located: Williamson
3. If the property is publicly owned and the owner is different than the permittee/applicant,
4•
nst the owner or the
N/A - Property owners and permittees/applicants are the same.
Provide a description of the effluent discharge route. The discharge route must follow
of effluent from the point of discharge to the nearest major watercourse (from the point of
discharge to a classified segment as defined in 3o TAC Chapter 307). If known, please identify
the classified segment number.
Directly to Brushy Creek in Segment No. 1244 of the Brazos River Basin
Please provide a separate 7.5-minute USGS quadrangle map with the project boundaries
plotted and a general location map showing the project area. Please highlight the discharge
route from the point of discharge for a distance of one mile downstream. (This map is
required in addition to the map in the administrative report). See SPIF i and SPIF 2
Provide original photographs of any structures 50 years or older on the property. N A
Does your project involve any of the following? Check all that apply. None apply.
❑ Proposed access roads, utility lines, construction easements
❑ Visual effects that could damage or detract from a historic property's integrity
❑ Vibration effects during construction or as a result of project design
❑ Additional phases of development that are planned for the future
❑ Sealing caves, fractures, sinkholes, other karst features
❑ Disturbance of vegetation or wetlands
TCEQ-20971(o8/31 12023) Page 2 of 3
wastewater Individual Permit Application, Supplemental Permit Information Form (SPIF)
1. List proposed construction impact (surface acres to be impacted, depth of excavation, sealing
of caves, or other karst features):
N/A
2. Describe existin
size.
and land use:
THE FOLLOWING ITEMS APPLY ONLY TO APPLICATIONS FOR NEW TPDES PERMITS AND MAJOR
AMENDMENTS TO TPDES PERMITS
3
List construction bates of all buticlinizs anti structures on the
4. Provide a brief history of the property, and name of the architect/builder, if known.
NZA
TCEQ-20971(08/31/2023) Page 3 of 3
wastewater Individual Permit Application, Supplemental Permit Information Form (SPIF)
m
Iz PLUMMER
Killeen i tnpl
Sfifhous
Hoflow
L ke
WILLIAMSON COUNTY
# j-Ili jn, 1
f/ vl
2013 fT ,
Cr Park
12r f h >4
Au5 in Camp
Swift
aI
°
;rs
m a
GRfEt+
n
S�
n
VIRGlNIA DR
d X4ROIYN
z°
tfP TEXAS
.0
Ora DR
f W p
p ¢
NOpp' Rp m
lwi� x
'
_
OAK DR
m
° PROJECT LOCATION
0
Q
7-
ypILEV B1 f TARIDRAyf
p
p
EY�t
pALldyLL�
`
�
U)
m
FLM
>�
°
SDR Old Round Rock Brushy Cr�e
SUNSE {hfstori
'S
`
/
Brushq(historic",
1
rush
5 VISTA AVE
Creek
AVE'1
CI
r
E Mp1N
crCrtyHall
Round Rock
1'!d ••� a
aQ. 4 __
'k
,.
0?
RUN
34PIE
O`
e4t
MIMOSA IRL oVP
n
k NA$M S r
E
E
3
SPIF 1
S
CITY OF ROUND ROCK, CITY OF CEDAR PARK, CITY OF AUSTIN, AND
CITY OF LEANDER
0
BRUSHY CREEK REGIONAL WEST WASTEWATER TREATMENT FACILITY
TPDES PERMIT RENEWAL APPLICATION
3
GENERAL LOCATION MAP
i.i
W�
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
DOMESTIC WASTEWATER PERMIT APPLICATION
TECHNICAL REPORT 1.0
For any questions about this form, please contact the Domestic Wastewater Permitting Team
at S12-239-4671.
The following information is required for all renewal, new, and amendment applications.
A. Existing/Interim I Phase
Design Flow (MGD):
2-Hr Peak Flow (MGD):.00
Estimated construction start date: Existing
Estimated waste disposal start date: Existing
B. Interim II Phase
Design Flow (MGD): iv A
2-Hr Peak Flow (MGD): IL
Estimated construction start date: N A
Estimated waste disposal start date: N A
C. Final Phase
Design Flow (MGD): IL
2-Hr Peak Flow (MGD): NLA,
Estimated construction start date: N A
Estimated waste disposal start date: NSA
D. Current Operating Phase
Provide the startup date of the facility: LqZd
A. Process Description
Provide a detailed description of the treatment process. Include the type of treatment
plant, mode of operation, and all treatment units. Start with the plant's head works and
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 1 of 68
finish with the point of discharge. Include all sludge processing and drying units. If more
than one phase exists or is proposed, a description of each phase must be provided.
Wastewater treatment is a plug -flow activated sludge wastewater treatment facility that includes
two mechanical fine screens, two aeration basins, two secondary clarifiers, and an ultraviolet
disinfection system prior to discharging into Brushy Creek Segment No.1244. The aeration basins
are equipped with fine bubble membranes diffusers with floor coverage of up to 2o% in the first 5
of 6 zones in one bull's eye; and the first 3 of 5 zones in the second bull's eye. The plant includes
return activated sludge, scum, and waste activated air lift pumps. Sludge is returned from the
bottom of the clarifier to the aeration basins. Waste activated sludge is taken from the aeration
basin and conveyed to the Brushy Greek Regional East Wastewater Treatment Facility (same
Owner and Operator as this facility) to allow centralized dewatering for the two plants.
B. Treatment Units
In Table 1.0(1), provide the treatment unit type, the number of units, and dimensions
(length, width, depth) of each treatment unit, accounting for ail phases of operation.
Table 1.0(1) - Treatment Units
Treatment Unit Type
Number of Units
Dimensions (L x W x D)
Selector Basins
2
1 - 17,624 fV, 15 ft D x 17'-0" W
1-21,032ft',ISftDx16-7"W
Aeration Basins
2
1 - 61,685 ft', 15 ft D x 17'-0" W
1 - 73, 956 fV, 15 ft D x 16'-7" W
Clarifiers
2
1- 80 ft Diameter, 15 ft SWD
1 - 103 ft Diameter, 15 ft SWD
UV Disinfection System
1
36.5 ft L x 2.33 ft W x 1.21 ft D
C. Process Flow Diagram
Provide flow diagrams for the existing facilities and each proposed phase of construction.
Attachment: D
Provide the TPDES discharge outfall latitude and longitude. Enter N/A if not applicable.
• Latitude:3o.51455
• Longitude: -97.665q2i
Provide the TLAP disposal site latitude and longitude. Enter N/A if not applicable.
• Latitude: NLA
• Longitude: NJA
Provide a site drawing for the facility that shows the following:
• The boundaries of the treatment facility;
• The boundaries of the area served by the treatment facility;
• If land disposal of effluent, the boundaries of the disposal site and all storage/holding
ponds; and
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 2 of 68
• if sludge disposal is authorized in the permit, the boundaries of the land application or
disposal site.
Attachment: E
Provide the name and a description of the area served by the treatment facility.
The facili1y serves portions of Round Rock, Cedar Park. Leander, Fern Bluffs Municipal Utility
District, Brushy Creek MUD and parts of North Austin.
Collection System Information for wastewater TPDES permits only: Provide information for
each uniquely owned collection system, existing and new, served by this facility, including
satellite collection systems. Please see the instructions for a detailed explanation and
examples.
Collection System Information
Collection System Name
Owner Name
Owner Type
Population Served
Round Rock
City of Round Rock
Publicly Owned
Cedar Park
City of Cedar Park
Publicly Owned
North Austin
City of Austin
Publicly Owned
Leander
City of Leander
Publicly Owned
Fern Bluffs MUD
Fern Bluffs
Municipal Utility
District
Publicly Owned
Brushy Creek MUD
Brushy Creek
Municipal Utility
District
Publicly Owned
Is the application for a renewal of a permit that contains an unbuilt phase or phases?
❑ Yes ® No
If yes, does the existing permit contain a phase that has not been constructed within five
years of being authorized by the TCEQ?
❑ Yes ❑ No N A
If yes, provide a detailed discussion regarding the continued need for the unbuilt phase.
Failure to provide sufficient justification may result in the Executive Director
recommending denial of the unbuilt phase or phases.
NA
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 3 of 68
Have any treatment units been taken out of service permanently, or will any units be taken
out of service in the next five years?
❑ Yes ® No
If yes, was a closure plan submitted to the TCEQ?
❑ Yes ❑ No N/A
If yes, provide a brief description of the closure and the date of plan approval.
WA
For applicants with an existing permit, check the Other Requirements or Special
Provisions of the permit.
A. Summary transmittal
Have plans and specifications been approved for the existing facilities and each proposed
phase?
If yes, provide the date(s) of approval for each phase: S11,41201
Provide information, including dates, on any actions taken to meet a requirement or
provision pertaining t0 the submission of a summary transmittal letter. Provide a copy of
an approval letter from the TCEQ, if applicable.
The summary transmittal letter for the existing phase was submitted 3/28/2014 and approved by
TCEQ on 5/1412014.
B. Buffer zones
Have the buffer zone requirements been met?
® Yes ❑ No
Provide information below, including dates, on any actions taken to meet the conditions of
the buffer zone. If available, provide any new documentation relevant to maintaining the
buffer zones.
TCEQ 10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 4 of 68
C. Other actions required by the current permit
Does the Other Requirements or Special Provisions section in the existing permit require
submission of any other information or other required actions? Examples include
Notification of Completion, progress reports, soil monitoring data, etc.
❑ Yes ® No
If yes, provide information below on the status of any actions taken to meet the
conditions of an Other Requirement or Special Provision.
NLA
D. Grit and grease treatment
I. Acceptance of grit and grease waste
Does the facility have a grit and/or grease processing facility onsite that treats and
decants or accepts transported loads of grit and grease waste that are discharged
directly to the wastewater treatment plant prior to any treatment?
❑ Yes ® No
If No, stop here and continue with Subsection E. Stormwater Management.
2. Grit and grease processing
Describe below how the grit and grease waste is treated at the facility. In your
description, include how and where the grit and grease is introduced to the treatment
works and how it is separated or processed. Provide a flow diagram showing how grit
and grease is processed at the facility.
3. Grit disposal
Does the facility have a Municipal Solid Waste (MSW) registration or permit for grit
disposal?
❑ Yes ❑ No N/A
If No, contact the TCEQ Municipal Solid Waste team at 512-239-2335. Note: A
registration or permit is required for grit disposal. Grit shall not be combined with
treatment plant sludge. See the instruction booklet for additional information on grit
disposal requirements and restrictions.
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 5 of 68
Describe the method of grit disposal.
4. Grease and decanted liquid disposal
Note: A registration or permit is required for grease disposal. Grease shall not be
combined with treatment plant sludge. For more information, contact the TCEQ
Municipal Solid Waste team at 512-239-2335.
Describe how the decant and grease are treated and disposed of after grit separation.
E. Stormwater management
1. Applicability
Does the facility have a design flow of 1.0 MGD or greater in any phase?
® Yes ❑ No
Does the facility have an approved pretreatment program, under 40 CFR Part 403?
® Yes ❑ No
If no to both of the above, then skip to Subsection F, Other Wastes Received.
2. MSGP coverage
Is the stormwater runoff from the WWTP and dedicated lands for sewage disposal
currently permitted under the TPDES Multi -Sector General Permit (MSGP), TXR050000?
® Yes ❑ No
If yes, please provide MSGP Authorization Number and skip to Subsection F, Other
Wastes Received:
TXR05 FR27 or TXRNE
If no, do you intend to seek coverage under TXR050000?
❑ Yes ❑ No N/A
3. Conditional exclusion
Alternatively, do you intend to apply for a conditional exclusion from permitting based
TXR050000 (Multi Sector General Permit) Part II B.2 or TXR050000 (Multi Sector
General Permit) Part V, Sector T 3(b)?
❑ Yes ® No
If yes, please explain below then proceed to Subsection F, Other Wastes Received:
NLA
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 6 of 69
4. Existing coverage in individual permit
Is your stormwater discharge currently permitted through this individual TPDES or
TLAP permit?
0 Yes 0 No
If yes, provide a description of stormwater runoff management practices at the site
that are authorized in the wastewater permit then skip to Subsection F, Other Wastes
Received.
NLA
S. Zero stormwater discharge
Do you intend to have no discharge of stormwater via use of evaporation or other
means?
❑ Yes ® No
If yes, explain below then skip to Subsection F. Other Wastes Received.
NJA
fJntP- Tf there is a nntPntial to HicrharaP anv stnrmwater to s»rfarP water in the State ac
the result of any storm event, then permit coverage is required under the MSGP or an
individual discharge permit. This requirement applies to all areas of facilities with
treatment plants or systems that treat, store, recycle, or reclaim domestic sewage,
wastewater or sewage sludge (including dedicated lands for sewage sludge disposal
located within the onsite property boundaries) that meet the applicability criteria of
above. You have the option of obtaining coverage under the MSGP for direct
discharges, (recommended), or obtaining coverage under this individual permit.
6. Request for coverage in individual permit
Are you requesting coverage of stormwater discharges associated with your treatment
plant under this individual permit?
❑ Yes ® No
If yes, provide a description of stormwater runoff management practices at the site for
which you are requesting authorization in this individual wastewater permit and
describe whether you intend to comingle this discharge with your treated effluent or
discharge it via a separate dedicated stormwater outfall. Please also indicate if you
intend to divert stormwater to the treatment plant headworks and indirectly discharge
it to water in the state.
WA
TCEQ-100S4 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 7 of 68
Note: Direct stormwater discharges to waters in the state authorized through this
individual permit will require the development and implementation of a stormwater
pollution prevention plan (SWPPP) and will be subject to additional monitoring and
reporting requirements. Indirect discharges of stormwater via headworks recycling will
require compliance with all individual permit requirements including 2-hour peak flow
limitations. All stormwater discharge authorization requests will require additional
information during the technical review of your application.
F. Discharges to the Lake Houston Watershed
Does the facility discharge in the Lake Houston watershed?
❑ Yes ® No
If yes, attach a Sewage Sludge Solids Management Plan. See Example 5 in the instructions.
NLA
G. Other wastes received including sludge from other WWTPs and septic waste
I. Acceptance of sludge from other WWTPs
Does or will the facility accept sludge from other treatment plants at the facility site?
❑ Yes ® No
If yes, attach sewage sludge solids management plan. See Example S of the
instructions.
In addition, provide the date the plant started or is anticipated to start accepting
sludge, an estimate of monthly sludge acceptance (gallons or millions of gallons), an
estimate of the BOD5 concentration of the sludge, and the design BODs concentration
of the influent from the collection system. Also note if this information has or has not
changed since the last permit action.
NLA
Note: Permits that accept sludge from other wastewater treatment plants may be
required to have influent flow and organic loading monitoring.
2. Acceptance of septic waste
Is the facility accepting or will it accept septic waste?
❑ Yes ® No
If yes, does the facility have a Type V processing unit?
❑ Yes ® No
If yes, does the unit have a Municipal Solid Waste permit?
❑ Yes ® No
If yes to any of the above, provide the date the plant started or is anticipated to start
accepting septic waste, an estimate of monthly septic waste acceptance (gallons or
millions of gallons), an estimate of the BOD, concentration of the septic waste, and the
design BODs concentration of the influent from the collection system. Also note if this
information has or has not changed since the last permit action.
TCEQ 10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 8 of 68
Note: Permits that accept sludge from other wastewater treatment plants may be
required to have influent flow and organic loading monitoring.
3. Acceptance of other wastes (not including septic, grease, gilt, or RCRA, CERCLA or
as discharged by IUs listed in Worksheet 6)
Is or will the facility accept wastes that are not domestic in nature excluding the
categories listed above?
❑ Yes ® No
If yes, provide the date that the plant started accepting the waste, an estimate how
much waste is accepted on a monthly basis (gallons or millions of gallons), a
description of the entities generating the waste, and any distinguishing chemical or
other physical characteristic of the waste. Also note if this information has or has not
changed since the last permit action.
fWA
Is the facility in operation?
® Yes n No
If no, this section is not applicable. Proceed to Section 8.
If yes, provide effluent analysis data for the listed pollutants. Wastewater treatment
facilities complete Table 1.0(2). Water treatment facilities discharging filter backwash water,
complete Table 1.0(3). Provide copies of the laboratory results sheets. These tables are not
applicable for a minor amendment without renewal. See the instructions for guidance.
Note: The sample date must be within 1 year of application submission.
Tablel.0(2) — Pollutant Analysis for Wastewater Treatment Facilities See Attachment F
Pollutant
Average
Max
No. of
Sample
Sample
Conc.
Conc.
Samples
Type
Date/Time
CBOD5, mg/1
1.58
2.94
9
Comp
4/1 -- 4/30/
2024
Total Suspended Solids, mg/l
2.5
2.S
9
Comp
4/1 - 4/30/
2024
Ammonia Nitrogen, mg/1
0.266
0.672
9
Comp
4/1 - 4/30/
2024
Nitrate Nitrogen, mg/1
10.35
10.4
2
Comp.
2/28/24
5/8/24
Total Kjeldahl Nitrogen, mg/1
TKN
TCEQ-10054 (01/09/2024) Domestic lVastewater Permit Application Technical Report Page 9 of 68
Sulfate, m9/1
SO4
Chloride, rn9A
Cl-
Total Phosphorus, mg/1
0.209
0.247
2
Comp.
2/28/24
5/8/2024
pH, standard units
7.11
6.87 -
7.6
30
Grab
4/1-4/30/
2024
Dissolved O,.cygen*, mg/1
7.87
7.21
(Min)
30
Grab
4/1-4/30/
2024
Chlorine Residual, mg/l
N/A
N/A
N/A
N/A
N/A
E.coli (CFU/100m]) freshwater
4.79
12.2
3
Grab
4/1-4/30/
2024
Entercocci (CFU/100ml)
saltwater
N/A
N/A
N/A
N/A
N/A
Total Dissolved Solids, mg/1
TDS
Electrical Conductivity,
umohs/cm, t
N/A
N/A
N/A
N/A
N/A
Oil & Grease, mg/1
<1.42
2.11
2
Grab
2/28/24
5/8/24
Alkalinity (CaCO,)*, mg/1
alk
*TPDES permits only
tTLAP permits only
Tablei.0(3) - Pollutant Analysis for Water Treatment Facilities
Pollutant
Average
Conc.
Max
Conc.
No. of
Samples
Sample
Type
Sample
Date/Time
Total Suspended Solids, mg/l
N/A
N/A
N/A
N/A
N/A
Total Dissolved Solids, mg/1
NIA
N/A
N/A
N/A
N/A
pH, standard units
N/A
N/A
N/A
N/A
N/A
Fluoride, m9/1
N/A
N/A
N/A
N/A
N/A
Aluminum, mg/1
N/A
N/A
N/A
N/A
N/A
Alkalinity (CaCOA mg/l
N/A
N/A
N/A
N/A
N/A
Facility Operator Name: Tom Villanueva
Facility Operator's License Classification and Level: Wastewater Cims B; Class A License Pending
Facility Operator's License Number: WWoo46666: Class A License Pending
TCEQ 10054 (01/09/2024) Domestic 4Vaste%vater Permit .application Technical Report Page 10 of 68
A. WWTP's Biosolids Management Facility Type
Check all that apply. See instructions for guidance
® Design flow>= 1 MGD
® Serves >= 10,000 people
® Class I Sludge Management Facility (per 40 CFR § 503.9)
® Biosolids generator
❑ Biosolids end user - land application (onsite)
❑ Biosolids end user - surface disposal (onsite)
❑ Biosolids end user - incinerator (onsite)
B. WWTP's Biosolids Treatment Process
Check all that apply. See instructions for guidance.
❑ Aerobic Digestion
❑ Air Drying (or sludge drying beds)
❑ Lower Temperature Composting
❑ Lime Stabilization
❑ Higher Temperature Composting
❑ Heat Drying
❑ Thermophilic Aerobic Digestion
❑ Beta Ray Irradiation
❑ Gamma Ray Irradiation
❑ Pasteurization
❑ Preliminary Operation (e.g. grinding, de gritting, blending)
❑ Thickening (e.g. gravity thickening, centrifugation, filter press, vacuum filter)
❑ Sludge Lagoon
❑ Temporary Storage (< 2 years)
❑ Long Term Storage (>= 2 years)
❑ Methane or Biogas Recovery
® Other Treatment Process: Waste activated sludge is transported to Brushy Creek Regional
East Wastewater Treatment Facility, which -is also owned and operated bt�pplicant.
C. Biosolids Management
Provide information on the intended biosolids management practice. Do not enter every
management practice that you want authorized in the permit, as the permit will authorize
TCEQ 10054 (01/09I2024) Domestic k%aste►vater Permit Application Technical Report Page 11 of 68
all biosolids management practices listed in the instructions. Rather indicate the
management practice the facility plans to use.
Biosolids Management
Pathogen
Vector
Management
Handler or
Bulk or Bag
Amount (dry
Reduction
Attraction
Practice
Preparer Type
Container
metric tons)
Options
Reduction
Option
Other
Off -site Handler
Not
N/A
N/A
N/A
or Preparer
Applicable
If "Other" is selected for Management Practice, please explain (e.g. monofill or transport to
another WWTP): Waste activated sludge is transported to Brushy Creek Regional East Wastewater
Treatment Facility, which is also owned and operated by the applicant.
D. Disposal site
Disposal site name: Brushy Creek Regional East Wastewater Treatment Facility
TCEQ permit or registration number: W00010264002
County where disposal site is located: Williamson
E. Transportation method
Method of transportation (truck, train, pipe, other): Pipe
Name of the hauler: N/A
Hauler registration number: LA
Sludge is transported as a:
Liquid ® semi -liquid ❑ semi -solid 0 solid ❑
A. Beneficial use authorization
Does the existing permit include authorization for land application of sewage sludge for
beneficial use?
❑ Yes ® No
If yes, are you requesting to continue this authorization to land apply sewage sludge for
beneficial use?
Li Yes ❑ No N/A
If yes, is the completed Application for Permit for Beneficial Land Use of Sewage Sludge
(TCEQ Form No. 10451) attached to this permit application (see the instructions for
details)?
❑ Yes ❑ No NA
B. Sludge processing authorization
Does the existing permit include authorization for any of the following sludge processing,
storage or disposal options?
1 C'EQ-10054 (01/09/2024) Domestic Wastewater Permit -�pphcarion 1 echnical Report Page 12 of 68
Sludge Composting
❑
Yes
N
No
Marketing and Distribution of sludge
❑
Yes
N
No
Sludge Surface Disposal or Sludge Monofill
❑
Yes
M
No
Temporary storage in sludge lagoons ❑ Yes N No
If yes to any of the above sludge options and the applicant is requesting to continue this
authorization, is the completed Domestic Wastewater Permit Application: Sewage Sludge
Technical Report (TCEQ Form No. 10056) attached to this permit application?
❑ Yes N No
Does this facility include sewage sludge lagoons?
❑ Yes ® No
If yes, complete the remainder of this section. If no, proceed to Section 12.
A. Location information
The following maps are required to be submitted as part of the application. For each map,
provide the Attachment Number.
• Original General Highway (County) Map:
Attachment: NLA
• USDA Natural Resources Conservation Service Soil Map:
Attachment: NSA
• Federal Emergency Management Map:
Attachment: NLA
• Site map:
Attachment: NLA
Discuss in a description if any of the following exist within the lagoon area. Check all that
apply.
❑ Overlap a designated 100-year frequency flood plain
❑ Soils with flooding classification
❑ Overlap an unstable area
❑ Wetlands
❑ Located less than 60 meters from a fault
❑ None of the above
Attachment: N/A
If a portion of the lagoon(s) is located within the 100-year frequency flood plain, provide
the protective measures to be utilized including type and size of protective structures:
N/A
TCEQ 10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 13 of 68
B. Temporary storage information
Provide the results for the pollutant screening of sludge lagoons. These results are in
addition to pollutant results in Section 7 of Technical Report 1.0.
Nitrate Nitrogen, mg/kg:
Total Kjeldahl Nitrogen, mg/kg: NLA
Total Nitrogen (=nitrate nitrogen + TKN), mg/kg:
Phosphorus, mg/kg: NLA
Potassium, mg/kg:
pH, standard units: N A
Ammonia Nitrogen mg/kg:
Arsenic: &A
Cadmium: N/A
Chromium: NLA
Copper: N/A
Lead: NLA
Mercury: NLA
Molybdenum: NJA
Nickel: NLA
Selenium: N A
Zinc: NLA
Total PCBs: NLA.
Provide the following information:
Volume and frequency of sludge to the lagoon(s): NLA.
Total dry tons stored in the lagoons(s) per 365-day period: N'LA
Total dry tons stored in the lagoons(s) over the life of the unit: N/A
C. Liner information
Does the active/proposed sludge lagoon(s) have a liner with a maximum hydraulic
conductivity of 1x10 cm/sec?
❑ Yes ❑ No N/A
If yes, describe the liner below. Please note that a liner is required.
D. Site development plan
Provide a detailed description of the methods used to deposit sludge in the lagoon(s):
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 14 of 68
A
Attach the following documents to the application.
Plan view and cross-section of the sludge lagoon(s)
Attachment: NIA
• Copy of the closure plan
Attachment: N/A
• Copy of deed recordation for the site
Attachment:
• Size of the sludge lagoon(s) in surface acres and capacity in cubic feet and gallons
Attachment: NA
• Description of the method of controlling infiltration of groundwater and surface
water from entering the site
Attachment: NSA.
• Procedures to prevent the occurrence of nuisance conditions
Attachment: N A
E. Groundwater monitoring
Is groundwater monitoring currently conducted at this site, or are any wells available for
groundwater monitoring, or are groundwater monitoring data otherwise available for the
sludge lagoon(s)?
❑ Yes ❑ No IL
If groundwater monitoring data are available, provide a copy. Provide a profile of soil
types encountered down to the groundwater table and the depth to the shallowest
groundwater as a separate attachment.
Attachment:
A. Additional authorizations
Does the permittee have additional authorizations for this facility, such as reuse
authorization, sludge permit, etc?
❑ Yes ® No
If yes, provide the TCEQ authorization number and description of the authorization:
N/A
B. Permittee enforcement status
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 15 of 68
Is the permittee currently under enforcement for this facility?
❑ Yes ® No
Is the pernuttee required to meet an implementation schedule for compliance or
enforcement?
❑ Yes ® No
If yes to either question, provide a brief summary of the enforcement, the implementation
schedule, and the current status:
N/A
A. RCRA hazardous wastes
Has the facility received in the past three years, does it currently receive, or will it receive
RCRA hazardous waste?
B. Remediation activity wastewater
Has the facility received in the past three years, does it currently receive, or will it receive
CERCLA wastewater, RCRA remediation/corrective action wastewater or other remediation
activity wastewater?
hlfY��►_<�►n
C. Details about wastes received
If yes to either Subsection A or B above, provide detailed information concerning these
wastes with the application.
Attachment: NLA
TCEQ 10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 16 of 68
All laboratory tests performed must meet the requirements of 30 TAC Chapter 25,
Environmental Testing Laboratory Accreditation and Certification, which includes the
following general exemptions from National Environmental Laboratory Accreditation Program
(NELAP) certification requirements:
• The laboratory is an in-house laboratory and is:
o periodically inspected by the TCEQ or
o located in another state and is accredited or inspected by that state; or
o performing work for another company with a unit located in the same site; or
o performing pro bono work for a governmental agency or charitable
organization.
• The laboratory is accredited under federal law.
• The data are needed for emergency -response activities, and a laboratory accredited
under the Texas Laboratory Accreditation Program is not available.
• The laboratory supplies data for which the TCEQ does not offer accreditation.
The applicant should review 30 TAC Chapter 25 for specific requirements.
The following certification statement shall be signed and submitted with every application.
See the Signature Page section in the Instructions, for a list of designated representatives who
may sign the certification.
CERTIFICATION:
I certify that all laboratory tests submitted with this application meet the requirements
of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and
Certification.
Printed Name: Laurie Hadley
Title: C' 'i f Round Rock
Signat • -- ---------------------
Date:
TCEQ 10054 (01/09/2024) Domestic lVaste►vater Permit Application Technical Report Page 17 of 68
All laboratory tests performed must meet the requirements of 30 TAC Chapter 25,
Environmental Testing Laboratory Accreditation and Certification, which includes the
following general exemptions from National Environmental Laboratory Accreditation Program
(NELAP) certification requirements:
The laboratory is an in-house laboratory and is:
o periodically inspected by the TCEQ; or
o located in another state and is accredited or inspected by that state; or
o performing work for another company with a unit located in the same site; or
o performing pro bono work for a governmental agency or charitable
organization.
• The laboratory is accredited under federal law.
• The data are needed for emergency -response activities, and a laboratory accredited
under the Texas Laboratory Accreditation Program is not available.
• The laboratory supplies data for which the TCEQ does not offer accreditation.
The applicant should review 30 TAC Chapter 25 for specific requirements.
The following certification statement shall be signed and submitted with every application.
See the Signature Page section in the Instructions, for a list of designated representatives who
may sign the certification.
CERTIFICATION:
I certify that all laboratory tests submitted with this application meet the requirements
of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and
Certification.
Printed Name: Brenda Eivens
Title: City Manager. City of Cedar Park
Signature: -------------------------
Date: -------------------
TCEQ- 10054 (01 f09f202 4) Domestic Wastewater Permit Application Technical Report page 18 of 68
All laboratory tests performed must meet the requirements of 30 TAC Chapter 25,
Environmental Testing Laboratory Accreditation and Certification, which includes the
following general exemptions from National Environmental Laboratory Accreditation Program
(NELAP) certification requirements:
The laboratory is an in-house laboratory and is:
o periodically inspected by the TCEQ; or
o located in another state and is accredited or inspected by that state; or
* performing work for another company with a unit located in the same site; or
performing pro bono work for a governmental agency or charitable
organization.
• The laboratory is accredited under federal law.
• The data are needed for emergency -response activities, and a laboratory accredited
under the Texas Laboratory Accreditation Program is not available.
• The laboratory supplies data for which the TCEQ does not offer accreditation.
The applicant should review 30 TAC Chapter 25 for specific requirements.
The following certification statement shall be signed and submitted with every application.
See the Signature Page section in the Instructions, for a list of designated representatives who
may sign the certification.
CERTIFICATION:
I certify that all laboratory tests submitted with this application meet the requirements
of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and
Certification.
Printed Name: Shay Ralls Roalson
Title: Director of Austin Water, City of Austin
Signature: -------------------------
Date: ------- .... --
TCEQ 10054 (01/09/2024) Domestic Waste►►°ater Permit Application Technical Report Page 19 of 68
All laboratory tests performed must meet the requirements of 30 TAC Chapter 25,
Environmental Testing Laboratory Accreditation and Certification, which includes the
following general exemptions from National Environmental Laboratory Accreditation Program
(NELAP) certification requirements:
The laboratory is an in-house laboratory and is:
o periodically inspected by the TCEQ; or
a located in another state and is accredited or inspected by that state; or
o performing work for another company with a unit located in the same site; or
o performing pro bono work for a governmental agency or charitable
organization.
The laboratory is accredited under federal law.
• The data are needed for emergency -response activities, and a laboratory accredited
under the Texas Laboratory Accreditation Program is not available.
• The laboratory supplies data for which the TCEQ does not offer accreditation.
The applicant should review 30 TAC Chapter 25 for specific requirements.
The following certification statement shall be signed and submitted with every application.
See the Signature Page section in the instructions, for a list of designated representatives who
may sign the certification.
CERTIFICATION:
I certify that all laboratory tests submitted with this application meet the requirements
of 30 TAC Chapter 25, Environmental Testing Laboratory Accreditation and
Certification.
Printed Name: Todd Parton
Title: City Manager. City of Leander
Signature: -------------------------
Date: -------------------
TCEQ- 10054 (01/09/2024) Domestic wastewater Permit Application Technical Report Page 20 of 68
DOMESTIC WASTEWATER PERMIT APPLICATION
WORKSHEET 2.0: RECEIVING WATERS
The following information is required for all TPDES permit applications.
Is there a surface water intake for domestic drinking water supply located within 5 miles
downstream from the point or proposed point of discharge?
X�W+JMM
If no, proceed it Section 2. If yes, provide the following:
Owner of the drinking water supply: iv A
Distance and direction to the intake: NJA
Attach a USGS map that identifies the location of the intake.
Attachment:
Does the facility discharge into tidally affected waters?
❑ Yes ® No
If no, proceed to Section 3. If yes, complete the remainder of this section. If no, proceed to
Section 3.
A. Receiving water outfall
Width of the receiving water at the outfall, in feet:
B. Oyster waters
Are there oyster waters in the vicinity of the discharge?
❑ Yes ❑ No N/A
If yes, provide the distance and direction from outfall(s).
N/A
C. Sea grasses
Are there any sea grasses within the vicinity of the point of discharge?
❑ Yes ❑ No N/A
If yes, provide the distance and direction from the outfall(s).
N/A
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 27 of 68
Is the discharge directly into (or within 300 feet of) a classified segment?
® Yes ❑ No
If yes, this Worksheet is complete.
If no, complete Sections 4 and 5 of this Worksheet.
Name of the immediate receiving waters: NJA
A. Receiving water type
Identify the appropriate description of the receiving waters.
❑ Stream
❑ Freshwater Swamp or Marsh
❑ Lake or Pond
Surface area, in acres:
Average depth of the entire water body, in feet:
Average depth of water body within a 500-foot radius of discharge point, in feet:
❑ Man-made Channel or Ditch
❑ Open Bay
❑ Tidal Stream, Bayou, or Marsh
❑ Other, specify:
B. Flow characteristics
If a stream, man-made channel or ditch was checked above, provide the following. For
existing discharges, check one of the following that best characterizes the area upstream
of the discharge. For new discharges, characterize the area downstream of the discharge
(check one).
❑ Intermittent - dry for at least one week during most years
❑ Intermittent with Perennial Pools - enduring pools with sufficient habitat to
maintain significant aquatic life uses
❑ Perennial - normally flowing
Check the method used to characterize the area upstream (or downstream for new
dischargers).
❑ USGS flow records
❑ Historical observation by adjacent landowners
❑ Personal observation
❑ Other, specify:
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 28 of 68
C. Downstream perennial confluences
List the names of all perennial streams that join the receiving water within three miles
downstream of the discharge point.
N/A
D. Downstream characteristics
Do the receiving water characteristics change within three miles downstream of the
discharge (e.g., natural or man-made dams, ponds, reservoirs, etc.)?
❑ Yes ❑ No
If yes, discuss how.
N/A
E. Normal dry weather characteristics
Provide general observations of the water body during normal dry weather conditions.
N/A
Date and time of observation:
Was the water body influenced by stormwater runoff during observations?
❑ Yes ❑ No
A. Upstream influences
Is the immediate receiving water upstream of the discharge or proposed discharge site
influenced by any of the following? Check all that apply.
❑ Oil field activities ❑ Urban runoff
❑ Upstream discharges
❑ Septic tanks
❑ Agricultural runoff
❑ Other(s), specify:
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 29 of 68
B. Waterbody uses
Observed or evidences of the following uses. Check all that apply.
❑ Livestock watering ❑ Contact recreation
❑ Irrigation withdrawal ❑ Non -contact recreation
❑ Fishing ❑ Navigation
❑ Domestic water supply ❑ Industrial water supply
❑ Park activities ❑ Other(s), specify:
C. Waterbody aesthetics
Check one of the following that best describes the aesthetics of the receiving water and
the surrounding area.
❑ Wilderness: outstanding natural beauty; usually wooded or unpastured area; water
clarity exceptional
❑ Natural Area: trees and/or native vegetation; some development evident (from
fields, pastures, dwellings); water clarity discolored
❑ Common Setting: not offensive; developed but uncluttered; water may be colored
or turbid
❑ Offensive: stream does not enhance aesthetics; cluttered; highly developed;
dumping areas; water discolored
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 30 of 68
DOMESTIC WASTEWATER PERMIT APPLICATION
WORKSHEET 4.0: POLLUTANT ANALYSIS REQUIREMENTS
The following is required for facilities with a permitted or proposed flow of 1.0 MGD or
greater, facilities with an approved pretreatment program, or facilities classified as a major
facility. See instructions for further details.
This worksheet is not required minor amendments without renewal.
Section 1. Toxic Pollutants (Instructions Page 78)
For pollutants identified in Table 4.0(1), indicate the type of sample.
Grab ® Composite
Date and time sample(s) collected: See Attachment F
Table 4.0(I) — Toxics Analysis
Pollutant
AVG
Effluent
Conc. (µg/l)
MAX
Effluent
Conc. (µg/1)
Number of
Samples
MAL
W/O
Acrylonitrile
<50
<50
1
50
Aldrin
<0.01
<0.01
1
0.01
Aluminum
29.5
31.8
2
2.5
Anthracene
<10
<10
1
10
Antimony
<5
<5
2
5
Arsenic
1.0
<2
2
0.5
Barium
41.9
44.0
2
3
Benzene
<10
<10
1
10
Benzidine
<50
<50
1
50
Benzo(a)anthracene
<5
<5
1
5
Benzo(a)pyrene
<5
<5
1
5
Bis(2-chloroethyl)ether
<10
<10
1
10
Bis(2-ethylhexyl)phthalate
<10
<10
1
10
Bromodichloromethane
<10
<10
1
10
Bromoform
<10
<10
1
10
Cadmium
<1
<1
2
1
Carbon Tetrachloride
<2
<2
1
2
Carbaryl
<5
<5
1
5
Chlordane
<0.2
<0.2
1
0.2
Chlorobenzene
<10
<10
1
10
Chlorodibromomethane
1<10
1<10
11
1 10
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 46 of 68
Pollutant
AVG
Effluent
Conc. (µg/1)
MAX
Effluent
Conc. (µg/1)
Number of
Samples
MAL
(µg/1)
Chloroform
<10
<10
1
10
Chlorpyrifos
<0.05
<0.05
1
0.05
Chromium (Total)
<3
<3
2
3
Chromium (Tri) N)
<3
<3
2
N/A
Chromium (Hex)
<3
<3
2
3
Copper
3.75
4.19
2
2
Chrysene
<5
<5
1
5
p-Chloro-m-Cresol
<10
<10
1
10
4,6-Dinitro-o-Cresol
<50
<50
1
50
p-Cresol
<10
<10
1
10
Cyanide (*2)
<10
<10
2
10
4,4'- DDD
<0.1
<0.1
1
0.1
4,4'- DDE
<0.1
<0.1
1
0.1
4,4'- DDT
<0.02
<0.02
1
0.02
2,4-D
0.776
0.776
1
0.7
Demeton (O and S)
<0.2
<0.2
1
0.20
Diazinon
<0.1
<0.1
1
0.5/0.1
1,2-Dibromoethane
<10
<10
1
10
m-Dichlorobenzene
<10
<10
1
10
o-Dichlorobenzene
<10
<10
1
10
p-Dichlorobenzene
<10
<10
1
10
3,3'-Dichlorobenzidine
<5
<5
1
5
1,2-Dichloroethane
<10
<10
1
10
1,1-Dichloroethylene
<10
<10
1
10
Dichloromethane
<20
<20
1
20
1,2-Dichloropropane
<10
<10
1
10
1,3-Dichloropropene
<10
<10
1
10
Dicofol
<1
<1
1
1
Dieldrin
<0.02
<0.02
1
0.02
2,4-Dimethylphenol
<10
<10
1
10
Di-n-Butyl Phthalate
<10
<10
1
10
Diuron
<0.09
<0.09
1
0.09
Endosulfan I (alpha)
<0.01
<0.01
1
0.01
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 47 of 68
Pollutant
AVG
Effluent
Conc. (µg/b
MAX
Effluent
Conc. (µg/1)
Number of
Samples
MAL
(µg/b
Endosulfan 11(beta)
<0.02
<0.02
1
0.02
Endosulfan Sulfate
<0.1
<0.1
1
0.1
Endrin
<0.02
<0.02
1
0.02
Ethylbenzene
<10
<10
1
10
Fluoride
<500
<500
2
500
Guthion
<0.1
<0.1
1
0.1
Heptachlor
<0.01
<0.01
1
0.01
Heptachlor Epoxide
<0.01
<0.01
1
0.01
Hexachlorobenzene
<5
<5
1
5
Hexachlorobutadiene
<10
<10
1
10
Hexachlorocyclohexane (alpha)
<0.05
<0.05
1
0.05
Hexachlorocyclohexane (beta)
<0.05
<0.05
1
0.05
gamma-Hexachlorocyclohexane
(Lindane)
<0.05
<0.05
1
0.05
Hexachlorocyclopentadiene
<10
<10
1
10
Hexachloroethane
<20
<20
1
20
Hexachlorophene
<10
<10
1
10
Lead
<0.5
<0.5
2
0.5
Malathion
<0.1
<0.1
1
0.1
Mercury
<0.005
<0.005
2
0.005
Methoxychlor
<2
<2
1
2
Methyl Ethyl Ketone
<50
<50
1
50
Mirex
<0.02
<0.02
1
0.02
Nickel
<2.5
<3
2
2
Nitrate -Nitrogen
10,350
10,400
2
100
Nitrobenzene
<10
<10
1
10
N-Nitrosodiethylamine
<20
<20
1
20
N-Nitroso-di-n-Butylamine
<20
<20
1
20
Nonylphenol
<333
<333
1
333
Parathion (ethyl)
<0.1
<0.1
1
0.1
Penachlorobenzene
<20
<20
1
20
Pentachlorophenol
<5
<5
1
5
Phenanthrene
<10
<10
1
10
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 48 of 68
Pollutant
AVG
Effluent
Conc. (µg/1)
MAX
Effluent
Conc. (µg/1)
Number of
Samples
MAL
419/1)
Polychlorinated Biphenyls (PCB's) (*3)
<0.2
<0.2
1
0.2
Pyridine
<20
<20
1
20
Selenium
<5
<5
2
5
Silver
<0.75
<1
2
0.5
1,2,4,5-Tetrachlorobenzene
<20
<20
1
20
1,1,2,2-Tetrachloroethane
<10
<10
1
10
Tetrachloroethylene
<10
<10
1
10
Thallium
<0.5
<0.5
2
0.5
Toluene
<10
<10
1
10
Toxaphene
<0.3
<0.3
1
0.3
2,4,5-TP (Silvex)
0.914
0.914
1
0.3
Tributyltin (see instructions for
explanation)
N/A
N/A
N/A
0.01
1, 1, 1 -Trichloroethane
<10
<10
1
10
1,1,2-Trichloroethane
<10
<10
1
10
Trichloro ethylene
<10
<10
1
10
2,4,5-Trichlorophenol
<50
<50
1
50
TTHM (Total Trihalomethanes)
<10
<10
1
10
Vinyl Chloride
<10
<10
1
10
Zinc
38.9
41.7
2
5
(* 1) Determined by subtracting hexavalent Cr from total Cr.
(*2) Cyanide, amenable to chlorination or weak -acid dissociable.
(*3) The sum of seven PCB congeners 1242, 1254, 1221, 1232, 1248, 1260, and 1016.
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 49 of 68
For pollutants identified in Tables 4.0(2)A-E, indicate type of sample.
Grab ® Composite
Date and time sample(s) collected: See Attachment F
Table 4.O(2)A — Metals, Cyanide, and Phenols
Pollutant
AVG
Effluent
Conc. (jig/1)
MAX
Effluent
Conc. (jig/1)
Number of
Samples
MAL
(ug/1)
Antimony
<5
<5
2
5
Arsenic
1.0
<2
2
0.5
Beryllium
<0.5
<0.5
2
0.5
Cadmium
<1
<1
2
1
Chromium (Total)
<3
<3
2
3
Chromium (Hex)
<3
<3
2
3
Chromium (Tri) (*1)
<3
<3
2
N/A
Copper
3.75
4.19
2
2
Lead
<0.5
<0.5
2
0.5
Mercury
<0.005
<0.005
2
0.005
Nickel
<2.5
<3
2
2
Selenium
<5
<5
2
5
Silver
<0.75
<1
2
0.5
Thallium
<0.5
<0.5
2
0.5
Zinc
38.9
41.7
2
5
Cyanide (*2)
<10
<10
2
10
Phenols, Total
<10
<16
2
10
(*1) Determined by subtracting hexavalent Cr from total Cr.
(*2) Cyanide, amenable to chlorination or weak -acid dissociable
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 50 of 68
Table 4.0(2)B - Volatile Compounds
Pollutant
AVG
Effluent
Conc. (pg/1)
MAX
Effluent
Conc. (ug/1)
Number of
Samples
MAL
(pg/l)
Acrolein
<50
<50
1
50
Acrylonitrile
<50
<50
1
50
Benzene
<10
<10
1
10
Bromoform
<10
<10
1
10
Carbon Tetrachloride
<2
<2
1
2
Chlorobenzene
<10
<10
1
10
Chlorodibromomethane
<10
<10
1
10
Chloroethane
<50
<50
1
50
2-Chloroethylvinyl Ether
<10
<10
1
10
Chloroform
<10
<10
1
10
Dichlorobromomethane
[Bromodichloromethanej
<10
<10
1
10
1,1-Dichloroethane
<10
<10
1
10
1,2-Dichloroethane
<10
<10
1
10
1,1-Dichloroethylene
<10
<10
1
10
1,2-Dichloropropane
<10
<10
1
10
1,3-Dichloropropylene
[ 1,3-Dichloropropene]
<10
<10
1
10
1,2-Trans-Dichloroethylene
<10
<10
1
10
Ethylbenzene
<10
<10
1
10
Methyl Bromide
<50
<50
1
50
Methyl Chloride
<50
<50
1
50
Methylene Chloride
<20
<20
1
20
1,1,2,2-Tetrachloroethane
<10
<10
1
10
Tetrachloroethylene
<10
<10
1
10
Toluene
<10
<10
1
10
1,1, 1 -Trichloroethane
<10
<10
1
10
1,1,2-Trichloroethane
<10
<10
1
10
Trichloroethylene
<10
<10
1
10
Vinyl Chloride
<10
<10
1
10
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 51 of 68
Table 4.O(2)C - Acid Compounds
Pollutant
AVG
Effluent
Conc. (ug/1)
MAX
Effluent
Conc. (ug/1)
Number of
Samples
MAL
(ug/1)
2-Chlorophenol
<10
<10
1
10
2,4-Dichlorophenol
<10
<10
1
10
2,4-Dimethylphenol
<10
<10
1
10
4,6-Dinitro-o-Cresol
<50
<50
1
50
2,4-Dinitrophenol
<50
<50
1
50
2-Nitrophenol
<20
<20
1
20
4-Nitrophenol
<50
<50
1
50
P-Chloro-m-Cresol
<10
<10
1
10
Pentalchlorophenol
<5
<5
1
5
Phenol
<10
<10
1
10
2,4,6-Trichlorophenol
<10
<10
1
10
TCEQ-100S4 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 52 of 68
Table 4.0(2)D - Base/Neutral Compounds
Pollutant
AVG
Effluent
Conc. (ug/1)
MAX
Effluent
Conc. (jig/1)
Number of
Samples
MAL
(µg/1)
Acenaphthene
<10
<10
1
10
Acenaphthylene
<10
<10
1
10
Anthracene
<10
<10
1
10
Benzidine
<50
<50
1
SO
Benzo(a)Anthracene
<5
<5
1
S
Benzo(a)Pyrene
<5
<5
1
S
3,4-Benzofluoranthene
<10
<10
1
10
Benzo(ghi)Perylene
<20
<20
1
20
Benz o(k)Fluoranthene
<5
<5
1
5
Bis(2-Chloroethoxy)Methane
<10
<10
1
10
Bis(2-Chl oroethyl) Ether
<10
<10
1
10
Bis(2-Chloroisopropyl)Ether
<10
<10
1
10
Bis(2-Ethylhexyl)Phthalate
<10
<10
1
10
4-Bromophenyl Phenyl Ether
<10
<10
1
10
Butyl benzyl Phthalate
<10
<10
1
10
2-Chloronaphthalene
<10
<10
1
10
4-Chlorophenyl phenyl ether
<10
<10
1
10
Chrysene
<5
<5
1
5
Dibenzo(a,h)Anthracene
<5
<S
1
5
1,2-(o)Dichlorobenzene
<10
<10
1
10
1,3-(m)Dichlorobenzene
<10
<10
1
10
1,4-(p)Dichlorobenzene
<10
<10
1
10
3,3-Dichlorobenzidine
<S
<S
1
5
Diethyl Phthalate
<10
<10
1
10
Dimethyl Phthalate
<10
<10
1
10
Di-n-Butyl Phthalate
<10
<10
1
10
2,4-Dinitrotoluene
<10
<10
1
10
2,6-Dinitrotoluene
<10
<10
1
10
Di-n-Octyl Phthalate
<10
<10
1
10
1,2-Dipheny1hydrazine (as Azo-
benzene)
<20
<20
1
20
Fluoranthene
<10
<10
1
10
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 53 of 68
Pollutant
AVG
Effluent
Conc. (pg/1)
MAX
Effluent
Conc. (jig/1)
Number of
Samples
MAL
(pg/b
Fluorene
<10
<10
1
10
Hexachlorobenzene
<5
<S
1
5
Hexachlorobutadiene
<10
<10
1
10
Hexachlorocyclo-pentadiene
10
Hexachloroethane
<20
<20
1
20
Indeno(1,2,3-cd)pyrene
<5
<5
1
5
Isophorone
<10
<10
1
10
Naphthalene
<10
<10
1
10
Nitrobenzene
<10
<10
1
10
N-Nitrosodimethylamine
<50
<50
1
50
N- Nitro sodi-n-Propylamine
<20
<20
1
20
N- Nitro sodiphenylamine
<20
<20
1
20
Phenanthrene
<10
<10
1
10
Pyrene
<10
<10
1
10
1,2,4-Trichlorobenzene
<10
<10
1
10
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 54 of 68
Table 4.O(2)E - Pesticides
Pollutant
AVG
Effluent
Conc. (pg/l)
MAX
Effluent
Conc. (jig/1)
Number of
Samples
MAL
(pg/1)
Aldrin
<0.01
<0.01
1
0.01
alpha-BHC (Hexachlorocyclohexane)
<0.05
<0.05
1
0.05
beta-BHC (Hexachlorocyclohexane)
<0.05
<0.05
1
0.05
gamma-BHC
(Hexachlorocyclohexane)
<0.05
<0.05
1
0.05
delta-BHC (Hexachlorocyclohexane)
<0.05
<0.05
1
0.05
Chlordane
<0.2
<0.2
1
0.2
4,4-DDT
<0.02
<0.02
1
0.02
4,4-DDE
<0.1
<0.1
1
0.1
4,4,-DDD
<0.1
<0.1
1
0.1
Dieldrin
<0.02
<0.02
1
0.02
Endosulfan I (alpha)
<0.01
<0.01
1
0.01
Endosulfan II (beta)
<0.02
<0.02
1
0.02
Endosulfan Sulfate
<0.1
<0.1
1
0.1
Endrin
<0.02
<0.02
1
0.02
Endrin Aldehyde
<0.1
<0.1
1
0.1
Heptachlor
<0.01
<0.01
1
0.01
Heptachlor Epoxide
<0.01
<0.01
1
0.01
PCB-1242
<0.2
<0.2
1
0.2
PCB-1254
<0.2
<0.2
1
0.2
PCB-1221
<0.2
<0.2
1
0.2
PCB-1232
<0.2
<0.2
1
0.2
PCB-1248
<0.2
<0.2
1
0.2
PCB-1260
<0.2
<0.2
1
0.2
PCB-1016
<0.2
<0.2
1
0.2
Toxaphene
<0.3
<0.3
1
0.3
* For PCBS, if all are non -detects, enter the highest non -detect preceded by a "<".
TCEQ-10054 (01/09/20N) Domestic Wastewater Permit Application Technical Report Page 55 of 68
A. Indicate which of the following compounds from may be present in the influent from a
contributing industrial user or significant industrial user. Check all that apply.
❑ 2,4,5-trichlorophenoxy acetic acid
Common Name 2,4,5-T, CASRN 93-76-5
❑ 2-(2,4,5-trichlorophenoxy) propanoic acid
Common Name Silvex or 2,4,5-TP, CASRN 93- 72-1
❑ 2-(2,4,5-trichlorophenoxy) ethyl 2,2-dichloropropionate
Common Name Erbon, CASRN 136-25-4
❑ 0,0-dimethyl 0-(2,4,5-trichlorophenyl) phosphorothioate
Common Name Ronnel, CASRN 299-84-3
❑ 2,4,5-trichlorophenol
Common Name TCP, CASRN 95-95-4
❑ hexachlorophene
Common Name HCP, CASRN 70-30-4
For each compound identified, provide a brief description of the conditions of its/their
presence at the facility.
N/A
B. Do you know or have any reason to believe that 2,3,7,8 Tetrachlorodibenzo-P-Dioxin
(TCDD) or any congeners of TCDD may be present in your effluent?
❑ Yes ® No
If yes, provide a brief description of the conditions for its presence.
N/A
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 56 of 68
C. If any of the compounds in Subsection A or B are present, complete Table 4.0(2)F.
For pollutants identified in Table 4.0(2)F, indicate the type of sample.
Grab ❑ Composite ❑
Date and time sample(s) collected: NL
Table 4.O(2)F — Dioxin/Furan Compounds
Compound
Toxic
Equivalenc
y Factors
Wastewater
Concentration
(ppq)
Wastewater
Equivalents
(ppq)
Sludge
Concentration
(ppt)
Sludge
Equivalents
(ppt)
MA%
(ppq)
2,3,7,8 TCDD
1
10
1,2,3,7,8 PeCDD
0.5
50
2,3,7,8 HxCDDs
0.1
50
1,2,3,4,6,7,8
HpCDD
0.01
50
2,3,7,8 TCDF
0.1
10
1,2,3,7,8 PeCDF
0.05
50
2,3,4,7,8 PeCDF
0.5
50
2,3,7,8 HxCDFs
0.1
50
2,3,4,7,8
HpCDFs
0.01
50
OCDD
0.0003
100
OCDF
0.0003
100
PCB 77
0.0001
0.5
PCB 81
0.0003
0.5
PCB 126
0.1
0.5
PCB 169
0.03
0.5
Total
TCEQ-10054 (O1/09/2024) Domestic Wastewater Permit Application Technical Report Page 57 of 68
DOMESTIC WASTEWATER PERMIT APPLICATION
WORKSHEET 5.0: TOXICITY TESTING REQUIREMENTS
The following is required for facilities with a current operating design flow of 1.0 MGD or
greater, with an EPA -approved pretreatment program (or those required to have one under
40 CFR Part 403), or are required to perform Whole Effluent Toxicity testing. See instructions
for further details.
This worksheet is not required minor amendments without renewal.
Indicate the number of 7-day chronic or 48-hour acute Whole Effluent Toxicity (WET) tests
performed in the four and one-half years prior to submission of the application.
7-day Chronic: See Attachment G
48-hour Acute: See Attachment G
ReductionSection 2. Toxicity
Has this facility completed a THE in the past four and a half years? Or is the facility currently
performing a TRE?
❑ Yes ® No
If yes, describe the progress to date, if applicable, in identifying and confirming the toxicant.
N/A
TCEQ-100S4 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 58 of 68
If the required biomonitoring test information has not been previously submitted via both the
Discharge Monitoring Reports (DMRs) and the Table 1 (as found in the permit), provide a
summary of the testing results for all valid and invalid tests performed over the past four
and one-half years. Make additional copies of this table as needed.
Table S.0(1) Summary of WET Tests
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 59 of 68
DOMESTIC WASTEWATER PERMIT APPLICATION
WORKSHEET 6.0: INDUSTRIAL WASTE CONTRIBUTION
The following is required for all publicly owned treatment works.
A. Industrial users (lUs)
Provide the number of each of the following types of industrial users (IUs) that discharge
to your POTW and the daily flows from each user. See the Instructions for definitions of
Categorical IUs, Significant IUs - non -categorical, and Other Ns.
If there are no users, enter 0 (zero).
Categorical IUs:
Number of IUs: o
Average Daily Flows, in MGD: o
Significant IUs - non categorical:
Number of IUs: o
Average Daily Flows, in MGD: o
Other IUs:
Number of Ns: o
Average Daily Flows, in MGD: o
B. Treatment plant interference
In the past three years, has your POTW experienced treatment plant interference (see
instructions)?
O Yes ® No
If yes, identify the dates, duration, description of interference, and probable cause(s) and
possible source(s) of each interference event. Include the names of the IUs that may have
caused the interference.
N/A
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 60 of 68
C. Treatment plant pass through
In the past three years, has your POTW experienced pass through (see instructions)?
❑ Yes ® No
If yes, identify the dates, duration, a description of the pollutants passing through the
treatment plant, and probable cause(s) and possible source(s) of each pass through event.
Include the names of the Ns that may have caused pass through.
N/A
D. Pretreatment program
Does your POTW have an approved pretreatment program?
® Yes ❑ No
If yes, complete Section 2 only of this Worksheet.
Is your POTW required to develop an approved pretreatment program?
❑ Yes ❑ No N/A
If yes, complete Section 2.c. and 2.d. only, and skip Section 3.
If no to either question above, skip Section 2 and complete Section 3 for each significant
industrial user and categorical industrial user.
E. Service Area Map
Attach a map indicating the service area of the POTW. The map should include the
applicant's service area boundaries and the location of any known industrial users
discharging to the POTW. Please see the instructions for guidance.
Attachment: NL►.
A. Substantial modifications
Have there been any substantial modifications to the approved pretreatment program
that have not been submitted to the TCEQ for approval according to 40 CFR §403.18?
❑ Yes ® No
If yes, identify the modifications that have not been submitted to TCEQ, including the
purpose of the modification.
TCEQ- 100S4 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 61 of 68
N/A
B. Non -substantial modifications
Have there been any non -substantial modifications to the approved pretreatment
program that have not been submitted to TCEQ for review and acceptance?
s�Y�►��l♦�n
If yes, identify all non -substantial modifications that have not been submitted to TCEQ,
including the purpose of the modification.
N/A
C. Effluent parameters above the MAL
In Table 6.0(1), list all parameters measured above the MAL in the POTW's effluent
monitoring during the last three years. Submit an attachment if necessary.
Table 6.0(1) — Parameters Above the MAL
Pollutant Concentration MAL Units Date
See Attachment H
D. Industrial user interruptions
Has any SIU, CIU, or other IU caused or contributed to any problems (excluding
interferences or pass throughs) at your POTW in the past three years?
Li Yes ® No
If yes, identify the industry, describe each episode, including dates, duration, description
of the problems, and probable pollutants.
TCEQ-100S4 (01/09/2{124) Domestic Wastewater Permit Application Technical Report Page 62 of 68
A. General information
Company Name: NJA
SIC Code: NSA
Contact name: N A
Address: NLA
City, State, and Zip Code:
Telephone number: NLA
Email address: NJA
B. Process information
Describe the industrial processes or other activities that affect or contribute to the SIU(s)
or CIU(s) discharge (i.e., process and non -process wastewater).
C. Product and service information
Provide a description of the principal product(s) or services performed.
NA
D. Flow rate information
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 63 of 68
See the Instructions for definitions of "process" and "non -process wastewater."
Process Wastewater:
Discharge, in gallons/day: NLA
Discharge Type: ❑ Continuous ❑ Batch ❑ Intermittent
Non -Process Wastewater:
Discharge, in gallons/day: NLA
Discharge Type: ❑ Continuous ❑ Batch ❑ Intermittent
E. Pretreatment standards
Is the SIU or CIU subject to technically based local limits as defined in the instructions?
❑ Yes ❑ No
Is the SIU or CIU subject to categorical pretreatment standards found in 40 CFR Parts 405-
471?
❑ Yes ❑ No
If subject to categorical pretreatment standards, indicate the applicable category and
subcategory for each categorical process.
Category: Subcategories: N/A
Category: NLA
Subcategories: NLA
Category: NLA
Subcategories: NLA
Category: NLA
Subcategories: NLA
Category: NLA
Subcategories:
F. Industrial user interruptions
Has the SIU or CIU caused or contributed to any problems (e.g., interferences, pass
through, odors, corrosion, blockages) at your POTW in the past three years?
❑ Yes ® No
If yes, identify the SIU, describe each episode, including dates, duration, description of
problems, and probable pollutants.
N/A
TCEQ-10054 (01/09/2024) Domestic Wastewater Permit Application Technical Report Page 64 of 68
CITY OF ROUND ROCK, CITY OF CEDAR PARK, CITY OF AUSTIN, AND CITY OF LEANDER
BRUSHY CREEK REGIONAL WEST WASTEWATER TREATMENT FACILITY
TPDES PERMIT RENEWAL APPLICATION
TABLE OF ATTACHMENTS
No. Description
A Core Data Form
B Plain Language Summary
C USGS Map
D Process Flow Diagram
E Site Drawing
F Pollutant Analysis of Treated Effluent
G Summary of WET Test Results
H Effluent Parameters Above the MAL
Reference
Admin Rpt 1.0, Section 3.0
Admin Rpt 1.0, Section 8.F
Admin Rpt 1.0, Section 13
Tech Rpt 1.0, Section 2.0
Tech Rpt 1.0, Section 3
Tech Rpt 1.0, Section 7; Wks 4.0 Section 1 & 2
Wks S.0 Section 3
Wks 6.0 Section 2.0
TOA-4
ATTACHMENT A
Core Data Form
Admin Rpt 1.0, Section 3.0
{,V 41M15,4
'���MfHIAt pJT
TCEQ Use Only
TCEQ Core Data Form
For detailed instructions on completing 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.)
❑ New Permit, Registration or Authorization (Core Data Form should be submitted with the program application.)
Data Form should be submitted with the renewal farm)
2. Customer Reference Number (if issued) Follow this link to search
fcr CN or RN numbers in
CN 6OD413181 Central Rejtistrt!!
SECTION II: Customer Information
Other Change in Ownership
3. Regulated Entity Reference Number (if issued)
RN 100822592
4. General Customer Information S. Effective Date for Customer Information Updates (mm/dd/yyyy)
11/12/2024
❑ New Customer ❑ Update to Customer Information ® Change in Regulated Entity Ownership
❑Change in Legal Name (Verifiable with the Texas Secretary of State or Texas Comptroller of Public Accounts)
The Customer Name submitted here may be updated automatically based an 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: eg: Doe, John) if new Customer, enter previous Customer below:
City of Round Rock
7. TX SOS/CPA Filing Number
B. TX State Tax ID (11 digits)
9. Federal Tax ID
(9 digits)
10. DUNS Number (if
applicable)
11. Type of Customer•
❑ Corporation
❑ Individual
Partnership: ❑ General ❑ Limited
Government: ® City ❑ County ❑ Federal ❑ Local ❑ State ❑ Other
❑ Sole Proprietorship
❑ Other:
12. Number of Employees
❑ 0-20 ❑ 21-100 ❑ 101-250 ❑ 251-500 ® Sol and higher
13. Independently Owned and Operated?
❑ yes ®No
14. Customer Role (Proposed or Actual) — as it relates to the Reguloted Entity listed on this form. Please check one of the following
[]Owner ❑ Operator ® Owner & Operator
❑ Other:
❑Occupational Licensee ❑ Responsible Party ❑ VCP/BSA Applicant
25. Mailing
212 East Main Street
Address:
City
Round Rock
State
TX
ZIP
78664
ZIP + 4
5245
16. Country Mailing Information (if outside USA)
17. E-Mail Address (if applicable)
lhadley@roundrocktexas.gov
18. Telephone Number
19. Extension or Code 20. Fax Number (if applicable)
TCEQ-10400 (11122) Page 1 of 3
1 512 ) 218-5410 I I 1 51.2 ) 218-7097
• l i- a - s s t_ • 1
21. General Regulated Entity Information (If 'New Regulated Entity" is selected, anew permit application is also required.)
❑ New Regulated Entity ❑ Update to Regulated Entity Name ® Update to Regulated Entity Information
The Regulated Entity Name submitted may be updated, in order to meet TCEQ Care 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.)
Brushy Creek Regional West Wastewaster Treatment Facility
23. Street Address of
the Regulated Entity:
Lip PO Boxes]
1116 East Austin Avenue
city
Round Rock
State
TX
ZIP
78664
ZIP + 4
24. County
Williamson
If no Street Address is provided, fields 25-28 are required.
25. Description to
Physical Location.
26. Nearest City State Nearest ZIP Code
Round Rock
TX
78664
Latitude/Longitude are required and may be added/updated to meet TCEQ Core Data Standards. (Geocoding of the Physical Address may be
used to supply coordinates where none have been provided or to gain accuracy).
27. Latitude (N) In Decimal:
28. Longitude (W) In Decimal:
Degrees
Minutes
Seconds
Degrees
Minutes
Seconds
30
:30
5o
97
40
0
29. Primary SIC Code 30. Secondary SIC Code 31. Primary NAICS Code 32. Secondary NAILS Code
(4 digits) (4 digits) (5 or 6 d-gits) (5 or 6 digits)
4952
221320
33. What is the Primary Business of this entity? (Do not repeat the SIC orNAICS description.)
Treatment of domestic wastewater
34. Mailing
34N Sunrise Road
Address:
city
Round Rock State
TX
ZIP
-18665
ZIP + 4
2398
35. E-Mail Address:
mthane@roundrocktexas.gov
36. Telephone Number 37. Extension or Code 38. Fax Number (if applicable)
1512) 218-3236
1 512 j 218.5563
39. TCEQ Programs and ID Numbers Check all Programs and write in the permitslregistratiar. numbers that will be affected by the updates submitted on this
form. See the Core Data Form instructions for additional guidance.
TCEQ-10400 111/22) Page 2 of 3
Dam Safety
Districts
Edwards Aquifer
C3 Emissions Inventory Air
Industrial Hazardous Waste
❑ Municipal Solid Waste
❑
New SourceReview Air
❑ OSSF
❑Petroleum Storage Tank
❑ PWS
Ll Sludge
Storm Water
Title V Air
Tires
Used Oil
❑ Voluntary Cleanup
® Wastewater
❑ Wastewater Agriculture
❑ Water Rights
❑ Other:
WQOO10264001
SECTION IV: Preggrer Information
40. Name: lenni Griesel 41. Title: Project Engineer
42. Telephone Number 43. Ext./Code 44. Fax Number 45. E-Mail Address
( 512 ) 687-2193 ( ) igriesel@plummercom
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:
Name (in Print):
Signature:
City of Round Rock
Laurie Hadley
Job Title:
City Manager
Phone:
Date:
(512)213-5410
TCEQ-10400 (11122) Page 3 of 3
TCEQ Use Only
TCEQ Core Data Form
For detailed instructions on completing 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.)
❑ 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) Qg other Change in Ownership
2. Customer Reference Number (ifissued) Foilow'his link to sea^ch 3. Regulated Entity Reference Number (ifissued)
fpr CN or RN n, mbkF5 in
CN 600407951 Central ReAistrv* * RN 100822592
SECTION II: Customer Information
4. General Customer Information
S. Effective Date for Customer Information Updates (mm/dd/yyyy)
11/12/2024
❑ New Customer ❑ Update to Customer Information ® Change in Regulated Entity Ownership
❑Change in Legal Name (Verifiable 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 (!f an individual, print last name first: eg: Doe, John) if new Customer, enter previous Customer below.
City of Cedar Park
7. TX SOS/CPA Filing Number
8. TX State Tax ID (11 digits)
9. Federal Tax ID
(9 digits)
10. DUNS Number (if
applicable)
11. Type of Customer:
❑ Corporation
❑ Individual
Partnership: ❑ General ❑ Limited
Government: ® City ❑ County ❑ Federal ❑ Local ❑ State ❑ Other
❑ Sole Proprietorship
❑ Other:
12. Number of Employees
❑ 0-20 ❑ 21-100 ❑ 101-250 ®251-500 ❑ 501 and higher
23. Independently Owned and Operated?
❑ Yes ® No
14. Customer Role (Proposed or Actual) —as it relates to the Regulated Entity listed on this form. please check one of the fallowing
®Owner ❑ Operator ❑ Owner & Operator
❑ Other:
[]Occupational Licensee ❑ Responsible Party ❑ VCP/BSA Applicant
15. Mailing
Address:
450 Cypress Creek Road
Bldg 1
City
Cedar Park
State
TX
ZIP
76613
ZIP + 4
300D
16. Country Mailing Information (if outside USA)
17. E-Mail Address (if opplicoble)
brenda.eivensC cedarparktexas.gov
18. Telephone Number
19. Extension or Code
20. Fax Number (if applicable)
TCEQ-10400 111122) Page 1 of 3
( 512 ) 401-5010 I I 1 512 ) 250-8602
SECTION III: Regulated Entity Information
21. General Regulated Entity Information (if 'New Regulated Entity" is selected, a new permit application is also required.)
❑ New Regulated Entity ❑ Update to Regulated Entity Name ® Update to Regulated Entity Information
The Regulated Entity Name submitted may be updated, In order to meet TCEQ Core 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.)
Brushy Creek Regional West Wastewaster Treatment Facility
23. Street Address of
the Regulated Entity -
(No PO 8oxesl
1116 East Austin Avenue
City
Round Rock
State
TX
ZIP
78664
ZIP + q
24. County
Williamson
If no Street Address is provided, fields 25-28 are required.
25. Description to
Physical Location:
26. Nearest City State Nearest ZIP Code
Round Rock
TX
78664
Latitude/Longitude are required and may be added/updated to meet TCEQ Core Data Standards. (Geocoding of the Physical Address may be
used to supply coordinates where none have been provided or to gain accuracy).
27. Latitude (N) In Decimal:
28. Longitude (W) In Decimal:
Degrees
Minutes
Seconds
Degrees
Minutes
Seconds
30
30
So
97
40
0
29. Primary SIC Code 30. Secondary SIC Code 31. Primary NAICS Code 32. Secondary NAILS Code
(4 digits) (4 digits) 15 or 6 digits) (5 or 6 digits)
4952
221320
33. What is the Primary Business of this entity? (Do not repeat the SIC or NA1CS description.)
Treatment of domestic wastewater
34. Mailing
Address:
3400 Sunrise Road
City
I Round Rock
State
TX
ZIP
78665
ZIP + 4 2398
35. E-Mail Address: mthane@roundrocktexas.gov
36. Telephone Number 37. Extension or Code 38. Fax Number (if applicable)
(512) 218-3236
{512) 218-5561
39. TCEQ Programs and ID Numbers Check all Programs and write in the permits/registration numbers that will be affected by the updates submitted on this
form. See the Core Data Form instructions for additional guidance.
TCEQ-10400 (11122) Page 2 of 3
Dam Safety
Districts
Edwards Aquifer
Emissions Inventory Air
Industrial Hazardous Waste
❑ Municipal Solid Waste
New sourceReview Air
❑ OSSF
❑Petroleum storage Tank
❑ PWS
Sludge
LJ Storm Water
Title V Air
Tires
0 Used O;,
❑ Voluntary Cleanup
® wastewater
❑ Wastewater Agriculture
Water Rights
❑ Other
WQ0010264WI
SECTION IV: Preuarer Information
40. Name: Jennl Griesel 41. Title: Project Engineer
42. Telephone Number 43. Ext./Code 44. Fax Number 45. E-Mail Address
(512) 687-2193 ( j jgriesel@plummercom
SECTION V: Authorized Sianature
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 Cedar Park
Job Title:
City Manager
Name (in Print).
Brenda Eivens
Phone:
(512) 401- 5010
Signature:
Date:
TCEO-10400 (11122) Page 3 of 3
}rS GpN1 MfSg Oy
q�kMfN71.l6Jr
TCEQ Use Only
TCEQ Core Data Form
For detailed instructions on completing this form, please read the Core Data Form Instructions or call 512-239-5175.
SECTION I: Genera! Information
1. Reason for Submission (if other is checked please describe in space provided.)
❑ New Permit, Registration or Authorization (Care Data form should be submitted with the program application.)
0 Renewal (Core Data Form should be submitted with the renewal form) N Other Change In Ownership
2. Customer Reference Number (if issued) fol low th is I rA to starch 3. Regulated Entity Reference Number (if issued)
for CN or RN numbers in
CN 600135198 Central�istr}L RN 200822592
SECTION II: Customer Information
4. General Customer Information
S. Effective Date for Customer Information Updates (mm/dd/yyyy)
11/12/2024
❑ New Customer ❑ Update to Customer Information ❑ Change in Regulated Entity Ownership
❑Change in Legal Name (Verifiable 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: eg: Doe, John) If new Customerr, enter previous Customer below:
City of Austin
7. TX SOS/CPA Filing Number
8. TX State Tax ID (11 digits)
9. Federal Tax ID
(9 digits[
10. DUNS Number (if
applicable)
11. Type of Customer:
❑ Corporation
❑ individual
Partnership: ❑ General ❑ Limited
Government: N City ❑ County ❑ Federal ❑ Local ❑ State ❑ Other
❑ Sole Proprietorship
❑ Ottwer:
12. Number of Employees
❑ 0-20 ❑ 21-100 ❑ 101-250 ❑ 251-500 N 501 and higher
13. Independently Owned and Operated?
❑ Yes ® No
14. Customer Role (Proposed or Actual) -- as it relates to the Reguloted Entfty listed on this farm. please check one of the following
NOwner ❑ Operator ❑ Owner & Operator
❑ Other:
❑Occupational Licensee ❑ Responsible Party ❑ VCP/BSA Applicant
15. Mailing
625 East 10th Street
Address:
Suite 800
City
Austin State
TX
ZIP
78701
ZIP t 4
2612
16. Country Mailing Information (if outside USA)
17. E-Mail Address (if applicable)
shay.roalson@austintexas.gov
18. Telephone Number
19. Extension or Code
20. Fax Number(if applicable)
TCEQ-10400 (11122) Page 1 of 3
1512 ) 972-0108 I 11512 ) 972-0111
SECTION III: Reaulated Entity Information
21. General Regulated Entity Information (if New Regulated Entity" is selected, a new permit application is also required.)
❑ New Regulated Entity ❑ Update to Regulated Entity Name ® Update to Regulated Entity Information
The Regulated Entity Name submitted may be updated, in order to meet TCEQ Core 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.)
Brushy Creek Regional West Wastewaster Treatment Facility
23. Street Address of
1116 East Austin Avenue
the Regulated Entity:
(No PO Boxes]
City
Round Rock
State
TX
ZIP
78664
ZIP +4
24. County
Williamson
If no Street Address is provided, fields 25-28 are required.
25. Description to
Physical Location:
26. Nearest City State Nearest ZIP Code
Round Rock
TX
78664
Latitude/Longitude are required and may be added/updated to meet TCEQ Care Data Standards. (Geocoding of the Physical Address may be
used to supply coordinates where none have been provided or to gain accuracy).
27. Latitude (N) In Decimal:
28. Longitude (W) in Decimal:
Degrees
Minutes
Seconds
Degrees
Minutes
Seconds
30
30
50
97
40
0
29. Primary SIC Code 30. Secondary SIC Code 31. Primary NAICS Code 32. Secondary NAICS Code
(4 digits) (4 digits) 15 or 6 digits) (5 or 6 digits)
4952
221320
33. What is the Primary Business of this entity? (Do not repeat the SfC or NAICS description.)
Treatment of domestic wastewater
34. Mailing
3400 Sunrise Road
Address:
City
I Round Rock
State
TX
ZIP 78665
ZIP + 4
2398
35. E-Mail Address: mthane@roundrocktexas.gov
36. Telephone Number 37. Extension or Code 38. Fax Number (if applicable)
1522) 218-3236
1512) 218-5563
39. TCEQ Programs and ID Numbers Check all Programs and write in the permits/registration numbers that will be affected by the updates submitted on this
form. See the Core Data Form instructions for additional guidance.
TCEQ-10400 (11122) Page 2 of 3