CM-2015-790 - 5/29/2015City of Round Rock
R XAS ROCK Agenda Item Summary
Agenda Number:
Title: Consider executing TCEQ "Agent Authorization Form For Required
Signature Edwards Aquifer Protection Program Relating to 30 TAC
Chapter 213" authorizing Antonio A. Prete to represent and act on behalf
of the City regarding the Round Rock West Park Improvement Project.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 5/22/2015
Dept Director: Rick Atkins, Director
Cost:
Indexes:
Attachments: LAF - Round Rock West Park Improvement.pdf, Backup 8 Agent
Authorization Form (TCEQ-0599).doc
Department: Parks and Recreation Department
Text of Legislative File CM -2015-790
City of Round Rock Page t Printed on 5121/2015
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for SUI)MISSIOn of ALL City Council and City Manager Items
Department Name: PARD Project Natllc: Round Rock West Park Improvement
Project Mgr/Resource: Katie Baker ContractorNendor: Texas Commission on Environmental Quality
Council Action:
ORDINANCE RESOLUTION
Agenda Wording
xx City manager -Approval
CMA Wording
Consider executing TCEQ "Agent Aulhorizalion Form For Required Signature Edwards Aquifer Protection Program Relating to 30
TAC Chapter 213" authorizing Antonio A. Prele to represent and act on behalf of the City regarding the Round Rack West Park
Improvement Project.
Attorney Approval
Attorney
Date
r /
O:\wdox\SCClnts\0123\1500\MISC\00334882.XLS Updated 6/3/08
Agent Authorization Form
For Required Signature
Edwards Aquifer Protection Program
Relating to 30 TAC Chapter 213
Effective June 1, 1999
me
of
have authorized
of Waeltz & Prete. Inc.
Print Name of Firm
to represent and act on the behalf of the above named Corporation, Partnership, or Entity for
the purpose of preparing and submitting this plan application to the Texas Commission on
Environmental Quality (TCEQ) for the review and approval consideration of regulated
activities.
I also understand that:
The applicant is responsible for compliance with 30 Texas Administrative Code
Chapter 213 and any condition of the TCEQ's approval letter. The TCEQ is authorized
to assess administrative penalties of up to $10,000 per day per violation.
2. For those submitting an application who are not the property owner, but who have the
right to control and possess the property, additional authorization is required from the
owner.
3. Application fees are due and payable at the time the application is submitted. The
application fee must be sent to the TCEQ cashier or to the appropriate regional office.
The application will not be considered until the correct fee is received by the
commission.
4. A notarized copy of the Agent Authorization Form must be provided for the person
preparing the application, and this form must accompany the completed application.
No person shall commence any regulated activity on the Edwards Aquifer Recharge
Zone, Contributing Zone or Transition Zone until the appropriate application for the
activity has been filed with and approved by the Executive Director.
CM2V16--)JG
TCEQ-0599 (Rev.04/01/2010) Page 1 of 2
SIGNATURE PAGE:
All
Applicant' Signature
THE STATE OF Texas §
County of Williamson §
s lad' Ps
Date
BEFORE ME, the undersigned authority, on this day personally appeared h vv IWAW known
to me to be the person whose name is subscribed to the foregoing instrumen , and acknowledged to
me that (s)he executed same for the purpose and consideration therein expressed.
--.-
GIVEN under my hand and seal of office on this 2?C day of —Mmdar� 1W.
_.rki-0 , SARA LEIGH WHITE
My C061MISSION EXPIRES
July 11, 2016
(�7/f Yy li -
NOTARY PUBLIC
�Uv& Ltt& Wki+u
Typed or Print6d Name of Notary
MY COMMISSION EXPIRES:
TCEQ-0599 (Rev.04/01/2010) Page 2 of 2
Vie- . }, �
� � '
• 7
��•� t
_
V
dual:
41r �'?
d:f. �i '•J �i v1j .� �` ..
� ";, �rj (•�r �}-• t� .•s:."'!.,