CM-2014-626 - 12/12/2014City of Round Rock
RO ASn 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 Stephanie D. Blew to represent and act on
behalf of the City regarding the Lake Creek 2-1-ake Creek 3 Wastewater
Improvements Project.
Type: City Manager Item
Governing Body: City Manager Approval
Agenda Date: 12/12/2014
Dept Director: Michael Thane, Director of Utilities and Environmental Services
Cost: $650.00
Indexes:
Attachments: AppFeeForm_TCEQ_LC2-3_CM12.19,14, F-0599 Agent Authorization
Form, ChkRgsl_TCEQ_LC2-3_CM12.12.14
Department: Utilities and Environmental Services
Text of Legislative File CM -2014-626
The City of Round Rock is required by the Texas Commission on Environmental Quality
(TCEQ) to obtain an Organized Sewer Collection System (SCS) approval from TCEQ prior
to conducting work over the Edwards Aquifer Recharge Zone (EARZ). A portion of the Lake
Creek 2 project is located over the EARZ and as a result, the City must address the EARZ
requirements. By the City executing the Agent Authorization form, this will authorize the
City's consultant, Stephanie D. Blew of Bury Inc., to act as an agent to the City and submit
the application for approval of the SCS for this project.
Staff recommends approval.
Lkyo/Round Rack Heel MMM on tY1V 4
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Lake Creak 2 -Lake Creek 3 Wastewater
Department Name: Milan; and Environmental ServicesProject Name: for ovemenls
Project Mgr/Resource: Eddie Zapata Contractor/Vendor Taxes Commission on Environmental Quality
Council Action:
ORDINANCE F --J RESOLUTION
❑ City Manager Approval
CMA Wording
Consider executing TCEQ "Agent Authorization Form For Required Signature Edwards Aquifer Protection Program Relating to 30
TAC Chapter 213" authorizing Stephanie D. Blew to represent and act on behalf of the City regarding the Lake Crack 2 -Lake
Creek 3 Wastewater Improvements Project.
Data 2 k /
0:\wdox\SCClnts\0141\1400\MISC\00325720.XLS Updated 8/3/08
Agent Authorization Form
For Required Signature
Edwards Aquifer Protection Program
Relating to 30 TAC Chapter 213
Effective June 1. 1999
;nL
Print Name
In�enm
Title :-tO neMdae
Other
Of
have authorized Stephanie D Blew. P.E.
Print Name of Agent/Engineer
ofBury 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:
1. The applicant is responsible for compliance with 30 Texas Administrative Code
Chapter 213 and any condition of the TCEQ's approval letter. The TCEQ is authorized
to assess administrative penalties of up to $10,000 per day per violation.
2. For those submitting an application who are not the property owner, but who have the
right to control and possess the property, additional authorization is required from the
owner.
3. Application fees are due and payable at the time the application is submitted. The
application fee must be sent to the TCEQ cashier or to the ap ropriate regional office.
The application will not be considered until the correct tee is received by the
commission.
4. A notarized copy of the Agent Authorization Form must be provided for the person
preparing the application, and this form must accompany the completed application.
5. No person shall commence any regulated activity on the Edwards Aquifer Recharge
Zone, Contributing Zone or Transition Zone until the appropriate application for the
activity has been filed with and approved by the Executive Director.
TCEQ-0599 (Rev.041012010) Page 1 of 2
CM aa) - loaty
SIGNATURE PAGE:
Applicant's Signatur
THE STATE OFTYA�r- §
County of w; U�W,%q §
!21112114 -
Date
BEFORE ME, the undersigned authority, on this day personally appeared known
to me to be the person whose name is subscribed to the foregoing instrument, and ackno ledged to
me that (s)he executed same for the purpose and consideration therein
,.expressed.
GIVEN under my hand and seal of office on this �ay of atAWI ,W r l .
cam"//YV -lk�
NOTARY PUBLIC
Q+""�, SARA LBOH WHITE
�94 ISG ' a X,.�k 1^rf_W �p
t^: ;a MV COMMISSION E%PIKES �Y
Typed or Print6d Name of Notary
MY COMMISSION EXPIRES: q4v II 20
TCE"599 (Rev.04/0112010) Page 2 M 2