CM-06-02-025DATE: February 13, 2006
SUBJECT: City Manager Action Item - February 17, 2006
ITEM: Authorization for City Manager to execute a Notice of
Intent for Storm Water Discharges Associated with
Construction Activity for the McNutt Creek
Wastewater Interceptor - Phase I project.
Department: Engineering and Development Services
Staff Person: Michael D. Thane, P.E., Engineering Manager
Justification: The Texas Commission on Environmental Quality (TCEQ)
requires that a Notice of Intent for Storm Water Discharges Associated with
construction activity under the Texas Pollution Discharge Elimination System
(TPDES) general permit be completed by the operator of the McNutt Creek
Wastewater Interceptor - Phase I construction project.
An operator is the person having operational control over construction plans
and specifications to the extent necessary to meet the requirements and
conditions of the general permit, or the person having day-to-day
operational control over those activities at a construction site which are
necessary to ensure compliance with a Storm Water Pollution Prevention
Plan (SWPPP) for the site. The SWPPP document establishes a plan to
manage the quality of storm water runoff from construction activities
associated with the project.
Funding: N/A
Cost: N/A
Source of funds: N/A
Outside Resources: K. Friese & Associates (Engineering Consultants)
Background Information: The project includes the construction of 8,400
linear foot of 48" wastewater line by tunneling installation methods. This
line will extend from the existing Brushy Creek Regional Wastewater Plant
located on the eastern side of the City of Round Rock to a certain point just
north of McNutt Creek.
Public Comment: N/A
Notice Intent for Storm
Water
Construction
General Permit
TCEQ office Use only
TPDES Permit Number: TXR151—I—I—l__I
GIN Number:1 1 1 1 I 1 1
Fee Receipt No.
of (NO1)
ir 12Discharges Associated with
�.�.� Activity under the TPDES
--Meg
"_■!�
NEC)
IMPORTANT:
•Use the attached INSTRUCTIONS when completing this form.
•After completing this form, use the attached CUSTOMER CHECKLIST to make certain all items are complete and accurate.
•Missing, illegible, or inaccurate items may delay final acknowledgment or coverage under the general permit.
Application Fee: You must submit the $100 NOI Application Fee to TCEQ, under separate cover (see instructions) using the attached Application Fee
submittal form. (DO NOT SEND A COPY OF THE NOI WITH THE APPLICATION FEE SUBMITTAL FORM)
Tell us how you paid for this fee:
Check/Money Order No.:
Name Printed on Check:
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A. OPERATOR
1. TCEQ Issued Customer Number (CN) (if available): CN600413181
2. Legal Name (spelled exactly as filed with the Texas Secretary of State, County, or legal document that was used in forming the entity):
City of Round Rock
3. Mailing Address: 2008 Enterprise Drive Suite No./Bldg.No.:
City: Round Rock
State: Texas
ZIP Code: 78664
4. Phone No.: ( 512 ) 218 - 5555
Extension:
5. FAX No. (512 ) 218 - 5563
E-mail Address: mthane@ci.round-rock.tx.us
Partnership
State Government
Other:
6. Type of Operator: * Individual Sole Proprietorship-D.B.A. *
Corporation * Federal Government *
County Government City Government
(If governmental entity or a subsidiary or part of a larger corporation, check "NO")
7. Independent Operator: * Yes No
higher
8. Number of Employees: 0-20; 21-100; * 101-250;
251-500; or 501 or
9. Business Tax and Filing Numbers (not applicable to Individuals, Government, General Partnerships, and Sole Proprietorship-D.B.A):
State Franchise Tax ID Number: Federal Tax ID:
TX SOS Charter (filing) Number: DUNS Number: (If known)
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B. BILLING ADDRESS (The Operator is responsible for paying the annual fee.)
with Section C.)
0 Same As Operator (check if address is the same, then proceed
1. Billing Mailing Address: Suite No./Bldg.No.:
City:I
State: I
ZIP Code:
2. Billing Contact (Attn or C/O):
3. Country Mailing Information (if outside USA) Territory: Country Code: Postal Code:
4. Phone No.: ( ) -
Extension:
5. FAX No. •
E-mail Address:
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TCEQ-20022 (07/12/2004)
Page 1 of 3
C. APPLICATION CONTACT (If TCEQ needs additional information regarding this application, who should be contacted?
1. Name: Tom Owens, P.E. Title: Vice President Company: K Friese & Associates, Inc.
2. Phone No.: ( 512 ) 338 - 1704
Extension:
3. FAX No. (512 ) 338- 1784
E-mail Address: towens@kfriese.com
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OR SITE
D. REGULATED ENTITY (RE) INFORMATION ON PROJECT
1. TCEQ Issued RE Reference Number (RN) (if available):
2. Name of Project or Site: McNutt Creek Wastewater Interceptor- Phase
3. Physical Address of Project or Site: (enter in spaces below)
Street Number:
Street Name: HWY 79
City (nearest to the site):
Round Rock
ZIP Code (nearest to the site):
78664
County (Counties if>1):
Williamson
4. If no physical address (Street Number & Street Name), provide a written location access description that can be used for locating the site:
(Ex.: 2 miles west from intersection of Hwy 290 & IH35 on Hwy 290 South)
Intersection of County Round 122 and US Hwy 79
5. Latitude: 30^ 32' 03" N Longitude: 97^ 36' 30" W
6. Standard Industrial Classification (SIC) code: 1623- Water, Sewer, Pipeline, and Communications and Power Line Construction
7. Describe the activity related to the need for this authorization at this site (do not repeat the SIC and NAICS code):
Construction of a New Sanitary Sewer Main
....�,
8. Is the project/site located on Indian Country Lands?
* Yes No
If Yes, you must obtain authorization through EPA, Region VI.
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at the site)
E. SITE MAILING ADDRESS (address for receiving mail
proceed with Section F.)
0 Same As Operator (check if address is the same, then
Mailing Address: Suite No.Bldg.No.:
City:
State:
ZIP Code:
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F. GENERAL CHARACTERISTICS
1. Has a Pollution Prevention Plan been prepared as required
If No, coverage may be denied as the PPP is required at
in the general permit? 0 Yes * No
the time the NOI is submitted to TCEQ.
2. Provide the estimated area of land disturbed (to the nearest acre): 7.14 Acres
3. Provide the name of the receiving water body (local stream, lake, drainage ditch), MS4 Operator (if applicable) and the segment number where storm
water runoff will flow from the construction site.
MS4 Operator: Receiving Water Body: McNutt and Chandler Creeks Segment:
TCEQ-20022 (07/12/2004)
Page 2 of 3
CERTIFICATION
I, James R. Nuse, P.E.
Typed or printed name
City Manager
Title (Required)
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.
Signature:
( (L Blue Ink)
Date: OT—/7.-040
TCEQ-20022 (07/12/2004)
Page 3 of 3
McNutt Creek
Wastwater Interceptor
Project
t4
Request for City Council/City Manager Action
3
City Council
City Manager
Department Name:
Contact Person:
Engineering & Development Services
Latha Kumar/Tiffany Galley
Project Manager/Resource: Michael D. Thane, P.E.
Project Coordinator: NA
Assigned Attorney:
Steve Sheets
Council or City Manager
Approval/Agenda Date: February 17, 2006
Blue Sheet Wording
For Administration Use ONLY
Tag #:
Documents:
Scan Date:
Return to:
2
Ric Bowden
Project Name: McNutt Creek Wastewater Interceptor Phase I
ContractorNendor: Texas Commission on Environmental Quality (TCEQ)
Funding Source: NA
Amount: NA
Authorization for City Manager to execute a Notice of Intent for Storm Water Discharges associated with construction activity for the McNutt Creek
Wastewater Interceptor - Phase I Project.
Finance Information
Is Funding Required?
xxx
Finance Approval
Finance
Finance
EJPurchasing
Budget
,. ^, Yes Fri No
Initial Construction Contract
Construction Contract Amendment #
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. Agr. #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below)
Notice of Intent for stormwater discharge
N/A
Date
Date
Date
Date
For Submission to ALL City Council and City Manager Action Items
..rte. Date:
Project Mgr. Signature:
Dept. Director Signature*:
City Attorney Signature:
City Manager Signature:
4/®
Date: (.0
Date: a `) -Q1.
Updated 6-9-05
Request for City Council/City Manager Action
LW' City Council o City Manager
Department Name:
Contact Person:
Engineering & Development Services
Latha Kumar/Tiffany Calley
Project Manager/Resource: Michael D. Thane, P.E.
Project Coordinator: NA
Assigned Attorney: Steve Sheets
Council or City Manager
Approval/Agenda Date: February 17, 2006
Blue Sheet Wording
For Administration Use ONLY
Tag #:
Documents:
Scan Date:
Return to:
Ric Bowden
Project Name: McNutt Creek Wastewater Interceptor Phase I
ContractorNendor: Texas Commission on Environmental Quality (TCEQ)
Funding Source: NA
Amount: NA
Authorization for City Manager to execute a Notice of Intent for Storm Water Discharges associated with construction activity for the McNutt Creek
Wastewater Interceptor - Phase I Project.
Finance Information
Is Funding Required?
xxx
Finance Approval
Finance
Finance
EJPurchasing
EJBudget
Yes No
Initial Construction Contract
Construction Contract Amendment #
Change Order #
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. Agr. #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
Other (Please clearly identify action on lines below) N/A
Notice of Intent for stormwater discharge
n/a L. Olsen
N/A E. Wilson
N/A HB
N/A CYD
Date 2/15/2006
Date 2/15/2006
Date 2/15/2006
Date 2/14/2006
For Submission to ALL City Council and City Manager Action Items
Project Mgr. Signature:
Dept. Director Signature*:
City Attorney Signature:
City Manager Signature:
Date:
Date:
Date:
Date:
Updated 6-9-05