CM-08-02-032DATE: January 28, 2008
SUBJECT: City Manager - February 1, 2008
ITEM: Action authorizing the City Manager to execute a Notice of Intent (NOI) with
the Texas Commission on Environmental Quality (TCEQ) General Storm Water
Permits Division for storm water discharges from Small Municipal Separate
Storm Sewer Systems (MS4) under the TPDES Phase II MS4 General Permit
(TXR040000).
Department: Engineering and Development Services
Staff Person: Danny Ha!den, P.E., City Engineer
Justification:
In order to comply with the State and Federal Storm Water Phase II Final Rule for MS4, the
City is required to submit the NOI for coverage under General Permit.
Funding:
Cost: $100.00
Source of funds: General self financed construction
Outside Resources: N/A
Background Information:
The City of Round Rock has developed a Storm Water Management Program (SWMP) as
required for coverage under the Texas Discharge Elimination System program General
Permit No. TXR040000. To be in compliance with Federal and State regulations, the City of
Round Rock is required to submit the SWMP and NOI to TCEQ by February 11, 2008.
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
�"'� Notice of Intent (NOI) for Storm Water TCEQ Office Use Only
Permit No.:
IIIIII Discharges from Small Municipal Separate RN:
Storm Sewer Systems (MS4) under the TPDES CN:
TCEQ Phase II MS4 General Permit (TXR040000)
Did you know you can pay on line? Go to https://www6.tceq.state.tx.us/epay/
Select Fee Type: GENERAL PERMIT MS4 PHASE II STORM WATER DISCHARGE NOI APPLICATION
000=f
Application Fee: You must pay the $100 Application Fee to TCEQ for the application to be considered complete.
How did you pay this fee?
❑ Mailed:
Check/Money Order No.:
Name Printed on Check:
EPAY:
Voucher No.: 40968
Is the Payment Voucher copy attached? 0 Yes
IMPORTANT:
•Use the attached INSTRUCTIONSwhen 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.
One (1) copy
NOI and SWMP.
Is the copy attached?
of the NOI and SWMP with
the completed SWMP Cover Sheet MUST be submitted with the original
1 Yes
A. OPERATOR' (applicant)
1. If the applicant is currently a customer with TCEQ, what is the Customer Number (CN) issued to this entity?
CN 600413181
2. What is the
City of Round
(The exact legal
full Legal Name of the applicant?
Rock
name must be provided.)
3. What is the applicant's mailing address as recognized by the US Postal Service?
Address: 221 E. Main Street
Suite No./Bldg. No./Mail Code:
City: Round Rock
State: TX
ZIP Code: 78664
Country Mailing Information (if outside USA). Country Code: Postal Code:
4. Phone No.: ( 512 ) 218-5555
Extension:
5. Fax No.: ( 512 ) 218-5563
E-mail Address: dhalden@round-rock.tx.us
6. Indicate the
❑
type of Customer:
Federal Government ❑ State Government ❑ County Government
City Government ❑ Other Government
1
7. Number of Employees: ■ 0-20; MI 21-100;
M 101-250;
■ 251-500; or El 501 or higher
B. BILLING ADDRESS
The Operator is responsible for paying the annual fee. The annual fee will be assessed to permits active on September 1 of
each year. TCEQ will send a bill to the address provided in this section. The Operator is responsible for terminating the
permit when it is no longer needed.
Is the billing address same as the Operator Address? ❑ Yes, go to Section C.
/ No, fill out Section B
1. Billing Mailing Address: 2008 Enterprise Drive Suite No./Bldg. No./Mail Code:
City: Round Rock
State: TX
ZIP Code: 78664
2. Country Mailing Information (if outside USA). Country Code: Postal Code:
3. Billing Contact (Attn or C/O): Danny Halden, P.E.
4. Phone No.: ( 512 ) 218-5555
Extension:
5. Fax No.: ( 512 ) 218-5563
E-mail Address: dhalden@round-rock.tx.us
TCEQ- 20368 (08/14/2007)
CSI -D - ba -Daa;
Page 1
C. REGULATED ENTITY (RE) INFORMATION
1. Has the TCEQ issued a Regulated Entity Reference Number (RN) for the regulated MS4 ?
Yes. What is the RN? RN
No - TCEQ will assign the RN number after the NOI is submitted.
2. Name that is used to identify the small MS4 (Regulated Entity).
(Example: City of XXX MS4) City of Round Rock MS4
3. Provide a brief description of the regulated MS4 boundaries:
(Example: Area within the City of XXXX limits that is located within the xxx (e.g. Dallas) urbanized area.)
Area within the City of Round Rock city limits.
4. a. What is the county where the largest residential population exists within the regulated MS4 boundaries?
Williamson County
b. Is the MS4 located within additional counties?
If yes, what county(s)? Travis County
/ Yes No
5. What is the latitude and longitude of the approximate center of the regulated portion of the small MS4?
Latitude: 30 0 30' 31" N Longitude: 97 0 40' 44" W
6. What is the mailing address for the regulated entity?
Is the RE mailing address the same as the Operator? !i Yes, go to Section F. 11 No, provide the address.
Street Number: Street Name:
City: State: ZIP Code:
D. GENERAL CHARACTERISTICS
1. I certify that any portion of the regulated MS4 is not
If No, you must obtain authorization through EPA,
located on Indian Country Lands. p Yes ❑ No
Region VI.
2. What is the Standard Industrial Classification (SIC) code (see instructions for common codes): 9111
3. Has TCEQ "designated" the small MS4 as needing coverage
If "No" and no portion of the Small MS4 is located within
by the U.S. Bureau of Census requiring a NOI be submitted,
through the NOI.
under this general permit? ❑ Yes p No
an Urbanized Area as determined by the 2000 Decennial Census
the operator is not eligible for coverage under this general permit
4. Storm Water Management Program (SWMP)
a. I certify that the SWMP submitted with this Notice
of Intent has been developed according to the provisions of this
No
general permit TXR040000. ° Yes ❑
b. I certify that the SWMP Cover Sheet is completed and
If No to question a. or b. the application is considered incomplete
attached to the front of the SWMP. .1 Yes ❑ No
and may be returned.
b. Who is the person responsible for implementing or coordinating implementation of the SWMP?
(Note: All contact information requested below is required.)
Name: Danny Halden, P.E. Title: City Engineer Company: City of Round Rock
Address: 2008 Enterprise Drive
Suite No./Bldg. No./Mail Code:
City: Round Rock State: TX ZIP Code: 78664
Phone No.: ( 512 ) 218-5555
Extension:
Fax No.: ( 512 ) 218-5563
E-mail Address: dhalden@round-rock.tx.us
5. Seventh Minimum Control Measure (MCM) for Municipal Construction Activities
a. Is the Minimum Control Measure for authorization to
discharge storm water from municipal construction activities
❑ No
included with the attached SWMP? 1 Yes
b. If you answered "Yes" to 5.a., what are the boundaries within which those activities will occur?
Area within the City of Round Rock city limits.
Note: If the boundaries are located outside of the urbanized area, then the entire SWMP must also incorporate the additional
areas.
TCEQ- 20368 (08/14/2007)
Page 2
c. Is the discharge or potential discharge from regulated
or Contributing zone within the Transition zone of the
If the answer is "Yes", please note that a copy of the agency
Chapter 213) must be either included or referenced in the
construction activities within the Recharge Zone, Contributing Zone,
Edwards Aquifer? / Yes DNo
approved Plan required by the Edwards Aquifer Rule (30 TAC
construction storm water pollution prevention plan(s).
6. Discharge Information
a What is the name of the receiving water body(s) from the MS4?
Receiving water bodies from the City of Round Rock are Brushy Creek and Gilleland Creek,
including various named and unnamed tributaries to these water bodies.
b. What is the classified segment(s) that receives discharges, directly or indirectly, from the small MS4?
Brushy Creek -1244 and Gilleland Creek -1428C
c. Are any of the surface water bodies receiving discharges from the small MS4 on the latest EPA-approved CWA § 303(d)
list of impaired waters? Dyes No
If Yes, what is the name of the impaired water body(s) receiving the discharges from the small MS4?
Brushy Creek (1244-03 and 1244-04) and Gilleland Creek (1428C)
d. Is the discharge into any other MS4 prior to discharge
If Yes, what is the name of the MS4 Operator? TXDOT,
into surface water in the state? i Yes DNo
Williamson County, Meadows @ Chandler Creek (MUD)
7. Edwards Aquifer
Is the discharge or potential discharge from the MS4 within
within the Transition Zone of the Edwards Aquifer?
If the answer is Yes, please note that a copy of the agency
Chapter 213) for activities also regulated under this general
the Rechar e Zone, Contributing Zone, or Contributing Zone
" Yes L1No
approved Plan required by the Edwards Aquifer Rule (30 TAC
permit must be either included or referenced in the SWMP.
8. Public Participation Process
The Office of Chief Clerk will send the operator or person responsible for publishing notice, the notice of the executive
director's preliminary determination of the NOI and SWMP, for publishing in a newspaper of largest circulation in the county
where the small MS4 is located. If multiple counties, notice must be published at least once in the newspaper of largest
circulation in the county containing the largest resident population.
The applicant must file with the Chief Clerk a copy of an affidavit of the publication within 60 days of receiving the written
instructions from the Office of Chief Clerk.
a. I will comply with the Public Participation requirements
If No, coverage under this general permit is not obtainable.
described in Part II.D.12 of the general permit. / Yes J No
b. Who is the person responsible for publishing notice of the executive director's preliminary determination on the NOI and
SWMP? (Note: All contact information requested below is required.)
Name: Danny Halden, P.E. I Title: City Engineer Company: City of Round Rock
Address: 2008 Enterprise Drive
Suite No./Bldg. No./Mail Code:
City: Round Rock
State: TX ZIP Code: 78664
Phone No.: ( 512 ) 218-5555
Extension:
Fax No.: ( 512 ) 218-5563
E-mail Address: dhaldenround-rock.tx.us
c. What is the name and location of the public location where copies of the NOI and SWMP, as well as the executive
director's general permit and fact sheet, may be viewed?
Name of Public Place: Public Works Building
Address of Public Place: 2008 Enterprise Drive
Round Rock, TX 78664
County of Public Place: Williamson County
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E CERTIFICATION
Check "Yes" to the certifications below. Failure to indicate "Yes" to ALL items may result in denial of coverage under the
general permit.
I certify that I have obtained a copy and understand the terms and conditions of the general permit TXR040000. 1511 Yes
I certify that the small MS4 qualifies for coverage under the general permit TXR040000. p Yes
I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed. p Yes
I understand that permits active on September 1st of each year will be assessed an Annual Water Quality Fee. MI Yes
Operator Certification:
I, James R. Nuse, P.E. City Manager
Typed or printed name Title
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: Date:` b
(Use blue ink)
TCEQ- 20368 (08/14/2007)
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