CM-08-05-129DATE: May 14, 2008
SUBJECT: City Manager - May 16, 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 RM 1431 36 -Inch Water Line Improvements Project.
Department: Water and Wastewater Utilities
Staff Person: Michael D. Thane, P.E., Director of Utilities
Justification:
TCEQ requires that a NOI be filed by the City of Round Rock (CORR) for any construction
project disturbing an area of five (5) or more acres. Since the estimated amount of
disturbed area for this project is 7.5 acres, a NOI is required.
Funding:
Cost: $325.00
Source of funds: Capital Project Funds (Self -Financed Utility)
Outside Resources:
K. Friese & Associates, Inc.
Background Information:
This project is identified in our current Water Master Plan and is necessary to provide a
maximum of four million gallons per day (mgd) of interim water and emergency water to
the City of Cedar Park. The water will be provided in accordance with two Interlocal
Agreements, between the City of Round Rock and the City of Cedar Park.
The TCEQ has recently updated its rules and regulations for a NOI. As of March 3, 2008, all
current NOIs must be renewed before June 3, 2008, or they will expire. Since this NOI was
submitted to TCEQ on January 31, 2008, the City is required to submit a NOI renewal.
Public Comment: N/A
DATE: May 12, 2008
Blue Sheet Format
Updated 01/20/04
TCEQ Office Use Only
rill Notice of Intent (NO1) for Storm Water Permit No.: TXR15
Discharges Associated with Construction RN:
Activity under TPDES General Permit CN:
TCECt (TXR150000) Ref No:
Sign up now for ePermits
(et instant Pernik CON crage
.o,
�• If filing a paper NOI you can pay the
Select Fee Tyne: GENERAL PERMIT
NO1 at https:i/www6.tceq.state.tx.us/steers/
an s>sals laav ft S225 application fee.
application fee on line? Go to htth.:;:.N,S,c6.tceq.state.tx.as;epac;'
CONSTRUCTION STORM WATER DISCHARGE NOI APPLICATION
IMPORTANT:
•Use the INSTRUCTIONS to fill out each question in this form.
•Use the attached CUSTOMER CHECKLIST to make certain all you filled out all required information.
•Incomplete applications WILL delay approval or result in automatic Denial.
Renewal of
Is this NOI
EJYes
General Permit
to renew an ACTIVE permit?
- What is your permit number? Permit No. TXR15
- a permit number will be issued.
/ No
Application Fee if mailing a paper NOI:
You must pay the S325 Application Fee to TCEQ for the application to be considered complete.
Payment and NOI must be mailed to separate addresses. See instructions for correct mailing addresses.
Provide your payment information below, for us to verify payment of the application fee:
Mailed:
Check/Money Order No.:
Company Name on checking account:
REPAY:
Voucher No.:
Is the Payment Voucher copy attached? ❑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 (Search Central Ret,fisars)
2. 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 document forming the entity.)
3. What is the name and title of the person signing the application?
(The person must be an official meeting signatory requirements in TAC 305.43(a).)
Name: James R. Nuse
Job Title: City Manager
4. What is the Operator's (applicant) mailing address as recognized
by the US Postal Service? rept if, at USPS.com)
Address: 212 East Main Suite No./Bldg. No./Mail Code:
City: Round Rock state:Texas ZIP Code: 78664
Country Mailing Information (if outside USA). Country Code: Postal Code:
5. Phone No.: ( 512 ) 218-5554
Extension: N/A
6. Fax No.: ( 512) 218-3242
E-mail Address: drundell@round-rock.tx.us
7. Indicate the type of Customer:
❑Individual ❑Sole Proprietorship-D.B.A.
❑ Corporation []Federal Government
❑ State Government ElCounty Government
DOther Government DOther (describe):
Tnwll 'lnn^f^f fin^) //AC "nnox
❑Limited Partnership
OGeneral Partnership
1 City Government
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8. Independent Operator: IN Yes I7 No (If governmental entity, subsidiary, or part of a larger corporation, check "No".)
9. Number of Employees:
■ 0-20;
■
21-100; ■
101-250;
■
251-500; or
n501
or higher
10. Customer Business Tax and Filing Numbers (This item is not applicable to Individuals, Government, GP or Sole Proprietor.)
REQUIRED for Corporations and Limited Partnerships i a t its the ern its stem, and tiling no. 3, ith IX SOS at 512:463-555
State Franchise Tax ID Number:
Federal Tax ID:
TX SOS Charter (filing) Number:
DUNS Number (if known):
B. APPLICATION CONTACT
If TCEQ needs additional information regarding this application, who should be contacted?
1. Name: Don Rundell
Title: Senior Utility Engineer
Company: City of Round Rock
2. Phone No.: ( 512 ) 218-5554
Extension: N/A
3. Fax No.:
E-mail Address: drundell@round-rock.tx.us
C. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE
1. TCEQ Issued RE Reference Number (RN): RN
(Sk•atcI Central Retistrvl
2. Name of Project or Site (the name as known by the community where this facility/project is located):
Cedar Park - Round Rock Interconnect
(example: phase and name of subdivision or name of project that's unique to the site)
3. Does the site have a physical address?
If Yes, complete Section A for a physical address.
If No, complete Section B for site location information.
Section A: Enter the physical address for the site. ( erit:. it with USPS.com ut- other deliver. 'ource)
Street Number:
Street Name:
City:
ZIP Code:
Section B: Enter the site location information.
If no physical address (Street Number & Street Name), provide a written location access description to the site:
(Ex.: phase 1 of Woodland subdivision located 2 miles west from intersection of Hwy 290 & II135 accessible on Hwy 290 South)
Intersection of RM 1431 & Sam Bass Rd. on the north & south sides of RM 1431
City where the site is located or nearest city to site:
Round Rock
ZIP Code where site is located:
78728
4. Identify the county where the site is located:
5. Latitude: 30 32' 42" North
Longitude: 97 45' 21" West
6. What is the primary business of this entity? In your own words, briefly describe the primary business of the Regulated Entity:
(Do not repeat the SIC and NAICS code)
City Government
7. What is the mailing address for the regulated entity?
Is the RE mailing address the same as the Operator?
e
Yes, address is the same as Operator No, provide the address
Street Number:
Street Name:
City:
State:
ZIP Code:
D. GENERAL CHARACTERISTICS
1. Is the site located on Indian Country Lands?
If the site is on Indian country lands, you must obtain authorization
/
through
No DYes — If Yes, do not submit this NOT. Contact EPA, Region VI
EPA, Region VI.
2. What is the Standard Industrial Classification (SIC) code (see instructions for common codes): (search Osha.aov)
Primary: 1623 Secondary:
TCEQ-20022 (03/05/2008)
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3(a) What is
the total number of acres disturbed? 7.5
3(b) Is the project site part of a larger common plan of development or sale? °Yes QNo
If Yes, the total number of acres disturbed can be less than 5 acres.
If No, the total number of acres disturbed must be 5 or more. If the total number of acres disturbed is less than 5 then the
project site does not qualify for coverage through this Notice of Intent. Coverage will be denied. See the requirements in the
general permit for small construction sites.
4. Discharge Information (all information MUST be provided or the permit will be denied)
4(a) What is the name of the water body(s) to receive the storm water runoff or potential runoff from the site?
Brazos River Basin
4(b) What is the segment number(s) of the classified water body(s) that the discharge or potential discharge will eventually
reach? Brushy Creek Segment 1244
4(c) Are any
303(d) list of
of the surface water bodies receiving discharges from the construction site on the latest EPA-approved CWA
impaired waters?
No
the name of the impaired water body(s). Brushy Creek
1 Yes
If Yes, provide
4(d) Is the
If Yes, what
Note: The
discharge into an MS4? ❑Yes 0 No
is the name of the MS4 Operator?
general permit requires you to send a copy of the NOI to the MS4 Operator.
4(e) Is the discharge
Transition Zone
or potential discharge within the Recharge Zone, Contributing Zone, or Contributing Zone within the
of the Edwards Aquifer?
❑ No
Yes, please note that a copy of the agency approved Plan required by the Edwards Aquifer Rule (30 TAC Chapter 213) must
referenced in the Storm Water Pollution Prevention Plan.
Fi Yes
If the answer is
be included or
E. CERTIFICATION
Check "Yes" to the certifications below. Failure to certify to all items will result in denial.
i Yes
I certify that I have obtained a copy and understand the terms and conditions of the general permit (TXR 150000).
i Yes
I certify that the full legal name of the entity (Operator) applying for this permit has been provided and is legally
authorized to do business in Texas.
,, Yes
I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed.
/ Yes
I certify that a storm water pollution prevention plan has been developed and implemented prior to construction,
and that is compliant with any applicable local sediment and erosion control plans and prepared and implemented
as required in the general permit TXR150000.
Operator Certification:
I, James R. Nuse Citv Manager
certify under penalty
to assure that qualified
system, or those
accurate, and complete.
knowing violations.
I further certify that
proof of suc authorization
Signature:
Typed or printed name (Required & must he legible) Title (Required & le gide)
of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the
persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
I am aware there are significant penalties for submitting false information, including the possibility of fine and imprisonment for
I am authorized under 30 Texas Administ ati. a Code §305.44 to sign and submit this document, and can provide documentation in
upon request.
Date: 5 ' ^
I 1 .,-05
(Use blue ink)
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