CM-11-03-056ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY
City Manager Approval Summary Sheet
Consider executing " Agent Authorization Form For Required Signature Edwards Aquifer
Protection Program Relating to 30 TAC Chapter 213" authorizing Roberto O. Martinez of
MWM Design Group to represent and act on behalf of the City regarding the Redesign of
Item Caption: Sam Bass Rd. from Meadows Dr. to IH -35 Project.
Approval Date: March 4, 2011
Department: Infrastructure Development and Construction Management
Project Manager: Bill Stablein
Item Summary:
The City is required to apply for the Water Pollution Abatement Plan (WPAP) and the Sewage Collection System
(SCS) permits from the TCEQ because this project falls within the Edwards Aquifer Protection Program. This
authorization will permit MWM Design Group to apply and sign for the permit on behalf of the City.
Strategic Plan Relevance:
22.0 Foster transportation systems that would support the development of major density centers
26.0 Construct major element of the transportation and mobility system as approved by Council in the Master
Transportation Plan
Cost: $6,400 (cost for the WPAP & SCS permits)
Source of Funds: 2002 General Obligation Bonds
Agent Authorization Form
For Required Signature
Edwards Aquifer Protection Program
Relating to 30 TAC Chapter 213
Effective June 1, 1999
I Steve Norwood
City Manager
Print Name
Title - Owner/President/Other
of City of Round Rock
Corporation/Partnership/Entity Name
have authorized Roberto O. Martinez, P.E.
Print Name of Agent/Engineer
of MWM Design Group
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 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.
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.
e YI- I 1-03-ostQ
TCEQ-0599 (Rev.04/01/2010) Page 1 of 2
SIGNATURE PAGE:
Applicant's Signature
THE STATE OF TEXAS §
County of (SII E1111YIAON §
3/4/Q0ft
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
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 day of I )'27C'1 , 1 ( .
.4;gP1,,k, SPINK
S
(rt Notary f u'wlic, State of Texas
My Commission Expires
E° September 09, 2014
NOTARY P LIC11 1 `
m Ear e,4 ti ►� . 5P1 I`ll<s
Typed or Printed Name of Notary
MY COMMISSION EXPIRES: 9- 9 - / 4.
TCEQ-0599 (Rev.04/01/2010) Page 2 of 2