CM-11-06-127ROUND ROCK, TEXAS
PURPOSE PASSION. PROSPERIT'
Item Caption:
City Manager Approval Summary Sheet
Consider executing "Delegation of Signatories to Reports" form to grant the Storm Water
Program Manager Signatory Authority to sign for future annual Storm Water
Management (MS4) reports relating to the City's MS4 permit with TCEQ.
Approval Date: 06/24/2011
Department: Utilities and Environmental Services
Project Manager: Alysha Girard, P.E.
Item Summary:
Designating signatory authority for annual Storm Water Management Program, aka MS4, reports will allow the
Storm Water Program Manager to sign future MS4 annual reports to Texas Commission on Environmental Quality
(TCEQ).
Previously, signatory authority to sign MS4 annual reports had been granted to the City Engineer. Designating
signatory authority to the Storm Water Program Manager is more appropriate in Tight of the recent Public Works
reorganization.
Strategic Plan Relevance: Strategic Goal 29: providing for effective storm water management.
Cost: NA
Source of Funds: NA
Executive Director
Texas Commission on Environmental Quality
Storm Water and Pretreatment Team
P.O. Box 13087, MC -148
Austin, TX 78711-3087
Subject: Delegation of Signatories to Reports
Facility/Company/Site Name: City of Round Rock MS4
TPDES Permit Number: TXR040253
Dear Executive Director:
This letter serves to designate the following people or positions as authorized personnel
for signing reports, storm water pollution prevention plans, certifications or other
information requested by the Executive Director or required by the general permit, as set
forth by 30 TAC §305.128 (see page 2).
Name or Position
Alysha L. Girard P.E.
Name or Position
Storm Water Program Manager
Name or Position
Name or Position
I understand that this authorization does not extend to the signing of a Notice of Intent for
obtaining coverage under a storm water general permit.
By signing this authorization, I confirm that I meet the requirements to make such a
designation as set forth in 30 TAC §305.44 (see page 2).
Sincerely,
ameSitvE NoRwoob -C� N1A R -
Name Title Da e
1rv\-11-ot4o-i i
Delegation of Signatories to Reports
TCEQ-20403 (7/10/07)
Page 2
RELEVANT PROVISIONS
305.128(a) All reports requested by permits and other information requested by the executive director shall
be signed by a person described in §305.44(a) of this title (relating to Signatories to Applications) or by a
duly authorized representative of that person. A person is a duly authorized representative only if:
(1) the authorization is made in writing by a person described in §305.44(a) of this title (relating to
Signatories to Applications);
(2) the authorization specifies either an individual or a position having responsibility for the overall
operation of the regulated facility or activity or for environmental matters for the applicant, such as the
position of plant manager, operator of a well or well field, environmental manager, or a position of
equivalent responsibility. (A duly authorized representative may thus be either a named individual or any
individual occupying a named position); and
(3) the written authorization is submitted to the executive director.
(b) If an authorization under this section is no longer accurate because of a change in individuals or
position, a new authorization satisfying the requirements of this section must be submitted to the executive
director prior to or together with any reports, information, or applications to be signed by an authorized
representative.
(c) Any person signing a report required by a permit shall make the certification set forth in §305.44(b) of
this title (relating to Signatories to Applications).
305.44(a) All applications shall be signed as follows.
(1) For a corporation, the application shall be signed by a responsible corporate officer. For purposes of
this paragraph, a responsible corporate officer means a president, secretary, treasurer, or vice-president of
the corporation in charge of a principal business function, or any other person who performs similar policy
or decision-making functions for the corporation; or the manager of one or more manufacturing,
production, or operating facilities employing more than 250 persons or having gross annual sales or
expenditures exceeding $25 million (in second-quarter 1980 dollars), if authority to sign documents has
been assigned or delegated to the manager in accordance with corporate procedures. Corporate procedures
governing authority to sign permit or post -closure order applications may provide for assignment or
delegation to applicable corporate positions rather than to specific individuals.
(2) For a partnership or sole proprietorship, the application shall be signed by a general partner or the
proprietor, respectively.
(3) For a municipality, state, federal, or other public agency, the application shall be signed by either a
principal executive officer or a ranking elected official. For purposes of this paragraph, a principal
executive officer of a federal agency includes the chief executive officer of the agency, or a senior
executive officer having responsibility for the overall operations of a principal geographic unit of the
agency (e.g., regional administrator of the EPA).
(b) A person signing an application shall make the following certification: "I 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."
TCEQ-20403 (7/10/07)