Loading...
HomeMy WebLinkAboutIowa Department of Natural Resources-1/23/2012IOWA DEPARTMENT OF NATURAL RESOURCES ENVIRONMENTAL PROTECTION DIVISION NOTICE OF INTENT FOR NPDES COVERAGE UNDER GENERAL PERMIT No. 1 FOR "STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY" or No. 2 FOR "STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR CONSTRUCTION ACTIVITIES" or No. 3 FOR "STORM WATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR ASPHALT PLANTS, CONCRETE BATCH PLANTS, ROCK CRUSHING PLANTS, AND CONSTRUCTION SAND AND GRAVEL FACILITIES." PERMIT INFORMATION Has this storm water discharge been previously permitted? 0 Yes El No If yes, please list authorization number Under what General Permit are you applying for coverage? General Permit No. 1 0 General Permit No. 2 0 General Permit No. 3 ❑. IDNR CASHIER'S USE ONLY 0253-542-SW08-0581 PERMIT FEE OPTIONS For coverage under the NPDES General Permit the following fees apply: ❑ Annual Permit Fee $175 (per year) Maximum coverage is one year. MI 3 -year Permit Fee $350 Maximum coverage is three years. ❑ 4 -year Permit Fee $525 Maximum coverage is four years. ❑ 5 -year Permit Fee $700 Maximum coverage is five years. Checks should be made payable to: Iowa Department of Natural Resources. FACILITY OR PROJECT INFORMATION Enter the name and full address/location (not mailing address) of the facility or project for which permit coverage is requested NAME: STREET ADDRESS OF SITE: WEST SHAULIS ROAD / ANSBOROUGH AVENUE WEST SHAULIS ROAD FROM ANSBOROUGH AVENUE TO HIGHWAY 21, AND ANSBOROUGH AVENUE FROM SHAULIS ROAD TO HIGHWAY 20 CITY: COUNTY: STATE: ZIP CODE: Waterloo Black Hawk Iowa 50703 CONTACT INFORMATION Give name, mailing address and telephone number of a contact person (Attach additional information on separate pages as needed). This will be the address to which all correspondence will be sent and to which all questions regarding your application and compliance with the permit will be directed. NAME: Jeff Bales ADDRESS: 715 Mulberry St. CITY: Waterloo STATE: Iowa ZIP CODE: 50703 TELEPHONE (319)291-4312 Check the appropriate box to indicate the legal status of the operator of the facility. 0 Federal 0 State 0 Public 0 Private 0 Other (specify) SIC CODE (General Permit No. 1 & 3 Applicants Only) SIC code refers to Standard Industrial Classification code number used to classify establishments by type of economic activity. Be sure to complete both sides of this form. 542-1415 (Rev. 7/08) FACILITY LOCATION OR LOCATION OF CONSTRUCTION SITE Give the location b_ 1/4 section, section, township, range, (e.g., NW, 7, T78N, R3W). 1/4 SECTION SECTION TOWNSHIP RANGE SW, SE 9 T73N R15W SW 10 T73N R15W OWNER INFORMATION Enter the name and full address of the owner of the facility. MAIL TO: - STORM WATER COORDINATOR IOWA DEPARTMENT OF NATURAL RESOURCES 502 E. 9m STREET DES MOINES, IA 50319-0034 NAME: City of Waterloo ADDRESS: 715 Mulberry St. CITY: Waterloo STATE: Iowa ZIP CODE: 50703 TELEPHONE: (319)291-4312 OUTFALL INFORMATION Discharge start date, i.e., when did/will the site begin operation or 10/1/92, whichever is later: 4/1/12 Is any storm water monitoring information available describing the concentration of pollutants in storm water discharges? 0 Yes D No NOTE: Do not attach any storm water monitoring information with the application. Receiving water(s) to the first uniquely named waterway in Iowa, (e.g., road ditch to unnamed tributary to Mud Creek to South Skunk River): road ditch to unnamed tributary to Prescotts Creek to Sink Creek to Cedar River. Compliance With The Following Conditions: Has the Storm Water Pollution Prevention Plan been developed prior to the submittal of this Notice of Intent and does the plan meet the requirements of the applicable General Permit? (do not submit the SWPPP with the application) Will the Storm Water Pollution Prevention Plan comply with approved State (Section 161A.64, Code of Iowa) or local sediment and erosion plans? (for General Permit 2 only) Have two public notices been published for at least one day, one each in the two newspapers with the largest circulation in the area where the discharge is located, and are the proofs of notice attached? (new applications only) Yes No GENERAL PERMIT NO. 2 AND GENERAL PERMIT NO. 3 APPLICANTS COMPLETE THIS SECTION. Description of Project (describe in one sentence what is being constructed):PCC Roadway and Bike Trail Construction/Reconstruction For General Permit No. 3 - Is this facility to be moved this year? ❑ Yes ❑ No Number of Acres of Disturbed Soil: 38.5 (Construction Activities Only) Estimated Timetable For Activities / Projects, i.e., approximately when did/will the project begin and end: 04/01/12 - 12/31/12 CERTIFICATION — ALL APPLICATIONS MUST BE SIGNED Only the following individuals may sign the certification: owner of site, principal executive officer of at least the level of vice- president of the company owning the site, a general partner of the company owning the site, principal executive officer or ranking elected official of the public entity owning the site, any of the above of the general contracting company for construction sites. I certify under penalty of law that this document was prepared under my direction or supervision in accordance with a system designed to assure that qualified people properly gathered and evaluated 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, this information is to the best of my knowledge and belief, true, accurate, and complete. I further certify that the terms and conditions of the general permit will be met. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. NAME: (print or type)/ rr (r 7. 4 'LE: 111or • � - ,.,-/SIGNATURE: DATE: �voufij 3,�►�- instructions - To complete the public notice, fill in the blanks with the required information or select the appropriate response and send to the newspapers. The public notice must be published at least one day each in two newspapers at your own expense. PUBLIC NOTICE OF STORM WATER DISCHARGE plans to submit a Notice of Intent to the (applicant name) Iowa Department of Natural Resources to be covered under the NPDES General Permit (select the appropriate general permit - No. 1 "Storm Water Discharge Associated with Industrial Activity', General Permit No. 2 "Storm Water Discharge Associated with Industrial Activity for Construction Activities, or General Permit No. 3 "Storm Water Discharge Associated With Industrial Activity From Asphalt Plants, Concrete Batch Plants, Rock Crushing Plants, And Construction Sand And Gravel Facilities') The storm water discharge will be from located in (description of industrial activity) (1/4 section, section, township, range, county) Storm water will be discharged from point source(s) and will be discharged to (number) the following streams: (stream name(s)) Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection Division, 502 E. 9th Street, Des Moines, IA 50319-0034. The public may review the Notice of Intent from 8 a.m. to 4:30 p.m., Monday through Friday, at the above address after it has been received by the department. PUBLIC NOTICE OF STORM WATER DISCHARGE The City of Waterloo, Iowa plans to submit a Notice of Intent to the Iowa Department of Natural Resources to be covered under the NPDES General Permit No. 2 "Storm Water Discharge Associated with Industrial Activity for Construction Activities." The storm water discharge will be from the grading and construction/reconstruction of West Shaulis Road from Ansborou .h Avenue to Highway 21 including recreational trail, and Ansborough Avenue from West Shaulis Road to Highway 20 located in the SW 'A and SE 'A of Section 9 the SW 'A of Section 17, T73N-R15W, Dallas County. Storm water will be discharged from 6 point sources and will be discharged to the Cedar River via Prescotts Creek and Sink Creek. Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection Division, 502 E. 9th Street, Des Moines, IA 50319-0034. The public may review the Notice of Intent from 8 a.m. to 4:30 p.m., Monday through Friday, at the above address after it has been received by the department. STATE OF IOWA, Black Hawk County I do solemnly swear that the annexed copy of 1374430 INSIDER- ANSBOROUGH AVE STORM WATER notice was published in the WATERLOO/CEDAR FALLS a daily newspaper printed in WATERLOO, Black Hawk County, Iowa, for 1 issues commencing on 01/31/2012, in the issues of 01/31/2012 of said newspaper, and that the annexed rate of advertising is the regular legal rate of said newspaper, and that the following is a correct bill for publishing said notice. Printer's Bill $14.26 Signed Subscribed and sworn to before me this ,.. day of Received of the sum, of C:Ofd"amissiC'; s` N°I . ate: G (4 i4} 0 EXPTES Dollars in full for publication of the above invoice. Notary Seal: COURIER PUBLIC NOTICE OF STORM WATER DISCHARGE The City of Waterloo, Iowa plans to submit a Notice of. Intent to the Iowa Department of Natural Resources to be covered under the NPDES General Permit No. 2 "Storm Water Discharge ,Associated with Industrial Activity for Construction Activities.° The storm water discharge willbe from the grading and construction/recon- struction of West Shaulis Road from Ansborough Avenue to Highway 21 including recreational trail, and Ansbor- ough Avenue from West Shaulis Road to Highway 20 located in the SW 14 and SE '4 of Section 9 the SW 14 of Section 17, T73N-RI5W, Dallas County. Storm water will be discharged from 6 point sources and will be discharged to the Cedar River via Prescotts Creek and Sink Creek. Comments may be submitted to the Storrn Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection Division, 502 E. 9t11 Street, Des Moines, IA 50319- 0034. The public may review the No- tice of Intent from 9 a.m. to 4:30 p.m., Monday through Friday, at the above address after it has been received by the department. STATE OF IOWA, } Black Hawk County, SS PUBLIC NOTICE OF STORM WATER DISCHARGE The City of Waterloo, Iowa plans to sub- mit a Notice of Intent to the Iowa Depart- ment of Natural Resources to be covered under the NPDES General Permit No. 2 "Storm Water Discharge Associated with Industrial Activity for Construction Activities." The storm water discharge will be from thegradingandconstruc- tion/reconstruction of West Shaulis Road from Ansborough Avenue to Highway 21 including recreational trail, and Ansbor- ough Avenue from West Shaulis Road to Highway 20 located in the SW 'A andSE ''A of Section 9 the SW 'Ai of Section 17, T73N-RISW, Dallas County. Storm wa- ter will be discharged from 6 point sourc- es and will be discharged to the Cedar River via Prescotts Creek and Sink Creek. Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection Division, 502 E. 9th Street, Des Moines, IA 50319- 0034. The public may review the Notice of Intent from 8 a.m. to 4:30 p.m., Mon- day through Friday, at the above address after it has been received by the department. I do solemnly swear that the annexed copy of legal City of Waterloo Storm Water Discharge West Shaulis Road Notice was published in the Courier, a daily publication printed in Waterloo, Black Hawk County, Iowa, 1 time commencing on the 2nd day of February, 2012 in the name of said newspaper, and that the annexed legal rate of advertised is the regular rate of said newspaper, and that the following is a correct bill for publishing said notice. Printer's Bill $14. 6 Signed Subscribed and sworn to before me this 7 Day of A.D., 20 la 11 ji ii.ti'�'li-;S _ ; rn 3 V o a ti 9 is Citi EXPiE f S Received of Notary Public the sum of Dollars. In full for publication of the above notice.