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HomeMy WebLinkAboutIowa Department of Natural Resources-11/21/2011IOWA 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 ® 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 0 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. ® 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: U.S. HWY. 63 PCC Pavement — Grade/New on U.S. HWY. 63 from Newel/Conger Street to Donald Street STREET ADDRESS OF SITE: U.S. HWY. 63 between Newell/Conger Street and Donald Street. CITY: Waterloo COUNTY: Black Hawk County STATE: Iowa ZIP CODE: 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 Street 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 El 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 by i section, section, township, range, (e.g., NW, 7, T78N, R3W). 1/4 SECTION SECTION TOWNSHIP RANGE NW 1/4, SW'/ 13 89 N 13 W NE V4 14 89 N 13 W 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, Iowa ADDRESS: City Hall, 715 Mulberry Street CITY: Waterloo STATE: Iowa ZIP CODE: 50703 TELEPHONE: ( 319) 291- 4312 OUTFALL INFORMATION Discharge start rlate, i.e., when did/will the site begin operation or 10/1/92, whichever is later: April 1'`, 2012 Is any storm water monitoring information available describing the concentration of pollutants in storm water discharges? 0 Yes lI 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): Runoff from this project will flow into existing and proposed storm sewer piping and roadway drainage swales along U.S. HWY. 63 to Virden Creek and ultimately to the 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 X X X GENERAL PERMIT NO. 2 AND GENERAL PERMIT NO. 3 APPLICANTS COMPLETE THIS SECTION. Description of Project (describe in one sentence what is being constructed): Construction of approximately 1 mile of grading and paving of U.S. HWY. 63 along with associated roadway storm sewer and ditching. For General Permit No. 3 - Is this facility to be moved this year? Number of Acres of Disturbed Soil: 16.6 0 Yes 0 No (Construction Activities Only) Estimated Timetable For Activities / Projects, i.e., approximately when did/will the project begin and end: Start: April 1 s`, 2012 End: April 1st, 2015 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) Ernest G. Clark TITLE: Mayor, City of Waterloo DATE: Nov-evn6o1� � as +� 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 construction of U.S. Highway 63 from Newell/Conger Street to Donald Street. Located in NW 1/4 SW 1/4 of Section 13 and NE 1/4 of Section 14, Township 89N, Range 13W, Black Hawk County, Iowa. Storm water will be discharged from one point source(s) and will be discharged to the following streams: Storm sewer and drainage swales to Virden Creek and ultimately to the Cedar River. Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural Resources, Environmental Protection Division, 502 East 9th Street, Des Moines, Iowa, 50319-0034. The public may review the Notice of Intent from 8:00 a.m. to 4:30 p.m., Monday through Friday, at the above address after it has been received by the Department.