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Iowa Department of Natural Resources-3/28/2011
IOWA 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 ❑O General Permit No. 3 0 IDNR CASHIER'S USE ONLY 0253-542SW08-0581 PERMIT FEE OPTIONS For coverage under the NPDES General Permit the following fees apply: El 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: Cattle Congress Storm Water Pump Station STREET ADDRESS OF SITE: 257 Ansborough Ave. CITY: Waterloo COUNTY: Black Hawk County STATE: Iowa ZIP CODE: 50701 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: Jamie Knutson ADDRESS: 715 Mu berry Street CITY: Waterloo STATE: Iowa ZIP CODE: 50703 Check the appropriate box to indicate the legal status of the operator of the facility. 0 Federal 0 State © Public 0 Private 0 Other (specify) TELEPHONE (319)291-4312 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'/ section, section, township, range, (e.g., NW, 7, T78N. R3 1/4 SECTION SECTION TOWNSHIP RANGE NE'/ 21 89N 13 W NW 'A 22 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. 9TH 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- 4301 OUTFALL INFORMATION Discharge start date, i.e., when did/will the site begin operation or 10/1/92, whichever is later: Is any storm water monitoring information available describing the concentration of pollutants NOTE: Do not attach any storm water monitoring information with the application. March 0. 2011 in storm water discharges? ❑ Yes ❑x No Receiving water(s) to the first uniquely named waterway in Iowa, (e.g., road ditch to unnamed River): Existing and Proposed Strom Sewer Pipe to the Cedar River. tributary to Mud Creek to South Skunk 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 a new storm water pump station and approximately 1,500 feet of storm sewer located along the south side of the flood control levee north of the Cattle Congress Grounds. Two Existing gatewell locations will be sealed and storm water will be routed to the new pump station. For General Permit No. 3 - Is this facility to be moved this year? Number of Acres of Disturbed Soil: 2_3 0 Yes 0 No Estimated Timetable For Activities / Projects, i.e., approximately when did/will the project begin and end: Start: March 1St, 2011 End: September 30th, 2011 (Construction Activities Only) 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: 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 the Cattle Congress Storm Water Pump Station and Storm Sewer Improvements. Located in NE 1/4 Section 21. NW 1/ Section 22. Township 89N. Range 13W, Black Hawk County. Iowa. Storm water will be discharged from two, point source(s) and will be discharged to the following streams: 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.