HomeMy WebLinkAboutIowa Department of Natural Resources-12/7/2015+F'rcw
CITY OF WATERLOO
Council Communication
Resolution approving Notice of Intent for NPDES coverage under general permit to the Iowa Department
of Natural Resources for FY2016 Northeast Industrial Park Sanitary Sewer and Water Main Extension,
Contract No. 900; and authorize Mayor to execute said document.
City Council Meeting: 12/7/2015
Prepared: 12/1/2015
SUBJECT:
Submitted by:
Recommended Action:
Expenditure Required:
Source of Funds:
Resolution approving Notice of Intent for NPDES coverage under
general permit to the Iowa Department of Natural Resources for
FY2016 Northeast Industrial Park Sanitary Sewer and Water Main
Extension, Contract No. 900; and authorize Mayor to execute said
document.
Submitted Bv: Jeff Bales, Engineering
Recommend approval. These documents have been reviewed by this
office and recommends approval by the City Council.
$350.00 (3 -year permit)
TIF Funds
IOWA DEPARTMENT OF NATURAL RESOURCES
ENVIRONMENTAL PROTECTION DIVISION
NOTICE OP INTENT FOR NPDES COVERAGE UNDER GENERAL
PERMIT
CASHIER'S USE ONLY
0253-542-SW08-0581
Authorization #
Name
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 ❑ General Permit No, 2 ® General Permit No.3 0
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,
M3 -year Permit Fee $350 Maximum coverage is three years.
4 -year Permit Fee $525 Maximum coverage is four years.
0 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
NAME:
NE Ind. Park Sanitary Sewer & Water Main Ext. - Cont. 90Q
p
mit coverage is requested.
STREET ADDRESS OF SITE:
Intersection of MLK JR. Drive & Northeast Drive
CITY:
Waterloo
COUNTY:
Black Hawk
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:
IDE Engineering, PLC - Attn: Jim D. Ellis, P.E.
ADDRESS:
3731 Pheasant Lane, Suite 201
CITY:
Waterloo
STATE:
Iowa
ZIP CODE:
50701
TELEPHONE
(319)464-7913
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)
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,
05/2011 cmz Be sure to complete both sides of this form DNR Form 542-1415
FACILITY LOCATION OR LOCATION OF CONSTRUCTION SITE
Give the location b VI section, section, townsliip;ran ge; (e.g., NW, 7, T78N,:R3W)..
1/4 SECTION
SECTION
TOWNSHIP
RANGE
NW
20
89
12
OWNER INFORMAT ON
Enter the name and full address of the owner of the facility.
MAIL T0:
STORM WATER COORDINATOR
IOWA DEPARTMENT OF NATURAL
RESOURCES
502 E 9TH ST
DES MOINES IA 50319-0034
NAME:
City of Waterloo - Attn: Jeff Bales, Associate Engineer
ADDRESS:
715 Mulberry Street
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: 12/15/2015
Is any storm water monitoring information available describing the concentration of pollutants in storm water discharges?
❑ Yes ®No
NOTE: Do not attach any storm water monitoringinformation 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):
Blowers Creek 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
El
Z ❑
GENERAL PERMIT NO. 2 AND GENERAL PERMIT NO. 3 APPLICANTS COMPLETE THIS SECTION.
Description of Project (describe in one sentence what is being constructed):
Extension of existing sanitary sewer and water main within the NE Indusrtial Park in the City of Waterloo, Iowa.
For General Permit No. 3 - Is this facility to be moved this year? 0 Yes // No
Number of Acres of Disturbed Soil: 5.0 Acres
(Construction Activities Only)
Estimated Timetable For Activities / Projects, i.e., approximately_ when did/will the project begin and end:
12/15/15 - 7/1/16
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.
1 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: (prin r type
--nc ,- Ci C\GL✓j<
TITLE AND COMPANY NAME OF SIGNATORY:
NoNo YZ
05/2011 cmz
DATE:
Be sure to complete both sides of this form
DNR Forin 542-1415
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
The City of Waterloo, Iowa plans to submit a Notice of Intent to the
(applicant name)
Iowa Department of Natural Resources to be covered under the NPDES General Permit
General Permit No. 2 "Storm Water
Dischared Associated with Industrial
Activity for Construction Activities"
(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 Northeast Industrial Park
Sanitary Sewer and Water Main
The storm water discharge will be from Extension Project - Contract No.900
(description of industrial activity)
located in
the NW 1/4 Section 20, Township 89, Range 12 of
Black Hawk County
(1/4 section, section, township, range, county)
Storm water will be discharged from one point source(s) and will be discharged to
(number)
Blowers Creek and then to the
the following streams: Cedar River
(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.
05/2011 am DNR Form 542-1415
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, "General Permit No. 2 Storm Water
Discharge Associated with Industrial Activity for Construction Activities".
The storm water discharge will be from the Northeast Industrial Park Sanitary Sewer and Water Main
Extension Project - Contract No. 900 located in the NW% Section 20, Township 89, Range 12, of Black
Hawk County.
Storm water will be discharged from one point source(s) and will be discharged to the following
streams: Blowers Creek then to the Cedar River.
Comments may be submitted to the Storm Water Discharge Coordinator, Iowa Department of Natural
Resources, Environmental Protection Division, 502 E. 9th Street, Des Moines, Iowa 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.