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HomeMy WebLinkAboutNOITCEQ Office Use Only MAU= 11111■, iii Notice of Intent (N01) for Storm Water Permit No.: TXR15 r -= Discharges Associated with Construction RN: - 01 - bne Activity under TPDES General Permit CN: TCEQ (TXR150000) Ref No: Sign up now for ePermits NOI Get Instant Permit Coverage . Ile .)::.°. If filing a paper NOI you can pay the at www6.tceu.state.tx.us/steers and only pay a $225 application fee. application fee on line? Go to https://www6.tceq.state.tx.us/epay/ IMPORTANT: •Use the INSTRUCTIONS to fill out each question in this form. •Use the attached CUSTOMER CHECKLIST to make certain all you filled out all required information. •Incomplete applications WILL delay approval or result in automatic Denial. Renewal of General Permit Is this NOI to renew an ACTIVE permit? Yes - What is your permit number? Permit No. TXR15 ,7 No - a permit number will be issued. Application Fee if mailing a paper NOI: You must pay the $325 Application Fee to TCEQ for the application to be considered complete. Payment and NOI must be mailed to separate addresses. See instructions for correct mailing addresses. Provide your payment information below, for us to verify payment of the application fee: Mailed: Check/Money Order No.: Company Name on checking account: Emerald Ridge Estates, Ltd. EPAY: Voucher No.: Is the Payment Voucher copy attached? Yes A. OPERATOR (applicant) 1. If the applicant is currently a customer with TCEQ, what is the Customer Number (CN) issued to this entity? CN (Search Central Reeistrv) 2. What is the Legal Name of the entity (applicant) applying for this permit? Emerald Ridge Estates, Ltd. (The legal name must be spelled exactly as filed with the Texas Secretary of State, County, or in the legal documentlbrming the entit)'.) 3. What is the name and title of the person signing the application? (The person must be an official meeting signatory requirements in TAC 305.43(a).) Name: Paul Leventis Job Title: Managing Partner 4. What is the Operator's (applicant) mailing address as recognized by the US Postal Service? (verify at USPS.com) Address: 1722 Broadmoor Suite No./Bldg. No./Mail Code:21 2 City: Bryan State:TX ZIP Code: 77802 Country Mailing Information (if outside USA). Country Code: Postal Code: 5. Phone No.: ( 979 ) 774 Extension: 6. Fax No.: ( 979 ) 774-2999 E-mail Address: paull@brazostrace.com 7. Indicate the type of Customer: Individual ESole Corporation EFederal State Government IDCounty Proprietorship-D.B.A. ELimited Partnership Government EGeneral Partnership Government City Government (describe): Ltd., a Texas Limited Partnership E Other Government i Other TCEQ-20022 (03/05/2008) Page 1 8. Independent Operator: El Yes ■ No (If governmental entity, subsidiary, or part of a larger corporation, check "No ".) 9. Number of Employees: CI 0 - 20; ■ 21 -100; ■ 101 -250; ■ 251 -500; or ■ 501 or higher 10. Customer Business Tax and Filing Numbers (This item is not applicable to Individuals, Government, GP or Sole Proprietor.) REQUIRED for Corporations and Limited Partnerships ( Verify the entity's status and tiling no. with TX SOS at 512/463 -5555 ) State Franchise Tax ID Number: Federal Tax ID: 26 - 139897 TX SOS Charter (filing) Number: DUNS Number (if known): B. APPLICATION CONTACT If TCEQ needs additional information regarding this application, who should be contacted? 1. Name: Sam Vernon, P.E. Title: Project Manager Company: Bleyl & Associates 2. Phone No.: ( 979 ) 268 -1125 Extension: 3. Fax No.: 979 260 -3849 E-mail Address: svernon @bleylengineering.com C. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE 1. TCEQ Issued RE Reference Number (RN): RN (Search Central Regj try 2. Name of Project or Site (the name as known by the community where this facility /project is located): Emerald Ridge Estates, Phase 1 (example: phase and name of subdivision or name of project that's unique to the site) 3. Does the site have a physical address? If Yes, complete Section A for a physical address. If No complete Section B for site location information. Section A Enter the physical address for the site (verify it with USPS.c( or other delivery source) Street Number: Street Name: City: ZIP Code: Section B Enter the site location information. If no physical address (Street Number & Street Name), provide a written location access description to the site: (Ex.: phase 1 of Woodland subdivision located 2 miles west from intersection of Hwy 290 & 1H35 accessible on Hwy 290 South) Phase 1 of ERE is located approx. 1 mile east of the intersection of Emerald Pkwy and St Hwy 6 City where the site is located or nearest city to site: College Station ZIP Code where site is located: 77845 4. Identify the county where the site is located: Brazos 5. Latitude: 30d36'17 "N Longitude: 96d1 "W 6. What is the primary business of this entity? In your own words, briefly describe the primary business of the Regulated Entity: (Do not repeat the SIC and NAICS code) Construction of single family residential subdivision 7. What is the mailing address for the regulated entity? Is the RE mailing address the same as the Operator? 111 Yes, address is the same as Operator No, provide the address Street Number: Street Name: City: State: ZIP Code: D. GENERAL CHARACTERISTICS 1. Is the site located on Indian Country Lands? / No Yes — If Yes, do not submit this NOI. Contact EPA, Region VI If the site is on Indian country lands, you must obtain authorization through EPA. Region VI. 2. What is the Standard Industrial Classification (SIC) code (see instructions for common codes): (Search Osha.2ov) Primary: 6552 Secondary: TCEQ -20022 (03/05/2008) Page 2 3(a) What is the total number of acres disturbed? 23.26 3(b) Is the project If Yes, the total If No, the total project site does general permit site part of a larger common plan of development or sale? D Yes ■ No number of acres disturbed can be less than 5 acres. number of acres disturbed must be 5 or more. If the total number of acres disturbed is less than 5 then the not qualify for coverage through this Notice of Intent. Coverage will be denied. See the requirements in the for small construction sites. 4. Discharge Information (all information 1. ST b provided or the permit will be denied) 4(a) What is the name of the water body(s) to receive the storm water runoff or potential runoff from the site? Bee Creek 4(b) What is the segment number(s) of the classified water body(s) that the discharge or potential discharge will eventually reach? 1209 4(c) Are any of the surface water bodies receiving discharges from the construction site on the latest EPA - approved CWA 303(d) list of impaired waters? • Yes ' No If Yes, provide the name of the impaired water body(s). _ 4(d) Is the discharge If Yes, what Note: The into an MS4? II Yes No is the name of the MS4 Operator? City Of College Station general permit requires you to send a copy of the NOI to the MS4 Operator. 4(e) Is the discharge or potential discharge within the Recharge Zone, Contributing Zone, or Contributing Zone within the Transition Zone of the Edwards Aquifer? ® Yes No If the answer is Yes, please note that a copy of the agency approved Plan required by the Edwards Aquifer Rule (30 TAC Chapter 213) must be included or referenced in the Storm Water Pollution Prevention Plan. E. CERTIFICATION Check "Yes" to the certifications below. Failure to certify to all items will result in denial. ✓ Yes I certify that I have obtained a copy and understand the terms and conditions of the general permit (TXR150000). I certify that the full legal name of the entity (Operator) applying for this permit has been provided and is legally authorized to do business in Texas. ✓ Yes ✓ Yes I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed. ✓ I Yes I certify that a storm water pollution prevention plan has been developed and will be implemented prior to construction, and that is compliant with any applicable local sediment and erosion control plans, as required in the general permit TXR150000. Operator Certification: Paul Leventis Manaaina Partner certify under penalty to assure that qualified system, or those accurate, and complete. knowing violations. I further certify proof of such au Signature: Typed or printed name (Required & must be legible) Title (Required & legible) of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, I am aware there are significant penalties for submitting false information, including the possibility of fine and imprisonment for that I am authorized under 30 Tex' Admina 4 to sign and submit this document, and can provide documentation in • : ation ..on request. i , \ v Date:_ J,/o//o R se blue ink) TCEQ -20022 (03/05/2008) Page 3 Did you complete everything? Use this checklist to be sure! Are you ready to mail your form to TCEQ? Go to the General Information Section of the Instructions for mailing addresses. TCEQ -20022 Checklist (03/05/2008) Page I Customer GP Notice of Intent Checklist TXR150000 .T This checklist is for use by the operator to ensure a complete application. Missing information may result in denial of coverage under the , permit. (See NOI Process description in the Instructions) Application Fee of $325,00 was mailed separately to TCEQ's Cashiers's Office (separate from the NOI) or the EPAY payment voucher is attached. ✓ I 1111111111111111[ OPERATOR INFORMATION - Confirm each item is complete: Customer Number (CN) issued by TCEQ Central Registry Legal Name as filed to do business in Texas (Call TX SOS 512/463 -5555) Name and Title of person signing the application. This person must meet signatory requirements in 30 TAC Section 305.43 Operator Mailing Address is complete & verifiable with USPS. www.usps.com Phone Numbers /E -mail Address Type of Operator (Entity Type) Independent Operator Number of Employees For Corporations or Limited Partnerships — Tax ID and SOS Filing numbers are REQUIRED J Application Contact person we can call for questions about this application. 0110 ❑111111 REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE - Confirm each item is complete: f Regulated Entity Reference Number (RN) (if site is already regulated by TCEQ) Site /Project Name /Regulated Entity Site /Project (RE) Physical Address Please do not use a rural route or post office box for a site location Or if no physical address, the location information that includes description, zip code and city is listed. Latitude and Longitude TcEQ USGS Topographic Map Viewer or TerraServer -USA Business description Site Mailing Address (checked same as operator or complete & verifiable with USPS. www.usps.com) 1 11111111111111❑11E GENERAL CHARACTERISTICS - Confirm each item is complete: f Indian Country Lands —the facility is not on Indian Country Lands Standard Industrial Classification (SIC) code www .osha.Qov /oshstats /sicser.html Acres Disturbed is provided and qualifies for coverage through a NOI. Common plan of development or for sale? Discharge Information: receiving water body segment number(s) is REQUIRED water body on the latest EPA - Approved Clean Water Act 303(d) list of impaired waters MS4 Operator Edwards Aquifer Rule .__. CERTIFICATION Certification statements have been checked indicating "Yes" Signature meets 30 Texas Adnriim.rr Code CI j c3305.44 and is original and has been provided for the Operator. Did you complete everything? Use this checklist to be sure! Are you ready to mail your form to TCEQ? Go to the General Information Section of the Instructions for mailing addresses. TCEQ -20022 Checklist (03/05/2008) Page I Notice of Intent (NOI) for Storm Water Discharges Associated with Construction Activity under TPDES General Permit (TXR150000) General Information and Instructions GENERAL INFORMATION Where to Send the Notice of Intent (NOI) and other related forms: BY REGULAR U.S. MAIL BY OVERNIGHT /EXPRESS MAIL Texas Commission on Environmental Quality Texas Commission on Environmental Quality Storm Water Processing Center (MC228) Storm Water Processing Center (MC228) P.O. Box 13087 12100 Park 35 Circle Austin, TX 78711 -3087 Austin, TX 78753 TCEQ Contact list: Application Processing Questions relating to the status and form requirements: 512/239 -3700, 512/245 -0130 or swpermit(/tceq.state.tx.us Technical Questions relating to the permit: 512/239 -4671 or swgp@tceq.state.tx.us general Environmental Law Division: 512/239 -0600 Records Management for obtaining copies of forms submitted to TCEQ: 512/239 -0900 Information Services for obtaining reports from program data bases (as available): 512 /239 -DATA (3282) Financial Administration's Cashier's office: 512/239 -0357 or 512/239 -0187 Notice of Intent Process: When your NOI is received by the program, the form will be processed as follows: 1. Administrative Review: Each item on the form will be reviewed for a complete response. In addition, the operator's legal name must be verified with Texas Secretary of State as valid and active (if applicable). The address(s) on the form must be verified with the US Postal service as an address receiving regular mail delivery. Never give an ovemight/express mailing address. 2. Notice of Deficiency: If an item is incomplete or not verifiable as indicated above, a notice of deficiency (NOD) will be mailed to the operator. The operator will have 30 days to respond to the NOD. The response will be reviewed for completeness. 3. Acknowledgment of Coverage: An Acknowledgment Certificate will be mailed to the operator. This certificate acknowledges coverage under the general permit. -or- Denial of Coverage: If the application is too incomplete to process, or the operator fails to respond to the NOD or the response is inadequate, coverage under the general permit may be denied. If coverage is denied, the operator will be notified. General Permit (Your Permit) If filing the NOI through ePermits online application, coverage under the general permit begins the day the NOI is submitted to TCEQ through epermits. Sign up now for on line NO! at ht ttps: / /www6.tceQ.stfite.tx.us /steersi If mailing a paper NOI, coverage under the general permit begins seven (7) days after a completed NOI is postmarked for delivery to the TCEQ. You should have a copy of your general permit when submitting your application. You may view and print your permit for which you are seeking coverage, on the TCEQ web site ht •:// www.tce..state.tx.us /•ermitting /water •ualitvistormwater /TXRI5 AIR.html. General Permit Forms The Notice of Intent (NOI), Notice of Tennination (NOT), and Notice of Change (NOC) #20391 with instructions are available in Adobe Acrobat PDF format on the TCEQ web site http: / /www.tceg. state. tx. us / permitting /water_gualitv/stormwater/TXR15 AIR.html. Sign up now for on line Notice of Termination application at https: / /www6.tceq.state.tx.us /steers/ Change in Operator An authorization under the general permit is not transferable. If the operator or owner of the regulated entity changes, the present permittee must submit a Notice of Termination and the new operator must submit a Notice of Intent. The NOT and NOI must be submitted not later than 10 days prior to the change in Operator status. TCEQ -20022 Instructions (03/05/2008) Page 1 LOCATION: CIT' OF COLLEGE STATION FINAL PLAT for Emerald Ridge Estates Phase 1 (10- 00500039) SCALE: 21 lots on 23.256 acres 2215 Sebesta Road, generally located east of the Sandstone Subdivision and south of Emerald Forest Phase 7, at the terminus of Emerald Parkway. ZONING: R -1 Single Family Residential APPLICANT: Sam Vernon, P.E., Bleyl Engineering PROJECT MANAGER: Matthew Hilgemeier, Staff Planner mhilgemeiercstx.gov RECOMMENDATION: Staff recommends approval with the following condition: • City review and approval of the legal instrument establishing the H.O.A., the street maintenance agreement, the reserve fund for street maintenance, and written permission for City access to the subdivision. Planning & Zoning Commission Page 1 of 4 April 15, 2010 30 0 Planning & Zoning Commission April 15, 2010 0 31 Page 2 of 4 C (kr' CITY OF COLLEGE STATION 1 -brae of Texas AcWVI University' FINAL PLAT APPLICATION FOR OFFICE J!SEQNLY i f CASE NO.: ` \ DATE SUBMITTED:' ' re 1 1 �l TIME: ; STAFF: OE (Check one) ❑ Minor ❑ Amending ($500.00) ($500.00) Is this plat in the ETJ? ❑ Yes © No Is this plat Commercial ❑ or Residential Final ❑ Vacating ❑Replat 1$668.00) ($668.00) ($668.00) MINIMUM SUBMITTAL REQUIREMENTS: $500 -$668 Final Plat Application Fee (see above). $167 Variance Request to Subdivision Regulations Fee (if applicable). $600 (minimum) Development Permit Application / Public Infrastructure Review and Inspection Fee. Fee is 0.75% of acceptable Engineer's Estimate for public infrastructure, $600 minimum (if fee is > $600, the balance is due prior to the issuance of any plans or development permit). Application completed in full. This application form provided by the City of College Station must be used and may not be adjusted or altered. Please attach pages if additional information is provided. Fourteen (14) folded copies of plat. (A signed mylar original must be submitted after approval.) Two (2) copies of the grading, drainage, and erosion control plans with supporting drainage report. Two (2) copies of the Public infrastructure plans and supporting documents (if applicable). Notice of Intent (NOI) if disturbed area is greater than five (5) acres cumulatively. Copy of original deed restrictions /covenants for replats (if applicable). Title report for property current within ninety (90) days or accompanied by a Nothing Further Certificate current within ninety (90) days. The report must include applicable information such as ownership, liens, encumbrances, etc. Paid tax certificates from City of College Station, Brazos County and College Station I.S,D. Proof of parkland dedication consideration by the Parks & Recreation Board or Parks & Recreation Department (if applicable). The attached Final Plat checklist with all items checked off or a brief explanation as to why they are not. NOTE: A mylar of the approved preliminary plat must be on file before a final plat application will be considered complete. If the mylar is submitted with the final plat application, it shall be considered a submittal for the preliminary plat project and processed and reviewed as such. Until the mylar has been confirmed by staff to be correct, the final plat application will be considered incomplete. Date of Optional Preapplication or Stormwater Management Conference NAME OF PROJECT Emerald Ridge Estates, Phase 1 ADDRESS Eastern end of Emerald Parkway adjacent to Emerald Forest Phase VII SPECIFIED LOCATION OF PROPOSED PLAT: Eastern end of Emerald Parkway adjacent to Emerald Forest Phase VII APPLICANT /PROJECT MANAGER'S INFORMATION (Primary contact for the project): Name Sam Vernon, P.E. E -mail svernon @bleylengineering.com Street Address 1722 Broadmoor Dr., Ste 210 City Bryan Phone Number 979 268 -1125 10/09 State Tx 34 Fax Number 979 260 -3849 Zip Code 77802 Page 1 of 7 1 10/09 3. The granting of the will not be detrimental to the public health, safety, or welfare, or injurious to other property in the area, or to the City in administering subdivision regulations. N/A 4. The granting of the waiver will not be detrimental to the public health, safety, or welfare, or injurious to other property in the area, or to the City in administering subdivision regulations. N/A Requested Oversize ParticipationNo oversized participation; a development agreement has been approved by Council Total Linear Footage of Proposed Public: 266 Streets 242 Sidewalks 2,750 Sanitary Sewer Lines 1,705 Water Lines 190 Channels 0 Storm Sewers 0 Bike Lanes / Paths Parkland Dedication due prior to filing the Final Plat: ACREAGE: 0 No. of acres to be dedicated + $ 29,442 development fee 0 0 No. of acres in floodplain No. of acres in detention 0 No. of acres in greenways OR FEE IN LIEU OF LAND: 21 No. of SF Dwelling Units X $ 619 = $ 12,999 9/21/2009 (date) Approved by Parks & Recreation Advisory Board NOTE: DIGITAL COPY OF PLAT MUST BE SUBMITTED PRIOR TO FILING. The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true, correct, and complete. IF THIS APPLICATION IS FILED BY ANYONE OTHER THAN THE OWNER OF THE PROPERTY, this application must be accompanied by a power of attorney statement from the owner. If there is more than one owner, all owners must sign the application or the power of attorney. If the owner is a company, the application must be accompanied by proof of authority for the company's representative to sign the application on its behalf. LIEN HOLDERS identified in the title report are also considered owners and the appropriate signatures must be provided as described above. 36 Date Page 3 of 7 A. I, , certify that any nonresidential structure on or proposed to be on this site as part of this application is designated to prevent damage to the structure or its contents as a result of flooding from the 100 -year storm. Engineer Date 13. I, ,certify that the finished floor elevation of the lowest floor including any basement, of any residential structure, proposed as part of this application is at or above the base flood elevation established in the latest Federal Insurance Administration Flood Hazard Study and map, as amended. Engineer Date certify that the alterations or development covered by this permit shall not diminish the flood- carrying capacity of the waterway adjoining or crossing this permitted site and that such alterations or development are consistent with requirements of the City of College Station City Code, Chapter 13 on•-rning encroa hments of floodways and of floodway fringes. ? /0/2 0 / 0 gineer ir Date D. I, s Utrt,ao J , certify that the proposed alterations do not raise the level of the 100 -year flood above elevation established in the latest Federal Insurance Administration Flood Hazard Study. 311t0 /2.6 1 es Engineer Date c ENGINEERING CERTIFICATIONS (required for development in Special Flood Hazard Areas): Conditions or comments as part of approval: 10/09 38 Page 5 of 7