HomeMy WebLinkAbout16 Wolfview Invest Vol 3417 Ph 97 00-500040 Gateway 5.15.00DEVELOPMENT PERMIT
MINIMUM SUBMITI'AL REQUIREMENTS ,,,
'1-$100.00 Development Permit Application Fee. ~I~ -:j:_ Drainage and erosion control pla~ with supporting(iirainage Repo§o (2) copies each.
Notice of Intent (N. 0.1.) if disturbed area is greater than 5 acres.
LEGAL DESCRIPTION . \\.~q W5 (Wo\..;\JtX.w 't~!'>l-""'E.l-l-T~ vo~. ;~11 Pt... 0i-i)
APPLICANT (Primary Contact for the Project):
Name IV\"'f"\lUt.\.l ~ l-'\OR,l"1 A-tl 1 \,.\..?
Street Address 5~\ u ~t." C.\l. '>'1-Ti QR."niC.
State T6 Zip Code 1761.fD
Phone Number 't 1 a, I 1.1. o -t, q <. "?>
PROPERTY OWNER'S INFORMATION:
Name ~"1<. t'n:\\:~Lo?ov\_O'>
StreetAddress t'5'lJDO Dool..i.t f?DA!)
E-Mail Address "t"'!\.~Jt.J1ot~Q"'·'"""
Fax Number 47 'f I ?..t.O -3 s~l/
City AoD~~ol-1
State r;.. Zip Code 7?oo/
Phone Number qn/ 2 n -3·n3 ff. 21 l
E-Mail Address GJ.r:~oo ~t11ifMo.;l .. ,e.i.
ARCHITECT OR ENGINEER'S INFORMATION:
Name 1"\"1:-\Qt~t\. i 'tJ\0Rl1A1{, LL?
'-------·
Fax Number tin/ H~ -t'io/
Street Address 5o\. v~"t.."(.!tS~'I'/ f>iZ:c.-J~ $""""€. io'f
State -1-'f>...._._ Zip Code 17fJ1tO E-Mail Address ~ c.,...~!cl..cll.,..J....°"~"'" -"""
Fax Number C/7't/z.uo-<f,'5k>>f
Application is hereby made for the following development specific site/waterway alterations:
l Lt:."-itc.~1 of -.J t(,!HJW~
ACKNOWLEDGMENTS:
The information and conclusions contained in the above plans and supporting documents comply with the current
requirements of the City of College Station, Texas City Code, Chapter 13 and its associated Drainage Policy and Design
s rds .
As "tion of approval of this permit application. I agree to construct the improvements proposed in this application
~,.,.,...11nnto th ts and the requirements of Chapter 13 of the College Station City Code.
"-D£wLOPMENT PERMIT
DPERMIT.DOC 3'24199
Contractor
1 of2
CERTIFICATIONS: (for proposed alterations within designated flood hazard areas.)
A. I, • , cerofy that any nonresidential strucwrc on or proposed to be on this site as part
"If this application is to prevent damage to the structure or its contents as a result of flooding from the 100 year
.orm .
'-...__......
Engineer Date
B. I. ---+-++-~f-----__.. certify that the finished floor elevation of the lowest floor, including any
basement, of any f l structure, proposed as part of this application is at or above the base flood elevation established
in the latest Federal urance Administration Flood Hazard Study and maps, as amended .
Engineer Date
C. I. \J t. ~<)'11:-c.c..A e'-o&bAi-l , certify that the alterations or development covered by this pennit shall not
diminish the flood-carrying capaeity of the waterway adjoining or crossing this pennitted site and that such alterations or
d pment are consistent with requirements of the City of College Station City Code, Chapter 13 concerning
f.Joodways and of floodway fringes.
5--(2 -IJO
Date
5'r?ov
Date
Conditions or comments as part of approval:------------------------
In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be taken to insure
that debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage facilities .
All development shall be in accordance with the plans and specifications submitted to and approved by the City F.ngineer
for the above named project. All of the applicable codes and ordinances of the City of College Station shall apply.
EVELOPMENT PERMIT
DPERMIT.DOC 3n.4/99
2of2
THIS FORM REPLACES PREVIOUS FORM 3510-6 (8-98) Form Appr~ed. OMB No. 2040-0188
See Reverse for Instructions .. -
&EPA United States Environmental Protection Agency
NPDES Washington, DC 20460
FORM Notice of Intent (NOi) for Storm Water Discharges Associated with' .·· ·,
CONSTRUCTION ACTIVITY Under a NPDES a.tneral Permit
Submission of this Notice of Intent constitutl!!S notice that the party identified in Section I of this form intends to be authorized by a NPDES permit issued
for storm waler discharges associated with construction activity in 1he State/Indian Country Land identified in Section II of this form. Submission of this Notice
of Intent also constitutes notice that the party identified in Section I of this form meets the eligibility requirements in Part 1.8 .. of the general permit (including
those related to protection of endangered species determined through the procedures in Addendum A of the general permit), understands that continued
authorization to discharge is conlWlgent on maintaining permit eligibility, and that implementation of the Storm Water Pollution Prevention Plan required under
Part IV of the general permit wiH begin at the time the permlttee commences work on the construction project identified in Secion' II bel0w. IN ORDEA TO
OBTAIN AUTHORIZATION, ALL INFORMATION REQUESTED MUST BE INCLUDED ON THIS FORM. SEE INSTRUCTIONS ON BACK OF FORM.
L Owner/Operator (Applicant) Information
Name: I01R1A11:.1·0 IS I I ? I ~ rv I i:p.l 1 l, I I I I I I I I I I I I I I I I I Phone: I"' 11 1" l81z.1L-l?1<-1ei 15"'!
Address: I P I 0 I 1' 1° l~I 111' 1 'f1
Statusd [£! I I I I I I I I I i I I I I I I I I I I I I· Owner/Operator:
City: lf>1~1'11A1l'l1 I I I I I I I I I I I I I I I I I State:~ DpCode: 1 7 1718101~1-1 I I I I
U. Pfolect/Slte Information Is the facility located on Indian
Country Lands?
Project Name: I l I l I • I ~ I q I I~ 1l1 R1 ~ IS I l~1f lll..IJ:.l.i.l.f"..i.l..t.~ro1~1 l C i Li 'E. IP. (BJ :i:._llljJJ Yes 0 No IZJ
I • ProjOOt AdclreSSil.ocation: I ~ 1"1 I 1t1~1T1~1R1S1£1t1r1~101~1 Io If I I S!~ I \,I I A I~ Ii) I I ~1 ~11.101 I ..
City: jC1D1L1L1E.1£.,l~I l~lil/\1i1'1D1iJ.1 I I I I I I I I State: l.!..eJ Zip Code: I 7 11 I f3 I '4 I O I -I I I I I
Latitude: I ~ I !) I ) I i I ) I b I Longitude: I 0 I~ I~ I \I~ I Lt I~ I County: I~ 1R-1~ 11:1° I!> I I I I I I I I · 1 I I 1 · I I
Has the Storm Water PoRution Prevention Plan (SWPPP) been prepared? Yes lXJ NoO '
' '
Optional: Address d location of IXJ Address in Section I abo~~ 0 Address in Section II above 0 Other address (if known) below: SWPPP for viewing
SWPPP Phone:
Address: I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I .. •' .. .. . .
City: . I I I I I I I I I I I I I I I I I I I ·1 I I I State: lJ_J . ZipCode: I I I I I 1-1 I I I I
Name of Receiving Water: 1i1u 1R1T 10 1ll1 I c, I ?-.1 ~ I~ I l'-1 I I I I I I I I I I I I .
10111t11\ 1i1° 111 1° I 1°111 1 1'\1i.1°10 1° I Based on instruction provided in Addendum A of the permit, are
Month Day Hlar Month Day .)Hf there any listed endangered or threatened species, or designated
Estimated Construction Start Date Estimated Completlor! Date critical habitat in the 'project area?
Estimate of area to be disturbed (to nearest acre): I I I I I 1't1 Yes D No~
Estimate of Likelihood of Discharge (choose only one)°:· I have satisfied permit eligibility with regard to protection of
1 . 0 Unlikely 3. IZJ Once per week s. D Contiooat
endangered species 1hrough the i(ldk;ated section of Part 1.8.3.e.(2)
of the permit (check one or more boxes):
..
2. 0 Once per month 4. 0 Once· per day (a) l2?J <b> D <c> D <d> D
..
DI. Certification ..
I certify under penahy of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage this system, or those persons directly responsible for gathering the i~ormation, the information submitted is, to the best 9f· my knowledge and
belief, true, accurate, and complete . I am aware that there are significant penalties for submitting false information, Including the possibility of fine and
imprisonment for kn<>Wirig violations.
Print Name: IL I A IR I P-1 'f I I 'I I 0 I \J i to\ 1· l, I I I I I I I I I I I I I I I I I I I I Date : I I I I I I I
' Signature: .
EPA Form 3510-9 replaced 351<>-6 (8-98)
Instructions -EPA Form 351<HJ Fonn Approved. OMB No. 204(}()188 &EPA Notice of Intent (NOi) for Storm Water Discharges Assoclatlld with
Construction Activity to be Covered Under a NPDES Permit
~ . ·,.,,,., ~. ..
Who Muat File e NOllce d Intent Form
Under the provisions of the Clean Water Ad. as amended, (33 U.S.C. 1251
etseq.; the Act), except as provided by Part l.B.3 the permit, Federal law
prohibits discharges of pollutants In storm water from construction activities
wllhout a Na1lonal Pollulant Dlacharge ElrnN1ian System Permit. Opera1or(a)
of constlUction sites where 5 or more acres are dlslurt>ed, smaller sites that
are part of a larger common plan of deYelopment or sale where 1here Is a
cumulative disturbance of at least 5 acres, or any site designated by the
Ointelor, must submit an NOi to obtain coveiage under an NPOES Storm
Water Construction General Permit. H you have questions about whether
you need a permit under the NPOES Storm Water program, or H you need
information as to whether a particular program is administered by EPA or
a State agency, write to or telephone the Notice of Intent Processing Cen1er
at (703) 931-3230.
Where to Fne NOi Form
NOia muat be sent to the following address:
Storm water Notice of Intent (4203)
USE PA
401 M. Street, SW
Washington , O.C . 20460
Do not send Storm Water Pollution Prevention Plans (SWPPPs) to the
above address. For overnight/express delivery of NOls, please include the
room number 2104 Northeast Ma!I and phone number' (202) -260-9541 in ·
the address.
When to Fite
This form must be filed at least 48 hours before construction begins.
Colllpletlng the Form
OBTAIN AND READ A COPY OF THE APPROPRIATE EPA STORM WATER
CONSTRUCTION GENERAL PERMIT FOR YOUR AREA. To complete
this form, type or prfnt, using uppercase letters, in the appropriate areas
only. Please place each character between the marks (abbreviate if
necessary to stay within the number of characters aUowed for each Item).
Use one space for breaks between words, but not for punctuation marks
unless they are needed to clarify your response. H you ha...e any questions
on this form, caR the Notice of Intent Processing Center at (703) 931-3230.
Section L Fadllly Ownerl'Operator (Applcant) lnl'ormatlon
Provide the legal name, malling address, and telephone number of the
person, firm, public organization, or any other entity that meet either of the
following two criteria: (1) they have operational control over construction
plans and specifioatlons. including the ability to make modifications to those
plans and apeclficatlons; or (2) they have the day-to-day operational control
of tioee activities al Ile prqect nieoessary to ensure cxmi:mance with SWPPP
requiremenls or other permit conditions. Each person that meets either of
these criteria must file this form. Do not use a colloquial name . Correspon-
dence for the permit will be aent to this address.
Enler the appropriate lefter to lndi<:ale the legal sta1u8 of Ile owner/operator
of the project: F = Federal; S = State; M = Public (other than federal or
state); P == Private.
Secllon H. ProjectlSlte Information
Enter the ofllcial or legal name and complete street address, including city,
county, state, zip code, and phone number of the project or site. if it lacks
a street address, indicate wi1h a general sta1ement the location of the site
(e.g., Intersection of Slate Highways 61 and 34). Complete site infonnatlon
must be provided for pennil coverage to be granted.
The applicant must also provide the latitude and longitude of the fadlty In
degrees, minutes, and seconds to the nearest 15 seconds. The latitude
and longitude of your facility can be located on USGS quadrangle maps.
Quadrangle maps can be obtained by callng 1-800 USA MAPS. Longitude
and latitude may also be obtained at the Census Bureau Internet site:
htlp:llwww.ceneus.gov/ogH>lnlgazetteer.
Latitude and lotlgilude for a facility in decimal form must be converted to
degrees, minutes and seconds for proper entry on the NOi form. To convert
decimal latitude or longitude to degreea, minutes, and seconds, follow the
steps In the followi'lg example.
Convert decimal latitude 45.1234567 tO: degi'ee8, minutes; and seconds .
1} The numbers to the left of the decimal point are degrees.
2) To obtain minutes , multiply the first four numbers to the right of the
decimal point by 0.006. 1234 x .006 = 7.404.
3) The numbers to the left of the decimal Point In the result obtained 'in
step 2 are the minutes: 7'.
4) To obtain seconds, muHiply the remaining three numbers to the right of
the decimal from the result in step 2 by 0.06: 404 x 0.06 = 24.24. Since
the numbers to 1he right of the decimal point am not used, the result Is
24'.
5) The conversion for 45.1234 = 45° 7' 24'.
Indicate whe1her the project Is on Indian Country Lands.
Indicate if the Storm Water Pollution Prevention Plan (SWPPP) has been
developed. Refer1o Part IV of the general permit for information on SWPPPs.
To be eligible for coverage, a SWPPP must have been prepared.
Optional: Provide the address and phone number where the'SWPPP can
be viewed if different from addresses previously given . Check appropriate
box.
Enter the name of the closest water body which receives the project's
construction storm water diScharge.
Enter the estimated construction start and completion dates using four digits
forthe year (I.e. 05/2711998).
Enter the estimated area to be disturbed inCtuding ' but not limited to:
grubbing, excavation, grading, and utilities and infrastructure instaHation.
indcate to the nearest' acre; if less than 1 acre, enter •1.• Note: 1 acre =
43,560 sq. fl.
Indicate your best estimate of the likelihood of storm water discharges from
the project. EPA recognizes that actual discharges may differ from this
estimate due to unforeseen or chance circumstances .
Indicate if there are any listed endangered or threatened species, or
designated critical habitat in the project area.
Indicate which Part of the permit that the applicant Is eligible with regard
to protection of endangered or threatened species, or designated critical habitat . .
Section Ill. Certlftcetlon
Federal Statutes provide for seveie penalties for submitting false information
on this application form . Federal regulations require this application to be
signed as fonows:
For a corporation : by a responsible corporate officer, which means:
(I) president, secretary, treasurer, or vice president of the corporation in
Charge of a principal business function, or any other person who performs
similar policy or decision making functions, or (ii) the manager of one or
more manufacturing, production, or operating facltities employing more than
250 persons or having g ross annual sales or expenditures exceeding $25
million (in semnd-quarter 1980 dollars), if authority to sign documents has
been assigned or delegated to the manager in accordance with corporate
procedures;
For a pamership or sole proprietorship: by a general partner of the proprietor,
or
For a municipality, state, federal, or other public facility: by either a principal
executive or ranking elected official. An unsigned or undated NOi form will
not be granted permit coverage.
Pllperwork Reduction Act Notice
Public reporting burden for this application is estimated to average 3. 7
hours. This estimate includes time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and
completing and reviewing the collection of information. An agency may not
conduct or sponsor, and a peraon is not required to respond to, a colectlon
of information unless it displays a currently valid OMB control number.
Send comments regarding the burden estimate, any other aspect of the
collection of information, or suggestions for improving this form, Including
any suggestions which may increase or reduce this burden to : Director,
OPPE Regulatory Information Division (2137), U.S. Envimnmental Proleetion
Agency, 401 M Street, SW, Washington, D.C. 20460. Include the OMB
control number on any correspondence. Do not send the completed form
to this address .
THIS FORM REPLACES PREVIOUS FORM 351~ (8-'98) ~rm Appr~ed. OMB No. 2040-0188
,.. • • .. l '. See Reverse for Instructions . . .... -;. ·. ,\ .. .,
.&EPA united S1a1es env1ronmenta1 Protection Agency
NPDES Wsshlngton, DC 20460
FORll No11ce of lnt.nt (NOi) for Storm water Dlacttargea AnochllllKI with .. . .
CONSTRUCTION ACTIVITY Under a NPDE$ Gfmeral Pennlt.
Submlsakln of this Notice of Intent ~ notice that the party identified In Section I of thiS fOrm . ii1tends to be authorized by ~ N!3DES permit issued
·for storm waler ciacharges associated with construdlon activity ln the Stlitellnclan COun1ry ,l,.and iclentilled ~ ~ II of 1his fonn . SUlimis8icin of 1hl8 Notice
of Intent also constitutes notice 1hat 1he party lde"1ified In Section I of ttis fonn meets the e&glbilty requirements in Part l:S •. of the general permit (Including
1hoee related to protection of endangered speclea determined through the procedures in Addendum A of tf\e.general permit), understands that continued
au1horlzation to discharge Is contingent C!f1 maintaining permit ellglbllily, and that lmplementaton of the Stonn Waler Pollution Prevention Plan required under
Part IV of 1he general permit wlR begin at 1he tme·the permlltee commences wortt"on 1he con8tructtOn projecfldefltiled In SeciOn II be&Ow. IN ~RDER 10
OBTAIN AUTHORIZATION, ALL INFORMATION REQUESTED MUST BE INCLUDED ON THIS FORM . SEE INSTRU¢TIONS ON BJ\.Ck OF FORM.
L OwnerJOpenlCOr (Applltant) lnfonldon
Name: I'\> I €.1l 1t\1·A 1R I l &1A1R1D1~1~1t1A1~1 I I I I I I I I I I I I I Phone: I q 17 I i.1 Z.1 '!> i~ 13 I~ i'~ 13 I
Addr9aa: I/ 1?1'f10 I 0 1 I \>t 0 1°1 L1£.n'1 1R101f\1~1 I I I I I I I I I I I I I I I·· Status of ~ Owner/Operator:
City: IA 11) I 0 I ~ I S I 0 I t-11 I I I I I I I I I I I I I I I Slate : II.!l:/ ZipCode: l71f1°1°1' 1-1 I I I I
L Ploject/Slte lnfQrmatlon Is the facility located on lndlan
Country.Lands?
Project Name : llll1·1\{111 I A I C I 'R1 ~ I S I 1" 1'£.1Ci.lill rPrrt i:-t-101"11 . ,,cp.: 1f-.1!lq R 1~1 ~ IL.,l Yes 0 No IZJ
Projeicl Addresa4.<ication: I Q I~ I 1t1~1l1t1R1S1E1t1r1~IOl~I 101f I I '!'I" 1" I I ft I "1 I'> I 1t=1~11.101 I
City: IC101L1L1~1'-1 ~1 I~ 11' 11'(f I '1o1 "11 I I I I I I I I State: IT r' I Zip coc1e : I 7171S1'f1 ° r-1 I I I I
Latitude: I; I t> I ~ 1 \ I ~ 1 b I Longitude: IO I~ i~ I \ 1\ IL\ 1 ~I County: l~1~1fqc 1 0161 I I I I I I f · I I I 1 · I I
Has the Storm water Pollution Prevention Plan (SWPPP) been prepared'? Yes 00 No0 ..
Optional: Address of location of IXI Address in Section I above 0 Address in &!ction II above D Other address (H known) below: SWPPP for viewing
SWPPP Phone:
Address: I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
.. .· .
City: I I I I I I I I I I I I I I I I I I I ·1 I I I State: LLJ .. ZipCode: I I I I I 1-1 I I I I
Name of Receiving Waler: 111u 1Rrr10 1-.11 1 l 1 tt.1 f. It. I ~I I I I I I I I I I I I I
101'Sll 1~ 1i1° 111 1° I 1°111 '1'\li.1.0 101°1 Baaed on instruction provided in Addendum A of the pennlt, are
Month Day llMr AIQnth Day .*81 there any listed endaflgered or threatened species, or designated
Estimated Construction Start Date Eslln:i&ted Completion Date critical habita1 in the "prOject area? ·
Estimate of area to be disturb8d (to nearest acre): I I r I I 1'\1 Yes 0 No~
Eslimate of Llcelihood of Dl8charge (moose only one)·: I have satisfied permit eligibility with regard to protection of . endangered species through ~ i(ldk;ated section of Part l.B.3.e.(2)
1. 0 Unlikely 3. IZJ Once per week s. D ~,.,a1 of the permit (check o~ or more boxes):
..
2. 0 Once per month 4 . 0 Once per day '· (a)~ <b> D (c) 0 (d>D
.. Cettlftca1lon
I certify 161der penalty of law that this document and all attachments were prepared under my direction or supervlslOn in accordance with a system
designed to assure that qualified personnel propetty gather and evaluate the information submitted. ~ on my inquiry of the person or persons who
manage ·this system, or those persons directly responsible 10r gathering the i~atlon, the informallofl sublY!itted Is, to the best of. my knowledge and
belief, true, accurate, an_d complete. I am aware that there are significant penalties for submitting false information, lnclUdlng the Posslbility of fine and
lmprleonment for knoWlng violations. .
. Print Name : If 1 '&A 1l'\1 \(.1 l~l~l~~~iL101?10l~l~l~l~I I I I I I I I I I I I I Date: 1 ··1 I I I I I
Signature:
EPA Form 351()-9 replaced 351~ (8-98)