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HomeMy WebLinkAbouthigh fac bids-20150709161208.pdf 1358331598 NOTICE OF INTENT New York State Department of Environmental Conservation Division of Water 625 Broadway, 4th Floor NYRCCCCC❑ Albany, New York 12233-3505 `for DEC use only' Stormwater Discharges Associated with Construction Activity Under State Pollutant Discharge limi ati n System (SPDE ) General Permit t GP-0-10-001. All sections must be completed unless otherwise noted. Failure to complete all items may result in this form being returned to you, thereby delaying your coverage under this General Permit. Applicants must read and understand the conditions of the ;permit and prepare a Stormwater Pollution Prevention Plan 'prior to submitting this NOI. Applicants are responsible for identifying and obtaining other DEC permits that may be required. -IMPORTANT- RETURN THIS FORM TO THE 'ADDRESS ABOVE _g Elm±DR MUST' SIGN FORM Owner/Operator Information , ( Owner/Operator (Company Name/Private Owner Name/Municipality Name) � ITOWN OF ESN F IELD j r � Owner/Operator Contact Person Last Name (NOT CONSULTANT) Owner/Operator Contact Person First Name gnerl.0peEa................tor Mailing Address City KI T H 'A C A iState Zip Y 1 4 815 0 - Phone (Owner/Operator) Fax (Owner/Operator) 16 0 7 - 5 9 2 - 16 � 0171 Email (Owner/Operator) r i b 1 5@ , a r n e l 1 e d u FED TAX ID 1 5 6 0 ' 0 0 9 4 1 (not required for individuals) Page 1 of` 10 1863331599 I% Project Site Information Project/Site Name P�R'O� P O S E D H I G H W A YI G A R A GiE� Street Address (NOT P.O. BOX) { 47 5 iENF IELD MBA IN RD Side of Street O North O South ®East O West 1City/Town/Village (THAT ISSUES BUILDING PERMIT) I T,T H�A C A State Zip County DEC Re ion i N Y ' 1 4 815 0 - � FT M P K I N S 7� I Name of Nearest Cross Street H U B B E L L Distance to Nearest Cross Street (Feet) Project In Relation to Cross Street 6 016 O North * South O East O West' Tax Map Numbers Tax Map Numbers Section-Block-Parcel FIILEEEEE1:1= t ' 1. Provide the Geographic Coordinates for the project site in NY"TM Units. To do this you must go to the NYSDEC Stormwater Interactive Map on the DEC website at: www.dec.ny_gov/imsmaps/stormwater/viewer`.htm Zoom into your Project Location such that you can accurately click on the centroid of your site. Once you have 'located your project site, go to the tool boxes on the top and choose "i" (identify) . Then click on the center of your site and a new window containing the X, Y coordinates in UTM will pop up. Transcribe these coordinates into the boxes below. For problems with the interactive map use the help function. X Coordinates (Eastin ) Y Coordinates (Northin ) 3�66 3 7 [4:1 6 9 7 3 '; 7 5 2. What is the nature of..this construction project? 0 New Construction O Redevelopment with increase in imperviousness , O Redevelopment with no increase in imperviousness Page 2 of 10 7387331596 3. Select the predominant land use for both pre and post development conditions. SELECT ONLY ONE CHOICE FOR EACH Pre-Development Post-Development Existing Land Use Future Land Use O FOREST O SINGLE FAMILY HOME Number of Lots O PASTURE/OPEN LAND O SINGLE FAMILY SUBDIVISION CULTIVATED LAND ;TOWN HOME RESIDENTIAL O SINGLE FAMILY HOME O MULTIFAMILY RESIDENTIAL OSINGLE FAMILY SUBDIVISION O INSTITUTIONAL/SCHOOL O TOWN HOME RESIDENTIAL O INDUSTRIAL - O MULTIFAMILY RESIDENTIAL O COMMERCIAL O INSTITUTIONAL/SCHOOL O MUNICIPAL O INDUSTRIAL O"ROAD/HIGHWAY O COMMERCIAL ® RECREATIONAL/SPORTS FIELD O ROAD/HIGHWAY O BIKE PATH/TRAIL * RECREATIONAL/SPORTS FIELD O LINEAR UTILITY (water, sewer, gas, etc. ) O BIKE PATH/TRAIL O"PARKING LOT O LINEAR UTILITY O CLEARING/GRADING ONLY O PARKING LOT O DEMOLITION, NO REDEVELOPMENT O OTHER O WELL DRILLING ACTIVITY * (Oil, Gas, etc. ) O OTHER I *note: for gas well drilling, non-high volume hydraulic fractured wells only 4. Will future use of this site be an agricultural property as defined by the NYS Agriculture and Markets Law ? O Yes •No 5. Is this a project which does not require coverage under the General Permit (e.g. Project done under an Individual SPDES Permit, or O Yes ©No department approved remediation) ? 6. Is this property owned by a state authority, state agency, federal ®Yes ONO government or local government? 7. In accordance with the larger common plan of development or sale, enter the total project site acreage, the acreage to be disturbed and the future impervious area (acreage)within the disturbed area. Round to the nearest tenth of an acre. Total Site Acreage To Existing Impervious Future Impervious ` Acreage Be Disturbed Area Within Disturbed Area Within Disturbed 5 9 1 2 .75 �J-J.N FB. Do you plan to disturb more than 5 acres of soil at any one time? O Yes O No —::] 9. Indicate the percentage of each Hydrologic Soil Group(HSG) at the site. A B C D 9 5 % o o % LPage 3 of 10 9155331591 10. Is this a phased project? 0 Yes O No Start Date End Date 11. Enter the planned start and 0 5 1 5 2 0 1 '1 — 1 2 0 1 2 0 1 1 end dates of the disturbance` 12. Identify the nearest, natural, surface waterbody( es) to which donstruction site runoff will discharge. Name E N F I E L D C R E E K i I 12a. Type of waterbody identified in Question 12? C Wetland / State Jurisdiction On Site (Answer 12b) O Wetland / State Jurisdiction Off Site Wetland / Federal Jurisdiction On Site (Answer 12b) O Wetland / Federal Jurisdiction Off Site ® Stream / Creek On Site O Stream / Creek Off Site O River On Site O River Off Site 12b. How was the wetland identified? O Lake On Site O Regulatory; Map O Lake Off Site O Delineated by Consultant O Other Type On Site O Delineated by Army Corps of Engineers' O Other Type Off Site O Other `(identify) 13. Has the surface waterbody(ies) in question 12 been identified as a O Yes l9 No 303(d) segment in Appendix of GP-0-10-001? 14. Is this project located in one of the Watersheds identified in Appendix C of GP-0-10-001? O Yes ®No 15. Is the project located in one of the watershed areas associated with AA and AA-S classified ®Yes O No waters? If no, skip question 16`. LPage 4 of 10 J F6222331593 16. Does this construction activity disturb land with no existing impervious cover and where the Soil Slope O Yes *No Phase is identified as an E or F on the USDA Soil Survey? If Yes, what is the acreage to be disturbed? LAW 17. Will the project disturb soils within a State regulated wetland or the protected 100 foot adjacent 0 Yes 0 No area? 18. Does the site runoff enter a separate storm sewer system (including roadside drains, swales, ditches, 0 Yes 0 No O Unknown culverts, etc) ? 19. What is the name of the municipality/entity that owns; the separate storm sewer system?', 1 H 20. Does any runoff from the site enter a sewer classified as a Combined Sewer? O Yes . No O Unknown 21. Has the required Erosion and Sediment Control component of the SWPPP been developed in conformance with the current NYS 0 Yes O No Standards and Specifications for Erosion and Sediment Control (aka Blue Book) 22. Does this construction activity require the development of a SWPPP that includes Water Quality and Quantity Control Yes ONO components (Post-Construction Stormwater Management Practices) (If No, skip questions 23 and 27-35) 23. Have the Water Quality and Quantity Control components of the SWPPP been developed in comformance with the current NYS ® Yes O No Stormwater Management Design Manual Page 5 of 10 4262331595 24. The Stormwater Pollution Prevention Plan (SWPPP) was prepared by; • Professional Engineer (P.E.) O Soil and Water Conservation District (SWCD) O Registered Landscape Architect (R.L.A) O Certified Professional in Erosion and Sediment Control (CPESC) O Owner/Operator O Other SWPPP Preparer R, ESOURCE ASSOCIATES Contact Name (Last, Space, First) � F E I' S Z L T C H A R L EIS Mailing Address City C 1 O 1 R T L A N D State Zip N Y 1 3 0 415 - Phone Fax 7 - 7 5 3 1 5 4 7 Email mail 1@ody s se y n e tLEEEIIILEELE- SWPPP Preparer Certification I hereby certify that the Stormwater Pollution Prevention Plan (SWPPP) for this project has been prepared in accordance with the terms and conditions of the GP-0-10-001. Furthermore, I understand that certifying false, incorrect or inaccurate information is a violation of this permit and the 'laws of the State of New York and could subject me to criminal, civil and/or administrative proceedings. First Name MI C H A R LIE S TM Last Name 'F E I, S Z L I ' Signature Ff Date 0 4 2 9 / 2 0 1 1 Page 6 of 10 F5911331597 25. Has a construction sequence schedule for the planned management practices been prepared? ® Yes O No 26. Select all of the erosion and sediment control practices that will be employed on the project site: Temporary Structural Vegetative Measures ® Check Dams O Brush Matting Construction Road Stabilization O Dune Stabilization O Dust Control O Grassed Waterway O Earth Dike 0 Mulching O Level Spreader O Protecting Vegetation O Perimeter Dike/Swale O Recreation Area Improvement O Pipe Slope Drain 9 Seeding O Portable Sediment Tank O Sodding O Rock Dam O Straw/Hay Bale Dike 0 Sediment Basin O Streambank Protection O Sediment Traps O Temporary Swale d Silt Fence O Topsoiling Stabilized Construction Entrance O Vegetating Waterways O Storm Drain Inlet Protection Permanent Structural O Straw/Hay Bale Dike O Temporary Access Waterway Crossing O Debris Basin O Temporary Stormdrain Diversion 0 Diversion O Temporary Swale O Grade Stabilization Structure O Turbidity Curtain O Land Grading O Water bars O Lined Waterway (Rock) O Paved Channel (Concrete) Biotechnical O Paved Flume O Brush Matting O Retaining Wall O Wattling O Riprap Slope Protection ®'Rock Outlet Protection O Streambank-Protection Other 117-1 T � i LPage 7 of 10 F0199331590 Water Quality and Quantity Control Important: Completion of Questions 27-35 is not required if response to Question 22 is No Post-Construction Stormwater Management Practices 27. Indicate all Stormwater Management Practice(s). that will be installed/constructed on this site: i Ponds Wetlands O Micropool Extended Detention (P-1) O Shallow Wetland (W-1) O Wet Pond (P-2) O Extended Detention Wetland` (W-2) O Wet Extended Detention (P-3) O Pond/Wetland System (W-3) O Multiple Pond System (P-4) O-Pocket Wetland (W-4) O Pocket Pond (P-5) Infiltration Filtering O Infiltration Trench (I-1) O Surface Sand Filter (F-1) � ® .Infiltration Basin (I-2) O Underground Sand Filter (F-2) O Dry Well (I-3) O Perimeter Sand Filter (F-3) O Underground Infiltration System O Organic Filter (F-4) Open Channels O Bioretention (F-5) ©Dry Swale (0-1) O Other O Wet Swale (0-2) Alternative Practice Verified Proprietary; Practice O Rain Garden O Hydrodynamic O Cistern O Wet Vault O Green Roof O Media Filter O Stormwater Planters O Permeable Paving (Modular Block) 28. Describe other stormwater management practices not listed above or explain any deviations from the technical standards. i i 29. Has a long term Operation and Maintenance Plan for the post-construction stormwater management practice(s) been 0 Yes O No developed? If Yes, Identify the entity responsible for the long term Operation and Maintenance TI0 6VI'N O F E N F I 'E L D FTI1= Page 8 of 10 J F2994331595 30. Provide the total water quality volume required and the total provided for the site. WQv Required WQv Provided 3 7 8 acre-feet FTJ�o . 8 1 4 acre-feet 31. LProvide the following Unified Stormwater Sizing Criteria for the site. hannel Protection Storage Volume (CPv) - Extended detention of post-developed l year, 24 hour storm event CPv Required CPv Provided 0 6 ', acre-feet �. 4 3 acre-feet 31a. The need to provide for channel protection has been waived because: O Site discharges directly to fourth order stream or larger Total Overbank Flood Control Criteria (Qp) - Peak discharge rate for the 10 year storm Pre-Development Post-development 8 1 CFS L 1 5 5 CFS j Total Extreme Flood Control Criteria (Qf) - Peak discharge rate for the 100 year storm Pre-Development Post-development CFS CFS 31b. The need to provide for flood control has been 'waived because: O Site discharges directly to fourth order stream or larger O Downstream analysis reveals that flood control is not required IMPORTANT: For questions 31 and.32, impervious area should be calculated considering the project site and all offsite areas that drain to the post-construction stormwater management practice(s) . (Total Drainage Area = Project Site + Offsite areas) 32. Pre-Construction Impervious Area - As a percent of the Total Drainage Area enter the percentage of the existing impervious FTJ� O areas before construction begins. 33. Post-Construction Impervious Area -'As a percent of the Total Drainage Area, enter the percentage of the future impervious areas Op that will be created/remain on the site after completion of 2 8 O construction. 34. Indicate the total number of post-construction stormwater management practices to be installed/constructed. 35. Provide the total number of stormwater discharge points from the site. (include discharges to either surface waters or to m1 separate storm sewer systems) LPage 9 of 10 J F3484331590 36. Identify other DEC permits that are required for this project. DEC Permits O Air Pollution Control O Navigable Waters Protection / Article 15 O Coastal Erosion O Water Quality Certificate O Hazardous Waste O Dam Safety O Long Island Wells O Water Supply O Mined Land Reclamation O Freshwater Wetlands/Article 24 O Other SPDES O Tidal Wetlands O Solid Waste O Wild,; Scenic and Recreational Rivers, 4 None O Stream Bed or Bank Protection / -Article 15 O Other 37. Does this project require a US Army Corps of Engineers O yes (9 No Wetland Permit? .� If Yes, Indicate Size of Impact. 38. Is this project subject to the requirements of a regulated, traditional land use control MS4? O Yes 9 No (If No, skip question 39) 39. Has the "MS4 SWPPP Acceptance" form been signed by the principal executive officer or ranking elected official and submitted along O Yes O No with this NOI? 40. If this NOI is being submitted for the purpose of continuing coverage under a general permit for stormwater runoff from construction activities, please indicate the former SPDES number assigned. N Y R Owner/Operator Certification I have read or been advised of the permit conditions and believe that I understand them. l also: understand that, under the terms of the permit, there may be reporting requirements. Thereby certify that this document and the corresponding documents were prepared under my direction or supervision. I am aware that there are significant penalties for submitting false information, including the possibility,of fine and imprisonment for knowing violations. I further understand that coverage under the general permit will be identified in the acknowledgment that I will receive as a result of submitting this NOI and can be as long as sixty (60) business_days as provided for in the general permit-. I also understand that, by submitting this NOI, I _am acknowledging that the SWPPP has been developed and will be implemented as the first element of construction, and agreeing to comply with all the terms and conditions of the general permit for which this NOI is being submitted Print First Name MI ' R O Y Print Last Name B A R R I E R S Owner/Operator Signature j Date LPage 10 of 10 J