HomeMy WebLinkAboutCAG2024-061 - Application - Department of Ecology - Notice of Intent to Apply for the Phase II Municipal Stormwater Permit - 02/09/2024 FOR CITY OF KENT OFFICIAL USE ONLY
Sup/Mgr:
Agreement Routing Form DirAsst:
• For Approvals,Signatures and Records Management Dir/Dep:
KENT This form combines&replaces the Request for Mayor's Signature and Contract Cover (optional)
WASHINGTON Sheet forms. (Print on pink or cherry colored paper)
Originator: Department:
Karin Bayes for Laura Haren Public Works
Date Sent: Date Required:
c 02/06/2023 As soon as possible
Q Mayor or Designee to Sign. Date of Council Approval:
Q Interlocal Agreement Uploaded to Website N/A
Budget Account Number: Grant? Yes No�✓
Budget?Dyes�✓ No Type: N/A
Vendor Name: Category:
Department of Ecology Contract
Vendor Number: Sub-Category:
Original
0
Project Name: Notice of Intent to Apply for the Phase II Municipal Stormwater Permit
3- Project Details: This is an application to receive coverage under the new Western Washington
0 pP g 9
C Phase II Municipal Stormwater Permit (Permit) administered by the
40 Washington State Department of Ecology, effective August Ist, 2024.
C
(11.111 Agreement Amount 102/09/2024
N/A
Basis for Selection of Contractor:
*Memo to Mayor must be attached
Start Date: Termination Date:
a Local Business? Yes ✓�No*If meets requirements per KCC 3.70.100,please complete"Vendor Purchase-Local Exceptions"form on Cityspace.
Business License Verification: ❑Yes In-Process F1 Exempt(KCC 5.01.045) Authorized Signer Verified
Notice required prior to disclosure? Contract Number:
Yes ✓❑No CAG2024-061
Comments:
This permit program is required under the National Pollutant Discharge
Elimination System (NPDES); a requirement of the Federal Clean Water Act.
Mc Permit coverage is required for Kent to discharge stormwater from the City's
IM *, stormwater system into Waters of the State. The permit requires the City of
3 0 Kent to implement Stormwater Management Programs to manage and
0 control stormwater runoff so that is does not pollute downstream waters.
OA&IZ5� A
Date Received:City Attorney: 2/6/24 Date Routed:Mayor's Office 2/8/24 6ity Clerk's Office 2/9/24
adccW22373_7_20 Visit Documents.KentWA.gov to obtain copies of all agreements
rev.20221201
`ram Notice of Intent
DEPARTMENT OF
MS4 Phase II West GP
ECOLOGY s[ NOI Version:St—of Washington
Application Type: ❑ New 0 Renewal Permit Number: WAR045520 Application Id: 45223
I. Contact Information
Delegated Signer
Honorific: First Name: Chad Last Name: Bieren
Organization Name: City of Kent Title: Public Works Director
Mailing Address: 220 4th Ave S
City: Kent State: WA Zip Code: 98032-5838
Email: cbieren@KentWA.gov
Primary Phone: 253-856-5534 Secondary Phone: 253-740-9139
UBI Number:
Delegated Signer
Honorific: First Name: Pat Last Name: Fitzpatrick
Organization Name: City of Kent Title: Chief Administrative Officer
Mailing Address: 220 4th Ave S
City: Kent State: WA Zip Code: 98032-5838
Email: pfitzpatrick@kentwa.gov
Primary Phone: 253-856-5700 Secondary Phone:
UBI Number:
Legal Responsible Party
Honorific: First Name: Dana Last Name: Ralph
Organization Name: City of Kent Title: Mayor
Mailing Address: 220 4th Ave S
City: Kent State: WA Zip Code: 98032-5838
Email: Mayor@KentWA.gov
Primary Phone: 253-856-5720 Secondary Phone:
UBI Number:
Permittee
Honorific: First Name: Last Name:
Organization Name: City of Kent Title:
Mailing Address: 220 4th Ave S
City: Kent State: WA Zip Code: 98032-5838
Email:
Primary Phone: 253-261-5663 Secondary Phone: 253-261-5663
UBI Number: 173000002
Submission ID: 1912967 Page 1 of 3
Site Contact
Honorific: Ms. First Name: Laura Last Name: Haren
Organization Name: City of Kent Title: Environmental Conservation
Analyst
Mailing Address: 220 4th Ave S
City: Kent State: WA Zip Code: 98032-5838
Email: Iharen@kentwa.gov
Primary Phone: 253-856-5537 Secondary Phone: 253-856-5537
UBI Number:
Are you co-applying with another entity/entities to meet the requirements of the MS4 permit?
❑ Yes® No
Co-Permittees:
None
You must add contact information above for the Co-Permittee.
Permittees that co-apply are responsible for meeting permit conditions related to their discharge(s). You must
include as an attachment to this NOI a summary of the permit obligations that will be carried out jointly
among co-applicants. The summary must identify the other co-applicant(s) and must be signed by the
other co-applicant(s).
Are you relying on another entity to satisfy one or more of the requirements of the permit?
❑ Yes® No
Permittees that rely on another entity to satisfy one or more of their permit obligations remain responsible for permit
compliance if the other entity fails to implement the permit conditions. Permittees may rely on another entity provided:
1. The other entity agrees to take on responsibility for implementation of the permit requirements, and
2. The other entity implements the permit requirements.
You must include as an attachment a summary of the permit obligations that will be carried out by another
entity. The summary must identify the other entity or entities and must be signed by the other entity or entities.
II. Facility/Jurisdiction Information
Facility Name: KENT CITY OF
Street Address: 220 4TH AVE S
City: Kent County: King Zip Code: 98032
Latitude: 47.380550 Longitude: -122.237580
Ownership Type: [select one]
OCity or Town
❑County
OR
Special Purpose District(secondary permittee, if applicable): [select one]
❑Diking/drainage district
❑Flood control district
❑Public school district
El State agency
Submission ID: 1912967 Page 2 of 3
❑Port
❑University
❑Park District
❑Other:
III. Site Information
Geographic area where the applicant's MS4s are located (see instructions)
❑Phase I Municipal Stormwater Permit
❑Phase II Municipal Stormwater Permit for Eastern Washington
VPhase II Municipal Stormwater Permit for Western Washington
Population Served by the MS4
Estimated population (resident and commuter)served by the MS4 within the geographic area(s)covered by the permit:
129,597
Tribal Lands
Is part of the MS4 located on tribal lands (within a reservation or on land held in trust for a tribe)?
*For Puyallup reservation only: check"yes" if MS4 is located on trust lands. Check"no" if any part of the MS4 is located
on fee lands.
❑ Yes® No
Maps (special purpose districts only)
You will need to attach a map or maps delineating the geographic area served by the MS4.
IV. Public Notice
Public Notice applies to facilities that began operations on or after August 1st, 2024.
You must publish a public notice at least once a week for two consecutive weeks with seven days between publications,
in at least a single newspaper of general circulation in the county in which the facility is located. Ecology cannot grant
permit coverage sooner than the end of the 30-day public comment period, which begins on the date of the second
public notice.
Newspaper Name First Public Notice Date Second Public Notice Date
V. Certification of Permittees
"1 certify under penalty 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 the system or
those directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for
submitting false information, including the possibility of fine and imprisonment for knowing violations."
02/09/2024
Permittee Signature Date
Submission ID: 1912967 Page 3 of 3