1-NOI 448-2021-016517.pdf

Project Name: ________________________________________________________________ Notice of Intent (NOI)

Effective August 1, 2017 Notice of Intent (NOI) for Discharge of Stormwater Runoff from Construction Activities Page 2 of 3

C. EXISTING CONDITIONS/USES

1) Is any part of the project located on Indian Country land?

If yes: Contact EPA regarding discharging stormwater runoff from industrial activities on Indian Country land.

□ Y; □ N

2) If stormwater runoff drains to or through a Municipal Separate Storm Sewer System (MS4): MS4 Name: _____________________________

3) Name of the first receiving water, stream, or lake: _________________________________, River Basin: _____________________________

4) Are contaminated soils present on the site or is there groundwater contamination located within the site boundary?

If yes: On separate paper describe in detail the locations and concentrations of the contaminants.

□ Y; □ N

5) Are there any contaminated soils that will be disturbed or any contaminated groundwater that will be pumped by the proposed construction activity?

If yes: On separate paper describe the special procedures and erosion and sediment control measures to be implemented to eliminate or minimize the potential to discharge the soil and/or groundwater contaminants.

□ Y; □ N

6) Are there any surface water intakes for public drinking water supplies located within ½ mile of the site discharge points? □ Y; □ N

7) Are there any known historical or archeological sites present within the site boundary or any historic structures located within

1000 feet of the project site?

Note: Include documentation of project-specific coordination with the Kansas Historical Society in making this determination.

□ Y; □ N

8) Is any threatened or endangered species habitat located within the site boundary or in the receiving water body?

Note: Include documentation of project-specific coordination with the Kansas Department of Wildlife, Parks & Tourism in making this determination.

□ Y; □ N

9) Will the project impact the line or grade of a stream or does it include dredge or fill of a potential jurisdictional water body or wetlands?

If yes: Include documentation of project-specific coordination with the US Army Corps of Engineers and/or the Kansas

Department of Agriculture, Division of Water Resources in making this determination.

□ Y; □ N

10) Are any Critical Water Quality Management Areas, Special Aquatic Life Use Waters, or Outstanding National Resource Waters located within ½ mile of the facility boundary?

If yes: List the names of all such areas and waters: _______________________________________________________________

□ Y; □ N

D. PROJECT DESCRIPTION

1) Project Description: __________________________________________________________________________________________________

2) Does this NOI include all proposed soil disturbing activities associated with the entire common plan of development?

If no: Explain what development areas of the site are not included in this NOI and provide contact information, if available, for the party or parties that own or have operational control of these areas:

□ Y; □ N

3) Anticipated project Start Date: _____________________, and Completion Date: _____________________

4) Estimated total area to be disturbed: __________ Acres Total area of the site: __________ Acres

5) Do you plan to disturb ten or more acres that are within a common drainage area? □ Y; □ N If yes: Will a sedimentation basin be installed in that drainage area? (Attach design calculations for each sedimentation basin.)

If a sediment basin is not feasible, on a separate sheet describe similarly effective erosion and sediment control measures to be implemented in lieu of a sedimentation basin.

□ Y; □ N

E. Maps

Include an area map showing the outline of the construction site and the topographic features of the area at least one mile beyond the project site.

F. EROSION CONTROL PLAN AND BEST MANAGEMENT PRACTICES

1) Provide a summary of the sequence of major soil disturbing activities including installation of the corresponding stormwater management and pollution control features.

2) Provide one or more site plans covering the anticipated soil disturbing activities showing the limits of disturbance, the existing and proposed elevation contours, the types and locations of erosion/sediment control measures and stormwater management/pollution control features during each phase of construction and the locations where stormwater runoff leaves the construction site.