3-NOI 448-2025-023195.pdf

Effective: August 1, 2022 Notice of Intent (NOI) for Discharge of Stormwater Runoff from Construction Activites Page 1 of 4

NOTICE OF INTENT (NOI)

For Authorization to Discharge Stormwater Runoff from Construction Activities In accordance with the Kansas Water Pollution Control General Permit Under the National Pollutant Discharge Elimination System (NPDES)

Submission of this Notice of Intent constitutes notice that the party identified in Section I of this form requests authorization for coverage under the Kansas Water Pollution Control general permit, or KDHE issued successor permits, issued for stormwater runoff from construction activities in the State of Kansas. Becoming a permittee obligates the discharger to comply with the terms and conditions of the general permit. A complete request for Authorization for coverage under the general permit must be submitted or the request will not be processed. KDHE will notify owners or operators whose Notice of Intent (NOI) and supporting documentation for Authorization of stormwater runoff associated with construction activities are incomplete, deficient, or denied.

I. OWNER OR OPERATOR ADDRESS, BILLING, CONTACT & RECORDS LOCATION INFORMATION

Owner/Operator Vincent Santucci Mailing Address: 1700 N WATERFRONT PKWY Company Name: Santucci Orthodontics City, State Zip: WICHITA, KS 67206-6614 Phone: (316) 636-1980 Email: drvince@santucciortho.com

Contact Name: Vincent Santucci Mailing Address: 1700 N WATERFRONT PKWY Company Name: Santucci Orthodontics City, State Zip: WICHITA, KS 67206-6614 Phone: (316) 636-1980 E-mail: drvince@santucciortho.com

PERMIT FEE BILLING INFORMATION

Billing Contact: Vincent Santucci Billing Address: 1700 N WATERFRONT PKWY

WICHITA, KS 672066614

Phone: (316) 636-1980 E-mail: drvince@santucciortho.com

Address where records will be kept (if not on-site):

Records Address: 1700 N WATERFRONT PKWY WICHITA, KS 67206-6614

II. SITE INFORMATION

Project Name: Santucci Ortho Office Street Address: TBD

Wichita, KS 67206 County: Sedgwick

Legal Site Description:

Qtr: Qtr: SW Qtr: SW Section: 04 Township: 27S Range: 02E

Decimal Degrees Latitude: 37.724381 Decimal Degrees Longitude: -97.223667

AUTHORIZED:Submission Received: 11/4/2025 Submission Number:

HQG-VW23-AD5CG YES X NO

Reviewer: Is Authorization Conditional

YES NO X

(if yes, see Section V for conditions)

Larry Hook Are there any Considerations

YES NO X

(if yes, see Section V for considerationsAuthorized By:

Secretary, Kansas Department of Health and Environment KS Permit No.: S-AR94-2017

Issued: December 02,2025 Federal Permit No.: KSR123713

KEIMS Watermark KSR123713 v1.0

Approved Issued On:12/02/2025

Expires On:07/31/2027

Project Name: Santucci Ortho Office Notice of Intent (NOI)

Effective: August 1, 2022 Notice of Intent (NOI) for Discharge of Stormwater Runoff from Construction Activites Page 2 of 4

B. Existing Conditions/Uses

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

No

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

Wichita

3) Name of the first receiving water, stream, or lake Private storm water detention basin, River Basin

AR - LOWER ARKANSAS

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

No

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

No

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

No

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?

No

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

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

No

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

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?

No

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?

No

C. Project Description

1) Project Description:

Earth disturbance, earthwork, grading, utilities, pavements and building.

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

2) Anticipated project Start Date: December 15, 2025 and Completion Date: January 1, 2027

3) Estimated total area to be disturbed: 1.24 Acres

4) Total area of the site: 1.24 Acres

5) Do you plan to disturb ten or more acres that are within a common drainage area? No

KEIMS Watermark KSR123713 v1.0

Approved

Project Name: Santucci Ortho Office Notice of Intent (NOI)

Effective: August 1, 2022 Notice of Intent (NOI) for Discharge of Stormwater Runoff from Construction Activites Page 3 of 4

D. 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.

E. 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.

Land clearing, mass grading, utility installation, building foundations/slab, pavements, fine grading, building construction, irrigation, landscape.

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.

3) Provide a description of the best management practices to be utilized to control erosion and the discharge of sediment and other pollutants in stormwater runoff throughout construction and the design calculations for each sediment basin including total drainage area and storage capacity below the elevation of the mass volume flow outlet device.

NA

4) Provide the name and License or Certification Number of the engineer, geologist, architect, landscape architect, or Certified Professional in Erosion and Sediment Control (CPESC) under which the construction stormwater pollution prevention plan has been developed.

Trevor Wooten 21190 Engineer Name License or Certification Number Profession or Field

III. ANNUAL FEES

The first year of the annual permit fee specified in K.A.R 28-16-56 et seq. as amended is currently $60.00 and can be paid through the KEIMS system at time of submittal. The fee must be paid before this NOI will be processed. An invoice for the annual permit fee will be sent to the contact person requesting a permit until such time as the permittee submits a Notice of Termination (NOT).

Failure to pay the annual fee timely may result in termination of the construction stormwater discharge Authorization.

IV. OWNER OR OPERATOR CERTIFICATIONS

I, the undersigned, certify that a Stormwater Pollution Prevention Plan (SWP2 Plan) will be or has been developed for the construction site described in this NOI and supporting documentation. I further certify that the plan will be implemented at the time construction begins, and, as required by the NPDES general permit for Stormwater Runoff from Construction Activity, will revise the SWP2 plan if necessary.

I understand that continued coverage under the NPDES general permit for Stormwater Runoff from Construction Activities is contingent upon maintaining eligibility as provided for in the requirements and conditions of the general permit, and paying the annual fee.

KEIMS Watermark KSR123713 v1.0

Approved

Project Name: Santucci Ortho Office Notice of Intent (NOI)

Effective: August 1, 2022 Notice of Intent (NOI) for Discharge of Stormwater Runoff from Construction Activites Page 4 of 4

I 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 persons directly responsible for gathering the information, the information submitted is, to the best of 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.

Vincent Santucci 11/4/2025 2:51:02 PM Signature (owner or operator) Date

Official Title

V. CONDITIONS AND/OR CONSIDERATIONS OF APPROVAL

Conditions of Authorization - For Official Use Only:

When indicated, Conditions of Authorization are as follows:

NONE

Notes on Consideration – For Official Use Only:

NONE

KEIMS Watermark KSR123713 v1.0

Approved