Phase II Storm Water Permit Notice of Intent (NOI)

Phase II Municipal Separate Storm Sewer Systems (MS4s)

The purpose of this set of questions is for a Tennessee city, county, utility district or military base to apply for NPDES permit to discharge storm water runoff from a Phase II municipal separate storm sewer system.

You must provide the following information to the Division of Water Pollution Control as application material. You may print this form blank and complete it on paper, or you can complete the form electronically. The document is a Microsoft Word 2000 document. Submit two paper copies, one of which must bear an original signature on page three. Or, submit a copy electronically to phase.two@state.tn.us, according the procedure given in the permit part 2.3.

I. Administrative Information

Name of city, county, storm water utility district or other public institution that operates a Phase II MS4
Bradley County Government
Responsible elected official or officer			Title
D. Gary Davis			County Executive
Street address City, State Zip	155 Broad Street NW Cleveland, TN 37311
Program Contact Person/e-mail address/phone no.		Technical Contact Person/e-mail address/phone no.
Sandra Knight sknight@bradleyco.net 423-476-0504		Sandra Knight sknight@bradleyco.net 423-476-0504
Provide an organizational chart that shows the different departments involved in storm water management.		þ Organizational Chart attached. Attachment A

II. Description of Storm Sewer System

A. Area served

If city, town, or utility district, give:

Area of jurisdiction in square miles within current corporate boundaries	N/A
Additional area of urban growth boundary	N/A

If county, give:

Area of county in square miles	331.5
Area unincorporated	305.4
Unincorporated, urbanized	25.6
If you wish the permit to regulate non-UA portions of your county, indicate by checking appropriate box:	o Entire county; or o Non-UA portions, as follows (describe):

B. Storm Drainage Infrastructure

Give figures for the following features of storm water drainage infrastructure owned or operated by the local government. If you represent a county government, indicate whether the figures represent the entire county or only the urbanized area. Figures for length and number of culverts and catch basins may be rough estimates. For counties: o Entire county þ UA only
	Open ditches (miles, or feet)………………..…	41 miles
	Storm sewers (miles, or feet)………………….	17 miles
	Culverts (estimate number)…………………....	850
	Catch basins (estimate number)……………….	675
	Detention basins (estimate number operated by local government)…………………………….	Zero
	Retention basins (estimate number operated by local government)…………………………….	Zero

C. Map

Include a map that shows areas zoned for commercial or industrial activity. Alternatively, present a map that shows actual commercial use and industrial use.	þ Map attached. Attachment B
Identify municipal/county wastewater treatment plants, landfills, vehicle fleet maintenance centers, power plants, airports and any other municipally owned or operated industrial activities. Identify State or Federal vocational/technical/college/university campuses and military installations.	þ Map attached. Attachment B
Include a map, depicting city or county-roads, topography or drainage patterns, and “blue line,” and intermittent blue-line streams.	þ Map attached. Attachment C & D

These maps can be a single map, as long as the various information is clear to read.

D. Identifying impaired streams and other waterbodies

Identify any streams (that flow through your jurisdiction or within two miles downstream jurisdiction boundaries) that are impaired according to the later of either the State’s 305(b) report or the State’s 303(d) report. For any impairment, indicate the nature of pollution (cause) and the source.

Stream Name	Cause of impairment	Source of impairment
South Mouse Creek TN06020002 009-2000	Unknown Toxicity Siltation Other habitat alterations	Urban Runoff/Storm Sewers Illicit Connections/Illegal Hookups/Dry Weather Flow Channelization
Chatata Creek TN06020002 012-1000	Siltation Other Habitat Alterations Pathogens	Pasture Grazing
Mills Creek TN03150101 012-0200	Nitrate Pathogens	Pasture Grazing
Unnamed Trib to Candies Crk TN06020002 005-0200	Siltation Other Habitat Alterations	Pasture Grazing
Hiwassee River TN06020002 008-1000	Pathogens	Agriculture

*Attachment E

E. Has the state or EPA promulgated a TMDL for any streams directly affected by runoff from your MS4? q Yes þq No

If so, list stream segment(s) and parameter(s) of concern:

Stream segment:

Parameters of concern:

III. Existing Legal Authority to Control Storm Water Discharges to MS4

You must review ordinances that apply to control of pollution that might enter the MS4. Extract those portions of your ordinances that do apply to control of the storm sewer system and attach a copy of those portions to this application.

þ Copy of ordinances is attached. Attachment F

Ordinances that deal with storm water issues might be found, for example, in conjunction with litter control, prohibition of dumping, clean up of spills, grading/building permits, sewer connection ordinances, erosion and sediment practices, subdivision regulations or other land use/development ordinances.

IV. Signature of Responsible Corporate Officer

This Notice of Intent (NOI) must be signed as follows:

c) For a municipality, State, Federal, or other public agency, by either a principal executive officer or ranking elected official. For purposes of this section, a principal executive officer of a Federal agency includes:

(i) The chief executive officer of the agency, or

(ii) a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency (e.g., Regional Administrators of EPA).

This notice of intent provides that more than one municipality (county, city, utility district, etc.) can apply jointly

for coverage under this general permit. In this case, the signatory criteria above must be met by each municipality

seeking coverage under this permit.

“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 for knowing violations.”

_______________________________ _____________________________ ______________ Signature Title/Municipality Date

Signature Title/Municipality Date

V. Your Proposed Storm Water Quality Management Program

This Notice of Intent requires you to provide a brief description of your existing and planned for a storm water management program. The following six sections correspond to the six minimum control measures for a Phase II storm water management program.

If another MS4 will be responsible for implementing any or all portions of any or all following six minimum measures, then attach either the interlocutory agreement or the proposed agreement and schedule for adoption. You must still complete this NOI by answering the relevant questions for the six following measures.

Notes:

i. Boxes for your responses have been colored green (on our screen) and your answers therein will be green.

ii. You may extend the tables in order to list more than four proposed BMPs, by going to the last row of the table and striking the “TAB” key until new rows are added.

1) Public Education and Outreach

a. The following is a set of questions on your current public education and outreach program.

These questions are intended to highlight minimum program requirements under the MS4 permit. Each element not currently performed must be implemented by the end of the first permit period. Thus, each question with a “No” answer must be addressed with a solution in the MS4’s proposed program.

Questions related to public education and outreach	þ
Does the municipality currently distribute educational materials on the topics of storm water quality, stream water quality, pollution impacts, pollution prevention, etc.? If yes, briefly describe the materials, including media used (e.g., written brochures, public service announcements, etc.); the topic(s) covered, intended target audience(s), and the distribution method.	q Yes þ No
Comment:
Does the municipality currently conduct or participate in public outreach activities focusing on the topics of storm water quality, stream water quality, pollution impacts, pollution prevention, etc.? If yes, briefly describe the outreach activities, topic(s) covered, intended target audience(s), and the frequency of activities.	q Yes þ No
Comment:

b. List the best management practices (BMPs) that you will implement in the area of public education and outreach. These should be based on a set of priorities you have identified in the area of public education and outreach. In the