OHIO TURNPIKE OUTFALL PERMIT APPLICATION - GENERAL CONDITIONS The following General Conditions are to be reviewed, appropriate information collected and the Permit Application form filled out by the applicant and/or property owner. Prior to submitting the Outfall Permit Application package, the applicant and/or property owner must provide appropriate signatures acknowledging that they have read these General Conditions and are aware of the requirements stated herein. The Ohio Turnpike and Infrastructure Commission (Commission) requests that the completed Outfall Permit Application package be submitted to the attention of the Chief Engineer (address: 682 Prospect Street, Berea, Ohio 44017). 1. The Outfall Permit Application package must include correspondence with the following general information: a) Scope of proposed work and a detailed description of the project. b) Proposed schedule and tentative dates for performing each phase of work. 2. The Outfall Permit Application package must include engineering drawings, specifications, permits and design calculations and shall contain sufficient information to sufficiently describe the proposed outfall, with the following information as described below; a) Engineering Drawings The drawings shall show the location of the proposed outfall with respect to the Turnpike centerline stationing and plan and profile of the pipe, with respect to Turnpike lines and grades; b) Specifications The following items are to be provided: i. Pipe material, specifications and grade ii. Diameter iii. Type of joint iv. Equipment v. Structures (i.e. concrete headwall, manhole, catch basin, etc.) vi. Other construction materials pertinent to the outfall 6-071-07 c) Other Permits Provide copies of permits from all applicable regulatory agencies, such as the Ohio Environmental Protection Agency (OEPA) and the appropriate county health department. d) Design Calculations: Provide hydraulic calculations of existing and proposed flows discharged, prepared and certified by a State of Ohio Professional Engineer.
3. Instructions for Completing the Outfall Permit Application form: a) Name of property owner (include a contact name and phone number) and applicant if different than the property owner. b) Purpose/Contents of the proposed outfall (i.e. storm water discharge, field tile drainage, etc.). c) Address of the property where the proposed outfall is to be located, if different than the property owner, name of county and Ohio Turnpike milepost if available. d) The estimated current contributed flow, if applicable (Gallons per Day, GPD) e) The design proposed maximum flow in Gallons per Day (GPD) or Gallons per Minute (GPM). f) Approximate installation dates. g) Signature of the property owner or a designated representative accepting responsibility for insuring the compliance with all governing regulatory agencies, the installation of the outfall per the approved plan in addition to the requirements stated herein. 4. General Considerations: a) Outfall designs shall be in accordance with the current version of ODOT s Location and Design Manual, Volume II, Drainage Design manual. b) Positive drainage shall be maintained. c) Outfalls shall comply with the applicable regulatory agency design standards, guidelines and/or restrictions. d) The permit holder shall provide notification to the Commission of any identified illicit discharge to the drainage systems which discharge to the Commission Right-of-Way. e) The Commission may at any time require that a backflow preventer be installed within the limits of the permitted property. 5. OEPA discharge content restrictions include, but are not limited too, the following: a) This permit does not authorize: i. Discharges that are mixed with sources of non-storm water unless such non-storm water discharges are:
In compliance with a separate National Pollutant Discharge Elimination System (NPDES) permit, or Determined by Ohio EPA not to be a substantial contributor of pollutants to surface waters of the State. ii. Storm water discharges associated with industrial activity as defined in 40 CFR 122.26 (b)(14)(i)-(ix) and (xi) that are not in compliance with a separate in force NPDES permit. iii. Storm water discharges associated with construction activity as defined in 40 CFR 122.26(b)(14)(x) or 40 CFR 122.26(b)(15) that are not in compliance with a separate in force NPDES permit. iv. Storm water discharges currently covered under another permit. v. Discharges that would cause or contribute to in-stream exceedances of water quality standards. OEPA may require additional actions or an application for an individual permit or alternative general permit if an MS4 is determined to cause an in-stream exceedance of water quality standards. vi. Discharges of any pollutant into any water for which a Total Maximum Daily Load (TMDL) has been approved by U.S. EPA (this information can be obtained from OEPA) unless your discharge is consistent with that TMDL. vii. Discharges that do not comply with Ohio EPA's anti-degradation policy for water quality standards. 6. Permit Compliance and Revocation a) Compliance with all other applicable regulatory agencies such as the OEPA and the local county health department must be maintained to avoid the revocation of an Commission issued outfall permit. The Commission approved outfall permit will become void if: i. Any approved permit(s) from another agency is revoked, expires or in any way becomes void; ii. It is discovered that the outfall is releasing discharges that are not compliant with the OEPA National Pollutant Discharge Elimination System (NPDES) General Permit for discharging to surface waters of the state or an individual OEPA NPDES permit; iii. The purpose of the outfall has been altered to anything other than what was originally authorized without prior approval from the Commission; iv. Any other non-compliance issues develop as a result of the discharge,
construction or physical nature of the constructed outfall. b) Discovery of any non-compliance resulting from discharges released by the outfall shall result in notification to the owner. i. The Commission reserves the right to notify regulatory agencies of noncompliance. ii. The property owner will pay for any sampling and/or testing resulting in the confirmation of non-compliance. c) Non-compliance must be resolved within twenty-one (21) days of receiving notification from the Commission. i. The Commission reserves the right to resolve non-compliance issues from within the Commission Right-Of-Way at the expense of the property owner. 7. Indemnification a) The Permit Holder hereby expressly agrees and shall, to the fullest extent permitted by law, indemnify, hold harmless, and, at the option of the Commission as decided in its sole discretion, defend or pay for the defense of the Commission, Commission members, Executive Director, Deputy Directors, officers, agents, representatives, and employees (the Indemnified Parties ) from and against any and all liability, claims, suits, causes of action, liens, demands, losses, damages, (including fines, penalties, incidental and consequential damages), settlements, judgments, costs, and expenses (including reasonable attorneys fees and any other costs of defense) of every kind, nature, or description arising out of or in connection with, caused by, resulting from, or occurring during the course of the performance of this Outfall Permit, whether directly or indirectly, where such liability is: i. founded upon or grows out of, directly or indirectly, the acts, errors, omissions, undertakings, representations or warranties of the Permit Holder, its officers, employees, agents, independent consultants or subconsultants (or subconsultants or independent consultants thereof), or any other person or party for which the Permit Holder is legally liable, and; ii. is attributable in any manner and to any extent to bodily injury, personal injury, sickness, disease or death of any person, loss of revenue, or the injury to or damage, destruction, or loss of use of property.
8. Miscellaneous All terms of this Permit are expressly contained herein and the Permit Holder agrees that no representative of the Commission has made any representation or promise with respect thereto not expressly contained hereon. This Permit shall be binding upon the Permit Holder and Permit Holder's heirs, executors, administrators, successors, and assigns, and shall inure to the benefit of the Commission, its successors and assigns. Work within the Commission Right-Of-Way is to be completed by the Commission at the property owner s expense. ACKNOWLEDGEMENTS: Print Permit Applicant s Name Permit Applicant s Signature Date Print Property Owner s Name Property Owners Signature Date
OHIO TURNPIKE OUTFALL PERMIT APPLICATION Date Received A. GENERAL INFORMATION DATE: PERMIT APPLICANT- PHONE#: PROPERTY OWNER- PHONE#: NAME: ADDRESS: NAME: ADDRESS: PURPOSE/CONTENT OF OUTFALL DISCHARGE: ADDRESS OF PROPERTY WHERE THE PROPOSED OUTFALL WILL BE INSTALLED: COUNTY: B. OUTLET INFORMATION OHIO TURNPIKE MILEPOST: EASTBOUND WESTBOUND PROPOSED OUTLET STRUCTURE: (i.e. Headwall information, erosion control, etc.) PROPOSED PIPE INFORMATION: (i.e. Size, material, etc.) ESTIMATED CURRENT CONTRIBUTED FLOW: GPD or GPM DESIGN PROPOSED MAX FLOW DISCHARGED: GPD or GPM PROPOSED INSTALLATION DATE: ADDITIONAL COMMENTS: Internal Use Only * PERMIT APPLICANT S SIGNATURE DATE Initials Date * Signature of the applicant indicates that the permit applicant has completed this form with current and accurate information and will abide by the terms of the general conditions. This application shall not be construed to allow construction activities to begin. Only upon receipt of written authorization from the Commission shall the permit applicant be permitted to initiate any work activities proposed. Environmental Review Hydraulic Review Commission Permit No.