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{"sheet":"Instructions(PublicNoticeForm)","index":0,"n_rows":44,"n_cols":52,"rows_kept":44,"cut":false,"hidden":false,"merged":[[1,0,1,10],[0,0,0,5],[2,0,2,5],[0,11,0,28],[2,11,2,28],[1,11,1,50],[4,0,4,6],[6,0,6,6],[6,11,6,15],[8,17,8,31],[7,11,7,36],[6,16,6,29],[8,36,8,45],[8,32,8,35],[8,11,8,16],[4,11,4,50],[30,10,30,36],[30,37,30,46],[13,0,13,1],[15,0,15,1],[9,0,9,51],[11,0,11,11],[13,3,13,50],[15,3,15,50],[31,15,31,21],[31,22,31,26],[19,0,19,51],[17,0,17,51],[20,0,20,51],[26,40,26,51],[26,32,26,37],[26,26,26,31],[26,20,26,25],[26,13,26,19],[26,0,26,12],[23,0,23,51],[30,0,30,9],[22,0,22,51],[25,0,25,51],[27,0,28,50],[43,0,43,51],[35,0,35,21],[35,22,35,25],[35,26,35,51],[41,0,41,51],[37,0,38,50],[36,0,36,10],[40,0,40,51],[31,28,31,30],[33,19,33,23],[33,24,33,32],[33,0,33,7],[33,8,33,17],[31,31,31,51],[32,35,32,41],[32,42,32,46],[33,34,33,40],[33,41,33,45],[32,25,32,33],[31,0,31,4],[31,5,31,13],[32,0,32,8],[32,9,32,18],[32,20,32,24]]}
["County:",null,null,null,null,null,null,null,null,null,null,"(County Name)"]
["DOT Project(s):",null,null,null,null,null,null,null,null,null,null,"(Project Number(s))"]
["Letting:",null,null,null,null,null,null,null,null,null,null,"(Letting Date)"]
[]
["Date Sent:",null,null,null,null,null,null,null,null,null,null,"(Office of Construction will fill in.)"]
[]
["Send To:",null,null,null,null,null,null,null,null,null,null,"e-mail:",null,null,null,null,"Support@cnaads.com"]
[null,null,null,null,null,null,null,null,null,null,null,"CNA (Customized Newspaper Advertising)"]
[null,null,null,null,null,null,null,null,null,null,null,"Phone:",null,null,null,null,null,"(800) 227-7636 Ext. 152",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax:",null,null,null,"(515) 244-4855"]
[]
[]
["For newspapers:"]
[]
["1.",null,null,"(Office of Construction will fill in.)"]
[]
["2.",null,null,"(Office of Construction will fill in.)"]
[]
["Please publish the following text as a legal notice in the next issue and run for one day only. (If the newspaper does not publish a legal section, please print as a public notice in the classified section."]
[]
["***********************************************************************"]
["PUBLIC NOTICE OF STORM WATER DISCHARGE"]
[]
["The Iowa Department of Transportation plans to submit a Notice of Intent to the Iowa Department of Natural Resources to be covered under National Pollutant Discharge Elimination System (NPDES) General Permit No. 2 \"Storm Water Discharge Associated"]
["with Industrial Activity for Construction Activities.\""]
[]
["The storm water discharge will be from highway construction activity located in\n"]
["(County Name)",null,null,null,null,null,null,null,null,null,null,null,null,"County on",null,null,null,null,null,null,"(US or IA)",null,null,null,null,null,"Highway",null,null,null,null,null,"(Route No.)",null,null,null,null,null,".",null,"The project is\n"]
["(Description of work and Location of project. (From NOI))"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["(Choose One)",null,null,null,null,null,null,null,null,null,"The Public Lands Survey location is Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,","]
["Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)",null,null,null,null,null,null,null,null,null,null,null,".","(Or)",null,null,"The Public Lands Survey location is"]
["from Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,",","Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)"]
["to Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,", ","Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)",null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["Storm water will be discharged from\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"point sources and will be discharged to the\n"]
["following streams:\n"]
["(List the names of drainage ditches, creeks and then first river. (From NOI))"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["Comments may be submitted to the Storm Water Discharge Coordinator, IOWA DEPARTMENT OF NATURAL RESOURCES, Environmental Protection Division, 502 East 9th Street, Des Moines, IA 50139-0034. The public may review the Notice of Intent"]
["from 8:00 a.m. to 4:30 p.m. Monday through Friday at the above address after it has been received by the Department."]
[]
["***********************************************************************"]

{"sheet":"PublicNoticeForm","index":1,"n_rows":52,"n_cols":52,"rows_kept":52,"cut":false,"hidden":false,"merged":[[51,0,51,51],[40,0,40,21],[40,22,40,25],[40,26,40,51],[41,0,41,10],[42,0,43,50],[45,0,49,51],[30,40,30,51],[22,0,22,51],[31,0,33,50],[30,32,30,37],[38,41,38,45],[37,0,37,8],[37,9,37,18],[37,20,37,24],[37,25,37,33],[37,35,37,41],[37,42,37,46],[38,0,38,7],[38,8,38,17],[38,19,38,23],[38,24,38,32],[38,34,38,40],[36,28,36,30],[36,31,36,51],[21,0,21,51],[24,0,27,51],[29,0,29,51],[30,0,30,12],[30,13,30,19],[30,20,30,25],[35,0,35,9],[35,10,35,36],[35,37,35,46],[36,0,36,4],[36,5,36,13],[36,15,36,21],[36,22,36,26],[30,26,30,31],[1,0,1,10],[0,0,0,5],[2,0,2,5],[0,11,0,28],[2,11,2,28],[1,11,1,50],[4,11,4,50],[17,0,19,51],[13,0,13,1],[15,0,15,1],[11,0,11,11],[13,3,13,50],[15,3,15,50],[6,11,6,15],[8,17,8,31],[7,11,7,36],[4,0,4,6],[6,0,6,6],[6,16,6,29],[8,36,8,45],[8,32,8,35],[8,11,8,16]]}
["County:"]
["DOT Project(s):"]
["Letting:"]
[]
["Date Sent:"]
[]
["Send To:",null,null,null,null,null,null,null,null,null,null,"e-mail:",null,null,null,null,"Support@cnaads.com"]
[null,null,null,null,null,null,null,null,null,null,null,"CNA (Customized Newspaper Advertising)"]
[null,null,null,null,null,null,null,null,null,null,null,"Phone:",null,null,null,null,null,"(800) 227-7636 Ext. 152",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Fax:",null,null,null,"(515) 244-4855"]
[]
[]
["For newspapers:"]
[]
["1."]
[]
["2."]
[]
["Please publish the following text as a legal notice in the next issue and run for one day only. (If the newspaper does not publish a legal section, please print as a public notice in the classified section."]
[]
[]
[]
["***********************************************************************"]
["PUBLIC NOTICE OF STORM WATER DISCHARGE"]
[]
["The Iowa Department of Transportation plans to submit a Notice of Intent to the Iowa Department of Natural Resources to be covered under National Pollutant Discharge Elimination System (NPDES) General Permit No. 2 \"Storm Water Discharge Associated with Industrial Activity for Construction Activities.\""]
[]
[]
[]
[]
["The storm water discharge will be from highway construction activity located in\n"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"County on",null,null,null,null,null,null,null,null,null,null,null,null,"Highway",null,null,null,null,null,null,null,null,null,null,null,".",null,"The project is\n"]
["(Description of work and Location of project. (From NOI))"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["(Choose One)",null,null,null,null,null,null,null,null,null,"The Public Lands Survey location is Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,","]
["Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)",null,null,null,null,null,null,null,null,null,null,null,".","(Or)",null,null,"The Public Lands Survey location is"]
["from Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,",","Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)"]
["to Township\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,", ","Range\n",null,null,null,null,null,null,null,null,null,null,null,null,null,",","Section(s)",null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["Storm water will be discharged from\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"point sources and will be discharged to the\n"]
["following streams:\n"]
["(List the names of drainage ditches, creeks and then first river. (From NOI))"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"."]
[]
["Comments may be submitted to the Storm Water Discharge Coordinator, IOWA DEPARTMENT OF NATURAL RESOURCES, Environmental Protection Division, 502 East 9th Street, Des Moines, IA 50139-0034. The public may review the Notice of Intent from 8:00 a.m. to 4:30 p.m. Monday through Friday at the above address after it has been received by the Department."]
[]
[]
[]
[]
[]
["***********************************************************************"]

{"sheet":"Instructions(NoticeOfIntent)","index":2,"n_rows":124,"n_cols":52,"rows_kept":124,"cut":false,"hidden":false,"merged":[[124,0,125,27],[124,28,125,55],[127,47,128,51],[73,0,73,36],[106,15,106,28],[119,0,119,55],[120,0,120,27],[120,28,120,55],[121,0,122,27],[121,28,122,55],[123,0,123,27],[123,28,123,55],[113,0,113,55],[114,0,114,55],[115,0,115,55],[116,0,116,55],[117,0,117,55],[118,0,118,55],[107,15,107,26],[108,0,108,41],[109,0,109,55],[110,0,110,55],[111,0,111,55],[112,0,112,55],[100,0,100,55],[101,0,101,30],[102,0,102,55],[104,0,104,25],[106,0,106,14],[91,0,91,47],[92,0,92,47],[94,0,94,47],[95,0,95,47],[97,0,97,47],[98,0,98,47],[83,0,83,55],[85,0,85,33],[86,0,86,55],[87,0,87,55],[88,0,89,55],[90,0,90,21],[90,48,90,50],[90,51,90,53],[79,0,79,17],[79,18,79,26],[79,27,79,38],[79,39,79,55],[81,0,81,13],[82,0,82,37],[82,39,82,54],[76,0,76,27],[76,28,76,55],[77,0,77,27],[77,28,77,55],[78,0,78,17],[78,18,78,26],[78,27,78,38],[78,39,78,55],[71,0,72,8],[71,9,72,17],[71,18,72,26],[71,27,72,35],[74,0,74,12],[75,0,75,28],[66,0,66,55],[67,0,68,8],[67,9,68,17],[67,18,68,26],[67,27,68,35],[67,37,72,55],[69,0,70,8],[69,9,70,17],[69,18,70,26],[69,27,70,35],[48,0,48,33],[50,32,50,44],[53,18,53,47],[53,48,53,53],[55,0,55,51],[65,0,65,55],[46,0,46,17],[46,18,46,26],[46,27,46,38],[46,39,46,55],[47,0,47,17],[47,18,47,26],[47,27,47,38],[47,39,47,55],[42,0,42,55],[43,0,43,29],[44,0,44,20],[44,21,44,55],[45,0,45,20],[45,21,45,55],[38,0,38,14],[38,15,38,32],[38,33,38,46],[38,47,38,55],[40,0,40,13],[41,0,41,55],[37,15,37,32],[37,33,37,46],[37,47,37,55],[21,0,21,11],[22,0,22,34],[29,0,29,36],[31,0,31,20],[32,0,32,50],[33,0,33,19],[33,20,33,55],[0,45,0,55],[1,9,1,44],[1,45,1,55],[2,9,2,44],[2,45,2,55],[3,9,4,44],[3,45,4,55],[107,35,107,41],[13,0,13,37],[14,0,14,28],[15,0,15,37],[16,0,16,19],[16,21,16,37],[17,0,17,28],[17,29,17,37],[6,0,6,55],[7,0,7,55],[8,0,8,55],[9,0,9,55],[10,0,10,55],[11,0,11,55],[34,0,36,19],[34,20,36,55],[37,0,37,14]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CASHIER'S USE ONLY"]
[null,null,null,null,null,null,null,null,null,"IOWA DEPARTMENT OF NATURAL RESOURCES",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0253-542-SW08-0581"]
[null,null,null,null,null,null,null,null,null,"ENVIRONMENTAL PROTECTION DIVISION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Authorization #"]
[null,null,null,null,null,null,null,null,null,"NOTICE OF INTENT FOR NPDES COVERAGE UNDER GENERAL PERMIT",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Name"]
[]
[]
["No. 1 FOR \"STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY\""]
["or"]
["No. 2 FOR \"STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR CONSTRUCTION ACTIVITIES\""]
["or"]
["No. 3 FOR \"STORM WATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR ASPHALT PLANTS, CONCRETE"]
["BATCH PLANTS, ROCK CRUSHING PLANTS, AND CONSTRUCTION SAND AND GRAVEL FACILITIES.\""]
[]
["PERMIT INFORMATION"]
["Has this storm water discharge been previously permitted?"]
[]
["If yes, please list authorization number:"]
["Under what General Permit are you applying for coverage?"]
[]
[]
[]
["PERMIT FEE OPTIONS"]
["For coverage under the NPDES General Permit the following fees apply:"]
[]
[]
[]
[]
[]
[]
["Checks should be made payable to: Iowa Department of Natural Resources."]
[]
["FACILITY OR PROJECT INFORMATION"]
["Enter the name and full address/location (not mailing address) of the facility or project for which permit coverage is requested."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STREET ADDRESS OF SITE:"]
["PROJECT NUMBER or multiple projects (78, 93, 94, 95, 96) or Project Name, such as Fairfield Bypass",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"a general description of the corridor or site location, such as description on Sht. A.01"]
[]
[]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"COUNTY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,null,null,null,null,null,"ZIP CODE:"]
[" If the project is within the city limits, list the city.  If not, leave it blank.",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"List the county",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Iowa",null,null,null,null,null,null,null,null,null,null,null,null,null,"Enter or may leave blank"]
[]
["CONTACT INFORMATION"]
["Give name, mailing address and telephone number of a contact person (Attach additional information on separate pages as needed)."]
["This will be the address to which all correspondence will be sent and to which all questions regarding your application and"]
["compliance with the permit will be directed."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ADDRESS:"]
[]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,"ZIP CODE:",null,null,null,null,null,null,null,null,null,null,null,"TELEPHONE:"]
[]
["Check the appropriate box to indicate the legal status of the operator of the facility."]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SIC CODE (General Permit No. 1 & 3 Applicants Only)"]
[]
["SIC code refers to Standard Industrial Classification code number used to classify establishments by type of economic activity."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["FACILITY LOCATION OR LOCATION OF CONSTRUCTION SITE"]
["Give the location by 1/4 section, sections, townships, range, (e.g., NW, 7, T78N, R3W)."]
["1/4 SECTION",null,null,null,null,null,null,null,null,"SECTION",null,null,null,null,null,null,null,null,"TOWNSHIP",null,null,null,null,null,null,null,null,"RANGE",null,null,null,null,null,null,null,null,null,"MAIL TO:\n\nSTORM WATER COORDINATOR\nIOWA DEPARTMENT OF NATURAL\nRESOURCES\n502 E 9TH ST\nDES MOINES IA 50319-0034"]
[]
[]
[]
[]
[]
["If there are not too many sections in the same township and range, list them all.  If it is a long project, list the beginning point and the end point."]
["OWNER INFORMATION"]
["Enter the name and full address of the owner of the facility."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ADDRESS:"]
["Iowa Department of Transportation - Office of Construction",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"800 Lincoln Way"]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,"ZIP CODE:",null,null,null,null,null,null,null,null,null,null,null,"TELEPHONE:"]
["Ames",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Iowa",null,null,null,null,null,null,null,null,50010,null,null,null,null,null,null,null,null,null,null,null,"(515) 239-1280"]
[]
["OUTFALL INFORMATION"]
["Discharge start date, i.e., when did/will the site begin operation or 10/1/92, whichever is later:"]
["Is any storm water monitoring information available describing the concentration of pollutants in storm water discharges?"]
[]
["NOTE: Do not attach any storm water monitoring information with the application."]
["Receiving water(s) to the first uniquely named waterway in Iowa, (e.g., road ditch to unnamed tributary to Mud Creek to South Skunk"]
["River):"]
["List the names of drainage ditches, creeks and then first river"]
[]
["Compliance With The Following Conditions:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,"No"]
["Has the Storm Water Pollution Prevention Plan been developed prior to the submittal of this Notice of Intent and does"]
["the plan meet the requirements of the applicable General Permit? (do not submit the SWPPP with the application)"]
[]
["Will the Storm Water Pollution Prevention Plan comply with approved State (Section 161A.64, Code of Iowa)"]
["or local sediment and erosion plans? (for General Permit 2 only)"]
[]
["Has a public notice been published for at least one day,in the newspaper with the largest"]
["circulation in the area where the discharge is located, and is the proof of notice attached? (new applications only)"]
[]
["GENERAL PERMIT NO. 2 AND GENERAL PERMIT NO. 3 APPLICANTS COMPLETE THIS SECTION."]
["Description of Project (describe in one sentence what is being constructed):"]
["General description of the project(s).  For example, the construction of a new 4-lane divided highway around the City of Fairfield."]
[]
["For General Permit No. 3 - Is this facility to be moved this year?"]
[]
["Number of Acres of Disturbed Soil:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"List the number of acres"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Construction Activities Only)"]
["Estimated Timetable For Activities / Projects, i.e., approximately when did/will the project begin and end:"]
["The time table will be from the beginning to the end when permanent vegetation is established.  Thus for a grading project, there will be other projects following the grading, i.e.:  paving, erosion control, etc."]
["CERTIFICATION - ALL APPLICATIONS MUST BE SIGNED"]
["Only the following individuals may sign the certification: owner of site, principal executive officer of at least the level of vice-"]
["president of the company owning the site, general partner of the company owning the site, principal executive officer or ranking"]
["elected official of the public entity owning the site, any of the above of the general contracting company for construction sites."]
["I certify under penalty of law that this document was prepared under my direction or supervision in accordance with a system"]
["designed to assure that qualified people properly gathered and evaluated 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, this information is to"]
["the best of my knowledge and belief, true, accurate, and complete. I further certify that the terms and conditions of the general permit"]
["will be met.  I am aware that there are significant penalties for submitting false information, including the possibility of fine and"]
["imprisonment forknowing violations."]
["NAME (print or type)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TITLE AND COMPANY NAME OF SIGNATORY:"]
[]
[]
["SIGNATURE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DATE:"]

{"sheet":"NoticeOfIntent","index":3,"n_rows":124,"n_cols":52,"rows_kept":124,"cut":false,"hidden":false,"merged":[[123,28,123,55],[124,28,125,55],[79,18,79,26],[90,0,90,21],[81,0,81,13],[83,0,83,55],[82,39,82,54],[38,33,38,46],[38,15,38,32],[41,0,41,55],[44,0,44,20],[44,21,44,55],[38,0,38,14],[38,47,38,55],[123,0,123,27],[120,0,120,27],[117,0,117,55],[112,0,112,55],[113,0,113,55],[114,0,114,55],[115,0,115,55],[116,0,116,55],[97,0,97,47],[98,0,98,47],[127,47,128,51],[50,32,50,44],[53,18,53,47],[48,0,48,33],[55,0,55,51],[47,18,47,26],[47,27,47,38],[47,39,47,55],[53,48,53,53],[74,0,74,12],[75,0,75,28],[90,48,90,50],[90,51,90,53],[82,0,82,37],[85,0,85,33],[86,0,86,55],[79,27,79,38],[79,39,79,55],[79,0,79,17],[87,0,87,55],[88,0,89,55],[124,0,125,27],[120,28,120,55],[121,28,122,55],[13,0,13,37],[78,0,78,17],[78,18,78,26],[78,27,78,38],[78,39,78,55],[15,0,15,37],[14,0,14,28],[22,0,22,34],[32,0,32,50],[77,0,77,27],[77,28,77,55],[76,0,76,27],[76,28,76,55],[46,0,46,17],[46,18,46,26],[46,27,46,38],[46,39,46,55],[47,0,47,17],[42,0,42,55],[45,21,45,55],[45,0,45,20],[43,0,43,29],[16,21,16,37],[17,29,17,37],[101,0,101,30],[100,0,100,55],[121,0,122,27],[118,0,118,55],[119,0,119,55],[106,0,106,14],[102,0,102,55],[111,0,111,55],[110,0,110,55],[107,15,107,26],[106,15,106,26],[109,0,109,55],[108,0,108,41],[104,0,104,25],[91,0,91,47],[92,0,92,47],[94,0,94,47],[95,0,95,47],[1,45,1,55],[0,45,0,55],[2,45,2,55],[3,45,4,55],[1,9,1,44],[2,9,2,44],[3,9,4,44],[40,0,40,13],[37,33,37,46],[37,47,37,55],[37,0,37,14],[37,15,37,32],[10,0,10,55],[6,0,6,55],[7,0,7,55],[8,0,8,55],[9,0,9,55],[11,0,11,55],[31,0,31,20],[16,0,16,19],[17,0,17,28],[21,0,21,11],[29,0,29,36],[67,37,72,55],[71,27,72,35],[71,18,72,26],[71,9,72,17],[71,0,72,8],[69,27,70,35],[69,18,70,26],[69,9,70,17],[69,0,70,8],[67,27,68,35],[67,18,68,26],[67,0,68,8],[67,9,68,17],[65,0,65,55],[66,0,66,55],[34,0,36,19],[34,20,36,55],[33,20,33,55],[33,0,33,19]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"CASHIER'S USE ONLY"]
[null,null,null,null,null,null,null,null,null,"IOWA DEPARTMENT OF NATURAL RESOURCES",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"0253-542-SW08-0581"]
[null,null,null,null,null,null,null,null,null,"ENVIRONMENTAL PROTECTION DIVISION",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Authorization #"]
[null,null,null,null,null,null,null,null,null,"NOTICE OF INTENT FOR NPDES COVERAGE UNDER GENERAL PERMIT",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Name"]
[]
[]
["No. 1 FOR \"STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY\""]
["or"]
["No. 2 FOR \"STORM WATER DISCHARGES ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR CONSTRUCTION ACTIVITIES\""]
["or"]
["No. 3 FOR \"STORM WATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY FOR ASPHALT PLANTS, CONCRETE"]
["BATCH PLANTS, ROCK CRUSHING PLANTS, AND CONSTRUCTION SAND AND GRAVEL FACILITIES.\""]
[]
["PERMIT INFORMATION"]
["Has this storm water discharge been previously permitted?"]
[]
["If yes, please list authorization number:"]
["Under what General Permit are you applying for coverage?"]
[]
[]
[]
["PERMIT FEE OPTIONS"]
["For coverage under the NPDES General Permit the following fees apply:"]
[]
[]
[]
[]
[]
[]
["Checks should be made payable to: Iowa Department of Natural Resources."]
[]
["FACILITY OR PROJECT INFORMATION"]
["Enter the name and full address/location (not mailing address) of the facility or project for which permit coverage is requested."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STREET ADDRESS OF SITE:"]
[]
[]
[]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"COUNTY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,null,null,null,null,null,"ZIP CODE:"]
[]
[]
["CONTACT INFORMATION"]
["Give name, mailing address and telephone number of a contact person (Attach additional information on separate pages as needed)."]
["This will be the address to which all correspondence will be sent and to which all questions regarding your application and"]
["compliance with the permit will be directed."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ADDRESS:"]
[]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,"ZIP CODE:",null,null,null,null,null,null,null,null,null,null,null,"TELEPHONE:"]
[]
["Check the appropriate box to indicate the legal status of the operator of the facility."]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"SIC CODE (General Permit No. 1 & 3 Applicants Only)"]
[]
["SIC code refers to Standard Industrial Classification code number used to classify establishments by type of economic activity."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["FACILITY LOCATION OR LOCATION OF CONSTRUCTION SITE"]
["Give the location by 1/4 section, sections, townships, range, (e.g., NW, 7, T78N, R3W)."]
["1/4 SECTION",null,null,null,null,null,null,null,null,"SECTION",null,null,null,null,null,null,null,null,"TOWNSHIP",null,null,null,null,null,null,null,null,"RANGE",null,null,null,null,null,null,null,null,null,"MAIL TO:\n\nSTORM WATER COORDINATOR\nIOWA DEPARTMENT OF NATURAL\nRESOURCES\n502 E 9TH ST\nDES MOINES IA 50319-0034"]
[]
[]
[]
[]
[]
[]
["OWNER INFORMATION"]
["Enter the name and full address of the owner of the facility."]
["NAME:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ADDRESS:"]
["Iowa Department of Transportation - Office of Construction",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"800 Lincoln Way"]
["CITY:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"STATE:",null,null,null,null,null,null,null,null,"ZIP CODE:",null,null,null,null,null,null,null,null,null,null,null,"TELEPHONE:"]
["Ames",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Iowa",null,null,null,null,null,null,null,null,50010,null,null,null,null,null,null,null,null,null,null,null,"(515) 239-1280"]
[]
["OUTFALL INFORMATION"]
["Discharge start date, i.e., when did/will the site begin operation or 10/1/92, whichever is later:"]
["Is any storm water monitoring information available describing the concentration of pollutants in storm water discharges?"]
[]
["NOTE: Do not attach any storm water monitoring information with the application."]
["Receiving water(s) to the first uniquely named waterway in Iowa, (e.g., road ditch to unnamed tributary to Mud Creek to South Skunk"]
["River):"]
[]
[]
["Compliance With The Following Conditions:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,"No"]
["Has the Storm Water Pollution Prevention Plan been developed prior to the submittal of this Notice of Intent and does"]
["the plan meet the requirements of the applicable General Permit? (do not submit the SWPPP with the application)"]
[]
["Will the Storm Water Pollution Prevention Plan comply with approved State (Section 161A.64, Code of Iowa)"]
["or local sediment and erosion plans? (for General Permit 2 only)"]
[]
["Has a public notice been published for at least one day, in the newspaper with the largest"]
["circulation in the area where the discharge is located, and is the proof of notice attached? (new applications only)"]
[]
["GENERAL PERMIT NO. 2 AND GENERAL PERMIT NO. 3 APPLICANTS COMPLETE THIS SECTION."]
["Description of Project (describe in one sentence what is being constructed):"]
[]
[]
["For General Permit No. 3 - Is this facility to be moved this year?"]
[]
["Number of Acres of Disturbed Soil:"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(Construction Activities Only)"]
["Estimated Timetable For Activities / Projects, i.e., approximately when did/will the project begin and end:"]
[]
["CERTIFICATION - ALL APPLICATIONS MUST BE SIGNED"]
["Only the following individuals may sign the certification: owner of site, principal executive officer of at least the level of vice-"]
["president of the company owning the site, general partner of the company owning the site, principal executive officer or ranking"]
["elected official of the public entity owning the site, any of the above of the general contracting company for construction sites."]
["I certify under penalty of law that this document was prepared under my direction or supervision in accordance with a system"]
["designed to assure that qualified people properly gathered and evaluated 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, this information is to"]
["the best of my knowledge and belief, true, accurate, and complete. I further certify that the terms and conditions of the general permit"]
["will be met.  I am aware that there are significant penalties for submitting false information, including the possibility of fine and"]
["imprisonment forknowing violations."]
["NAME (print or type)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"TITLE AND COMPANY NAME OF SIGNATORY:"]
[]
[]
["SIGNATURE:",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"DATE:"]

{"sheet":"Index","index":4,"n_rows":15,"n_cols":6,"rows_kept":15,"cut":false,"hidden":true,"merged":[]}
["cpicker","Design","Methods","Clint A. Pickering","Design Technician Specialist","melissa.serio@iowadot.us"]
["jholst","Design","Road1","Jason  M. Holst","Design Section Engineer"]
["sryan","Design","Road1","Stacy M. Ryan","Assistant Design Section Engineer"]
["jstrum","Design","Road1","Jason R. Strum","Assistant Design Section Engineer"]
["rschoen","Design","Road1","Robert A. Schoenrock","Assistant Design Section Engineer"]
["yjia","Design","Road2","Yanxiao Jia","Design Section Engineer"]
["rmille3","Design","Road2","Ryan R. Miller","Assistant Design Section Engineer"]
["dta","Design","Road2","Dung T. Ta","Engineer of Record"]
["pflatte","Design","Road3","Paul W. Flattery","Design Section Engineer"]
["kbell","Design","Road3","Kelly Bell","Assistant Design Section Engineer"]
["jschoen","Design","Consultant","James R. Schoenrock","Design Section Engineer"]
["bkarnik","Design","Consultant","Bhooshan Karnik","Consultant Coordinator"]
["dmatul2","Design","Consultant","Donna Matulac","Consultant Coordinator"]
["mmastel","Design","Roadside","Mark D. Masteller","Chief Landscape Architect"]
["mserio","Construction"]