HomeMy WebLinkAboutSite Notice-----'6~· h''•'
CONSTRU<:TION SITE NOTICE
FOR THE
Texas Commis:•ion on Environmental Quality (TCEQ)
Storm Water Program
TPDES GENERAL PERMIT TXR150000
The following information is posted in compliance with Part II.D.2. of the TCEQ General Permit Number
TXR 150000 for discharges of storm water runoff from construction sites. Additional infonnation regarding the
TCEQ storm water permit program may be found on the internet at:
http://www.tceq.state.tx.us/permitting/water quality/stormwatertrXRl5 AIR.html -
Contact Na me and Phone Number: Todd Carnes
(979) 694-4040
Project Description: Creek Meadows -Section 5, Phase One
Located at the southeast comer of Greens Prairie Trail & Royder Rd.
(Physical address or description of the site's
location, estimated start date and projected end Estimated Start Date: 10/1/08
date, or date that disturbed soils will be Estimated End Date: 10/1/08
stabilized)
Location of Storm Water Pollution RME Consulting Engineers
P.O. Box 9253 Prevention Plan : College Station, TX n842
For Construction Sites Authorized Undm Part 11 .D.2. (Obtaining Authorization to Discharge} the following
certification must be completed:
I Todd Carnes (Typed or Printed Name Person Completing This Certification) certify under penalty of
law that I have read and understand the eligbility requirements for claiming an authorization under Part U.D.2. of
TPDES General Permit TXR150000 and auee to comply with the terms of this permit. A storm water pollution
prevention plan has been developed and irrplemented according to permit requirements. A copy of this signed
notice is supplied to the operator of the MS i if discharges enter an MS4 system. I am aware there are significant
penalties forprovidin false information or f Jr conducting unauthorized discharges, including the possibility affine
and i~ fo knowing violations. q_,;...-_\_S_-_6_& _______ _
Signature and Title Date
IMPORTANT:
Notice of lnten1t (NOi) for Storm Water
Discharges Associated with Construction
Activity under TPDES General Permit
(TXR150000)
TCEQ Office Use Only
PennitNo.: TXR.15
RN:
CN:
Ref No:
Sign up now for ePermits NOi at bttps://www6.tceq.state.tx.us/steers/
Get Instant Permit Coverage and only pay a $225 application fee.
If filing a paper NOi you can pay the application fee on line? Go to bttps:f/www6.tceq.state.tx.us/epay/
•Use the INSTRUCTIONS to fill out each question in this fonn.
•Use the attached CUSTOMER CHECKLIST to make certain all you filled out all required infonnation.
•Incom lete a lications WILL dela a roval or result in automatic Denial.
Renewal of General Permit
ls this NOl to renew an ACTIVE permit?
0Yes -What is your pennit number? Pe rmit No. TXRlS _______ _
0No -a permit number will be issued.
Application Fee if mailing a paper NOi:
You must pay the $325 Application Fee to TCEQ for the application to be considered complete.
Payment and NOI must be mailed to separate addresses. See instructions for correct maiUng addresses.
Provide your payment information below, for us to verify payment of the application fee:
O Mailed: Check/Money Order No.: Company Name on checking account:
O EPAY: Voucher No.: ls the Payment Voucher copy attached? DYes
A. OPERA TOR (applicant)
I. If the applicant is currently a customer with TCEQ, what is the Customer Number (CN) issued to this entity?
CN (Seanb Cenmtrmal_R_e~i-st;,;,,i.i)~~~~~~~~~~~~~~~~~~~~~~---l
2. What is the Legal Name of the entity (applican1) applying for this pennit?
Creek Meadows Partners, L.P.
(The legal name must be spelled exactly as filed with the Texas Secre. ary of State, County, or in the legal document forming the entity.)
3. What is the name and title of the person signin~; the application?
(The person must be an official meeting signatory requirements in TAC 305.43(a).)
Name: Todd Carnes Job Title: General Partner
4. What is the Operator's (applicant) mailing addr~ss as recognized by the US Postal Service? (verify at USPS.com)
Address: 230 Southwest Parkway East Suite No./Bldg. No./Mail Code:
City: College Station State: TX ZIP Code: 77840
Country Mailing lnfonnation (if outside USA).
5. Phone No.: ( 979 ) 694-4040
6. Fax No.: ( 979 ) 694-4141
7. Indicate the type of Customer:
D Individual
D Corporation
D State Government
Oother Government
TCEQ-20022 (03/05/2008)
Country Code: Postal Code:
Extension:
E-mail Address: tcarnes@creekmeadows.net
Ds0)ie Proprietorship-D.B.A.
OF·~deral Government
Q:.)unty Government
Oother (describe):
0 Limited Partnership
0General Partnership
Deity Government
Page I
8. Independent Operator: [!]Yes 0 No (If governmental entity, subsidiary, or part of a larger corporation, check "No".)
9. Number of Employees: 00-20; []21-100; 0101-250; 0 251-500; or 0501 or higher
10. Customer Business Tax and Filing Numbers (This item is not applicable to Individuals, Government, GP or Sole Proprietor.)
REQUIRED for Corporations and Limited Partnerships (Verify the entity's st9tull and filin~ no. ttith TX SOS at 5121-'63-5555)
State Franchise Tax ID Number: Federal Tax ID:
TX SOS Charter (filing) Number: DUNS Number (if known):
B. APPLICATION CONTACT
lfTCEQ needs additional information regarding 1his application, who should be contacted?
I. Name: Rabon A. Metcalf, P .E. I Title: Owner I Company: RME ·Consulting Engineers
2. Phone No.: ( 979 ) 690-0329 Extension:
3. Fax No.: 979 690-0329 E-mail Address: rabon@rmengineer.com
c. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE
I. TCEQ Issued RE Reference Number (RN): F:N
(Search Central Rei:istrv)
2. Name of Project or Site (the name as known by the community where this facility/project is located):
Creek Meadows -Section 5, Phase One
(example: phase and name of subdivision or nan1e of project :hat's unique to the site)
3. Does the site have a physical address?
If Yes, complete Section A for a physical address.
If No, complete 8ectio B for site location information.
Section A: Enter the physical address for the site. ( ·erify it with USPS.com or other delivery source)
Street Number: Street Name:
City: College Station, TX ZIP Code:
Section B1 Enter the site location information.
Ifno physical address (Street Number & Street Name), provide a written location access description to the site:
(Ex.: phase 1 of Woodland subdivision located 2 miles west from intersection of Hwy 290 & IH35 accessible on Hwy 290 South)
Located at the SE corner of Greens Prairie Trail and Royder Road
City where the site is located or nearest city to site: ZIP Code where site is located:
College Station, TX 77845
4. Identify the county where the site is located: Brazos
5 . Latitude: N 30.53144 Longitude: w 96.28204
6. What is the primary business of this entity? In :1our own words, briefly describe the primary business of the Regulated Entity:
(Do not repeat the SIC and NAICS code) High density residential development
7. What is the mailing address for the regulated entity?
Is the RE mailing.address the same as the Operator? L:'..]Yes, address is the same as Operator LJ No, provide the address
Street Number: J Street Name:
City: J State: J ZIP Code:
D. GENERAL CHARACTERISTICS
1. Is the site located on Indian Country Lands? []No 0 Yes-IfYes, do not submit this NOi. Contact EPA, Region VI
If the site is on Indian country lands, you must obtain auth )rization through EPA, Region VI.
2. What is the Standard industrial Classification (5.IC) code (see instructions for common codes): (Sc1treh Osha.gov)
Primary: 1521 Secondary:
TCEQ-20022 (03/05/2008) Page2