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HomeMy WebLinkAboutNOI8. Independent Operator: [Dyes ❑No (If governmental entity, subsidiary, or part of a larger corporation, check "No".) ' 9. Number of Employees: 00-20: 021-100; 0101-250; ❑251-500;or ❑501orhigher 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 t verify the entih's status and filing no. %ith IX SOS at 512463-5555 ; State Franchise Tax ID Number: Federal Tax ID: 264473504 TX SOS Charter (filing) Number: DUNS Number (if known): B. APPLICATION CONTACT If TCEQ needs additional information regarding this application, who should be contacted? 1. Name: Elaine Palasota Title: President company: B.V.S. Construction Inc. 2. Phone No.: (979 ) 846-3136 Extension: 3. FaitNo.: 979 846-3159 E-mail Address: elaine@bvsinc.biz C. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE 1. TCEQ Issued RE Reference Number (RN): RN 103062139 (Search Central Reaistrv) 2. Name of Project or Site (the name as known by the community where this facility/project is located): Caprock Crossing Infrastructure Improvements (example: phase and time of subdivision or name of project that's unique to the site) 3. Does the site have a physical address? If Yes, complete SeCfio'iksl for a physical address. If No, complete $°ecltun;S for site location information. Sectrzp As Enter the physical address for the site. (verify it with USPS.com or other delivery source) Street Number: Street Name: City: ZIP Code: e'bdon't+$'s. Enter the site location information. If no physical address (Street Number & Street Name), provide a written location access description to the site: (Ex.: phase I of Woodland subdivision located 2 miles west from intersection of Hwy 290 & IH35 accessible on Hwy 290 South) Southwest corner of State Highway 40 and State Highway 6 City where the site is located or nearest city to site: College Station Texas ZIP Code where site is located: 77845 4. Identify the county where the site is located: Brazos 5. Latitude: 30 33' 30" Longitude: 96 15' 31 " 6. What is the primary business of this entity? In your own words, briefly describe the primary business of the Regulated Entity: (Do not repeat the SIC and NAICS code) Construction 7. What is the mailing address for the regulated entity? Is the RE mailing address the same as the Operator? I + IYes, address is the same as Operator QNo, provide the address Street Number: Street Name: City: State: ZIP Code: D. GENERAL CHARACTERISTICS 1. Is the site located on Indian Country Lands?QNo If the site is on Indian country lands, you must obtain authorization through QYes — If Yes, do not submit this NOI. Contact EPA, Region VI EPA, Region VI. 2. What is the Standard Industrial Classification (SIC) code (see instructions for common codes): (Search osha..=ov) Primary: 615 Secondary: TCEQ-20022 (03/05/2008) Page 2