HomeMy WebLinkAboutFolderCITY OF COLLEGE STATION
Planning & Development Se1·vices
FOR Offl~ USE ON~Y
P&Z CASE NO.: o-l -144
DATE SUBMITTED:
FINAL PLAT APPLICATION
(Check one) 0 Minor
($300.00)
0 Amending
($300.00)
Is this plat in the ET J? 0 Yes rg) No
[gJ Final
($400.00)
0 Vacating
($400.00)
0 Replat
($600.00)*
*Includes public hearing fee
The following items must be submitted by an established filing deadline date for P&Z Commission consideration.
MINIMUM SUBMITTAL REQUIREMENTS:
_x_ $300 -$600 Filing Fee (see above) NOTE: Multiple Sheets -$55.00 per additional sheet
N/A $100 Variance Request to Subdivision Regulations (if applicable)
_x_ $200 Development Permit Application Fee (if applicable).
_x_ $600.00 Infrastructure Inspection Fee (applicable if any public infrastructure is being constructed)
_x_ Application completed in full.
N/A Copy of original deed restrictions/covenants for replats (if applicable).
_x_ Fourteen (14) folded copies of plat. (A signed mylar original must be submitted after staff review.)
__!_Paid tax certificates from City of College Station, Brazos County and College Station l.S.D.
_x_ A copy of the attached checklist with all items checked off or a brief explanation as to why they are not.
_x_ Two (2) copies of public infrastructure plans associated with this plat (if applicable).
NIA Parkland Dedication requirement approved by the Parks & Recreation Board, please provide proof of
approval (if applicable).
Date of Preapplication Conference: ---------------------------
NAME OF SUBDIVISION CARTER'S CROSSING SUBDIVISION, PHASE THREE
SPECIFIED LOCATION OF PROPOSED SUBDIVISION (Lot & Block) 2050 NORTH FOREST PARKWAY, LOTS 1-12,
BLK 9; LOTS 4-12, BLK 10; LOTS 1-11, BLK 11; LOTS 1-11, BLK 12; MORGAN RECTOR LEAGUE A-46
APPLICANT/PROJECT MANAGER'S INFORMATION (Primary Contact for the Project):
Name CARTER'S CROSSING VENTURE, MR. STEVE ARDEN
Street Address 311 CECILIA LOOP
State TEXAS Zip Code _77_8_4_5 ___ _
Phone Number (979) 846-8788 X24
City COLLEGE STATION
E-Mail Address STEVE@BRAZOSLANDREAL TY.COM
Fax Number (979) 846-0652
PROPERTY OWNER'S INFO (ALL owners must be identified. Please attach an additional sheet for multiple owners):
Name CLEMENT FOJTIK
Street Address 1515 EMERALD PLAZA City COLLEGE STATION
State TEXAS Zip Code _77_8_4~5 ___ _ E-Mail Address ____________ _
Phone Number ~(9_7_9)~6_9_4_-7_0~0~0 _____ _ Fax Number
ARCHITECT OR ENGINEER'S INFORMATION:
Name MCCLURE & BROWNE ENGINEERING/SURVEYING, INC.; JEFF ROBERTSON
Street Address 1008 WOODCREEK DRIVE
State TEXAS Zip Code _77~8~4~5 ___ _
Phone Number ....=(9...:...7.=....9)'-'6=9-=-3--=3-=-83=8~------
I of 5
City COLLEGE STATION
E-Mail Address JEFFR@MCCLUREBROWNE.COM
Fax Number (979) 693-2554
Do any deed restrictions or covenants exist for this property? Yes __ No .!
Is there a temporary blanket easement on this property? If so, please provide the Volume and Page# __ _
Acreage -Total Property 12.651 ACRES Total# of Lots~ R-0-W Acreage 2.73 ACRES
Existing Use: VACANT Proposed Use: RESIDENTIAL
Number of Lots By Zoning District I --11_
Average Acreage Of Each Residential Lot By Zoning District: 0.294 acres/R-1
Floodplain Acreage -0-
A statement addressing any differences between the Final Plat and approved Master Plan and/or Preliminary Plat (if
applicable):
NONE
Requested Variances To Subdivision Regulations & Reason For Same: _N~O_N_E _____________ _
Requested Oversize Participation: ~N=O~N=E~--------------------------
Total Linear Footage of
Proposed Public:
1991 Streets
2192 Sidewalks
2065 Sanitary Sewer Lines
2442 Water Lines
~Channels
1488 Storm Sewers
-0-Bike Lanes I Paths
Parkland Dedication due prior to filing the Final Plat:
ACREAGE:
___ # of acres to be dedicated + $ ____ development fee
___ # of acres in floodplain
# of acres in detention ---
___ # of acres in greenways
OR
FEE IN LIEU OF LAND:
___ # of Single-Family Dwelling Units X $556 = $ ___ _
_______ (date) Approved by Parks & Recreation Board
NOTE: DIGITAL COPY OF PLAT MUST BE SUBMITTED PRIOR TO FILING.
The applicant has prepared this application and certifies that the facts stated herein and exhibits attached hereto are true,
correct, and complete. The undersigned hereby requests approval by the City of College Station of the above-identified
final plat and attests that this request does not amend any covenants or restrictions associated with this plat.
Date
2 of 5
SUPPLEMENTAL DEVELOPMENT PERMIT INFORMATION
Application is hereby made for the following development specific site/waterway alterations:
iA _,f{.€ 6r.-h ~ ~~ dtt " .'¥' C Vi\,_;11\ ·
ACKNOWLEDGMENTS:
I,-----------------' design engineer/owner, h'ereby acknowledge or affirm that:
The information and conclusions contained in the above plans and supporting documents comply with the current
requirements of the City of College Station, Texas City Code, Chapter 13 and its associated Drainage Policy and Design
Standards. As a condition of approval of this permit application, I agree to construct the improvements proposed in this
application according to these documents and the requirements of Chapter 13 of the College Station City Code.
Property Owner(s) Contractor
CERTIFICATIONS: (for proposed alterations within designated flood hazard areas.)
A I, certify that any nonresidential structure on or proposed to be on this site
as part of this application is designated to prevent damage to the structure or its contents as a result of flooding from the
100 year storm.
Engineer Date
B. I, certify that the finished floor elevation of the lowest floor, including any
basement, of any residential structure, proposed as part of this application is at or above the base flood elevation
established in the latest Federal Insurance Administration Flood Hazard Study and maps, as amended.
Engineer Date ""'''''" ........... ,,,
J . f? -----.-<. ~ OF r€ \\\
C. I, 6ff~~ (,,. f-:Oj;ff=~..,'\ 1?6" , certify that the alterations or developmer"W#.°ereicr Yt(~mit shall
not diminish the flood-carrying capacity of the waterway adjoining or crossing this permitte:/ ~te· an su~hiC.,il~rations
or development are consistent with requirements of the City of College Station City ~dei--'.·Ghao er··B8:·.~o~erning
t f fl ~O d f fl d f · ""-JEFFc:RY L. R BEATi ON "-encroac ens o o Vi ays an o oo way ringes. ~-.:.0-~ .......... 94745· ....... '/$'~
i . 6/i?::,/01 11,'t·· ... (1 0 ./ff
Date ' 1•/~&;/!.~.~.'?~\£j .#" \\\ ~IONAL € __ _ ,,,,,,, .... , ........
D. I, , do certify that the proposed alterations do not raise the level of the 100
year flood above elevation established in the latest Federal Insurance Administration Flood Hazard Study.
Engineer Date
Conditions or comments as part of approval:---------------------------
In accordance with Chapter 13 of the Code of Ordinances of the City of College Station , measures shall be taken to insure
that debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage
facilities. All development shall be in accordance with the plans and specifications submitted to and approved by the City
Engineer for the above named project. All of the applicable codes and ordinances of the City of College Station shall
apply.
3 of 5
CITY OF C OLLEGE STATION
P/.anning & Ekvelopmmt &rvicn
SITE LEGAL DESCRIPTION:
Carter's Crossing Subdivision
Phase 3
DEVELOPMENT PERMIT
PERMIT NO. 07-47
FOR AREAS OUTSIDE THE SPECIAL FLOOD HAZARD AREA
RE: CHAPTER 13 OF THE COLLEGE STATION CITY CODE
SITE ADDRESS:
2050 North Forest Parkway
DRAINAGE BASIN:
Carter's Creek
DATE OF ISSUE: August}'l2007
OWNER:
VALID FOR 12 MONTHS
CONTRACTOR:
Clement Fojtik
1515 Emerald Plaza
College Station, Texas 77845
TYPE OF DEVELOPMENT: Full Development Permit
SPECIAL CONDITIONS:
All construction must be in compliance with the approved construction plans
All trees required to be protected as part of the landscape plan must be completely barricaded in accordance with Section
7.5.E., Landscape/Streetscape Plan Requirements of the City's Unified Development Ordinance, prior to any operations of
this permit. The cleaning of equipment or materials within the drip line of any tree or group of trees that are protected and
required to remain is strictly prohibited. The disposal of any waste material such as, but not limited to, paint, oil, solvents,
asphalt, concrete, mortar, or other harmful liquids or materials within the drip line of any tree required to remain is also
prohibited.
Full Development Permit
The Contractor shall take all necessary precautions to prevent silt and debris from leaving the immediate construction site
in accordance with the approved erosion control plan as well as the City of College Station Drainage Policy and Design
Criteria. If it is determined the prescribed erosion control measures are ineffective to retain all sediment onsite, it is the
contractors responsibility to implement measures that will meet City, State and Federal requirements. The Owner and/or
Contractor shall assure that all disturbed areas are sodden and establishment of vegetation occurs prior to removal of any
silt fencing or hay bales used for temporary erosion control. The Owner and/or Contractor shall also insure that any
disturbed vegetation be returned to its original condition, placement and state. The Owner and/or Contractor shall be
responsible for any damage to adjacent properties, city streets or infrastructure due to heavy machinery and/or equipment
as well as erosion, siltation or sedimentation resulting from the permitted work.
In accordance with Chapter 13 of the Code of Ordinances of the City of College Station, measures shall be taken to insure
that debris from construction, erosion, and sedimentation shall not be deposited in city streets, or existing drainage
facilities.
I hereby grant this permit for development of an area outside the special flood hazard area. All development shall be in
accordance with the plans and specifications submitted to and approved by the City Engineer in the development permit
application for the above named project and all of the codes and ordinances of the City of College Station that apply.
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9
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19
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36
37
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40
41
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45
46
CARTER'S CROSSING, PHASE 3
MBESI PROJ #: 1015-0006
Engineer's Estimate of Construction Costs
July 19, 2007
Description Unit Quantity
Paving Construction
Clearing and Grubbing (includes lot area) Al;. 9
Earthwork (includes removing & stockpiling 4.9 acres of C.Y. 8,630 ltonsoil)
6" Lime Stabilized Subiuade (6% by weight) S.Y. 8,556
6" Crushed Limestone Base S.Y. 5,755
8" Crushed Limestone Base S.Y. 546
2" HMAC Surface Course (including mime coat) S.Y. 5,508
Concrete Cwb and Gutter (all types) L.F. 3,349
6" Reinforced Concrete Pavement S.Y. 1,418
4" Reinforced Concrete Sidewalk S.F. 10,822
Remove Existing Cwb and Sidewalk S.Y. 88
Colored Sidewalk Ramps EACH 8
End/Road Markers EACH 6
Unit Price
1,000.00
5.50
3.6
8.85
11.50
9.00
10.50
43.00
3.50
15.00
550.00
200.00
Paving Subtotal
Drainage System Construction
18" HDPE Pipe, (ADS, N-12 or approved equal w/water-L.F. 106 40.00 tight ioints)
24" HDPE Pipe, (ADS, N-12 or approved equal w/water-L.F. 916 46.00 tioht ioints)
30" HDPE Pipe, (ADS, N-12 or approved equal w/water-L.F. 284 55.00 ti.,ht ioints)
36" HDPE Pipe, (ADS, N-12 or approved equal w/water-L.F. 140 64.00 tillltt ioints)
24" 4:1 Slooed Headwall EACH 1 800.00
36" 4:1 Slooed Headwall EACH 1 1,500.00
Standard 10' Recessed Inlet EACH 3 3,500.00
Standard 5' Recessed Inlet EACH 7 2,750.00
Grate Inlet EACH 1 2,500.00
Standard Junction Box EACH 3 2,500.00
Rip Rap Channel Lining with 700x Mirafi Fabric S.Y. 29 50.00
Drainage System Subtotal
Water System Construction
8" PVC, C909 Cl 200, Water Line, Str. Backfill L.F. 504 32.00
8" PVC, C909 Cl 200, Water Line, Non-Str. Backfill L.F. 1,231 19.00
6" PVC, C909 Cl 200 Water Line, Str. Backfill L.F. 707 24.00
16" PVC Casing (includes spacers and end seals) L.F. 80 50.00
Fire Hydrant Assembly EACH 2 2,700.00
8"x8" M.J. Tee EACH 2 450.00
8''x6" M.J. Tee EACH 3 370.00
8" MJ. Gate Valve EACH 7 950.00
6" MJ. Gate Valve EACH 3 750.00
8''x13" M.J. Anchor Coupling EACH 9 200.00
6''x13" MJ. Anchor Coupling EACH 9 175.00
8''xl 1.25 deg. Bend EACH 2 330.00
8''x22.5 deg. Bend EACH 3 330.00
8''x45 deg. Bend EACH 10 330.00
8"Cap EACH 2 150.00
6''xl 1.25 deg. Bend EACH 2 250.00
6''x22.5 deg. Bend EACH 3 250.00
6"x45 deg. Bend EACH 4 250.00
2" Blow Off Valve Assembly EACH 1 800.00
Water Service, 1.5" tvne K Cooner, short side(< 20') EACH 7 750.00
Water Service, l" tvne K Cooner, short side(.< 20') EACH 7 450.00
Water Service, 1.5" tvne K Cooner, long side(> 20') EACH 10 1,600.00
Water Service, 1" tvne K Cooner, long side(> 20') EACH 6 1,450.00
Water System Subtotal
1 of2
Total
8,800
47,465
30,802
50,932
6,279
49,572
35,165
60,974
37,877
1,320
4,400
1,200
$334,785
4,240
42,136
15,620
8,%0
800
1,500
10,500
19,250
2,500
7,500
1,450
$114,456
16,128
23,389
16,%8
4,000
5,400
900
1,110
6,650
2,250
1,800
1,575
660
990
3,300
300
500
750
1,000
800
5,250
3,150
16,000
8,700
$121,570
Item # I
47
48
49 so
Sl
S2
S3
S4
SS
S6
S7
SS
S9
60
61
CARTER'S CROSSING, PHASE 3
MBESI PROJ #: 1015-0006
Engineer's Estimate of Construction Costs
July 19, 2007
Description Unit Quantity
Sewer System Construction
8" PVC, D-3034 SOR 26 L.F. 2,843
8" PVC, D-2241 SOR 26 L.F. 60
Str. Backfill (O'-S' Deoth) L.F. 3S
Str. Backfill (S'-8' Deoth) L.F. 2,842
Str. Backfill (8'-10' Deoth) L.F. 249
Non-Str. Backfill (0'-S' Deoth) L.F. 200
Non-Str. Backfill (S'-8' l.Je1lth) L.F. 1,171
Non-Str. Backfill (8'-10' Depth) L.F. 608
Sbndard Manhole, 0-6 ft. deco EACH lS
Connect to Existing Manhole (includes removing and L.S. 1 reolacing existing fence & landscane)
Extra Depth for Manhole V.F. 6.8
Short Side 4" Sewer Service (< 20') EACH lS
Long Side 4" Sewer Service (>20') EACH 19
Trench Safety (sewer) L.F. 2,903
Unit Price
6.2S
6.SO
2S.OO
30.00
36.00
12.00
14.00
16.00
2,000.00
2,S00.00
2SO.OO
4SO.OO
1,400.00
l.00
Sewer System Subtotal
Erosion Control Construction
Erosion Control Plan & Sedimentation Control (per Item
106) (includes silt fencing, construction exits, straw bale L.S. 1 lS,000.00 barriers, inlet protection, grass seeding, and any other
sedimentation control devices)
Erosion Control Subtotal
Total
17,769
390
87S
SS,260
8,964
2,400
16,394
9,728
30,000
2,SOO
1,700
6,7SO
26,600
2,903
$212,233
lS,000
$1S,OOO
Total Construction Cost J $798,044
The above construction estimate is based on the engineer's preliminary opinion of probable construction costs. This estimate
constitutes our best judgment at this time. Please note that the engineer docs not have any control over contractor or supplier
worldoads and the degree to which inflation may affect project costs between now and the bid date. During construction,
additional features may become appareot as the worlc progresses, which will result in an increase in cost.
~-----P.E. -
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~ JEFFERY L. ROBERTSON ~ jll!""''""'""••• ....................... ~ ~ -0 \ 94745 /0: ~ ~~... . .. ~~ 1lt ~··.~(CcNS~~-<~ _E '• &s ............ -.;;\0..:
\\\ IONAL € ...... --,,,,,,,, ........... .
.. -c TCEQ Offi ce Use Only Notice of Intent (NOi) for Storm Water Permit No.: ~ "1!! .Discharges Associated with Construction RN: . ""' ... Activity under TPDES General Permit CN:
TCEQ (TXR150000)
~ Sign up now for on line NOi at http://www.tceq.state.tx.us/permitting/steers/steers.html Get Instant Approval
Did you know you can pay on line? Go to https://www6.tccq.state.tx.us/epay/ ...... Select Fee Type: GENERAL PERMIT CONSTRUCTION STORM WATER DISCHARGE NOi APPLICATION
Application Fee: You must pay the $100 Application Fee to TCEQ for the application to be considered complete.
How did vou oav this fee?
Mailed:[Z] Check/Money Order No.: 16470 Name Printed on Check: Brazos Valley Services
EPAY: D Voucher No.: ls the Payment Voucher copy attached? 0Yes
IMPORTANT:
•Use the attached INSTRUCTIONS when completing this form.
•After completing this form, use the attached CUSTOMER CHECKLIST to make certain all items are complete and accurate.
•Missing, illegible, or inaccurate items may delay final acknowledgment or coverage under the general permit.
A. OPERATOR (applicant) ..
I. If the applicant is currently a customer with TCEQ, what is the Customer Number (CN) issued to this entity? CN
2. What is the full Legal Name of the applicant?
Brazos Valley Services
(fhe legal name must be spelled exactly asji/edwith the Texas Secretary of State, County, or in the legal document forming the entity.)
3. What is the applicant's mailing address as recognized by the US Postal Service?
Address: P. 0. Box 985 I Suite No./Bldg. No./Mail Code:
City: Bryan I State: Texas I ZIP Code: 77806
Country Mailing Information (if outside USA). Country Code: Postal Code:
4. Phone No.: (979 ) 255.3977 Extension:
5. Fax No.: ( 979 ) 846.3159 E-mail Address: epalaso@txcyber.com
6. Indicate the type of Customer:
D Individual D Sole Proprietorship-D.B.A. D Limited Partnership D Corporation 0Federal Government [21General Partnership
D State Government Ocounty Government 0City Government
nother:
7. Independent Operator: [{JYes 0 No (If governmental entity, subsidiary, or part of a larger corporation, check "No".)
8. Number of Employees: D 0-20; [ZJ 21-100; 0101-250; U251-500; or D 50 I or higher
9. Customer Business Tax and Filing Numbers (fl1is item is not applicable to Individuals, Government, GP or Sole Proprietor.)
REQUIRED for Corporations and Limited Partnerships
State Franchise Tax ID Number: Federal Tax ID: 74297805
TX SOS Charter (filing) Number: DUNS Number (if known):
B. BILLING ADDRESS
The Operator is responsible for paying the annual fee . The annual fee will be assessed to permits active on September 1 of each year. TCEQ will send a
bill to the address provided in this section. The Operator is responsible for terminating the permit when it is no longer needed.
ls the billing address same as the Operator Address? [Z]Yes, go to Section C. 0No, fill out Section B
I. Billing Mailing Address: I Suite No./Bldg. No./Mail Code:
City: I State: I ZIP Code:
2. Country Mailing Information (if outside USA). Territory: Country Code: Postal Code:
3. Billing Contact (Attn or C/O):
4. Phone No.: ( ) Extension:
5. Fax No.: ( ) E-mail Address:
TCEQ-20022 (12/0 I /2006) Page I
C. APPLICATION CONTACT ~· ··~ h , °C• " '~ "' ·" ... ;( . ' ... " lfTCEQ needs additional information regarding this application, who should be contacted?
I. Name: Ricky Palasota I Title: Owner I Company: Brazos Valley Services
2. Phone No.: ( 979 ) 255.3977 Extension:
3. Fax No.: 979 846.3159 E-mail Address: epalaso@txcyber.com
D. REGULATED ENTITY (RE) INFORMATION ON P~OJECT OR SITE ,.
"•,
I. TCEQ Issued RE Reference Number (RN) (if available):
2. Name of Project or Site (the name as known by the community where this facility/project is located):
Carter's Crossing Phase 3
(example: phase and name of subdivision or name of project that's unique to the site)
3. Physical Address of Project or Site: (enter in spaces below)
Street Number: I Street Name:
City: College Station I ZIP Code: 77845 I County (Counties if> I): Brazos
4. lfno 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)
near the existing Emerald Forest & Raintree Subdivisions
5. Latitude: 30 36 49 N I Longitude: 96 17 10 w
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 NAJCS code) new development
7. What is the mailing address and contact in formation for the regulated entity?
Is the RE mai ling address the same as the Operator? []Yes, address is the same as Operator ONo, provide the address
Street Number: I Street Name:
City: I State: I ZIP Code:
E. GENERAL CHARACTERISTICS , .. ,
I. I certify that the project/site is not located on Indian Country Lands? [Z)Yes 0No
IfNo, you must obtain authorization through EPA, Region Vl.
2. Is this NOi being submitted due to a change in Operator? L.JYes WNo
3. What is the Standard Industrial Classification (SIC) code (see instructions for common codes):
Primary: \ (.Q \) Secondary:
4. What is the total number of acres disturbed? L 12. 651 I
Is the project site part of a larger common plan of development or sale? 0 Yes Q)No
If Yes, the total number of acres disturbed can be less than 5 acres.
If No, the total number of acres disturbed must be 5 or more. If the total number of acres disturbed is less than 5 then the project site does not qualify for
coverage through this Notice oflntent. Coverage will be denied. See the requirements in the general permit for small construction sites.
5. Discharge Information
a What is the name of the first water body to receive the storm water runoff or potential runoff from the site? Carter's Creek
b. What is the segment number(s) of the classified water body(s) that the discharge or potential discharge will eventually reach?
c. Is the discharge into an MS4? 0Yes []No
If Yes, what is the name of the MS4 Operator?
Note: The general permit requires you to send a copy of the NOI to the MS4 Operator.
6. Is the discharge or potential discharge within the Recharge Zone, Contributing Zone, or Contributing Zone within the Transition Zone
of the Edwards Aquifer? DY es []No
If the answer is Yes, please note that a copy of the agency approved Plan required by the Edwards Aquifer Rule (30 TAC Chapter 213) must
be included in the Storm Water Pollution Prevention Plan.
TCEQ-20022 (12/01/2006) Page 2
F. CERTlFlCATION
Check "Yes" to the certifications below. Failure to indicate "Yes• to ALL items may result in denial of coverage under the general permit.
I certify that I have obtained a copy and understand the terms and conditions of the general permit TX150000.
I certify that the activities at this site qualify for coverage under the general permit TX 150000.
I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed.
I understand that permits active on September 1st of each year will be assessed an Annual Water Quality Fee.
I certify that a Storm Water Pollution Prevention Plan (SWP3) has been prepared and implemented as required by the general permit.
Operator Certification:
1, Ricky J. Palasota Partner
Typed or printed name (Required) Title (Required)
0Yes
[Z]Yes
[!]Yes
[i]Yes
[Z]Yes
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 there are significant penalties for submitting false information, including the possibility of fine and imprisonment for
knowing violations.
TCEQ-20022 (12/01/2006) Page 3
Did you complete everything? Use this checklist to be sure!
Are you ready to mail your form to TCEQ? Go to the General Information Section of the Instructions for mailing addresses.
Customer GP Notice of Intent Checklist
TXR150000
.[ This checklist is for use by the operator to ensure a complete application. Missing information may result in denial of coverage under the
ll:eneral oermit. (See NOi Process descriotion in the Instructions)
D Aoolication Fee was sent to TCEO's Cashiers's Office and the check information is listed, or the EPA Y payment voucher is attached.
OPERA TOR INFORMATION -Confirm each item is complete:
.f D Customer Number (CN) issued by TCEQ Central Registry D Legal Name as filed to do business in Texas (Call TX SOS 512/463-5555) D Operator Mailing Address is complete & verifiable with USPS. WWW.US[!S.Com D Phone Numbers/E-mail Address
D Type of Operator (Entity Type)
D Independent Operator
D Number of Employees
0 For Coroorations or Limited Partnershios -Tax ID and SOS Filinll: numbers
Ll Billinll: Address is comolete & verifiable with USPS. WW\v.usps.com
REGULA TED ENTITY (RE) INFORMATION ON PROJECT OR SITE -Confirm each item is complete:
.f D Regulated Entity Reference Number (RN) (if site is already regulated by TCEQ)
0 Site/Project Name/Regulated Entity
D Site/Project (RE) Physical Address Please do not use a rural route or post office box for a site location
D Latitude and Longitude www.tceg.state.tx.us/gis/drgview.html or www.terraserver.microsoft.com/advfind.asi:ix. D Business description
[] Site Mailing Address (checked same as ooerator or comolete & verifiable with USPS. www.usos.com)
GENERAL CHARACTERISTICS -Confirm each item is complete:
D .f
Indian Country Lands -the facility is not on Indian Country Lands D Change in Operator D Standard Industrial Classification (SIC) code WW\\•.osha.gov/oshstats/sicser.html D Acres Disturbed is provided and qualifies for coverage through a NOi. D Discharge Information (receiving water body, segment no. and MS4 Operator) D Edwards Aquifer Rule
CERTIFICATION
D Certification statements have been checked indicating "Yes"
D Signature meets 30 Texas Administrative Code (TAC) §305.44 and is original and has been provided for the Operator.
TCEQ-20022 Checklist (12/01/2006) Page I
Notice of Intent (NOi) for Storm Water Discharges Associated with Construction
Activity under TPDES General Permit (TXR150000)
General I nformation and Instructions
GENERAL INFORMATION
Where to Send the Notice of Intent (NOi) and other related forms:
BY REGULAR U.S. MAIL BY OVERNIGHT/EXPRESS MAlL
Texas Commission on Environmental Quality Texas Commission on Environmental Quality
Stonn Water Processing Center (MC228) Storm Water Processing Center (MC228)
P.O. Box 13087 12100 Park 35 Circle
Austin, TX 78711-3087 Austin, TX 78753
TCEQ Contact list:
Application Processing Questions relating to the status and form requirements: 512/239-3700 or swpermit@tceg.state.tx.us
Technical Questions relating to the general permit: 512/239-4671 or swgp(i'i),tccg.state.tx.us
Environmental Law Division: 5121239-0600
Records Management for obtaining copies of forms submitted to TCEQ: 512/23 9-0900
Information Services for obtaining reports from program data bases (as available): 512/239-DATA (3282)
Financial Administration's Cashier's office: 512/239-0357 or 512/239-0187
Notice of Intent Process:
When your NOi is received by the program, the form will be processed as follows:
l. Administrative Review: Each item on the form will be reviewed for a complete response. In addition, the operator's legal name must be verified with
Texas Secretary of State as valid and active (if applicable). The address(s) on the form must be verified with the US Postal service as an address
receiving regular mail delivery. Never give an overnight/express mailing address.
2. Notice of Deficiency: If an item is incomplete or not verifiable as indicated above, a notice of deficiency (NOD) will be mailed to the operator. The
operator will have 30 days to respond to the NOD. The response will be reviewed for completeness.
3. Acknowledgment of Coverage: An Acknowledgment Certificate will be mailed to the operator. This certificate acknowledges coverage under the
general permit.
-or-
Denial of Coverage: If the operator fails to respond to the NOD or the response is inadequate, coverage under the general permit may be denied. If
coverage is denied, the operator will be notified.
General Permit (Your Permit)
Coverage under the general permit begins 48 hours after a completed NOi is postmarked for delivery to the TCEQ. You should have a copy of your
general permit when submitting your application. You may view and print your permit for which you are seeking coverage, on the TCEQ web site
www.tceg.state.tx.us
General Permit Forms
The Notice oflntent (NOT), Notice of Termination (NOT), and Notice of Change (NOC) with instructions are available in Adobe Acrobat
PDF format on the TCEQ web site v..-ww.tceg.state.tx.us.
Change in Operator
An authorization under the general permit is not transferable. If the operator or owner of the regulated entity changes, the present permittee must submit
a Notice of Termination and the new operator must submit a Notice of Intent. The NOT and NOi must be submitted not later than 10 days prior to the
change in Operator status.
TCEQ Central Registry Core Data Form
The Core Data Form has been incorporated into this form. Do not send a core data form to TCEQ.
After final acknowledgment of coverage under the general permit, the program will assign a Customer Number (CN) and Regulated Entity Number (RN).
For Construction Permits, a new RN will be assigned for each Notice oflntent filed with TCEQ, since construction project sites can overlap with other
Customers. The RN assigned to your construction project will not be assigned to any other TCEQ authorization.
TCEQ-20022 Instructions (12/01/2006) Page 1
You can find the infonnation on the Central Registry web site at www4.tceq.state.tx.us/crpub/. You can search by the Regulated Entity (RN), Customer
Number (CN) or Name (Permittee), or by your pennit number under the search field labeled "Additional ID". Capitalize all letters in the permit number.
The Customer (Pennittee) is responsible for providing consistent information to the TCEQ, and for updating all CN and RN data for all authorizations as
changes occur. For General Pennits, a Notice of Change form must be submitted to the program area.
Fees arc associated with a General Permit
The general permit refers to two different fees that apply to the operator submitting a Notice oflntent (NOi) and authorized under the General Permit.
Payment of the fees may be made by check or money order, payable to TCEQ, or through EPAY (electronic payment) through the web.
Fees:
1. Application Fee: This fee is required to be paid at the time the NOI is submitted. Failure to submit payment at the time the application is filed will
cause delays in acknowledgment or denial of coverage under the general permit.
• Mailcci Pay ments:
Payment must be mailed under separate cover at one of the addresses below using the attached Application Fee submittal fonn. (DO NOT SEND A
COPY OF THE NOi WITH THE APPLICATION FEE SUB MITT AL FORM)
BY REGULAR U.S. MAJL
Texas Commission on Environmental Quality
Financial Administration Division
Cashier's Office, MC-214
P.O. Box 13088
Austin, TX 78711-3088
• ePA Y Electronic Payment:
Go to https://w"vw6.tceq.state.tx.us/epay/
BY OVERNIGHT/EXPRESS MAIL
Texas Commission on Environmental Quality
Financial Administration Division
Cashier's Office, MC-214
12100 Park 35 Circle
Austin, TX 78753
When making the payment you must select Water Quality, then select the fee category "GENERAL PERMIT CONSTRUCTION STORM WATER
DISCHARGE NOi APPLICATION". You must include a copy of the payment voucher with your NOi. Your NOl will not be considered complete
without the payment voucher.
2. Annual Water Quality Fee: This fee is assessed to operators with an active authorization under the general pennit on September I of each year. The
operator will receive an invoice for payment of the annual fee in November of each year. The payment will be due 30 days from the invoice date. A 5%
penalty will be assessed if the payment is received by TCEQ after the due date. Annual fee assessments cannot be waived as long as the authorization
under the general permit is active on September I. It's important for the operator to submit a Notice of Tennination (NOT) when coverage under the
general permit is no longer required. A NOT is effective on the postmarked date of mailing the fonn to TCEQ. It is recommended that the NOT be
mailed using a method that documents the date mailed and received by TCEQ.
• Mailed Pnyment·s:
You must return your payment with the billing coupon provided with the billing statement.
• cPAY Electronic Payment:
Go to https://www6.tceq.state.tx.us/epay/
You must enter your account number provided at the top portion of your billing statement. Payment methods include Mastercard, Visa, and electronic
check payment (ACH). A transaction over $500 can only be made by ACH.
INSTRUCTIONS FOR FILLING OUT THE NOi FORM
A. OPERA TOR (As defined in the general vermit.) .
I. TCEQ Issued Customer Number (CN)
TCEQ's Central Registry will assign each customer a number that begins with "CN," followed by nine digits. This is not a permit number, registration
number, or license number.
• If this customer has not been assigned a Customer Reference Number, leave the space for the Customer Reference Number blank.
• If this customer has already been assigned this number, enter the operator's Customer Reference Number in the space provided.
2. Legal Name
Provide the legal name of the facility operator, as authorized to do business in Texas. The name must be provided exactly as filed with the Texas
Secretary of State (SOS), or on other legal documents forming the entity, that is filed in the county where doing business. You may contact the SOS at
512/463-5555, for more information related to filing in Texas. If filed in the county where doing business, provide a copy of the legal documents
showing the legal name.
3. Operator Mailing Address
Provide a complete mailing address for receiving mail from the TCEQ. The address must be verifiable with the US Postal Service at www.usps.com., for
regular mail delivery (not overnight express mail). If you find that the address is not verifiable using the USPS web search, please indicate the address is
used by the USPS for regular mail delivery.
TCEQ-20022 Instructions (12/01/2006) Page 2
4. Phone Number
This number should correspond to this customer's mailing address given earlier. Enter the area code and phone number here. Leave "Extension" blank if
this customer's phone system lacks this feature.
5. Fax Number and E-mail Address
This number and E-mail address should correspond to operator's mailing address provided earlier. (Optional Information)
6. Type of Entity
Check only one box that identifies the type of entity. Use the descriptions below to identify the appropriate entity type:
Individual is a customer who has not established a business, but conducts an activity that needs to be regulated by the TCEQ.
Sole Proprietorship -D.B.A. is a customer that is owned by only one person and has not been incorporated. This business may:
• be under the person's name
• have its own name ("doing business as," or d.b.a.)
• have any number of employees
Partnership is a customer that is established as a partnership as defined by the Texas Secretary of State's Office.
Corporation is a customer that meets all of these conditions:
• is a legally incorporated entity under the laws of any state or country
• is recognized as a corporation by the Texas Secretary of State
• has proper operating authority to operate in Texas .
Government -Federal, state, county, or city government (as appropriate)
the customer is either an agency of one of these levels of government or the governmental body itself.
Other is Estate, Trust, etc.
the customer does not lit one of the above descriptions. Enter a short description of the type of customer in the blank provided.
7. Independent Operator
Check "No" if this customer is a subsidiary, part of a larger company, or is a governmental entity. Otherwise, check "Yes."
8. Number of Employees
Check one box to show the number of employees for this customer's entire company, at all locations. This is not necessarily the number of employees at
the site named in the NOi.
9. State Franchise Tax ID Number
Corporations and limited liability companies that operate in Texas are issued a franchise tax identification number. If this customer is a corporation or
limited liability company, enter this number here.
Federal Tax ID
All businesses, except for some small sole proprietors, individuals, or general partnerships should have a federal taxpayer identification number (TIN).
Enter this number here. Use no prefixes, dashes, or hyphens. Sole proprietors, individuals, or general partnerships do not need to provide a federal tax ID.
TX SOS Charter (filing) Number
Corporations and Limited Partnerships required to register with the Texas Secretary of State are issued a charter or filing number. You may obtain further
information by calling SOS at 512/463-5555.
DUNS Number
Most businesses have a DUNS (Data Universal Numbering System) number issued by Dun and Bradstreet Coro. If this customer has one, enter it here.
B. Billine: Address
An annual fee is assessed to each operator holding an active authorization under the general permit on September l of each year. Provide the complete
mailing address where the annual fee invoice should be mailed. Verify the address with the USPS. It must be an address for delivery of regular mail, not
overnight express mail. Also, provide a phone number of the operator's representative responsible for payment of the invoice.
Country Mailing Information
If this address is outside the United States, enter the territory name, country code, and any non-ZIP mailing codes or other non-U.S. Postal Service
features here. If this address is inside the United States, leave these spaces blank.
C. Application Contact " Provide the name, title and communication information of the person that TCEO can contact for additional information regarding this application.
D. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITE
I. Regulated Entity Reference Number (RN)
This is a number issued by TCEQ's Central Registry to sites (a location where a regulated activity occurs) regulated by TCEQ. This is not a permit
number, registration number, or license number.
• If this Regulated Entity has not been assigned a Regulated Entity Number, leave this space blank .
• If this customer has been assigned this number, enter the operator's Regulated Entity Number .
2. Site/Project Name/Regulated Entity
Provide the name of the site as known by the public in the area where the site is located. The name you provide on this application will be used in the
TCEQ Central Registry as the Regulated Entity. A new regulated entity number is assigned by Central Registry for each new construction Notice of
Intent since the area under control of the operator may not be contiguous within a project site.
TCEQ-20022 Instructions (12/0 1/2006) Page 3
3. Site/Project (RE) Physical Address
Enter the complete address of where the site is located. This address must be validated through US Postal Service or your local police (9 11 service) as a
valid address. Please confirm this to be a complete and valid address. In some rural areas, new addresses are being assigned to replace rural route
addresses. Please do not use a rural route or post office box for a site location.
If a site does not have an actual physical address that includes a street number and street name, enter NO ADDRESS for the street name. Then provide a
complete written location access description. For example: "The site is located 2 miles west from intersection of Hwy 290 & IH35, located on the
southwest corner of the Hwy 290 South bound lane." This includes authorizations for construction projects such as highways and subdivision.
Provide the city and ZIP code of the area where the facility is located. This is information is required to complete the processing of your form.
4. Latitude and Longitude
Enter the latitude and longitude of the site in either degrees, minutes, and seconds or decimal fo rm. For help obtaining the latitude and longitude, go to:
www.tcen.state.tx.us/Pis/dr<>view.html or wv>'w.terraserver.microsoft.com/advfind.asnx.
5. Description of Activity Regulated
In your own words, briefly describe the primary business being conducted at the site. [A description specific to what you are doing that requires this
authorization -Do not repeat the SlC Code(s).]
SITE MAILJNG ADDRESS
Provide a complete mailing address to be used by TCEQ for receiving mail at the site. ln most cases, the address is the same as the operator. If so,
simply place a check mark in the box. lfyou provide a different address, please verify the address with USPS as instructed above for the operator
address.
E. GENERAL CHARACTERISTICS ' .-' .
I. Indian Country Lands
If your site is located on Indian Country Lands, the TCEQ does not have authority to process your application. You must obtain authorization through
EPA, Region Yl, Dallas. Do not submit this form to TCEQ.
Indian Country means (I) all land within the limits of any American Indian reservation under the jurisdiction of the U.S. government, notwithstanding the
issuance of any patent, and including rights-of-way running throughout the reservation; (2) all dependent Indian communities within the borders of the
United States whether within the original or subsequently acquired territory thereof, and whether within or outside the limits of a State; and (3) all Indian
allotments, the Indian titles which have not been extinguished, including rights-of-way running through the same.
Indian Tribe means any Indian Tribe, band, nation, or community recognized by the Secretary of the Interior and exercising substantial governmental
duties and powers.
2. Indicate ifthe NOi is being submitted due to a change in operator.
3. Standard Industrial Classification (SIC) code
Provide the SlC code that best describes the construction activity being conducted at the site.
Common SIC Codes related to construction activities include: 1521 Construction of Single Family Homes; 1522 Construction of Residential Bldgs.
Other than Single Family Homes; 1541 Construction oflndustrial Bldgs. and Warehouses; 1542 Construction of Non-residential Bldgs. other than
Industrial Bldgs. and Warehouses; 1611 Highway & Street Construction, except Highway Construction; 1622 Bridge, Tunnel, & Elevated Highway
Construction; 1623 Water, Sewer, Pipeline & Communications, and Power Line Construction. For help with SIC codes, go to:
www.osha.gov/oshstats/sicscr.html
4. Estimated Area of Land Disturbed
Provide the approximate number of acres that the construction site will disturb.
Construction activities that disturb less than one acres, unless they are part of a larger common plan that disturbs more than one acre, do not require
permit coverage.
Construction activities that disturb between one and five acres, unless they are part of a common plan that disturbs five acres or more acres, do not require
submission of an NOi. Therefore, the estimated area of land disturbed should not be less than five, unless the project is part of a larger common plan that
disturbs five or more acres.
"Disturb" means any clearing, grading, excavating, or other similar activities. If you have any questions about this item, please call the storm water
technical staff at (512)239-4671.
5. Discharge Information
a. The storm water may be discharged directly to a receiving stream or through a MS4* from your site. It eventually reaches a receiving water body such
as a local stream or lake, possibly via a drainage ditch. You must provide the name of the water body that receives the discharge from the site (a local
stream or lake).
b. Identify the classified segment number. Go to the link to find the segment number of the classified water body where wastewater will flow
htt11://www.tceg.state.tx.us/com11liance/monitoring/watcr/gualitv/data/wgm/viewer/viewer.html .
TCEQ-20022 lnstructions (12/01/2006) Page 4
c. Identify the MS4* Operator name ifthe storm water discharge is into an MS4.
*MS4 is an acronym for Municipal separate storm sewer system. MS4 is defined as a separate storm sewer system owned or operated by a state,
city, town, county, district, association, or other public body (created by or pursuant to state law) having jurisdiction over disposal of sewage, industrial
wastes, storm water, or other wastes, including special districts under state law such as a sewer district, flood control or drainage district, or similar entity,
or an Indian tribe or an authorized Indian tribal organization, that discharges to water in the state.
For assistance, you may call the technical staff of the Water Quality Assessment & Standards Section at 512/239-4671.
6. Edwards Aquifer Rule
See maps on the TCEQ website to determine if the site is located within the Recharge Zone, Contributing Zone, or Contributing Zone within the
Transition Zone of the Edwards Aquifer at http://www.tceg.state.tx.us/compliance/field ops/eapp/viewer.html.
If the discharge or potential discharge is within the Recharge Zone, Contributing Zone, or Contributing Zone within the Transition Zone of the Edwards
Aquifer, a site specific authorization approved by the Executive Director under the Edwards Aquifer Protection Program (30 TAC Chapter 213) is
required before construction can begin.
The general permit requires the approved Contributing Zone Plan or Water Pollution Abatement Plan to be included as a part of the Storm Water
Pollution Prevention Plan. The certification must be answered "Yes" for coverage under the general permit.
F. CERTJFICA TIONS
Failure to indicate "Yes" to ALL of the certification items may result in denial of coverage under the general permit.
The certification must bear an original signature of a person meeting the signatory requirements specified under 30 Texas Administrative Code (TAC)
§305.44.
IF YOU ARE A CORPORATION:
The regulation that controls who may sign an NOi or similar form is 30 Texas Administrative Code §305.44(a)(l) (see below). According to
this code provision, any corporate representative may sign an NOT or similar form so long as the authority to sign such a document has been delegated to
that person in accordance with corporate procedures. By signing the NOI or similar form, you are certifying that such authority has been delegated to
you. The TCEQ may request documentation evidencing such authority.
IF YOU ARE A MUNICIPALITY OR OTHER GOVERNMENT ENTITY:
The regulation that controls who may sign an NOi or similar form is 30 Texas Administrative Code §305.44(a)(3) (see below). According to
this code provision, only a ranking elected official or principal executive officer may sign an NOi or similar form. Persons such as the City Mayor or
County Commissioner will be considered ranking elected officials. In order to identify the principal executive officer of your government entity, it may
be beneficial to consult your city charter, county or city ordinances, or the Texas statute(s) under which your government entity was formed. An NOi or
similar document that is signed by a government official who is not a ranking elected official or principal executive officer does not conform to
§305 .44(a)(3). The signatory requirement may not be delegated to a government representative other than those identified in the regulation. By signing
the NOi or similar form, you are certifying that you are either a ranking elected official or principal executive officer as required by the administrative
code. Documentation demonstrating your position as a ranking elected official or principal executive officer may be requested by the TCEQ.
If you have any questions or need additional information concerning the signatory requirements discussed above, please contact the Texas Commission
on Environmental Quality's Environmental Law Division at 512/239-0600.
30 Texas Administrative Code
§305.44. Signatories to Applications.
(a) All applications shall be signed as fo llows.
(I) For a corporation, the application shall be signed by a responsible corporate officer. For purposes of this paragraph, a responsible
corporate officer means a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other
person who performs si milar policy or decision-making functions for the corporation; or the manager of one or more manufacturing, production, or
operating facilities employing more than 250 persons or having gross annual sales or expenditures exceeding $25 million (in second-quarter 1980
dollars), if authority to sign documents has been assigned or de legated to the manager in accordance with corporate procedures. Corporate procedures
governing authority to sign permit or post-closure order applications may provide for assignment or delegation to applicable corporate positions rather
than to specific individuals.
(2) For a partnership or sole proprietorship, the application shall be signed by a general partner or the proprietor, respectively.
(3) For a municipality, state, federal, or other public agency, the application shall be signed by either a principal executive officer or a
ranking elected official. For purposes of this paragraph, a principal executive officer of a federal agency includes the chief executive officer of the
agency, or a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency (e.g., regional
administrator of the EPA).
TCEQ-20022 Instructions (12/01/2006) Page 5
. ' .
Texas Commission on Environmental Quality
General Permit Payment Submittal Form
Use this form to submit your Application Fee only if you are mai ling your payment.
•Complete items 1 through 5 below:
•Staple your check in the space provided at the bottom of this document.
•Do not mail this form with your NOi form.
•Do not mail this form to the same address as your NOi.
Mail this form and your check to:
BY REGULAR U.S. MAIL BY OVERNIGHT/EXPRESS MAIL
Texas Commission on Environmental Quality Texas Commission on Environmental Quality
Financial Administration Division Financial Administration Division
Cashier's Office, MC-214 Cashier's Office, MC-214
P.O. Box 13088 12100 Park 35 Circle
Austin, TX 78711-3088 Austin, TX 78753
Fee Code: GP A General Permit: TXR150000
I. Check I Money Order No: 16470
2. Amount of Check/Money Order: 100.00
3. Date of Check or Money Order: 8·23·07
4. Name on Check or Money Order: Brazos valley Services
"?# ,. ., . .··· ., ' 5. NOI INFORMATlON
If the check is for more than one NOi, list each Project/Site (RE) Name and Physical Address exactly as provided on the NOi. DO NOT SUBMIT
A COPY OF THE NOi WITH THIS FORM AS IT COULD CAUSE DUPLICATE PERMIT ENTRIES.
See Attached List of Sites (lfmore space is needed, you may attach a list.)
Project/Site (RE) Name:
Carter's Crossing Phase 3
Project/Site (RE) Physical Address:
Southern College Station, Texas near the existing Emerald Forest and Raintree Subdivisions.
Staple Check In This Space
TCEQ-20134 ( 4/13/2006) Page 1