Lesley Retail (QT)-PT111019 (2) •
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N a T s i y H
FOR THE -
Texas Commission on Environmental Quality (TCEO) .
Storm Water Program
TPDES GENERAL PERMIT TX R150000
The following information is posted in compliance with Part 11E2. of the TCEQ General Permit
Number TXR150000 for discharges of storm water runoff from small construction sites. Additional
information regarding the TCEQ storm water permit program may be found on the internet at:
littp://www.toeci.state.tx.usinavio trill its/wc noiistruction.htni1
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Contact Name and Phone Number:
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Project Description: Physical address or
description of the site's locotioll, estanzated start S Bet fi e / 2( 0,;,,,d,,,,, a
clate and projected end date, or date that disturbed ..
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soils will be stabilized ZO'9. e/ /- •
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Pp- A 5W-1- 4- . 6// / I i Codry/e -P 1 .
Location of Storm Water Pollution Prevention Plan: "i .
For Small Construction Activities Authorized Under Part II.E.2. (Obtaining Authorization to Discharge)
the following certification must be completed:
1 _ Z //��f (f • (Typed or Printed Name Person Completing This Certification) certify under
penalty of law that I have read and understand the eligibility requirements for claiming an authorization under Part II.E 2. of
TPDES General Permit TXR150000 and agree to comply with the terms of this permit. A storm water pollution prevention
plan has been developed and will be implemented prior to construction, according to permit requirements. A copy of this
signed notice is supplied to the operator of the MS4 if discharges enter an MS4. I am aware there are significant penalties for
providing false information or for conduct' -g unauthorized discharges, including the ..ssibility of fine and imprisonment for
knowing violations. , /
/ / /
Signature and Title KA / i i f Date ` % / r
Date Notice Removed_
M84 operator notified perPartILF.3.
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CONSTRUCTION SITE NOTICE
FOR THE
Texas Commission 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
TXR150000 for discharges of storm water runoff from construction sites. Additional information regarding the
TCEQ storm water permit program may be found on the internet at:
http: / /www.tceq. state.tx.us /pennitting/ water_ quality/stormwater /TXR15_AIR.html
Contact Name and Phone Number: J6 ��, P7 - $ '- SS vr
Project Description: / F y ,
(Physical address or description of the site's "
location, estimated start date and projected end W/'/lz-fi 7 7S_
date, or date that disturbed soils will be
stabilized)
/a 2 gl - If -g-v 3- 1- I 2_
Location of Storm Water Pollution On S
Prevention Plan :
For Construction Sites Authorized Under Part II.D.2. (Obtaining Authorization to Discharge) the following
certification must be completed:
I i 77 1 (iI` -7 (Typed or Printed Name Person Completing This Certification) certify under penalty of
law that I have read and understand the eligibility requirements for claiming an authorization under Part II.D.2. of
TPDES General Permit TXR150000 and agree to comply with the terms of this permit. A storm water pollution
prevention plan has been developed and implemented according to permit requirements. A copy of this signed
notice is supplied to the operator of the MS4 if discharges enter an MS4 system. I am aware there are significant
penalties for providing false information or for conducting unauthorized discharges, including the possibility of fine
and imprisonment for knowing violations.
/ ' '2 / h44 1 ,
ure and T le Date