Royal Oaks-PT110920I Copy of Record - Texas Commission on Environmental Quality - www.tce... Page 1 of 5
Texas Commission on Environmental Quality
Construction Notice of Intent
Site Information (Regulated Entity)
What is the name of the site to be
Royal Oaks
authorized?
TX
Does the site have a physical ' ress�
No .
Because there is no physical address,
200 block of East Sandy Lake Road
describe how to locate this site:
32.9689
City :
Coppell
State
TX _.
ZIP
75119: .
County
DALLAS
Latitude (N ). O
32.968 -
Longitude (VV) (##.�)
- 96.9882
Primary SIC Code
16'13
Secondary SIC Code
Pnm6 ry NAILS Code'
Secondary NAICS Code
Regialatetl Eh i. y SiteJnformation, ;
What is the Regulated Entity's Number
(RN)?
Does the RE site have a physical address? Na
City
Coppell
State `
TX
'ZIP
75019
County :.<
Latitude (N) (##.######)
32.9689
Longitude (1N) (-ff#)
- 96.88:82
What is the primary business of this entity?
Utility Construction
CONATSE- Customer (Applicant) Information
How is this applicant associated with this Operator
site?
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State Franch se Taxb.
.
DUNS Number
Number of Employees 2'5.1 -500
Independently Owned and Operated? No
Responsible Authority Contact
Organization Name
CONATSER CONSTRUCTION TX Ll?
Prefix
CONATSER CONSTRUCTION TX LP
First
Brock
Middle
Brock
Last
Wuggins.
Suffix
Huggins
Title
Vice Presitlentf
Responsible Authority Mailing Address
Vice President
Enter new address or.00py one from list
CONATSER CONSTRUCTION. TX LP'
Address Type
Domestic
Mailing Address ( include Suite or 81dg.. here,
PO.BOX 15448
if a livable
PO BOX 15448
Routing (such as Mail Code, Dept., or Attn:)
City
FORTWORTH
State
TX
.ZIP.7fi119
:
Phone
8175341743
Extension '
Alternate Phone (�)
Fax (### ## ##1##)
8175344556
E -mail
vicki @conatserconstruction.com
Application Contact
Person TCEQ should contact for questions
about this application:
Same as another canti3ctl
. COiVATER C.OIVSTRLJCTION TX LP
Organization Name
CONATSER CONSTRUCTION TX LP
Prefix
First
Brock
Middle ;
Last
._
Huggins
suffix.
Title
Vice President
Enter new adtlress or copy one from,lisf.
CONATSER CONSTRUCTION. TX LP'
Mailing Address
Address Type
Domestic
Mailing Address (include Suite or Bldg. here,
PO BOX 15448
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if applicable)
Reuting (such as Mail Code,Dept., or Attrt:)
City
FORT WORTH
State:
TX
ZIP
76119
Phone'()
81:75341743::
Extension
Alternate Phone, (##j
FaxO
8175344556
E -mail
urcki @conatseroonstruction .
CNOI General Characteristics
1) Is the project located on Indian Country No
Lands?
3) If applicable, what is the Secondary SIC
Code?
41 Is the nroieet.stte r arf of a' larnpr nrim. mr
5) What is the total number of acres
disturbed?
7) What is the segment number(s) of the 0822
classified water body receiving the
discharges from the construction site?
8) Is the drscharge intro on'.MS4? Yes
8.a. What is the name of the MS4 Operator? City of Coppell
Yes
Certification
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10) Is the discharge or potential discharge No
within the Recharge Zone, Contributing
zone, or Contributing zone within the
Transition zone of the Edwards Aquifer?
1 Z) i certify that I have obtained a copy and
understand the terms and conditions of the
Construction General Permit (TXR150000).
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I certify that I am authorized under 30 Texas Administrative Code Subchapter 305.44 to sign this document and
can provide documentation in proof of such authorization upon request.
I 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.
1. I am Brock Huggins, the owner of the STEERS account ER019889.
2. 1 have the authority to sign this data on behalf of the applicant named above.
3. 1 have personally examined the foregoing and am familiar with its content and the content of any attachments, and
based upon my personal knowledge and/or inquiry of any individual responsible for information contained herein, that
this information is true, accurate, and complete.
4. 1 further certify that I have not violated any term in my TCEQ STEERS participation agreement and that I have no
reason to believe that the confidentiality or use of my password has been compromised at any time.
5. 1 understand that use of my password constitutes an electronic signature legally equivalent to my written signature.
6. 1 also understand that the attestations of fact contained herein pertain to the implementation, oversight and enforcement
of a state and/or federal environmental program and must be true and complete to the best of my knowledge.
7. 1 am aware that criminal penalties may be imposed for statements or omissions that I know or have reason to believe
are untrue or misleading.
8. 1 am knowingly and intentionally signing Construction Notice of Intent.
9. My signature indicates that I am in agreement with the information on this form, and authorize its submittal to the TCEQ.
OPERATOR Signature: Brock Huggins OPERATOR
Account Number:
ER019889
Signature IR Address:
163.234.25.21
Signature Date:
2011 -09 -20
Signature flash:
3 BAF 5 E 3 D 2 204ED20EBBC7299E9CFCEF0334129FAB83EBOBDO6E67E451 FBA4152
Form Hash Code at
311961A2F73F53D7E0729440AB1 B1 ECB61 OAl BF59DO09A2D75459D8964252BD1
time of Signature:
Fee Payment
Transaction by:
The application fee payment transaction was
made by ER019889 /Brock Huggins
Paid b}i
7 he,application fee was paid by BROCK
HUGG.INS
Fee Amount:
225
Paid Date;
The app flee was paid on 2011 09 -20
Transaction/Voucher number:
The transaction number is
582EA000105517 and the voucher number
is 136403
Submission
Reference Number:
The application reference number is 36980
Submitted by:
The application:was submitted by
ER0198891Brock Huggins
Submitted Timestemp:
The application was submitted on 2011-09 -
20 at 09:39:33 CDT
IC
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adtlress 163:234.25.21. ..
Confirmation Number: The confirmation number is 46854
S #ears Version: , The STEERS.'ver5ion is
Additional Information
Application Creator: This account was created by Brock Huggins
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