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Texas Commission on Environmental Quality (TCEQ)
Storm Water Program
TPDES GEN ERAL PERMIT 7CXR150000
"PREWAR ¥ OPERATOR" NOTICE
This notice applies to construction sites operating under Part II.E.3, of the TPDES General Permit Number
T XRI50000 for discharges of stonnwater runoff from construction sites equal to or greater than live acres,
including the larger common plan of development. The information on this notice is required in Part III.E.2.
of the general permit. This notice shall be posted along with a copy of the signed Notice of Intent (NOI), as
applicable. Additional information regarding the TCEQ storm water permit program may be found on the
Internet at: http: / /www.tceq.state.tx.us/nav /permits /sw permits.html
Site - Specific TPDES Authorization Number:
Operator Name: j.. GRFNCO NI 0:)14SC . IA-! C ... - —
Contact Name and Phone Number: Ut _C2-17.M __( i g533 105
Project Description: Physical address or description of the 17Et`Ck'\ T'PUL..
site's location, and estimated start date and projected end ;)� S -1-/ • 7 3
date, or date that disturbed soils will be stabilized ��.• ���x l
Location of Storm Water Pollution Prevention Plan: )14 1 ie_1 t `J
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1111411N"I �r
LARGE CONSTRUCTION SITE NOTICE
FOR THE
Texas Commission on Environmental Quality (TCEQ)
Storm Water Program
TPDES GENERAL PERMIT TXR150000
"SECONDARY OPERATOR " NOTICE
This notice applies to secondary operators of construction sites operating under Part II.E.3. of the TPDES
General Permit Number TXR150000 for discharges of storm water runoff from construction sites equal to or
greater than five acres, including the larger common plan of development. The information on this notice is
required in Part III.E.2. of the general permit. Additional information regarding the TCEQ storm water
permit program may be found on the Internet at: http : / /www.tceq.state.tx.tts/nav /permits /sWJ)ernlnits.htmt
II Site- Specific TPDES Authorization Number: ( f,? .
Operator Name:
Z(q- —z ?v — n��3
Contact Name and Phone Number:
Project Description: Physical address or description of the
site' location, and estimated start date and projected end
date, or date that disturbed soils will be stabilized.
Location of Storm Water Pollution Prevention Plan (SWP3): ` ,-C
For Large Construction Activities Authorized Under Part ILE.3. (Obtaining Authorization to Discharge) the
follovng certification must be completed:
I ff33tt (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
conducting unauthorized discharges, including the possib' ity of fine and imprisonment for knowing violations.
Signature and Title Mbar
, Date i Z l ((
Date Notice Removed
MS4 operator notified per Part II.F.3.