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Estates of Denton Creek-PT120315 T t1 E •C 1 7 Y •O r COFFELL , _- ,:,. t ,, ., ,,,,.,„:; ,,,,,,., 4 , t EARLY GRADING / EXCAVATION PERMIT IN RIGHT -OF -WAY / EASEMENT / PRIVATE PROPERTY Date: 3 — 1 S , 2 . _ r% Grading plans provided and approved. (Erosion Control must be installed prior to beginning work.) I Tree Removal Permit from Parks & Recreation Dept. required. Hold Harmless Letter from * the � Property Owner /Engineer /Developer is attached. - 5 . 4-.4-es rat Project Name /Location: 5 i■.) - 'r0 t) Ce F lc General Contractor: 1--- e- 401 M e V c lL © — 42--S Permit issued to Company /Representative: I e-✓ iy A-0104-E- s Address: 2 - Z S . �. _ WA., ( 2 l S cs L z..c. C-c [-C.. T',x `7 Sey q Telephone #: 7.-14 - cE Cr-S Emergency Telephone #: L / y& - 4 General Description of work (provide copy of approved plans): / it kt tit L./13-1,17 - P - - , J t z , F iv g _ Li. - 6, - o p _ pI, , i ' r , I _s 's 1z 1 - T O c_ c2U 1.. O & :1`7- F in_" P ■- l r' i') I AZ2t'f'' -P }}t .1 1. Oki i c 'R4-'( c i c ➢ Was contact made with City and /or Utility Companies to locate existing utilities? if NO, Reason: /./t � LTI i- I T7cf / Rr1t I f YES YNO ➢ Was contact made with Parks & Recreation Dept. concerning Tree Removal Permit? if NO, Reason: 1/0 7 E rC /ttapaoL 4.1.,a11. I I YES Pi NO ➢ Is removal of existing street, alleys, or sidewalks necessary? I I YES yrNO if YES, Attach Bore /Street Cut /Saw Cut Permit ➢ Is Floodplain Permit required? I ) YES X NO if YES, Permit # or date of City Council variance 1' ,,:1 F . it i ,., r 1 L ce:( C { , Early Grading / Excavation Permit Page 2 Representative(s) of the Contractor must adhere to all construction standards approved by the City of Coppell, which includes but is not limited to: Erosion Control Ordinance, compaction requirements (density tests will be required at the applicant's expense), Tree Ordinance and barricading according to the Texas Manual on Uniform Traffic Control Devices. Area(s) affected must be restored to as good condition as before the commencement of work (grading, drainage, vegetation, and erosion control). ➢ Any work requiring closing of a lane of traffic, street, or alley must be approved by the Engineering Dept. with notification to the following prior to closing: Police Department @ 972 - 304 -3600 Fire Department @ 972 - 304 -3500 Street Department @ 972 - 462 -5150 Engineering Department @ 972 - 304 -3679 ➢ Attach barricade plan / trench safety plan of a lane or street closure is required. Note: Street closures are allowed from 9:00 a.m. until 4:00 p.m. ONLY unless otherwise approved by City Engineer. ➢ A 2% inspection fee for grading is required prior to beginning work. (Attach copy of excavation contract for verification) Amount Paid $ 011,4- Date Paid / / ❖ City inspector must be notified 24 hours prior to beginning work related to this permit. d Y rs 3 - Signature of Applica ontractor Rep. Printed Name Date 6 I' I 4 11( 1 2, Signature of City Engineer Aited Name Date C odd! � 5 76 7 77 T City Inspector for this project Contact Number(s) Applicant shall indemnify and forever hold harmless against the City of Coppell each and every claim, demand or cause of action that may be made or come against it by reason of or if any way arising out of the closure, blocking, excavating, cutting, tunneling, or other work by the applicant under permit from the City, if such permit is granted. Copy of Record 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 authorized? Denton Creek Estates Fit Does the site have a physical address? No Because there is no physical address, N. side of E. Sandy Lake road approx. 1/4 mile describe how to locate this site: E. of N. MacArthur Blvd. City Coppell State TX ZIP 75019 County DALLAS Latitude (N) (##.####I#A) 32.970197 Longitude (W) (- ###.######) - 96.954192 Primary SIC Code 1611 Secondary SIC Code Primary NAICS Code Secondary NAICS Code Regulated Entity Site Information What is the Regulated Entity's Number (RN)? What is the name of the Regulated Entity Denton Creek Estates Fill (RE)? Does the RE site have a physical address? No Because there is no physical address, N. side of E. Sandy Lake road approx. 1/4 mile describe how to locate this site: E. of N. MacArthur Blvd. City Coppell State TX ZIP 75019 County DALLAS Latitude (N) (##.####) 32.970197 Longitude (W) (- 4##.##### #) - 96.954192 What is the primary business of this entity? Single Family Residential Homebuilder THE HOL- Customer (Applicant) Information How is this applicant associated with this site? Operator What is the applicant's Customer Number CN602789836 (CN)? Copy of Record Page 2 of 5 Type of Customer Partnership Full legal name of the applicant: Legal Name THE HOLMES BUILDERS OF COPPELL LTD Texas SOS Filing Number 015336410 Federal Tax ID 752948979 State Franchise Tax ID DUNS Number Number of Employees 0 -20 Independently Owned and Operated? No I certify that the full legal name of the entity Yes applying for this permit has been provided and is legally authorized to do business in Texas. Responsible Authority Contact Organization Name THE HOLMES BUILDERS OF COPPELL LTD Prefix First Terry Middle Last Holmes Suffix Title President Responsible Authority Mailing Address Enter new address or copy one from list: Address Type Domestic Mailing Address (include Suite or Bldg. here, if 225 East Highway 121, Suite 120 applicable) Routing (such as Mail Code, Dept., or Attn:) City Coppell State TX ZIP 75019 Phone (#14-#444#41#/#) 2144885200 Extension Alternate Phone (1144- #4W- ### #) Fax (II##- ### -####) 2144885255 E -mail dhayes @holmescommercial.net Application Contact Person TCEQ should contact for questions about this application: Copy of Record Page 3 of 5 Same as another contact? THE HOLMES BUILDERS OF COPPELL LTD Organization Name THE HOLMES BUILDERS OF COPPELL LTD Prefix First Terry Middle Last Holmes Suffix Title President Enter new address or copy one from list: THE HOLMES BUILDERS OF COPPELL LTD Mailing Address Address Type Domestic Mailing Address (include Suite or Bldg. here, if 225 East Highway 121, Suite 120 applicable) Routing (such as Mail Code, Dept., or Attn:) City Coppell State TX ZIP 75019 Phone (441#-#4444#44) 2144885200 Extension Alternate Phone (###- ### -####) Fax (#44- #414- ##/#1#) 2144885255 E -mail dhayes @holmescommercial.net CNOI General Characteristics 1) Is the project located on Indian Country No Lands? 2) What is the Primary Standard Industrial 1521 Classification (SIC) Code? 3) If applicable, what is the Secondary SIC 1611 Code? 4) Is the project site part of a larger common Yes plan of development or sale? 5) What is the total number of acres disturbed? 3 6) What is the name of the water body to Denton Creek to Elm Fork Trinity River receive the storm water runoff or potential runoff from the site? 7) What is the segment number(s) of the 0825 classified water body receiving the discharges from the construction site? Copy of Record Page 4 of 5 8) Is the discharge into an MS4? Yes 8.a. What is the name of the MS4 Operator? City of Coppell 9) Are any of the surface water bodies Yes receiving discharges from the construction site on the latest EPA - approved CWA 303(d) list of impaired waters? 9.a. What is the name of the impaired water Elm Fork Trinity River body(s) receiving the discharges from the contruction site? 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? 11) I certify that a storm water pollution Yes prevention plan has been developed, will be implemented prior to construction, and is compliant with any applicable local sediment and erosion control plans prepared. 12) I certify that I have obtained a copy and Yes understand the terms and conditions of the Construction General Permit (TXR150000). 13) I understand that a Notice of Termination Yes must be submitted when this authorization is no longer needed. Certification 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 Terry Holmes, the owner of the STEERS account ER014622. 2. I have the authority to sign this data on behalf of the applicant named above. 3. I 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. I 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. I understand that use of my password constitutes an electronic signature legally equivalent to my written signature. Copy of Record Page 5 of 5 6. I 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. I 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. I 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: Terry Holmes OPERATOR Account Number: ER014622 Signature IP Address: 71.252.153.17 Signature Date: 2012 -03 -20 Signature Hash: A06630091431 E762328FEC0C6CD8534405A0B5D72176237B1 B7A15C5325A6D0F Form Hash Code at time of B8680CF7BD7ED244A58C4C125541CD63385E72357A36D3D2C48EA62B34 Signature: Fee Payment Transaction by: The application fee payment transaction was made by ER014622/Terry Holmes Paid by: The application fee was paid by MICHELLE HOLMES Fee Amount: 225 Paid Date: The application fee was paid on 2012 -03 -20 TransactionNoucher number: The transaction number is 582EA000118620 and the voucher number is 151932 Submission Reference Number: The application reference number is 47454 Submitted by: The application was submitted by ER014622/Terry Holmes Submitted Timestamp: The application was submitted on 2012 -03 -20 at 17:06:55 CDT Submitted From: The application was submitted from IP address 71.252.153.17 Confirmation Number: The confirmation number is 54593 Steers Version: The STEERS version is 5.75 Additional Information Application Creator: This account was created by Terry Holmes 1 n 1 • Bryan W. Shaw, Ph.D., Chairman Buddy Garcia, Commissioner Ng 1 � , Carlos Rubinstein, Commissioner Mark R. Vickery, P.C., Executive Director TEXAS COMMISSION ON ENVIRONMENTAL QUALITY Protecting Texas by Reducing and Preventing Pollution March 20, 2012 Dear Applicant: Re: TPDES General Pen for Construction Storm Water Runoff Storm Water Notice of Intent Authorization Your Notice of Intent application for authorization under the general permit for discharge of storm water associated with construction activities has been received. Pursuant to authorization from the Executive Director of the Texas Commission on Environmental Quality, the Division Director of the. Water Quality Division has issued the enclosed Certificate. Please refer to the attached certificate for the identification number that was assigned to your project/site and the effective date. Please use this number to reference this project /site for future cotntnunications with the Texas Commission on Environmental Quality (TCEQ). - Authorization under the Edwards Aquifer Protection Program is required before construction can begin where the site is located within the Edwards Aquifer Recharge Zone, Contributing Zone, or Contributing Zone within the Transition Zone. See http: / /www.tceq. texas .gov /field /eapp /program.html for additional information. A Notice of Tennination must be submitted when permit coverage is no longer needed. You may submit the Notice of Termination form electronically as well. It is the responsibility of the Operator to notify the TCEQ Stonn Water Processing center of any change in address supplied on the original Notice of Intent by submitting a Notice of Change. For questions related to processing of forms you may contact the Storm Water Processing Center by email at SWPERMIT @tceq.texas.gov or by telephone at (512) 245 -0130. If you have any questions regarding coverage under this general permit or other technical issues, you may contact the storm water technical staff by email at SWGP @tceq.texas.gov or by telephone at (512) 239 -4671. Also, you may obtain information on the storm water web site at www.tceq.texas.gov. Sincerely, e/ )cisc.3 Charles W. Maguire, Director Water Quality Division Texas Commission on Environmental Quality P.O. Box 13087 • Austin, Texas 78711 -3087 • 512- 239 -1000 • www.tceq.texas.gov - - -- - ,..... r,.�,,,A,• eP,- .,,, -P� t,rr„• / /WWw teen - texas eov /eoto /customersurvev .�'' 0 as p° z • •/'l , • . CJ V E., U o r. -0 cd ` r, • N 0 V) U tr 8 b • ' 0.. O O O -2 a) 8.47.1 000 (>i' a3 O _� as a) o +� '-' E" a) 0 -- 0 0 N �. o .-0 O Y ; -, 0 b s-, C) • h H o o 0. bn C/) [~ • g V) w N Y o Ow .174 E O a) • �. 0 n CIS `.) `d 0 0 v O a. v a O OI 3 � o m a b o0.Q w� a a) 0 o Y 0>-a) W an E. 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