Villas at LV 2-PT121005 Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm
Texas Commission on Environmental Quality
Construction Notice of Intent
Site Information (Regulated Entity)
What is the name of the site to be authorized? VILLAS AT LAKE VISTA
Does the site have a physical address? No
Because there is no physical address,describe LAKE VISTA PLACE AND SNOWSHILL TRAIL
how to locate this site:
City COPPELL
State TX
ZIP 75019
County DENTON
Latitude(N)(##.######) 32.99069
Longitude(W)(-###.######) -96.97208
Primary SIC Code 6552
Secondary SIC Code
Primary NAICS Code
Secondary NAICS Code
Regulated Entity Site Information
What is the Regulated Entity's Number(RN)? RN106369846
What is the name of the Regulated Entity(RE)? VILLAS AT LAKE VISTA
Does the RE site have a physical address? No
Because there is no physical address, describe LAKE VISTA PLACE AND SNOWSHILL TRAIL
how to locate this site:
City COPPELL
State TX
ZIP 75019
County DENTON
Latitude (N)(##.######) 32.99069
Longitude(W)(-###.######) -96.97208
What is the primary business of this entity?
JBGL BF-Customer (Applicant) Information
How is this applicant associated with this site? OPERATOR
What is the applicant's Customer Number(CN)?
Type of Customer Corporation
Full legal name of the applicant:
Legal Name JBGL BF Development, LLC
1 of 5 10/5/2012 9.17 AM
Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm
Texas SOS Filing Number 801634746
Federal Tax ID
State Franchise Tax ID 32048655032
DUNS Number
Number of Employees 0-20
Independently Owned and Operated? Yes
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 JBGL BF Development, LLC
Prefix
First Matt
Middle
Last Baynham
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 3131 HARVARD AVE STE 103
applicable)
Routing (such as Mail Code, Dept., orAttn:)
City DALLAS
State TX
ZIP 75205
Phone(###-###-#4/4t#) 2144530146
Extension
Alternate Phone(###-###-####)
Fax(###-###-####)
E-mail
Application Contact
Person TCEQ should contact for questions about
this application:
Same as another contact? JBGL BF Development, LLC
Organization Name JBGL BF Development LLC
Prefix
First Matt
Middle
2 of 5 10/5/2012 9:17 AM
Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm
Last Baynham
Suffix
Title President
Enter new address or copy one from list: JBGL BF Development, LLC
Mailing Address
Address Type Domestic
Mailing Address(include Suite or Bldg. here, if 3131 HARVARD AVE STE 103
applicable)
Routing(such as Mail Code, Dept., orAttn:)
City DALLAS
State TX
ZIP 75205
Phone(###-###-##a##) 2144530146
Extension
Alternate Phone(###-####-####)
Fax(###-###-####)
E-mail
CNOI General Characteristics
1)Is the project located on Indian Country Lands? No
2)What is the Primary Standard Industrial 6552
Classification (SIC)Code?
3)If applicable,what is the Secondary SIC Code?
4)Is the project site part of a larger common plan Yes
of development or sale?
5)What is the total number of acres disturbed? 10
6)What is the name of the water body to receive Denton Creek
the storm water runoff or potential runoff from the
site?
7)What is the segment number(s)of the classified 0825
water body receiving the discharges from the
construction site?
8)Is the discharge into an MS4? Yes
8.1.What is the name of the MS4 Operator? City of Coppell
9)Are any of the surface water bodies receiving No
discharges from the construction site on the latest
EPA-approved CWA 303(d) list of impaired
waters?
10)Is the discharge or potential discharge within No
the Recharge Zone, Contributing zone, or
Contributing zone within the Transition zone of the
Edwards Aquifer?
3 of 5 10/5/2012 9:17 AM
Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm
11) I certify that a storm water pollution prevention Yes
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 must Yes
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 Matt Baynham,the owner of the STEERS account ER030867.
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.
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: Matt Baynham OPERATOR
Account Number: ER030867
Signature IP Address: 99.36.108.28
Signature Date: 2012-10-04
Signature Hash: EB8A7F4D42C5018932D9A2278EB05CDB538EE5E0E5331BB2F3CC35D1933EB2B6
Form Hash Code at time of C402618AA2E35D8D4BA1 BE76E3CF00427EBA34A484B4F499D964CB7EA4CFF247
Signature:
4of5 10/5/20129:17AM
Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm
Fee Payment
Transaction by: The application fee payment transaction was
made by ER030867/Matt Baynham
Paid by: The application fee was paid by MATT BAYNHAM
Fee Amount: $225.00
Paid Date: The application fee was paid on 2012-10-04
TransactionNoucher number: The transaction number is 582EA000128346 and
the voucher number is 162531
Submission
Reference Number: The application reference number is 54980
Submitted by: The application was submitted by ER030867/Matt
Baynham
Submitted Timestamp: The application was submitted on 2012-10-04 at
15:31:15 CDT
Submitted From: The application was submitted from IP address
99.36.108.28
Confirmation Number: The confirmation number is 60305
Steers Version: The STEERS version is 5.81
Additional Information
Application Creator: This account was created by Matt Baynham
5 of 5 10/5/2012 9:17 AM
U O c
CA
• C
o• tn i, O OU U a.
„..411S Z
C o
3 � ..2 '17:)' � 3
:3
E c O
H 3 0 M C
Q & u ,-.1—
o
4• 0 a ° a>i, a;-
• >, b - ° c3 w ,'' H H.
rte, cn o -0 oT>d °' >"
F-• fir" Q" Q C '° E °w>X o
C O °O Cam U U
WI .� F31' Y H oN o m . o�wd�
a
H Y x, U L G.z J M d .Y by
041 • °� '� N ._� t jO ° n 0
? Z coh "' ' a5 cct
!S III yC I F. C. "o :� -.
0 a ' o E
Z Q o 3 -o Y at a,• to as C -. at o •aN o
-C U i C w
VA• 3 U ' a) > ° 'ti
o ? Q an o w a a) •.,
I—I a cU.> ` o U C
Y tZ G
O YU. ;a c� c� a,
G � 0 0 � w - o
•CA 3p"
o a d C —
a� c I aid c>s H a'
) 7 U o H .y v,
I)
el
•U '� Vl u � = > 0 M cC
w O W A r
U CaC o = O N o
Y ^ O U Fd-,Z v's O,
• f y N
� C >, P O >U a c.) , O cl
0 v O O co ,-1 Ii! !i sC.
Q o o 0 3 -4o°HE— � H az
cu
G• 's o t j d,—crs J s., ti) o
a'• ' o• y ° ° �< w 0
= .c o ZO c
6• 3 � M U � a Q
z a. o O a. Q- v
.2 .7 w .t30 � , CD
Bryan W.Shaw,Ph.D.,Chairman ,st,1 E,Opt
Carlos Rubinstein,Commissioner
hN .1.-
Toby Toby Baker,Commissioner
Zak Covar,Executive Director
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
Protecting Texas by Reducing and Preventing Pollution
October 4,2012
Dear Applicant:
Re: TPDES General Permit 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 communications 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 Termination 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 Storm 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,
D aAj 10 Cr I-A—S-6
David W. Galindo, Director
Water Quality Division
Texas Commission on Environmental Quality
P.O. Box 13087 • Austin, Texas 78711-3087 • 512-239-1000 • www.tceq.texas.gov
How is our Customer Service? http://www.tceq.texas.gov/goto/customersurvey