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Appendix D
TCEQ TPDES General Permit
No. TXR150000 Storm Water
NOTIFICATION
January 30, 2013
City of Coppell
Engineering Department
255 Parkway Blvd.
P. O. Box 9478
Coppell, TX 75019
Certified Mail # 7012 1010 0002 2589 7865
Project: Ingle Office Warehouse Phase III, Building 10
Please accept this Small Construction Site Notice for the Construction of Ingle
Office Warehouse Phase III, Building 10, located at 200 E. Beltline Road,
Coppell, Texas 75019.
Sincerely,
fax K. /un
CEO /President
Ratcliff Constructors, L.P.
4200 Beltway Drive -Addison, Texas 75001 -Phone: 972 - 432 -9969 Fax: 972 - 432 -9943
4200 BELTWAY DRIVE - ADDISON, TX 75001 - PHONE (972) 432 -9969 - FAX (972) 432 -9943
SMALL 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.E.2. 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:
http://www.tceq.state.tx.us/nav/Termits/wq—construction.html
For Small Construction Activities Authorized Under Part II.E.2. (Obtaining Authorization to Discharge)
the following certification must be completed:
I Max K. Young (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 conduc ' authorized discharges, including the possibility of fine and imprisonment for
knowing violations.
Signature and Title Date loj l 13
Date Notice Removed
MS4 operator notified per Part II.F.3.