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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.tceg.state.tx.us /nav /permits /wq construction.html
For Small Construction Activities Authorized Under Part II.E.2. (Obtaining Authorization to Discharge) the
following certification must be completed:
I (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.D.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 possibility of fine and imprisonment for knowing
violations.
Signature and Title Date / Zi
Date Notice Removed
MS4 operator notified per Part H. F. 3.
Operator Name:
Tiseo Paving Company, Inc.
Contact Name and Phone Number:
Craig Janecka
cell # 469- 446 -0102 office # 972 - 289 -0723
Construction Of:
Project Description: Physical address or
description of the sites location, estimated start date
and projected end date, or date that disturbed soils
Deforest Road Reconstruction
From MacArthur Boulevard to Windsor Estates
Coppell, Texas 75019
will be stabilized
Construction Period:
Start Date: January 2012
End Date: November 2012
Location of Storm Water Pollution Prevention Plan:
[On Site with Project Manager
For Small Construction Activities Authorized Under Part II.E.2. (Obtaining Authorization to Discharge) the
following certification must be completed:
I (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.D.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 possibility of fine and imprisonment for knowing
violations.
Signature and Title Date / Zi
Date Notice Removed
MS4 operator notified per Part H. F. 3.