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Villas at LV 2-PT130530 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 Renewal TXR15TR54 C Site Information (Regulated Entity) v' 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 1521 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)(##.###al##) 32.99069 Longitude(W)(-###.######) -96.97208 What is the primary business of this entity? CB JENI-Customer (Applicant) Information How is this applicant associated with this site? OPERATOR What is the applicant's Customer Number(CN)? CN604057729 Type of Customer Corporation Full legal name of the applicant: Legal Name CB JENI-LAKE VISTA COPPELL LLC 1 of 5 5/30/2013 11:46 AM Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Texas SOS Filing Number 801552832 Federal Tax ID State Franchise Tax ID 32047037471 DUNS Number Number of Employees: 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 CB JENI-LAKE VISTA COPPELL LLC Prefix First BRUNO Middle Last PASQUINELLI 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 2805 DALLAS PKWY STE 690 applicable) Routing(such as Mail Code, Dept., or Attn:) City PLANO State TX ZIP 75093 Phone(###-### ) 2143831115 Extension Alternate Phone(#/#P#4-####) Fax(###-###-#I#4) 2143831117 E-mail rdavis @cbjenihomes.com Application Contact Person TCEQ should contact for questions about this application: Same as another contact? Organization Name CB JENI-LAKE VISTA COPPELL LLC Prefix First RICK Middle 2 of 5 5/30/2013 11:46 AM Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Last DAVIS Suffix Title PROJECT MANAGER Enter new address or copy one from list: CB JENI-LAKE VISTA COPPELL LLC Mailing Address Address Type Domestic Mailing Address(include Suite or Bldg. here, if 2805 DALLAS PKWY STE 690 applicable) Routing(such as Mail Code, Dept.,or Attn:) City PLANO State TX ZIP 75093 Phone(###-###-####) 2143831115 Extension Alternate Phone(###-#######) Fax(###-###-####) 2143831117 E-mail rdavis @cbjenihomes.com CNOI-R General Characteristics 1)Is the project located on Indian Country Lands? No 2)Is your construction activity associated with a No facility that,when completed,would be associated with the exploration,development, or production of oil or gas or geothermal resources? 3)What is the Primary Standard Industrial 1521 Classification(SIC)Code that best describes the construction activity being conducted at the site? 4)If applicable,what is the Secondary SIC Code(s)? 5)Is the project site part of a larger common plan Yes of development or sale? 6)What is the total number of acres disturbed? 6 7)What is the name of the first water body(s)to DENTON CREEK receive the stormwater runoff or potential runoff from the site? 8)What is the segment number(s)of the classified 0825 water body(s)that the discharge will eventually reach? 9) Is the discharge into an MS4? Yes 9.1.What is the name of the MS4 Operator? CITY OF COPPELL 10)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 3 of 5 5/30/2013 11:46 AM Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm waters? 11)Is the discharge or potential discharge within No the Recharge Zone, Contributing zone, or Contributing zone within the Transition zone of the Edwards Aquifer, as defined in 30 TAC Chapter 213? 12)I certify that a stormwater pollution prevention Yes plan has been developed,will be implemented prior to construction, and to the best of my knowledge and belief is compliant with any applicable local sediment and erosion control plans,as required in the general permit TXR150000. Note: For multiple operators who prepare a shared SWP3,the confirmation of an operator may be limited to its obligations under the SWP3 provided all obligations are confirmed by at least one operator. 13)I certify that I have obtained a copy and Yes understand the terms and conditions of the Construction General Permit(TXR150000). 14)I understand that a Notice of Termination Yes (NOT)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 Rick Davis,the owner of the STEERS account ER029221. 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 Renewal. 9. My signature indicates that I am in agreement with the information on this form,and authorize its submittal to the TCEQ. OPERATOR Signature: Rick Davis OPERATOR Account Number: ER029221 4 of 5 5/30/2013 11:46 AM Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Signature IP Address: 24.227.134.10 Signature Date: 2013-05-30 Signature Hash: D4A06A5E1A986925774C8C9F2B1F88B1062DF99AFF68658C1EFF030E4E2B9F91 Form Hash Code at time of 43C5599BDA4605FC0419360C6A5E469C9EE3D7DC0744EFB42BBFFF7C3A42837D Signature: Fee Payment Transaction by: The application fee payment transaction was made by ER029221/Rick Davis Paid by: The application fee was paid by RICK DAVIS Fee Amount: $225.00 Paid Date: The application fee was paid on 2013-05-30 Transaction/Voucher number: The transaction number is 582EA000143660 and the voucher number is 181169 Submission Reference Number: The application reference number is 65549 Submitted by: The application was submitted by ER029221/Rick Davis Submitted Timestamp: The application was submitted on 2013-05-30 at 08:11:24 CDT Submitted From: The application was submitted from IP address 24.227.134.10 Confirmation Number: The confirmation number is 71253 Steers Version: The STEERS version is 5.88 Permit Number: The permit number is TXR15TR54 Additional Information Application Creator: This account was created by Rick Davis 5 of 5 5/30/2013 11:46 AM 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)(##./#/####) 32.989975 Longitude(W)(-###.######) -96.96995 Primary SIC Code 1521 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(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)(##.######) 32.989975 Longitude(W)(-###.######) -96.96995 What is the primary business of this entity? Normand-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 Normandy Homes Lake Vista Coppell, LLC Texas SOS Filing Number 801710417 1 of 5 5/30/2013 11:59 AM Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Federal Tax ID State Franchise Tax ID 32049843868 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 Normandy Homes Lake Vista Coppell, LLC Prefix First Bruno Middle Last Pasquinelli 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 2805 DALLAS PKWY STE 690 applicable) Routing(such as Mail Code, Dept., or Attn:) City PLANO State TX ZIP 75093 Phone(###-### ) 2143831115 Extension Alternate Phone(#4",n,,. - ) Fax(###-#q# k) 2143831117 E-mail Application Contact Person TCEQ should contact for questions about this application: Same as another contact? Normandy Homes Lake Vista Coppell, LLC Organization Name Normandy Homes Lake Vista Coppell LLC Prefix First Rick Middle Last Davis 2 of 5 5/30/2013 11:59 AM Copy of Record-Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Suffix Title Project Manager Enter new address or copy one from list: Normandy Homes Lake Vista Coppell, LLC Mailing Address Address Type Domestic Mailing Address(include Suite or Bldg. here, if 2805 DALLAS PKWY STE 690 applicable) Routing(such as Mail Code, Dept., or Attn:) City PLANO State TX ZIP 75093 Ph one(###-###-####) 2148696503 Extension Alternate Phone(#44-#44-####) Fax(###-###-##I4=#) 2143831117 E-mail rdavis @cbjenihomes.com CNOI General Characteristics 1)Is the project located on Indian Country Lands? No 2)Is your construction activity associated with a No facility that,when completed,would be associated with the exploration,development, or production of oil or gas or geothermal resources? 3)What is the Primary Standard Industrial 1521 Classification(SIC)Code that best describes the construction activity being conducted at the site? 4)If applicable,what is the Secondary SIC Code(s)? 5)Is the project site part of a larger common plan Yes of development or sale? 6)What is the total number of acres disturbed? 10 7)What is the name of the first water body(s)to Denton Creek receive the stormwater runoff or potential runoff from the site? 8)What is the segment number(s)of the classified 0825 water body(s)that the discharge will eventually reach? 9)Is the discharge into an MS4? Yes 9.1.What is the name of the MS4 Operator? City of Coppell 10)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? 3 of 5 5/30/2013 11:59 AM Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm 11)Is the discharge or potential discharge within No the Recharge Zone, Contributing zone, or Contributing zone within the Transition zone of the Edwards Aquifer, as defined in 30 TAC Chapter 213? 12)I certify that a stormwater pollution prevention Yes plan has been developed,will be implemented prior to construction,and to the best of my knowledge and belief is compliant with any applicable local sediment and erosion control plans,as required in the general permit TXR150000. Note: For multiple operators who prepare a shared SWP3,the confirmation of an operator may be limited to its obligations under the SWP3 provided all obligations are confirmed by at least one operator. 13) I certify that I have obtained a copy and Yes understand the terms and conditions of the Construction General Permit(TXR150000). 14)I understand that a Notice of Termination Yes (NOT)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 Rick Davis,the owner of the STEERS account ER029221. 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:Rick Davis OPERATOR Account Number: ER029221 Signature IP Address: 24.227.134.10 4 of 5 5/30/2013 11:59 AM Copy of Record -Texas Commission on Environmental Quality-... https://www3.tceq.texas.gov/steers/index.cfm Signature Date: 2013-03-27 Signature Hash: 37EEAC54E32BD215DFFDC308D87A4C8A1D6618DE9BA273FB499E65B87C3ED4D9 Form Hash Code at time of 49C8639A095F7A153E5575706D10F4A9D49B1439A8D5E7B20F4E93EC68998131 Signature: Fee Payment Transaction by: The application fee payment transaction was made by ER029221/Rick Davis Paid by: The application fee was paid by RICK DAVIS Fee Amount: $225.00 Paid Date: The application fee was paid on 2013-03-27 Transaction/Voucher number: The transaction number is 582EA000138741 and the voucher number is 174746 Submission Reference Number: The application reference number is 63473 Submitted by: The application was submitted by ER029221/Rick Davis Submitted Timestamp: The application was submitted on 2013-03-27 at 14:15:35 CDT Submitted From: The application was submitted from IP address 24.227.134.10 Confirmation Number: The confirmation number is 66696 Steers Version: The STEERS version is 5.88 Additional Information Application Creator:This account was created by Rick Davis 5 of 5 5/30/2013 11:59 AM 03•� 3a g o 0 3 R '.') 4.. 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