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Duke Lesley Lot 4 Blk A (2) Copy of Record Texas Commission on Environmental Quality Construction Notice of Intent Site Information (Regulated Entity) What is the name of the site to be authorized?Point West 8 Does the site have a physical address?Yes Physical Address Number and Street120 Dividend Dr CityCoppell StateTX ZIP75019 CountyDALLAS Latitude (N) (##.######)32.93055 Longitude (W) (-###.######)-96.99436 Primary SIC Code1542 Secondary SIC Code Primary NAICS Code236220 Secondary NAICS Code Regulated Entity Site Information What is the Regulated Entity's Number (RN)? What is the name of the Regulated Entity (RE)?Point West 8 Does the RE site have a physical address?Yes Physical Address Number and Street120 Dividend Dr CityCoppell StateTX ZIP75019 CountyDALLAS Latitude (N) (##.######)32.93055 Longitude (W) (-###.######)-96.99436 What is the primary business of this entity?const. of a commerical office/warehouse building DUKE CO-Customer (Applicant) Information How is this applicant associated with this site?OPERATOR What is the applicant's Customer Number (CN)?CN603216201 Type of CustomerPartnership Full legal name of the applicant: Legal NameDUKE CONSTRUCTION LIMITED PARTNERSHIP https://www90.tceq.texas.gov/ePermitsExternalWEB/faces/ui/report:49 PM Copy of Record Texas SOS Filing Number012135411 Federal Tax ID35189423 State Franchise Tax ID13518984235 DUNS Number Number of Employees501+ 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 NameDUKE CONSTRUCTION LIMITED PARTNERSHIP Prefix FirstJeff Middle LastLangston Suffix TitlePROJECT MANAGER Responsible Authority Mailing Address Enter new address or copy one from list: Address TypeDomestic Mailing Address (include Suite or Bldg. here, if 14241 DALLAS PKWY STE 1000 applicable) Routing (such as Mail Code, Dept., or Attn:) CityDALLAS StateTX ZIP75254 Phone (###-###-####)9723616700 Extension Alternate Phone (###-###-####) Fax (###-###-####)9723616800 E-mailJEFFREY.LANGSTON@DUKEREALTY Application Contact Person TCEQ should contact for questions about this application: Same as another contact? Organization NameSWPPP INSPECTIONS INC Prefix FirstDon Middle https://www90.tceq.texas.gov/ePermitsExternalWEB/faces/ui/report:49 PM Copy of Record LastWims Suffix TitlePresident Enter new address or copy one from list: Mailing Address Address TypeDomestic Mailing Address (include Suite or Bldg. here, if PO BOX 496987 applicable) Routing (such as Mail Code, Dept., or Attn:) CityGARLAND StateTX ZIP75049 Phone (###-###-####)9725305307 Extension Alternate Phone (###-###-####) Fax (###-###-####)9725305309 E-maildwims@swppp.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 1542 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 No of development or sale? 6) What is the total number of acres disturbed?14 7) What is the name of the first water body(s) to North Lake receive the stormwater runoff or potential runoff from the site? 8) What is the segment number(s) of the 0822 classified 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 Yes discharges from the construction site on the latest EPA-approved CWA 303(d) List of impaired waters? https://www90.tceq.texas.gov/ePermitsExternalWEB/faces/ui/report:49 PM Copy of Record 10.1. What is the name(s) of the impaired water Grapevine Creek body(s) receiving the discharges from the contruction site? 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 Jeffrey A Langston, the owner of the STEERS account ER031327. 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: Jeffrey A Langston OPERATOR Account Number:ER031327 Signature IP Address:40.140.212.132 Signature Date:2014-07-01 https://www90.tceq.texas.gov/ePermitsExternalWEB/faces/ui/report:49 PM Copy of Record Signature Hash:05A437BB2C5E7D3944EA57BD1CCBF723A5B9E8A62C6B0FA56F5DF685151758FE Form Hash Code at time 25E116E1834D2A0CD9551FB09C654A5554ED6AEC32C647ABB203C3875EE24312 of Signature: Fee Payment Transaction by:The application fee payment transaction was made by ER021991/Nathan E White Paid by:The application fee was paid by DONALD WIMS Fee Amount:$225.00 Paid Date:The application fee was paid on 2014-07-01 Transaction/Voucher number:The transaction number is 582EA000169872 and the voucher number is 212907 Submission Reference Number:The application reference number is 87995 Submitted by:The application was submitted by ER021991/ Nathan E White Submitted Timestamp:The application was submitted on 2014-07-01 at 18:14:35 CDT Submitted From:The application was submitted from IP address 23.114.21.252 Confirmation Number:The confirmation number is 86834 Steers Version:The STEERS version is 5.94 Additional Information Application Creator: This account was created by Nathan E White https://www90.tceq.texas.gov/ePermitsExternalWEB/faces/ui/report:49 PM