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Kyra Court- PT160621 IMO!' '''111111111111111 MIMI moor s M NM i i WIMP .1.111111 IMP INS SMALL CONSTRUCTION SITE NOTICE FOR THE Texas Commission on Environmental Quality(TCEQ) Stormwater 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 stormwater runoff from small construction sites. Additional information regarding the TCEQ stormwater permit program may be found on the internet at: http://www.tceq.state.tx.us/nav/permits/wq construction.html Operator Name: Haas Rose at Lost Creek LLC Contact Name and Phone Number: Jason Rose(214)454-7895 Cell Project Description: Physical address or approx.500 East Beltline Road,Coppell,TX 75019 description of the site's location, estimated start 4.227 Acres date and projected end date, or date that disturbed Est. Start Date:January 1,2015 soils will be stabilized Est.Completion Date:Jamuary 1, 2016 Location of Stormwater Pollution Prevention Plan: Jobsite Trailer For Small Construction Activities Authorized Under Part II.E.2. (Obtaining Authorization to Discharge) the following certification must be completed: I S2 5n," 1`.Se____ (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 ILE.2.of TPDES General Permit TXRI 50000 and agree to comply with the terms of this permit. A stormwater 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 0t.�., v MP ().er• Date 10 - 2A- i' Date Notice Removed MS4 operator notified per Part H.F.3. moi+ Texas Commission on Environmental Quality General Permit Payment Submittal Form Use this form to submit your Application Fee only if you are mailing your payment. • Complete items 1 through 5 below: • Staple your check in the space provided at the bottom of this document. • Do not mail this form with your NOI form. • Do not mail this form to the same address as your NOI. Mail this form and your cheek to: BY REGULAR U.S,MAIL BY OVERNIGHT/EXPRESS MAIL Texas Commission on Environmental Texas Commission on Environmental Quality Quality Financial Administration Division Financial Administration Division Cashier's Office,MC-214 Cashier's Office,MC-214 P.O. Box 13088 12100 Park 35 Circle Austin,TX 78711-3088 Austin,TX 78753 Fee Code: GPA General Permit: TXR150000 1. Check/Money Order No: 1646 2. Amount of Check/Money Order: $325.00 3. Date of Check or Money Order: 19/21/14 4. Name on Check or Money Order: Willow Park I 5. NOI INFORMATION If the check is for more than one NOI,list each Project/Site(RE)Name and Physical Address exactly as provided on the NOI. DO NOT SUBMIT A COPY OF THE NOI WITH THIS FORM AS IT COULD CAUSE DUPLICATE PERMIT ENTRIES. See Attached List of Sites(If more space is needed,you may attach a list.) Project/Site(RE)Name: Kyra Court , lf "-'-`-'" ""---- -- CASH ONLY IF ALL CheckLock'"'SECURITY FEATURES LISTED ON BACK INDICATE NO 1A' r t r,,r - OR COPYING WILLOW PARK PILGRIM BANK 164E 2401 S JEFFERSON MT230 LAKEDRIVE MT.PLEASANT,TX 75456 .VERNON,TX 75457 88-1368/1119 214454-7895 1Q-2_►-VI— PAY TO f-HE 2 ORD iOF inl nv� , do I $ 32S O1/4) i,,,,,, G0 0 s, DOLLARS 1 ! DOLLARS 100 T A TAMPER RESISTANT TONER AREA A d� W „,.. try„, I SwPpp 14v= Y IIQO /64,Co' 1: LL 19L36881: L5 0688 9n• iiime I Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas Stormwater Pollution Prevention Plan For: KYRA COURT, COPPELL 500 East Beltline Drive Coppell, TX 75019 Operator(s): Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. Stormwater Manager and SWPPP Contact(s): Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. SWPPP Preparation Date: November 21, 2014 Estimated Project Dates: Start of Construction: 01 / 1 /2015 Completion of Construction: 01 /1 /2016 EPA SWPPP Template, Version 1.0, January 9, 2007 ii Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas Table of Contents SECTION 1: SITE EVALUATION, ASSESSMENT, AND PLANNING 1 1.1 Project/Site Information 1 1.2 Contact Information/Responsible Parties 2 1.3 Nature and Sequence of Construction Activity 3 1.4 Soils, Slopes, Vegetation, and Current Drainage Patterns 5 1.5 Construction Site Estimates 6 1.6 Receiving Waters 6 1.6 Receiving Waters (continued) 7 1.7 Site Features and Sensitive Areas to be Protected 7 1.8 Potential Sources of Pollution 7 1.8 Potential Sources of Pollution (continued) 8 1.9 Endangered Species Certification 8 1.10 Historic Preservation 8 1.10 Historic Preservation(Continued) 9 1.11 Maps 9 SECTION 2: EROSION AND SEDIMENT CONTROL BMPS 10 SECTION 3: GOOD HOUSEKEEPING BMPS 16 3.1 Good Housekeeping BMPs 16 3.2 Allowable Non-Stormwater Discharge Management 19 SECTION 4: SELECTING POST-CONSTRUCTION BMPs 20 SECTION 5: INSPECTIONS and MAINTENANCE 22 5.1 Inspections 22 5.2 Maintenance of Controls 23 5.3 Corrective Action Log 23 SECTION 6: Recordkeeping and Training 24 6.1 Recordkeeping 24 6.2 Log of Changes to the SWPPP 24 6.3 Training 25 SECTION 7: FINAL STABILIZATION 26 SECTION 8: CERTIFICATION AND NOTIFICATION 27 SWPPP APPENDICES 28 App A- General Location Map 28 App B - Site Maps 28 App C - Copy of Construction General Permit 28 App D - Copy of NOI and acknowledgement letter from EPA/State 28 App E - Inspection Reports 28 App F - Corrective Action Log(or in Section 5.3) 28 App G - Log of Changes and Updates to SWPPP (or in Section 6.3) 28 App H - Subcontractor Certifications/Agreements 28 App I - BMP specifications and details 28 App J - Additional Information (i.e., Endangered Species and Historic Preservation documentation) 28 EPA SWPPP Template,Version 1.0, January 9, 2007 iii Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 1 : SITE EVALUATION, ASSESSMENT, AND PLANNING 1.1 Project/Site Information Instructions: • In this section you can gather some basic site information that will be helpful to you later when you file for permit coverage. • For more information, see Developing Your Stormwater Pollution Prevention Plan: A SWPPP Guide for Construction Sites (also known as the "SWPPP Guide"), Chapter 2 • Detailed information on determining your site's latitude and longitude can be found at www.epa.gov/npdes/stormwater/latlong Project Information: Project/Site Name: Kyra Court Project Street/Location: Approx. 500 East Belt Line Road City: Coppell State: TX Zip Code: 75019 County or Similar Subdivision: Dallas Latitude/Longitude (Use one of three possible formats, and specify method) Latitude: Longitude: 1. ° '__"N(degrees, minutes, seconds) 1. ° '__" W(degrees,minutes, seconds) 2. . _'N(degrees, minutes,decimal) 2. _. _' W (degrees,minutes, decimal) 3. 32.952762°N(decimal) -96.983244°W(decimal) Method for determining latitude/longitude: ❑ USGS topographic map (specify scale: ) ® EPA Web site ❑ GPS ❑ Other(please specify): Is the project located in Indian country? ❑ Yes ® No If yes, name of Reservation, or if not part of a Reservation, indicate "not applicable." Is this project considered a federal facility? ❑ Yes ® No NPDES project or permit tracking number:Pending (This is the unique identifying number assigned to your project by your permitting authority after you have applied for coverage under the appropriate NPDES construction general permit.) EPA SWPPP Template, Version 1.0, January 9, 2007 1 1111. 11 .1 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.2 Contact Information/Responsible Parties Instructions: • List the operator(s), project managers, stormwater manager, and person or organization that prepared the SWPPP. Indicate respective responsibilities, where appropriate. • Also, list subcontractors expected to work on-site. Notify subcontractors of stormwater requirements applicable to their work. • See SWPPP Guide, Chapter 2.B. and your construction general permit for the definition of operator. Project Information: Operatorts): Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. Repeat as necessary Project Managers).or Site Supervisors) Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. Repeat as necessary Stormwater Manager and SWPPP Contact(s): Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. EPA SWPPP Template, Version 1.0, January 9, 2007 2 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas This SWPPP Was Prepared By„ Haas Rose at Lost Creek LLC Attn. Jason Rose 141 Dickens Drive Coppell, TX 75019 (214) 454-7895 T. (972) 534-1850 F. Subcontractor(s): Instone Construction Lance Mantooth 2010 Hickory Hill Road Argyle, TX 76226 (940) 241-1948 T. (940) 241-1949 F. Gratex Utilities Don Kemp 528 West Third Street Kennedale, TX 76060 (817) 265-5800 T. (817) 276-5804 F. Repeat as necessary Emergency 24 hour contact: Jason Rose (214) 454-7895 Cell 1.3 Nature and Sequence of Construction Activity Instructions: • Briefly describe the nature of the construction activity and approximate timeframes (one or more paragraphs, depending on the nature and complexity of the project). • See SWPPP Guide, Chapter 3.A. for more information. Project Information: • Describe the general scope of the work for the project, major phases of construction, etc: New Single Family Development What is the function of the construction activity? EPA SWPPP Template, Version 1.0, January 9, 2007 3 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas ® Residential Commercial Industrial ❑ Road Construction El Linear Utility ❑ Other(please specify): Estimated Project Start Date: 01 / 1 /2015 Estimated Project Completion Date: 01 / 1 / 2017 EPA SWPPP Template, Version 1.0, January 9, 2007 4 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.4 Soils, Slopes, Vegetation, and Current Drainage Patterns Instructions: • Describe the existing soil conditions at the construction site including soil types, slopes and slope lengths, drainage patterns, and other topographic features that might affect erosion and sediment control. • Also, note any historic site contamination evident from existing site features and known past usage of the site. • This information should also be included on your site maps (See SWPPP Guide, Chapter 3.C.). • For more information, see SWPPP Guide, Chapter 3.A. for more information. Project Information: Soil type(s); • Clay • Slopes (describe current slopes and note any changes due to grading or fill activities): • Relatively Flat Topography • Drainage Patterns (describe current drainage patterns and note any changes dues to grading or fill activities): • Site Drains from South West to North East. • Vegetation: • Grass, no trees or shrubs • Other: • • EPA SWPPP Template, Version 1.0, January 9, 2007 5 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.5 Construction Site Estimates Instructions: • Estimate the area to be disturbed by excavation, grading, or other construction activities, including dedicated off-site borrow and fill areas. • Calculate the percentage of impervious surface area before and after construction • Calculate the runoff coefficients before and after construction. • For more information, see SWPPP Guide, Chapter 3.A. and Appendix C Project Information: The following are estimates of the construction site: Construction Site Area to be disturbed —4.227 acres Total Project Area —4.227 acres Percentage impervious area before construction 0 % Runoff coefficient before construction .15 Percentage impervious area after construction 30 % Runoff coefficient after construction .6 1.6 Receiving Waters Instructions: • List the waterbody(s)that would receive stormwater from your site, including streams, rivers, lakes, coastal waters, and wetlands. Describe each as clearly as possible, such as Mill Creek, a tributary to the Potomac River, etc. • Note any stream crossings, if applicable. • List the storm sewer system or drainage system that stormwater from your site could discharge to and the waterbody(s)that it ultimately discharges to. • If any of the waterbodies above are impaired and/or subject toTMDLs, please list the pollutants causing the impairment and any specific requirements in the TMDL(s)that are applicable to construction sites. Your SWPPP should specifically include measures to prevent the discharge of these pollutants. • For more information, please see SWPPP Guide, Chapter 3.A. and 3.B. • Also visit www.epa.gov/npdes/stormwater/tmdl for more information and a list of TMDL contacts and links by state. EPA SWPPP Template, Version 1.0, January 9, 2007 6 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.6 Receiving Waters (continued) Project Information: Description of receiving waters: Grapevine Creek into the Elm Fork of Trinity Description of storm sewer systems: Storm Area Inlet Present Description of impaired waters or waters subject to TMDLs: NA 1.7 Site Features and Sensitive Areas to be Protected Instructions: • Describe unique site features including streams, stream buffers, wetlands, specimen trees, natural vegetation, steep slopes, or highly erodible soils that are to be preserved. • Describe measures to protect these features. • Include these features and areas on your site maps. • For more information, see SWPPP Guide, Chapter 3.A. and 3.B. for more information Project Information: Description of unique features and measures to protect them: • NA 1.8 Potential Sources of Pollution Instructions: • Identify and list all potential sources of sediment from construction materials and activities which may reasonably be expected to affect the quality of stormwater discharges from the construction site. • Identify and list all potential sources of pollution, other than sediment, from construction materials and activities which may reasonably be expected to affect the quality of stormwater discharges from the construction site. • See SWPPP Guide, Chapter 3.A. for more information. Project Information: Potentials sources of sediment to stormwater runoff: • Disturbed Soils Sediment During Construction Activities • NA EPA SWPPP Template, Version 1.0, January 9, 2007 7 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.8 Potential Sources of Pollution (continued) Potential pollutants and sources, other than sediment, to stormwater runoff: • Equipment Fuel & Oil • NA 1.9 Endangered Species Certification Instructions: • Before commencing construction, determine whether endangered or threatened species or their critical habitats are on or near your site. • Adapt this section as needed for state or tribal endangered species requirements. • For more information on this topic, see SWPPP Guide, Chapter 3.B. • Additional information related to EPA's Construction General Permit can be found at www.epa.gov/npdes/stormwater/esa Project Information: Are endangered or threatened species and critical habitats on or near the project area? El Yes ® No Describe how this determination was made: EPA Website Search If yes, describe the species and/or critical habitat: NA If yes, describe or refer to documentation which determines the likelihood of an impact on identified species and/or habitat and the steps taken to address that impact. (Note, if species are present on or near your project site, EPA strongly recommends that the site operator work closely with the appropriate field office of the U.S. Fish and Wildlife Service or National Marine Fisheries Service. Please contact a state or tribal official for concerns related to state or tribal listing of species.) NA 1.10 Historic Preservation Instructions: • Before you begin construction, you should review federal and any applicable state, local, or tribal historic preservation laws and determine if there are historic sites on or near your project. If so, you may need to make adjustments to your construction plans or to your stormwater controls to ensure that these historic sites are not damaged. • For more information see SWPPP Guide, Chapter 3.B or contact your state or tribal historic preservation officer. EPA SWPPP Template, Version 1.0, January 9, 2007 8 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 1.10 Historic Preservation (Continued) Project Information: Are there any historic sites on or near the construction site? ❑ Yes ® No • Describe how this determination was made: Inquiry with City Officials • If yes, describe or refer to documentation which determines the likelihood of an impact on this historic site and the steps taken to address that impact.NA 1.11 Maps Instructions: 1 • Attach at least two site maps. The first should show the undeveloped site and its current features. An additional map or maps should be created to show the developed site or the major phases of development, for more complicated sites. These maps should include: • ❑ Direction(s) of stormwater flow and approximate slopes before and after major grading activities • ❑ Areas and timing of soil disturbance and areas that will not be disturbed • ❑ Natural features to be preserved • n Locations of major structural and non-structural BMPs identified in the SWPPP • ❑ Locations and timing of stabilization measures • n Locations of off-site material, waste, borrow, or equipment storage areas • n Locations of all waters of the U.S., including wetlands • n Locations where stormwater discharges to a surface water • n Locations of storm drain inlets • n Areas where final stabilization has been accomplished • n For more information, see SWPPP Guide, Chapter IC. Project Information: • Include the site maps with the SWPPP. EPA SWPPP Template, Version 1.0, January 9, 2007 9 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 2: EROSION AND SEDIMENT CONTROL BMPS Instructions: • Describe the BMPs that will be implemented to control pollutants in stormwater discharges. For each major activity identified: ❑ Clearly describe appropriate control measures. n Describe the general sequence during the construction process in which the measures will be implemented. n Describe the maintenance and inspection procedures that will be undertaken for that specific BMP. ❑ Include protocols, thresholds, and schedules for cleaning, repairing, or replacing damaged or failing BMPs. n Identify staff responsible for maintaining BMPs. ❑ (If your SWPPP is shared by multiple operators, indicate the operator responsible for each BMP.) • Categorize each BMP under one of the following 10 areas of BMP activity as described below: ❑ Minimize disturbed area and protect natural features and soil n Phase Construction Activity [f Control Stormwater flowing onto and through the project ❑ Stabilize Soils n Protect Slopes ❑ Protect Storm Drain Inlets ❑ Establish perimeter controls and sediment barriers ❑ Retain Sediment On-Site and Control Dewatering Practices n Establish Stabilized Construction Exits ❑ Any Additional BMPs • Note the location of each BMP on your site map(s). • Any structural BMPs should have design specifications and details referred to and attached as appendices to the SWPPP. • For more information, see SWPPP Guide, Chapter 4. • Consult your state's design manual or one of those listed in Appendix D of the SWPPP Guide. • For more information or ideas on BMPs see EPA's National Menu of BMPs http://www.epa.govinpdes/stormwater/menuofbmps EPA SWPPP Template, Version 1.0, January 9, 2007 10 Stormwater Pollution Prevention Plan(SWPPPi) Kyra Court Coppell Texas Project Information: 1. Minimize Disturbed Area and Protect Natural Features and Soil: Describe the areas that will be disturbed with each phase of construction and the methods (signs, fences, etc.)that you will use to protect those areas that should not be disturbed. Describe natural features identified earlier and how each will be protected during construction activity. Also describe how topsoil will be preserved. Include these areas and associated BMPs on your site map(s) also. (See SWPPP Guide, Chapter 4, ESC Principle 1 for more information.) • Ongoing site inspections will be performed • Phase Construction Activity;. Site earthwork and site utility improvements will be put in in whole, and structures will be built out"as they sell." Describe the intended construction sequencing and timing of major activities, including grading activities, road and utility installation, and building phases. (See SWPPP Guide, Chapter 4, ESC Principle 2 for more information.) It may be useful to develop a separate, detailed site map for each phase of construction. • Phase I Phase I Construction Activities will consist of Initial Site Grading, Installation of Site Utility Improvements, and the Installation of Site Paving. Repeat as needed • Phase II Phase II Construction Activities will consist of the actual construction of the structures themselves upon completion of Phase I. Structures will be built at the sales rate which is anticipated to be around 1.5 sales per month throughout the course of the project. EPA SWPPP Template, Version 1.0, January 9, 2007 11 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 2. Control Stormwater Flowing Onto and Through the Project: Describe structural practices (i.e., diversions, berms, ditches, storage basins) including design specifications and details used to divert flows from exposed soils, retain or detain flows, or otherwise limit runoff and the discharge of pollutants from exposed areas of the site. (See SWPPP Guide, Chapter 4, ESC Principle 3 for more information.) • BMP Description: Silt Fence • Installation Schedule: Prior to Beginning Construction • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: Construction Entry • Installation Schedule: Prior to Beginning Construction • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff All 4. Stabilize Soils: Describe controls (i.e., temporary seeding with native vegetation, hydroseeding, etc.) to stabilize exposed soils where construction activities have temporarily or permanently ceased. Also describe measures to control dust generation. Use of impervious surfaces for stabilization should be avoided whenever possible. (See SWPPP Guide, Chapter 4, ESC Principle 4 for more information.) • BMP Description: Curlex n Permanent 1 Temporary • Installation Schedule: Ongoing as Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: ❑ Permanent ❑ Temporary • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 12 S. Protect Slopes: Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas Describe controls (i.e., erosion control blankets,tackifiers, etc.) including design specifications and details that will be implemented to protect all slopes. (See SWPPP Guide, Chapter 4, ESC 4 Principle 5 for more information.) • BMP Description: Fiber Rolls and/or Curlex • Installation Schedule: Ongoing as Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 6. Protect Storm Drain Inlets: Describe controls (i.e., inserts, rock-filled bags, or block and gravel, etc.) including design specifications and details that will be implemented to protect all inlets receiving stormwater from the project during the entire duration of the project. (See SWPPP Guide, Chapter 4, ESC Principle 6 for more information.) • BMP Description: Inlet Protection Devices • Installation Schedule: Ongoing As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 13 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 7. Establish perimeter controls and sediment barriers: Describe structural practices (i.e., silt fences or fiber rolls) including design specifications and details to filter and trap sediment before it leaves the construction site. (See SWPPP Guide, Chapter 4, ESC Principle 7 for more information.) • BMP Description: Fiber Rolls and/or Curlex • Installation Schedule: Ongoing As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 8. Retain Sediment On-Site and Control Dewatering Practices: Describe sediment control practices (i.e., sediment trap or sediment basin), including design specifications and details (volume, dimensions, outlet structure)that will be implemented at the construction site to retain sediments on-site. Describe dewatering practices that will be implemented if water must be removed from an area so that construction activity can continue. (See SWPPP Guide, Chapter 4, ESC Principle 8 for more information.) • BMP Description: Silt Fence around Area Storm Inlet • Installation Schedule: Add New(Multiple) Sections Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 14 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 9. Establish Stabilized Construction Exits: Describe location(s) of vehicle entrance(s) and exit(s), procedures to remove accumulated sediment off-site (i.e., vehicle tracking), and stabilization practices (i.e., stone pads and/or wash racks) to minimize off-site vehicle tracking of sediments and discharges to stormwater. (See SWPPP Guide, Chapter 4, ESC Principle 9 for more information.) • BMP Description: Stabilized Construction Entry • Installation Schedule: Ongoing As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 10. Additional BMPs: Describe additional BMPs that may not fit into the above categories. • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 15 1 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 3: GOOD HOUSEKEEPING BMPS 3.1 Good Housekeeping BMPs Instructions: • Describe the key good housekeeping and pollution prevention (P2) measures that will be implemented to control pollutants in stormwater. • Categorize each good housekeeping and pollution prevention (P2) BMP under one of the following 7 categories and follow the instructions to SWPPP Guide your description: ❑ Material Handling and Waste Management: n Establish Proper Building Material Staging Areas: H Designate Washout Areas: ❑ Establish proper equipment/vehicle fueling and maintenance practices: n Allowable non-stormwater discharges and control equipment/vehicle washing: ❑ Spill Prevention and Control Plan: n Any Additional BMPs: • For more information, see SWPPP Guide, Chapter 5. • Consult your state's design manual or resources in Appendix D of the SWPPP Guide. • For more information or ideas on BMPs, see EPA's National Menu of BMPs http://www.epa.govinpdes/stormwater/menuofbmps Project Information: 1. Material Handling and Waste Management: Describe measures (i.e., trash disposal, sanitary wastes, recycling, and proper material handling) to prevent the discharge of solid materials to waters of the U.S., except as authorized by a permit issued under section 404 of the CWA. (See SWPPP Guide, Chapter 5, P2 Principle 1) • BMP Description: Portable Latrines • Installation Schedule: As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: Trash Containers • Installation Schedule: As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All EPA SWPPP Template, Version 1.0, January 9, 2007 16 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 2. Establish Proper Building Material Staging Areas: Describe construction materials expected to be stored on-site and procedures for storage of materials to minimize exposure of the materials to stormwater. (See SWPPP Guide, Chapter 5, P2 Principle 2 for more information.) • BMP Description: Proper Staging of Materials Practices • Installation Schedule: Ongoing As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 3. Designate Washout Areas: Describe location(s) and controls to minimize the potential for stormwater pollution from washout areas for concrete mixers, paint, stucco, etc. (See SWPPP Guide, Chapter 5, P2 Principle 3 for more information.) • BMP Description: Designated Wash Out Area • Installation Schedule: As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 17 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 4. Establish proper equipment/vehicle fueling and maintenance practices: Describe equipment/vehicle fueling and maintenance practices that will be implemented to control pollutants to stormwater(e.g., secondary containment, drip pans, spill kits, etc.) (See SWPPP Guide, Chapter 5, P2 Principle 4 for more information.) • BMP Description: Removal & Proper Disposal of All Contaminated Soil in the Event of Spill. • Installation Schedule: As Needed • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 5. Allowable non-stormwater discharges and control equipment/vehicle washing: For the allowable non-stormwater discharge(s) associated with construction industrial activity identified, describe controls and measures that will be implemented at those sites to minimize pollutant discharges. (See SWPPP Guide, Chapter 5, P2 Principle 5 for more information.) • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 18 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 6. Spill Prevention and Control Plan: -11111 Describe the spill prevention and control plan to include ways to reduce the chance of spills, stop the source of spills, contain and clean up spills, dispose of materials contaminated by spills, and train personnel responsible for spill prevention and control. (See SWPPP Guide, Chapter 5, P2 Principle 6 for more information.) • Practice Careful Fueling Procedures, Ongoing. 7. Any Additional BMPs: Describe any additional BMPs that don't fit into the above categories. Indicate the problem they are intended to address. • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: 3.2 Allowable Non-Stormwater Discharge Management Instructions: • Identify all allowable sources of non-stormwater discharges (except flows from firefighting activities)that are not identified above. • Identify measures used to eliminate or reduce these discharges and the BMPs used to prevent them from becoming contaminated. • For more information, see SWPPP Guide, Chapter 3.A. Also, review your permit for exact details. Project Information: List allowable non-stormwater discharges and the measures used to eliminate or reduce them and to prevent them from becoming contaminated: EPA SWPPP Template, Version 1.0, January 9, 2007 19 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 4: SELECTING POST-CONSTRUCTION BMPs Instructions: • Describe all post-construction stormwater management measures that will be installed during the construction process to control pollutants in stormwater discharges after construction operations have been completed. Examples of post-construction BMPs include: ❑ Biofilters ❑ Detention/retention devices ❑ Earth dikes, drainage swales, and lined ditches ❑ Infiltration Basins ❑ Porous Pavement ❑ Other proprietary permanent structural BMPs ❑ Outlet protection/velocity dissipation devices ❑ Slope protection ❑ Vegetated strips and/or swales • Identify any applicable federal, state, local, or tribal requirements for design or installation. • Describe how low impact designs or smart growth considerations have been incorporated into the design. • Any structural BMPs should have design specifications and details referred to and attached as appendices to the SWPPP. • For more information on this topic, please refer to your state's stormwater manual. • You may also want to consult one of the references listed in Appendix D of the SWPPP Guide. • Visit the post-construction section of EPA's Menu of BMPs at: www.epa.gov/npes/menuofbmps Project Information: • BMP Description: Established Landscaping • Installation Schedule: Upon Completion of Exterior Construction • Maintenance and Inspection: Inspect Every Two Weeks, Maintenance Ongoing • Responsible Staff: All • BMP Description: • Installation Schedule: EPA SWPPP Template, Version 1.0, January 9, 2007 20 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas • Maintenance and Inspection: • Responsible Staff: • BMP Description: • Installation Schedule: • Maintenance and Inspection: • Responsible Staff: EPA SWPPP Template, Version 1.0, January 9, 2007 21 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 5: INSPECTIONS and MAINTENANCE 5.1 Inspections Instructions: • Identify the individual(s) responsible for conducting inspections and describe their qualifications. Reference or attach the inspection form that will be utilized. • Describe the frequency that inspections will occur at your site including any correlations to storm frequency and intensity. • Note that inspection details for particular BMPs should be included in Sections 2 and 3. • You should also document the repairs and maintenance that you undertake as a result of your inspections. These actions can be documented in the corrective actions log described in Section 5.3 below. • For more on this topic, see SWPPP Guide, Chapters 6 and 8. • Also, see suggested inspection form in Appendix B. Project Information: 1. Inspection Personnel: Identify the person(s) who will be responsible for conducting inspections and describe their qualifications. • Jason Rose 2. Inspection Schedule and Procedures: i. Describe the inspection schedules and procedures you have developed for your site (include frequency of inspections for each BMP or group of BMPs, indicate when you will inspect, e.g. before/during/and after rain events, spot inspections, etc.). • Inspection once every two weeks & within 24 hours of a rain event in excess of 0.5 inch ii. Describe the general procedures for correcting problems when they are identified. Include responsible staff and timeframes for making corrections. • Corrections to be made within the next business day following identification of problems. iii. Attach a copy of the inspection report you will use for your site. • REFERENCE ATTACHMENT EPA SWPPP Template, Version 1.0, January 9, 2007 22 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 5.2 Maintenance of Controls Instructions: • Summarize routine maintenance of structural and non-structural BMPs. Include schedules (daily, weekly, etc.) as well as the staff responsible. • Maintenance procedures for individual BMPs should be included in Section 2 and 3. • Specific maintenance activities can be documented in the corrective action log described below in Section 5.3. • For more on this topic, see SWPPP Guide, Chapters 4 and 5 and the suggestions on the Sample Inspection Report in Appendix B. Project Information: Maintenance Procedures: INSERT TEXT OR TABLE HERE 5.3 Corrective Action Log Instructions: • Create here, or as an attachment, a corrective action log. This log should describe repair, replacement, and maintenance of BMPs undertaken based on the inspections and maintenance procedures described above. Actions related to the findings of inspections should reference the specific inspection report. • This log should describe actions taken, date completed, and note the person that completed the work. Project Information: Corrective Action Log: INSERT TABLE HERE or REFERENCE ATTACHMENT EPA SWPPP Template, Version 1.0, January 9, 2007 23 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 6: Recordkeeping and Training 6.1 Recordkeeping Instructions: The following is a list of records you should keep at your project site available for inspectors to review: • Dates of grading, construction activity, (and stabilization which is covered in Section 7). • A copy of the construction general permit(attach). • The signed and certified NOI form or permit application form(attach). • A copy of the letter from the EPA/State notifying you of their receipt of your complete NOI/application(attach). • Inspection reports (attach). • Records relating to endangered species and historic preservation (attach). • Check your permit for additional details. • For more on this subject, see SWPPP Guide, Chapter 6.C. Project Information: Dates when major grading activities occur: • January 1, 2015 Dates when construction activities temporarily or permanently cease on a portion of the site • January 1, 2016 6.2 Log of Changes to the SWPPP Instructions: Create a log here, or as an attachment, of changes and updates to the SWPPP. You should include additions of new BMPs, replacement of failed BMPs, significant changes in the activities or their timing on the project, changes in personnel, changes in inspection and maintenance procedures, and updates to site maps, etc. Project Information: Log of changes and updates to the SWPPP • CREATE LOG HERE or as an ATTACHMENT EPA SWPPP Template, Version 1.0, January 9, 2007 24 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas 6.3 Training Instructions: • Training your staff and subcontractors is an effective BMP. As with the other steps you take to prevent stormwater problems at your site, you should document the training that you conduct for your staff, for those with specific stormwater responsibilities (e.g. installing, inspecting, and maintaining BMPs), and for subcontractors. • Include dates, number of attendees, subjects covered, and length of training. • For more on this subject, see SWPPP Guide, Chapter 8. Project Information: Describe Training Conducted: • General stormwater and BMP awareness training for staff and subcontractors Ongoing Self-Education • Detailed training for staff and subcontractors with specific stormwater responsibilities Ongoing Education as Well as Subcontractor& Supplier Awareness of the Importance of Storm Water Pollution& Prevention Practices. Individual(s) Responsible for Training: • Jason Rose EPA SWPPP Template, Version 1.0, January 9, 2007 25 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SECTION 7: FINAL STABILIZATION Instructions: • Describe procedures for final stabilization. If you complete major construction activities on part of your site, you can document your final stabilization efforts for that portion of the site. Many permits will allow you to then discontinue inspection activities in these areas (be sure to check your permit for exact requirements.) You can amend or add to this section as areas of your project are finally stabilized. • Update your site plans to indicate areas that have achieved final stabilization. • For more on this topic, see SWPPP Guide, Chapter 9. Project Information: • Final Stabilization will be Accomplished by Installation of Full & Final Established Landscaping. EPA SWPPP Template, Version 1.0, January 9, 2007 26 SECTION 8: CERTIFICATION AND NOTIFICATION Instructions: • The SWPPP should be signed and certified by the construction operator(s). Attach a copy of the NOI and permit authorization letter received from EPA or the State in Appendix D. Project Information: 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 gathered and evaluated 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 that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name: c o Re, s c Title: r►^e,M b e Signature: � Date: YY12 (i 7 2Ie+ 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 gathered and evaluated 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 that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name: Title: Signature: Date: 4 I I EPA SWPPP Template, Version 1.0, January 9, 2007 27 Stormwater Pollution Prevention Plan(SWPPP) Kyra Court Coppell Texas SWPPP APPENDICES Attach the following documentation to the SWPPP: App A - General Location Map App B - Site Maps App C - Copy of Construction General Permit App D - Copy of NOI and acknowledgement letter from EPA/State App E - Inspection Reports App F- Corrective Action Log (or in Section 5.3) App G - Log of Changes and Updates to SWPPP (or in Section 6.3) App H - Subcontractor Certifications/Agreements App I - BMP specifications and details App J - Additional Information (i.e., Endangered Species and Historic Preservation documentation) EPA SWPPP Template, Version 1.0, January 9, 2007 28 PROJECT LOCATION MAP (NOT TO SCALE) d cc a COPPELL PROJECT c.> Z TEXAS SITE W 0 v /,i E. BELT UNE RD. lo •ROPOSED COTTON BELT UNE I ,•ROPOSED DART .TATION CYPRESS WATERS ix NORTH LAKE co w ce z C) DALLAS vi TEXAS m Z TCEQ Office Use Only Permit No.: RN: CN: Region: W" IMO E � maws ICH) Notice of Intent (NOI) for Stormwater Discharges Associated with Construction Activity under TPDES General Permit (TXR150000) IMPORTANT: • Use the INSTRUCTIONS to fill out each question in this form. • Use the CHECKLIST to make certain all you filled out all required information. Incomplete applications WILL delay approval or result in automatic denial. • Once processed your permit can be viewed at: http://www2.tceq.texas.gov/wq dpa/index.cfm ePERMITS: Sign up now for online NOI: https://www3.tceq.texas.gov/steers/index.cfm Pay a$225 reduced application fee by using ePermits. APPLICATION FEE: • You must pay the$325 Application Fee to TCEQ for the paper application to be complete. • Payment and NOI must be mailed to separate addresses. • Did you know you can pay on line? • Go to https://www3.tceq.texas.gov/epayjindex.cfm • Select Fee Type:GENERAL PERMIT CONSTRUCTION STORM WATER DISCHARGE NOI APPLICATION • Provide your payment information below,for verification of payment: Mailed Check/Money Order No.: 1646 Name Printed on Check: Haas Rose at Lost Creek LLC ❑EPAY Voucher No.: Is the Payment Voucher copy attached? ❑Yes RENEWAL: Is this NOI a Renewal of an existing General Permit Authorization? (Note:A permit cannot be renewed after June 3,2013.) ❑Yes The Permit number is:TXR15 (If a permit number is not provided,a new number will be assigned.) ❑■ No i) OPERATOR (A> >licant) a) If the applicant is currently a customer with TCEQ,what is the Customer Number(CN) issued to this entity? You may search for your CN at: http://www12.tceq.texas.gov/crpub/index.cfm?fuseaction=cust.CustSearch CN TCEQ 20022(03/05/2013) Page 1 b) What is the Legal Name of the entity(applicant)applying for this permit? Haas Rose at Lost Creek LLC (The legal name must be spelled exactly as filed with the Texas Secretary of State,County,or in the legal document forming the entity.) c) What is the name and title of the person signing the application? The person must be an executive official meeting signatory requirements in TAC 305.44(a). Prefix(Mr.Ms. Miss): Mr. First/Last Name: Jason Rose Suffix: Title: member Credential: d) What is the Operator Contact's(Responsible Authority)contact information and mailing address as recognized by the US Postal Service(USPS)? You may verify the address at: http://zip4.usps.com/zip4/welcomejsp Phone#:(214)454-7895 ext: Fax#: (972)534-7895 E-mail: iason@jrosearchitect.com Mailing Address:141 Dickens Drive Internal Routing(Mail Code, Etc.): City: Coppell State:TX ZIP Code:75019 If outside USA: Territory: Country Code: Postal Code: e) Indicate the type of Customer(The instructions will help determine your customer type): Individual 0 Limited Partnership 0 Sole Proprietorship-DBA Joint Venture U General Partnership []Corporation ❑Trust ❑Estate 0 Federal Government ❑State Government 0 County Government 0 City Government ❑Other Government f) Independent Operator? 0 Yes ❑No (If governmental entity,subsidiary,or part of a larger corporation,check"No".) g) Number of Employees: 0o-20; ❑21-100; ❑101-250; ❑251-500; or ❑501 or higher h) Customer Business Tax and Filing Numbers: (REQUIRED for Corporations and Limited Partnerships. Not Required for Individuals, Government,or Sole Proprietors) State Franchise Tax ID Number: 32033264972 Federal Tax ID: 260542415 Texas Secretary of State Charter(filing)Number: DUNS Number(if known): 2) APPLIC TION CONTACT If TCEQ needs additional information regarding this application,who should be contacted? Is the application contact the same as the applicant identified above? ❑� Yes,go to Section 3). 0 No,complete section below. Prefix(Mr. Ms.Miss): First/Last Name: Suffix: Title: Credential: TCEQ 20022(03/05/2013) Page 2 Organization Name: Phone No.: ext: Fax Number: E-mail: Mailing Address: Internal Routing(Mail Code,Etc.); City: State; ZIP Code:. Mailing Information if outside USA; Territory: CountryCode< Postal Code: EDS::`l'JTY (lxJ.) IN'FORN7. P1: PROJECT 1 `.jt lithe site of your business is part of a larger business site or if other businesses were located at this site before yours,a Regulated Entity Number(RN)may already be assigned for the larger site, Use the RN assigned for the larger site. Search TCEQ's Central Registry to see if the Larger site may already be registered as a regulated site at; http://wwwl2.tceq.texas.gov/crpub/index.cfm?fuseaction=regent.RNSearch. If the site is found,provide the assigned Regulated Entity Reference Number and provide the information for the site to be authorized through this application below, The site information for this authorization may vary from the Larger site information, a) TCEQ issued RE Reference Number(RN): RN b) Name of project or site(the name known by the community where located): Ivra Court e) In your own words,briefly describe the primary business of the Regulated Entity:(Do not repeat the SIC and NAILS code): Real Estate Development d) County(or counties if t) a) Latitude:32,952762 degrees N Longitude: 96.983244 degrees W f) Does the site have a physical address? E]Yes,complete Section A for a physical address, No,complete Section B for site location information, Section A: Enter the physical address for the site, Verify the address with USPS,If the address is not recognized as a delivery address,provide the address as identified for overnight mail delivery,911 emergency or other online map tools to confirm an address, Physical Address of Project or Site: Street Number: 500 Street Name: East Belt Line Road City: Cc ppell State: Texas ZIP Code: 75019 TCEQ 20022 03/05/2013) Page 3 Section B: Enter the site location information. If no physical address(Street Number&Street Name),provide a written location access description to the site. (Ex.: located 2 miles west from intersection of Hwy 290&IH35 accessible on Hwy 290 South) City where the site is located or,if not in a city,what is the nearest city: State: Texas ZIP Code where the site is located: 4) GENERAL CHARACTERISTICS a) Is the project/site located on Indian Country Lands? ❑ Yes - If the answer is Yes,you must obtain authorization through EPA, Region 6. 0 No b) Is your construction activity associated with a facility that,when completed,would be associated with the exploration,development,or production of oil or gas or geothermal resources? ❑ Yes -If the answer is Yes,you may be under jurisdiction of the Railroad Commission of Texas and may need to obtain authorization through EPA,Region 6. O No c) What is the Primary Standard Industrial Classification(SIC) Code that best describes the construction activity being conducted at the site? Primary SIC Code: 6552 d) If applicable,what is the Secondary SIC Code(s): NA e) What is the total number of acres disturbed? 4.227 f) Is the project site part of a larger common plan of development or sale? O Yes-If the answer is Yes,the total number of acres disturbed can be less than 5 acres. ❑i No -If the answer is No,the total number of acres disturbed must be 5 or more. If the total number of acres disturbed is less than 5 then the project site does not qualify for coverage through this Notice of Intent. Coverage will be denied. See the requirements in the general permit for small construction sites. g) What is the name of the first water body(s)to receive the stormwater runoff or potential runoff from the site? Grapevine Creek h) What is the segment number(s)of the classified water body(s)that the discharge will eventually reach? Elm Fork of the Trinity River TCEQ 20022(03/05/2013) Page 4 i) Is the discharge into an MS4? ❑ Yes-If the answer is Yes,provide the name of the MS4 operator below. O No If Yes,provide the name of the MS4 operator: Note: The general permit requires you to send a copy of the NOI to the MS4 operator. j) Are any of the surface water bodies receiving discharges from the construction site on the latest EPA-approved CWA 303(d) List of impaired waters? ❑ Yes-If the answer is Yes,provide the name(s)of the impaired water body(s)below. ❑■ No If Yes,provide the name(s)of the impaired water body(s): k) Is the discharge or potential discharge within the Recharge Zone,Contributing Zone,or Contributing Zone within the Transition Zone of the Edwards Aquifer as defined in 3o TAC Chapter 213? • Yes-If the answer is Yes,complete certification below by checking"Yes." g No I certify that a copy of the TCEQ approved Plan required by the Edwards Aquifer Rule (3o TAC Chapter 213)is either included or referenced in the Stormwater Pollution Prevention Plan. ❑ Yes TCEQ 20022(03/05/2013) Page 5 rJ( A'11O Check Yes to the certifications below, Failure to indicate Yes to ALL items may result in denial of coverage under the general permit. a) I certify that I have obtained a copy and understand the terms and conditions of the Construction General Permit(TXRl50000), El Yes b) I certify that the full legal name of the entity applying for this permit has been provided and is legally authorized to do business in Texas, 0 Yes c) l understand that a Notice of Termination(NOT)must be submitted when this authorization is no longer needed. 0 Yes d) I certify that a Stormwater Pollution Prevention 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 TXR15o000. 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. Q Yes Operator Certification: Jason ROW member Typed or printed name Title certify under penalty of law that this document and all attachments were prepared under my direction or s rvision 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, I further certify that I am authorized under 3o Texas Administrative Code 30544 to sign and submit this document,and can provide documentation in proof of such authorization upon request. Signature: � -� Date: 16 -St-I 4" (Use blue ink) TCEQ 20022(03/05/2013) Page 6 1 � NOTICE OF INTENT CHECKLIST (TXR150000) • Did you complete everything? Use this checklist to be sure! • Are you ready to mail your form to TCEQ? Go to the General Information Section of the Instructions for mailing addresses. This checklist is for use by the operator to ensure a complete application. Missing information may result in denial of coverage under the general permit. (See NOI process description in the Instructions) Application Fee: If paying by Check: n Check was mailed separately to the TCEQs Cashier's Office.(See Instructions for Cashier's address and Application address.) n Check number and name on check is provided in this application. If using ePay: n The voucher number is provided in this application or a copy of the voucher is attached. PERMIT NUMBER: El Permit number provided-if this application is for renewal of an existing authorization. OPERATOR INFORMATION-Confirm each item is complete: El Customer Number(CN)issued by TCEQ Central Registry n Legal name as filed to do business in Texas (Call TX SOS 512/463-5555) n Name and title of responsible authority signing the application n Mailing address is complete&verifiable with USPS. www.usps.com n Phone numbers/e-mail address IT Type of operator(entity type) 0 Independent operator n Number of employees n For corporations or limited partnerships-Tax ID and SOS filing numbers n Application contact and address is complete&verifiable with USPS.http://www.usps.com REGULATED ENTITY(RE)INFORMATION ON PROJECT OR SITE-Confirm each item is complete: n Regulated Entity Reference Number(RN)(if site is already regulated by TCEQ) n Site/project name/regulated entity n Latitude and longitude http://www.tceq.texas.gov/gis/sgmaview.html n County n Site/project physical address. Do not use a rural route or post office box. n Business description GENERAL CHARACTERISTICS-Confirm each item is complete: El Indian Country Lands -the facility is not on Indian Country Lands El Construction activity related to facility associated to oil,gas,or geothermal resources n Standard Industrial Classification(SIC)Code www.osha.gov/oshstats/sicser.html n Acres disturbed is provided and qualifies for coverage through a NOI Fl Common plan of development or sale El Receiving water body(s) 0 Segment number(s) n Impaired water body(s) 0 MS4 operator n Edwards Aquifer rule CERTIFICATION n Certification statements have been checked indicating"Yes" El Signature meets 3o Texas Administrative Code(TAC) 305.44 and is original. TCEQ-20022 Checklist(03/05/2013) Page 1 Notice of Intent (NOI) for Stormwater Discharges Associated with Construction Activity under TPDES General Permit (TXR150000) General Information and Instructions GENERAL INFORMATION Where to Send the Notice of Intent(NOI): BY REGULAR U.S.MAIL BY OVERNIGHT/EXPRESS MAIL Texas Commission on Texas Commission on Environmental Quality Environmental Quality Stormwater Processing Center Stormwater Processing Center (MC228) (MC228) P.O. Box 13087 12100 Park 35 Circle Austin,Texas 78711-3087 Austin,TX 78753 TCEQ Contact List: Application—status and form questions: 512/239-3700,swpermit@tceq.texas.gov Technical questions: 512/239-4671,swgp@tceq.texas.gov Environmental Law Division: 512/239-0600 Records Management-obtain copies of forms: 512/239-0900 Reports from databases(as available): 512/239-DATA(3282) Cashier's office: 512/239-0357 or 512/239-0187 Notice of Intent Process: When your NOI is received by the program,the form will be processed as follows: 1) Administrative Review: Each item on the form will be reviewed for a complete response. In addition,the operator's legal name must be verified with Texas Secretary of State as valid and active(if applicable). The address(s)on the form must be verified with the US Postal service as receiving regular mail delivery. Never give an overnight/express mailing address. 2) Notice of Deficiency: If an item is incomplete or not verifiable as indicated above,a notice of deficiency(NOD)will be mailed to the operator. The operator will have 3o days to respond to the NOD. The response will be reviewed for completeness. 3) Acknowledgment of Coverage: An Acknowledgment Certificate will be mailed to the operator. This certificate acknowledges coverage under the general permit. -or- Denial of Coverage: If the operator fails to respond to the NOD or the response is inadequate,coverage under the general permit maybe denied. If coverage is denied,the operator will be notified. General Permit(Your Permit) For NOIs submitted electronically through ePermits,provisional coverage under the general permit begins immediately following confirmation of receipt of the NOI form by the TCEQ. For paper NOIs,provisional coverage under the general permit begins 7 days after a completed NOI is postmarked for delivery to the TCEQ. TCEQ-20022 Instructions(03/05/2013) Page 1 You should have a copy of your general permit when submitting your application. You may view and print your permit for which you are seeking coverage,on the TCEQ web site http://www.tceq.texas.gov. Search using key word TXRi50000. General Permit Forms The Notice of Intent(NOI),Notice of Termination(NOT),and Notice of Change(NOC) (including instructions)are available in Adobe Acrobat PDF format on the TCEQ web site http://www.tceq.texas.gov. Change in Operator An authorization under the general permit is not transferable. If the operator of the regulated entity changes,the present permittee must submit a Notice of Termination and the new operator must submit a Notice of Intent. The NOT and NOI must be submitted no later than 10 days prior to the change in Operator status. TCEQ Central Registry Core Data Form The Core Data Form has been incorporated into this form. Do not send a Core Data Form to TCEQ. After final acknowledgment of coverage under the general permit,the program will assign a Customer Number and Regulated Entity Number. You can find the information on the Central Registry web site at http://wwwl2.tceq.texas.gov/crpub/index.cfm. You can search by the Regulated Entity(RN), Customer Number(CN)or Name(Permittee),or by your permit number under the search field labeled"Additional ID". Capitalize all letters in the permit number. The Customer(Permittee)is responsible for providing consistent information to the TCEQ,and for updating all CN and RN data for all authorizations as changes occur. For General Permits, a Notice of Change form must be submitted to the program area. Fees associated with a General Permit Payment of the fee may be made by check or money order,payable to TCEQ,or through EPAY (electronic payment through the web). Application Fee: This fee is required to be paid at the time the NOI is submitted. Failure to submit payment at the time the application is filed will cause delays in acknowledgment or denial of coverage under the general permit. Mailed Payments: Payment must be mailed under separate cover at one of the addresses below using the attached Application Fee submittal form. (DO NOT SEND A COPY OF THE NOI WITH THE APPLICATION FEE SUBMITTAL FORM) BY REGULAR U.S.MAIL BY OVERNIGHT/EXPRESS MAIL Texas Commission on Environmental Quality Texas Commission on Environmental Quality Financial Administration Division Financial Administration Division Cashier's Office, MC-214 Cashier's Office,MC-214 P.O. Box 13088 12100 Park 35 Circle Austin,TX 78711-3088 Austin,TX 78753 TCEQ-20022 Instructions(03/05/2013) Page 2 i ePAY Electronic Payment:http://www.tceq.texas.gov/epay When making the payment you must select Water Quality,and then select the fee category "General Permit Construction Storm Water Discharge NOI Application". You must include a copy of the payment voucher with your NOI. Your NOI will not be considered complete without the payment voucher. I RLC TIONS FOR FII_LING OUT THE NOI FORM Renewal of General Permit.Dischargers holding active authorizations under the expired General Permit are required to submit a NOI to continue coverage. The existing permit number is required. If the permit number is not provided or has been terminated,expired,or denied a new permit number will be issued. 1. Operator(Applicant) a) Enter assigned Customer Number(CN) TCEQ's Central Registry will assign each customer a number that begins with CN,followed by nine digits.This is not a permit number,registration number, or license number. If this customer has not been assigned a CN,leave the space for the CN blank. If this customer has already been assigned this number,enter the permittee's CN. b)Legal Name Provide the current legal name of the permittee,as authorized to do business in Texas.The name must be provided exactly as filed with the Texas Secretary of State(SOS),or on other legal documents forming the entity,that is filed in the county where doing business.You may contact the SOS at 512/463-5555,for more information related to filing in Texas. If filed in the county where doing business,provide a copy of the legal documents showing the legal name. c) Person Signing Application Provide information about person signing section 5)Certification. d) Operator Contact's(Responsible Authority)Contact Information and Mailing Address Provide a complete mailing address for receiving mail from the TCEQ.The address must be verifiable with the US Postal Service at http://www.usps.com for regular mail delivery(not overnight express mail).If you find that the address is not verifiable using the USPS web search, please indicate the address is used by the USPS for regular mail delivery. The area code and phone number should provide contact to the operator.Leave Extension blank if not applicable. The fax number and e-mail address are optional and should correspond to the operator. e)Type of Customer(Entity Type) Check only one box that identifies the type of entity. Use the descriptions below to identify the appropriate entity type. Note that the selected entity type also indicates the name that must be provided as an applicant for a permit,registration or authorization. TCEQ-20022 Instructions(03/05/2013) Page 3 I I Sole Proprietorship— DBA A sole proprietorship is a customer that is owned by only one person and has not been incorporated. This business may: • be under the person's name • have its own name(doing business as or d.b.a.) • have any number of employees If the customer is a Sole Proprietorship or DBA,the`legal name'of the individual business`owner'must be provided. The DBA name is not recognized as the`legal name' of the entity.The DBA name maybe used for the site name(regulated entity). Individual An individual is a customer who has not established a business,but conducts an activity that needs to be regulated by the TCEQ. Partnership • A customer that is established as a partnership as defined by the Texas Secretary of State Office(TX SOS).A Limited Partnership or Limited Liability Partnership (Partnership) is required to file with the Texas Secretary of State.A General Partnership or Joint Venture is not required to register with the state. • Partnership (Limited Partnership or Limited Liability Partnership):A limited partnership is defined in the Act as a partnership formed by two or more persons under the provisions of Section 3 of the Uniform Limited Partnership Act (Art. 6132a,Revised Civil Statutes of Texas) and having as members one or more general partners and one or more limited partners.The limited partners as such are not bound by the obligations of the partnership. Limited partners may not take part in the day-to-day operations of the business.A Limited Partnership must file with the Texas Secretary of State.A registered limited liability partnership is a general or limited partnership that is registered with the Texas Secretary of State.The partnership's name must contain the words "Registered Limited Liability Partnership"or the abbreviation"L.L.P."as the last words or letters of its name. • General Partnership:A general partner may or may not invest,participates in running the partnership and is liable for all acts and debts of the partnership and any member of it.A General Partnership does not have limited partners. For a General Partnership,there is no registration with the state or even written agreement necessary for a general partnership to be formed.The legal definition of a partnership is generally stated as"an association of two or more persons to carry on as co-owners a business for profit"(Revised Uniform Partnership Act§ 101 [1994]). • Joint Venture:A joint venture is but another name for a special partnership. It might be distinguished from a general partnership in that the latter is formed for the transaction of a general business,while a joint venture is usually limited to a single transaction.That is, a joint venture is a special combination of persons in the nature of a partnership engaged in the joint prosecution of a particular transaction for mutual benefit or profit. Corporation A customer meets all of these conditions: • is a legally incorporated entity under the laws of any state or country • is recognized as a corporation by the Texas Secretary of State TCEQ-20022 Instructions(03/05/2013) Page 4 • has proper operating authority to operate in Texas. • The corporation's`legal name'as filed with the Texas Secretary of State must be provided as applicant. An`assumed'name of a corporation is not recognized as the`legal name'of the entity. Government Federal,state, county,or city government(as appropriate) The customer is either an agency of one of these levels of government or the governmental body itself. The government agency's`legal name'must be provided as the applicant. A department name or other description of the organization should not be included as a part of the`legal name'as applicant. Trust or Estate A trust and an estate are fiduciary relationships governing the trustee/executor with respect to the trust/estate property. Other Government A utility district,water district,tribal government,college district,council of governments,or river authority.Write in the specific type of government. f)Independent Entity Check No if this customer is a subsidiary,part of a larger company, or is a governmental entity. Otherwise, check Yes. g)Number of Employees Check one box to show the number of employees for this customer's entire company,at all locations.This is not necessarily the number of employees at the site named in the application. h)Customer Business Tax and Filing Numbers These are required for Corporations and Limited Partnerships. These are not required for Individuals,Government, and Sole Proprietors. State Franchise Tax ID Number Corporations and limited liability companies that operate in Texas are issued a franchise tax identification number. If this customer is a corporation or limited liability company, enter this number here. Federal Tax ID All businesses,except for some small sole proprietors,individuals,or general partnerships should have a federal taxpayer identification number(TIN). Enter this number here. Use no prefixes, dashes,or hyphens. Sole proprietors,individuals,or general partnerships do not need to provide a federal tax ID. TX SOS Charter(filing)Number Corporations and Limited Partnerships required to register with the Texas Secretary of State are issued a charter or filing number. You may obtain further information by calling SOS at 512/463-5555. DUNS Number Most businesses have a DUNS(Data Universal Numbering System) number issued by Dun and Bradstreet Corp. If this customer has one, enter it here. TCEQ-20022 Instructions(03/05/2013) Page 5 2. APPLICATION CONTACT Provide the name,title and communication information of the person that TCEQ can contact for additional information regarding this application. 3. REGULATED ENTITY(RE) INFORMATION ON PROJECT OR SITE a) Regulated Entity Reference Number(RN) A number issued by TCEQ's Central Registry to sites (a location where a regulated activity occurs) regulated by TCEQ.This is not a permit number, registration number,or license number. If this regulated entity has not been assigned an RN,leave this space blank. If the site of your business is part of a larger business site,a Regulated Entity Number(RN)may already be assigned for the larger site. Use the RN assigned for the larger site. Search TCEQ's Central Registry to see if the larger site may already be registered as a regulated site at: http://www12.tceq.texas.gov/crpub/index.cfm?fuseaction=regent.RNSearch If the site is found,provide the assigned Regulated Entity Reference Number(RN)and provide the information for the site to be authorized through this application. The site information for this authorization may vary from the larger site information. An example is a chemical plant where a unit is owned or operated by a separate corporation that is accessible by the same physical address of your unit or facility. Other examples include industrial parks identified by one common address but different corporations have control of defined areas within the site. In both cases,an RN would be assigned for the physical address location and the permitted sites would be identified separately under the same RN. b) Site/Project Name/Regulated Entity Provide the name of the site as known by the public in the area where the site is located.The name you provide on this application will be used in the TCEQ Central Registry as the Regulated Entity name. c) Description of Activity Regulated In your own words,briefly describe the primary business that you are doing that requires this authorization. Do not repeat the SIC Code description. d) County Identify the county or counties in which the regulated entity is located. e) Latitude and Longitude Enter the latitude and longitude of the site in degrees,minutes,and seconds or decimal form. For help obtaining the latitude and longitude,go to: http://www.tceq.texas.govigisisqmaview.html or http://nationalmap.gov/ustopo f) Site/Project(RE) Physical Address/Location Information Enter the complete address for the site in Section A if the address can be validated through the US Postal Service. If the physical address is not recognized as a USPS delivery address,you may need to validate the address with your local police(911 service)or through an online map site used to locate a site. Please confirm this to be a complete and valid address. Do not use a rural route or post office box for a site location. TCEQ-20022 Instructions(03/05/2013) Page 6 I If a site does not have an address that includes a street(or house)number and street name, enter NO ADDRESS for the street name in Section A. In Section B provide a complete written location description.For example: "The site is located 2 miles west from intersection of Hwy 290&IH35,located on the southwest corner of the Hwy 290 South bound lane." Provide the city(or nearest city) and zip code of the facility location. 4. GENERAL CHARACTERISTICS a) Indian Country Lands If your site is located on Indian Country Lands,the TCEQ does not have authority to process your application. You must obtain authorization through EPA,Region 6,Dallas. Do not submit this form to TCEQ. b) Construction activity associated with facility associated with exploration, development,or production of oil,gas,or geothermal resources If your activity is associated with oil and gas exploration,development,or production,you may be under jurisdiction of the Railroad Commission of Texas and may need to obtain authorization from EPA Region 6. For more information,see: http;//info. o .state,tx.us/p1s/pub/readtac$ext.TacPage?s1=R&app=9&p dir=&p rloc=&p do c=&p ploc=&pg=1&p tac=&ti= 6&pt=1&ch=3&r1=3o Construction activities associated with a facility related to oil,gas or geothermal resources may include the construction of a well site;treatment or storage facility;underground hydrocarbon or natural gas storage facility;reclamation plant;gas processing facility;compressor station; terminal facility where crude oil is stored prior to refining and at which refined products are stored solely for use at the facility;a carbon dioxide geologic storage facility;and a gathering, transmission,or distribution pipeline that will transport crude oil or natural gas,including natural gas liquids,prior to refining of such oil or the use of the natural gas in any manufacturing process or as a residential or industrial fuel. Where required by federal law, discharges of stormwater associated with construction activities under the Railroad Commission's jurisdiction must be authorized by the EPA and the Railroad Commission of Texas, as applicable.Activities under Railroad Commission of Texas jurisdiction include construction of a facility that,when completed,would be associated with the exploration,development, or production of oil or gas or geothermal resources,such as a well site;treatment or storage facility; underground hydrocarbon or natural gas storage facility; reclamation plant; gas processing facility; compressor station;terminal facility where crude oil is stored prior to refining and at which refined products are stored solely for use at the facility; a carbon dioxide geologic storage facility under the jurisdiction of the Railroad Commission of Texas; and a gathering,transmission,or distribution pipeline that will transport crude oil or natural gas,including natural gas liquids,prior to refining of such oil or the use of the natural gas in any manufacturing process or as a residential or industrial fuel.The Railroad Commission of Texas also has jurisdiction over stormwater from land disturbance associated with a site survey that is conducted prior to construction of a facility that would be regulated by the Railroad Commission of Texas. Under 33 U.S.C. §1342(1)(2)and§1362(24), EPA cannot require a permit for discharges of stormwater from"field activities or operations associated with{oil and gas}exploration,production,processing,or treatment operations, or transmission facilities, including activities necessary to prepare a site for drilling and for the movement and placement of drilling equipment,whether or not such field activities or operations may be considered to be construction activities"unless the discharge is contaminated by contact with any overburden, raw material, intermediate product,finished product,byproduct,or waste product located on the site of the facility.Under§3.8 of this title(relating to Water Protection),the Railroad TCEQ-20022 Instructions(03/05/2013) Page 7 a Commission of Texas prohibits operators from causing or allowing pollution of surface or subsurface water. Operators are encouraged to implement and maintain best management practices(BMPs)to minimize discharges of pollutants,including sediment,in stormwater during construction activities to help ensure protection of surface water quality during storm events. c) Primary Standard Industrial Classification(SIC) Code Provide the SIC Code that best describes the construction activity being conducted at this site. Common SIC Codes related to construction activities include: • 1521-Construction of Single Family Homes • 1522-Construction of Residential Bldgs.Other than Single Family Homes • 1641-Construction of Industrial Bldgs.and Warehouses • 1542-Construction of Non-residential Bldgs,other than Industrial Bldgs.and Warehouses • 1611-Highway and Street Construction,except Highway Construction • 1622-Bridge,Tunnel,and Elevated Highway Construction • 1623-Water,Sewer,Pipeline and Communications, and Power Line Construction For help with SIC Codes,go to: http://www.osha.gov/p1s/imis/sicsearch.html d) Secondary SIC Code Secondary SIC Code(s)may be provided.Leave blank if not applicable. For help with SIC Codes, go to: http://www.osha.gov/plsJimis/sicsearch.html e) Total Number of Acres Disturbed Provide the approximate number of acres that the construction site will disturb. Construction activities that disturb less than one acre,unless they are part of a larger common plan that disturbs more than one acre,do not require permit coverage. Construction activities that disturb between one and five acres,unless they are part of a common plan that disturbs more than five acres,do not require submission of an NOI. Therefore,the estimated area of land disturbed should not be less than five,unless the project is part of a larger common plan that disturbs five or more acres. Disturbed means any clearing,grading,excavating, or other similar activities. If you have any questions about this item,please contact the stormwater technical staff by phone at(512)239-4671 or by email at swgp@tceq.texas.gov. f) Common Plan of Development Construction activities that disturb less than five acres do not require submission of an NOI unless they are part of a common plan of development or for sale where the area disturbed is five or more acres.Therefore,the estimated area of land disturbed should not be less than five, unless the project is part of a larger common plan that disturbs five or more acres.Disturbed means any clearing,grading,excavating,or other similar activities. For more information on"What is a common plan of development?"go to: www.tceq,texas.gov/permitting/stormwater/common plan of development steps.html For further information,go to the TCEQ stormwater construction webpage at: www.tceq.texas.gov/goto/construction and search for"Additional Guidance and Quick Links".If TCEQ-20022 Instructions(03/05/2013) Page 8 you have any further questions about this item,please call the stormwater technical staff at (512)239-4671. g) Identify the water body(s)receiving stormwater runoff The stormwater may be discharged directly to a receiving stream or through a MS4 from your site. It eventually reaches a receiving water body such as a local stream or lake,possibly via a drainage ditch.You must provide the name of the water body that receives the discharge from the site(a local stream or lake). If your site has more than one outfall you need to include the name of the first water body for each outfall,if they are different. h) Identify the segment number(s)of the classified water body(s) Identify the classified segment number(s)receiving a discharge directly or indirectly.Go to the following link to find the segment number of the classified water body where stormwater will flow from the site:www.tceq.texas.gov/waterquality/monitoring/viewer.html You may also find the segment number in TCEQ publication GI-316: www.tceq.texas.gov/publications/gi/gi-316 If the discharge is into an unclassified receiving water and then crosses state lines prior to entering a classified segment,select the appropriate watershed: • moo(Canadian River Basin) • 0200(Red River Basin) • 0300(Sulfur River Basin) • o400(Cypress Creek Basin) • 0500(Sabine River Basin) Call the Water Quality Assessments section at(512)239-4671 for further assistance. i) Discharge into MS4—Identify the MS4 Operator The discharge may initially be into a municipal separate storm sewer system(MS4). If the stormwater discharge is into an MS4,provide the name of the entity that operates the MS4 where the stormwater discharges. An MS4 operator is often a city,town,county,or utility district,but possibly can be another form of government. Please note that the Construction General Permit requires the Operator to supply the MS4 with a copy of the NOI submitted to TCEQ. For assistance,you may call the technical staff at(512)239-4671. j) Surface Water bodies on list of impaired waters— Identify the impaired water body(s) Indicate Yes or No if any surface water bodies receiving discharges from the construction site are on the latest EPA-approved CWA 303(d)List of impaired waters. Provide the name(s)of surface water bodies receiving discharges or potential discharges from the construction site that are on the latest EPA-approved CWA 303(d)List of impaired waters.The EPA-approved CWA 3o3(d)List of impaired waters in Texas can be found at: www.tceq.texas.gov/waterquality/assessment/305 3o3.html NOTE: Do not use any"draft"documents. 4 TCEQ-20022 Instructions(03/05/2013) Page 9 k) Discharges to the Edwards Aquifer Recharge Zone and Certification See maps on the TCEQ website to determine if the site is located within the Recharge Zone, Contributing Zone,or Contributing Zone within the Transition Zone of the Edwards Aquifer at: www.tceq,texas.govifieldifeapp/viewer.html If the discharge or potential discharge is within the Recharge Zone,Contributing Zone,or Contributing Zone within the Transition Zone of the Edwards Aquifer, a site specific authorization approved by the Executive Director under the Edwards Aquifer Protection Program(3o TAC Chapter 213)is required before construction can begin. The certification must be answered"Yes"for coverage under the Construction General Permit. The TCEQ approved plan must be readily available for TCEQ staff to review at the time that the NOI is submitted. The general permit requires the approved Contributing Zone Plan or Water Pollution Abatement Plan to be included or referenced as a part of the Stormwater Pollution Prevention Plan. For questions regarding the Edwards Aquifer Protection Program,contact the appropriate TCEQ Regional Office. For projects in Hays,Travis and Williamson Counties:Austin Regional Office, 12100 Park 35 Circle,Austin,TX 78753,512-339-2929. For Projects in Bexar, Comal, Kinney,Medina and Uvalde Counties:TCEQ San Antonio Regional Office, 14250 Judson Rd., San Antonio,TX 78233-4480, 210-490-3096. 5. CERTIFICATIONS Failure to indicate Yes to ALL of the certification items may result in denial of coverage under the general permit. a) Certification of Understanding the Terms and Conditions of Construction General Permit(TXRlg0000) Provisional coverage under the Construction General Permit(TXR150000)begins 7 days after the completed paper NOI is postmarked for delivery to the TCEQ. (Electronic applications submitted through ePermits have immediate provisional coverage). You must obtain a copy and read the Construction General Permit before submitting your application.You may view and print the Construction General Permit for which you are seeking coverage at the TCEQ web site: www.tceq.texas.gov/goto/construction b) Certification of Legal Name The full legal name of the applicant as authorized to do business in Texas is required.The name must be provided exactly as filed with the Texas Secretary of State(SOS),or on other legal documents forming the entity,that is filed in the county where doing business.You may contact the SOS at(512)463 5555,for more information related to filing in Texas. e) Understanding of Notice of Termination A permittee shall terminate coverage under this Construction General Permit through the submittal of a NOT when the operator of the facility changes,final stabilization has been reached,the discharge becomes authorized under an individual permit,or the construction activity never began at this site. d) Certification of Stormwater Pollution Prevention Plan The SWP3 identifies the areas and activities that could produce contaminated runoff at your site and then tells how you will ensure that this contamination is mitigated. For example,in describing your mitigation measures,your site's plan might identify the devices that collect and TCEQ-20022 Instructions(03/05/2013) Page 10 filter stormwater,tell how those devices are to be maintained, and tell how frequently that maintenance is to be carried out.You must develop this plan in accordance with the TCEQ general permit requirements.This plan must be developed and implemented before you complete this NOI.The SWP3 must be available for a TCEQ investigator to review on request. Operator Certification: The certification must bear an original signature of a person meeting the signatory requirements specified under 3o Texas Administrative Code(TAC) §305.44. IF YOU ARE A CORPORATION: The regulation that controls who may sign an NOI or similar form is 3o Texas Administrative Code§3o5.44(a)(1) (see below). According to this code provision,any corporate representative may sign an NOI or similar form so long as the authority to sign such a document has been delegated to that person in accordance with corporate procedures. By signing the NOI or similar form,you are certifying that such authority has been delegated to you. The TCEQ may request documentation evidencing such authority. IF YOU ARE A MUNICIPALITY OR OTHER GOVERNMENT ENTITY: The regulation that controls who may sign an NOI or similar form is 3o Texas Administrative Code§3o5.44(a)(3) (see below). According to this code provision, only a ranking elected official or principal executive officer may sign an NOI or similar form. Persons such as the City Mayor or County Commissioner will be considered ranking elected officials. In order to identify the principal executive officer of your government entity,it may be beneficial to consult your city charter, county or city ordinances,or the Texas statute(s)under which your government entity was formed.An NOI or similar document that is signed by a government official who is not a ranking elected official or principal executive officer does not conform to§305.44(a)(3).The signatory requirement may not be delegated to a government representative other than those identified in the regulation. By signing the NOI or similar form,you are certifying that you are either a ranking elected official or principal executive officer as required by the administrative code. Documentation demonstrating your position as a ranking elected official or principal executive officer may be requested by the TCEQ. If you have any questions or need additional information concerning the signatory requirements discussed above,please contact the Texas Commission on Environmental Quality's Environmental Law Division at(512)239-0600. 3o Texas Administrative Code §305.44. Signatories to Applications (a) All applications shall be signed as follows. (1) For a corporation,the application shall be signed by a responsible corporate officer. For purposes of this paragraph,a responsible corporate officer means a president, secretary,treasurer,or vice-president of the corporation in charge of a principal business function,or any other person who performs similar policy or decision-making functions for the corporation; or the manager of one or more manufacturing,production, or operating facilities employing more than 25o persons or having gross annual sales or expenditures exceeding $25 million(in second-quarter 1980 dollars),if authority to sign documents has been assigned or delegated to the manager in accordance with corporate procedures. Corporate procedures governing authority to sign permit or post-closure order applications may provide for assignment or delegation to applicable corporate positions rather than to specific individuals. TCEQ-20022 Instructions(03/05/2013) Page 11 (2) For a partnership or sole proprietorship,the application shall be signed by a general partner or the proprietor,respectively. (3) For a municipality,state,federal,or other public agency,the application shall be signed by either a principal executive officer or a ranking elected official. For purposes of this paragraph, a principal executive officer of a federal agency includes the chief executive officer of the agency,or a senior executive officer having responsibility for the overall operations of a principal geographic unit of the agency(e.g.,regional administrator of the EPA). TCEQ-20022 Instructions(03/05/2013) Page 12 Texas Commission on Environmental Quality General Permit Payment Submittal Form Use this form to submit your Application Fee only if you are mailing your payment. • Complete items 1 through 5 below: • Staple your check in the space provided at the bottom of this document. • Do not mail this form with your NOI form. • Do not mail this form to the same address as your NOI. Mail this form and your check to: BY REGULAR U.S.MAIL BY OVERNIGHT/EXPRESS MAIL Texas Commission on Environmental Texas Commission on Environmental Quality Quality Financial Administration Division Financial Administration Division Cashier's Office,MC-214 Cashier's Office,MC-214 P.O.Box 13088 12100 Park 35 Circle Austin,TX 78711-3088 Austin,TX 78753 Fee Code: GPA General Permit: TXR150000 1. Check/Money Order No: 1646 2. Amount of Check/Money Order: $325.00 3. Date of Check or Money Order: 10/21/14 4. Name on Check or Money Order: Willow Park 5. NOI INFORMATION If the check is for more than one NOI,list each Project/Site(RE)Name and Physical Address exactly as provided on the NOI. DO NOT SUBMIT A COPY OF THE NOI WITH THIS FORM AS IT COULD CAUSE DUPLICATE PERMIT ENTRIES. See Attached List of Sites(If more space is needed,you may attach a list.) Project/Site(RE)Name: Kyra Court Project/Site(RE) Physical Address: • 500 East Belt Line Road,Coppell,TX 75019 I Staple Check in This Space I TCEQ-20134(04/13/2006) Page 1 SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and r>' '- an SuM active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in �2 accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of S 1 I .r-e4 ^ JP 4 CO_H/ S k-41 5 the Grading Ordinance? 2. Erosion observed? I If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y/ N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y "N/ N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a V discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. J 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous ✓ materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ._. ❑ Issued a Stop Work Order ® No Action Required / ❑ Request Inspection by an Authorized Water �.. J 1 V Quality Ordinance Inspector ❑ Other(Please Explain): C SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Connell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and / 5;t J. c e„L e -1-a`t\i active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in V/ accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? / 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Ye'/N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. / 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous , materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance PPS d l 0),A .-,. U Issued an Administrative Compliance Order (' , ❑ Issued a Cease and Desist Order O Issued a Stop Work Order n 1 171 No Action Required t1 u)-t e S ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector O Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y ly N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? J 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices V/N N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? ✓ If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking ControlsY� N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N/ N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a e/ discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? ✓/ 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice f Non Compliance ❑ Issued an Administrative ComlianOrder ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order El No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) U DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y y1 N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices *?-N N/A Comments 3. Are sediment controls being implemented and maintained on all significant , slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? ✓ Waste and Disposal Management Y li/ N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they " adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? •// 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ,^ ❑ Issued a Notice of Non-Compliance j w ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order U Issued a Stop Work Order 3- I - I to • No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector O Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control PracticesNf' N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Yr.N N/A Comments 3. Are sediment controls being implemented and maintained on all significant / slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y Ac N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N . N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Cease Administrative ComplianceerOrder ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ® No Action RequiredI LP ❑ Request Inspection by an Authorized Water 2'— (� Quality Ordinance Inspector U Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: 41 WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? ✓ If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? ✓ If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls .VN N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N/N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. ✓ 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? • If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ® No Action Required 1— IC/ ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector O Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: LI WET(October 1 through April 30) U DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y/N N/A Comments 3. Are sediment controls being implemented and maintained on all significant f slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? Y 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y/N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire V washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y Ni N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a ,/ discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. ✓ 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order 4i1 ® No Action Required /2-- I— 15 ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: U WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y/N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and �J active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant if slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? ✓ If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y�,N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire V washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N/ N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a ✓ discharge to the storm drain in violation of provisions of the Water Quality Ordinance? / If YES,describe the evidence of the discharge and whether it is major or minor. / 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous (t// materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order • No Action Required l( �1 ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices IV, N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y,N N/A Comments 3. Are sediment controls being implemented and maintained on all significant / slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? (/ If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls V/N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire ✓ washout,stabilized entrances,rumble strips)? ✓/ 6. Are roads free of sediment? Waste and Disposal Management Y N/N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a 4/ discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ' ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order 1 /0 ( — ❑ No Action Required ( ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices V �1V N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y/N N/A Comments 3. Are sediment controls being implemented and maintained on all significant 1/ slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y, N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y 1�J/ N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a 4/ discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a fNon-Comp pianos Administrative dm ❑ Issued an Adminn istrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ® No Action Required C� — 1 ?5 ❑ Request Inspection by an Authorized Water l Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y/N N/A Comments 3. Are sediment controls being implemented and maintained on all significant (/ slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls YIN N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire ✓� washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N JN/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? / If YES,describe the evidence of the discharge and whether it is major or minor. / 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order Qr ❑ Issued a Stop Work Order V 1 I ❑ No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N/A Comments 1. Are erosion controls being implemented and maintained on inactive and ✓ active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices VN N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y,�N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire ✓ washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N/N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a ff discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance /� CI Issued an Administrative Compliance Order 1/ ` - ❑ Issued a Cease and Desist Order f ❑ Issued a Stop Work Order • No Action Required _ —' ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector O Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y ,At N/A Comments 1. Are erosion controls being implemented and maintained on inactive and c active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? V/ 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices 4.Y 1)r N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls 7j'�N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire washout,stabilized entrances,rumble strips)? V/ 6. Are roads free of sediment? Waste and Disposal Management Y 11%/N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order U Issued a Stop Work Order ® No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: U WET(October 1 through April 30) U DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? >( If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant 7( slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream (` perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire X washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order El No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector S—1 1 ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL riliI.MIMMIMIMIMMIMIMIMIInspectionsshall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y/ N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y /N N/A Comments 3. Are sediment controls being implemented and maintained on all significant slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls V N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? V/ 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 4/ 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance U Issued an Administrative Compliance Order U Issued a Cease and Desist Order U Issued a Stop Work Order ® No Action Required •, ' S� ❑ Request Inspection by an Authorized Water (— 1 Quality Ordinance Inspector ❑ Other(Please Explain): 7 SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y /1 N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y /iV N/A Comments 3. Are sediment controls being implemented and maintained on all significant t/ slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y/N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire ✓ washout,stabilized entrances,rumble strips)? / 6. Are roads free of sediment? Waste and Disposal Management Y N ./NIA Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a V discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. /- 8. Are containers for construction waste and debris being utilized and are they adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): 3. _ I SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? • Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the`Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order i ❑ Issued a Cease and Desist Order (/ ❑ Issued a Stop Work Order lI No Action Required ❑ Request Inspection by an Authorized Water Z Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ❑ No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector 0 Other(Please Explain): `.- — SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ® No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): 4 SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ❑ No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ® No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector O Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. • SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ❑ No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: ❑ WET(October 1 through April 30) ❑ DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. SECTION III—ENFORCEMENT ACTIONS PRIVATE CONSTRUCTION PROJECTS NOTES: ❑ Issued a Notice of Non-Compliance ❑ Issued an Administrative Compliance Order ❑ Issued a Cease and Desist Order ❑ Issued a Stop Work Order ▪ No Action Required ❑ Request Inspection by an Authorized Water Quality Ordinance Inspector ❑ Other(Please Explain): SITE INSPECTION CHECKLIST FOR KYRA COURT,COPPELL,TX 500 East Beltline Road COPPELL,TX 75019 SECTION I-GENERAL Inspections shall be performed once every 2 weeks and within 24 hours after a storm event of 0.5 inches or more. Alternatively, inspections may be performed every 7 days without additional inspections after rain events. PROJECT ADDRESS/TRACT:500 East Belt line Road Drive Coppell Texas 75019 . SITE REPRESENTATIVE: Jason Rose DEVELOPER NAME: Haas Rose at Lost Creek LLC DATE OF INSPECTION: WEATHER CONDITION: SEASON: U WET(October 1 through April 30) U DRY(May 1 through September 30) DEVELOPMENT SIZE: 4.227 Acres TYPE OF CONSTRUCTION: Residential 22 Unit Single Family Development SECTION II—RESULTS OF INSPECTION Erosion Control Practices Y N N/A Comments 1. Are erosion controls being implemented and maintained on inactive and active disturbed soil areas(sheeting,mulch,hay,soil stabilizers,etc.),in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 2. Erosion observed? If YES,describe the evidence of the erosion and whether it is major or minor. Sediment Control Practices Y N N/A Comments 3. Are sediment controls being implemented and maintained on all significant . slopes(silt fences,fiber rolls,etc.at the base of slopes)and the downstream perimeter,in accordance with Erosion and Sediment Control Plans(ESCPs)and provisions of the Grading Ordinance? 4. Sediment discharge observed? If YES,describe the evidence of the discharge and whether it is major or minor. (If the discharge could impact wildlife,sensitive habitat/endangered species,an impared water body(303d listed),ESA or ASBS area,go to the"Evaluation of I to Human or Environmental Health"form.) Tracking Controls Y N N/A Comments 5. Are the entrances and exits to the construction site adequately protected(tire . washout,stabilized entrances,rumble strips)? 6. Are roads free of sediment? Waste and Disposal Management Y N N/A Comments 7. Are activities such as concrete/plastering,painting and fueling resulting in a discharge to the storm drain in violation of provisions of the Water Quality Ordinance? If YES,describe the evidence of the discharge and whether it is major or minor. 8. Are containers for construction waste and debris being utilized and are they . adequate? 9. Are there potential water quality problems that have been identified on the NA site,which may be in violation of provisions of the Water Quality Ordinance and may require further inspection by an Authorized Water Quality Ordinance Inspector? 10. Are there any discharges or spills of sewage,oil,or toxic/hazardous materials,which may be in violation of provisions of the Water Quality Ordinace? If YES,go to the"Evaluation of Potential Impacts to Human or Environmental Health"form. 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