Townhouses-CS00060536516 Federal Registe.r ¥ol. 63. No. 128/Monday. July 6. 1998/Notices
THIS FORM REPLACES P~EV'CUS FORM 3510-6 (8-98) Form Aporoved. OME}
See Re*verse for Instru~ons
NPDES ~ '~ Wash, n~on. DC 20460
FO RM Notice of In~nt (NOI) for Sto~ Water Discharges Associat~ with
CONS~UC~ON AC~I~ Under a NPDES General ~rmit
~cse re~a~ed to prot~acn ot enc~ger~ s=~es ~e~er~n~ m, ro~r ~e procea~res =n Aa~enc~ A cf ~e general aerm~l) undersla~s ~a~
a~:nonza~ to Ci~ar~e ~ ccn3ngen= c~ man~n~n~ ~rmfl eh~bd~, aha ~at im~lemen~on of b~e Storm Water ~fl~on P-~en~on ~an requ~r~ unCer
~art IV of the gene~l ~rmit will Deg~n a= ~e ~e ~ permiEae c:~mences work on ~e ~stmcfi~ erole~ iCenfifiea i~ Seci~n ~1 ~elow. IN ORDER TO
O~TAIN ~'THORI~ON. ALL INFOR?.{ATION REQUESTED MUST BE INCLUDED ON THIS FORM. SEE ~NSTRUCTIONS ON BACK OF FORM.
I. O~/Operator (Appll~nt)
~ Count~ L~es~
:, ~zs De Storm Water ~autcn Pr~'e~cn ~ (SwPPP} 0een ~reo[,ed? Yes~ No ~_
; Oo~cn~: Ac~re~ of l~cn of
SWPPP for ~e~:~g ~ Ad,ess in Sec~ I a~ ~ A~re~ in S~n il a~ve ~ Ct~et acdre~ {~f ~cwn) ~el~:
S,/~p~ Phone:
.~ Day Yea.*' ~t~ O~/ Ye ~ere ~ list~ en~gered :r
~s~ on info,on ~ro~ded in ~end~ A ot me pe~t. ~a
I Esflmale ol ~ke~i~ of D~e (c~se on~ ~et: I na~ ~tisfl~ ~rmit elig~b~l~ ~m rega~ to prolcon ol
i 1. ~ U~ike~ 3. ~ O~e per '.~< 5. ~ Con~l of ~e pefm:t (~ one or more Ooxes}:
I ce~ unOer p~a~f of !aw ~t ~is C:cument a~d ~l a~acr, men~ were prepared under my Qirect,~ cr supe~s~cn m 3c~ance wi~ a system
3es~g~ ~ a~re ~t ~.~ ~r~ce~ D~efl'y ~er and ev~bate ;~e Jnfo~a~ subm~c~. ~ on my :~qu~ of
~caGe t~,s system, or ~ose pet~os c.-sc3y resc-~ns~e for ~atner=n~ :~e in~r~bon. ~ ~nfct~tion S~miged 's,
ce et. :~.e. a~ura~e, a~ ccm~e{e ! a-. aw~e mat :~ere are s~;m~cact =en~nes for subm~ng false .nfotmat~on. ,c~ud:ng ;he
S ;nature:
E~A Form 3510-9 re01~