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Townhouses-PT060516Notice of Termination (NOT) for Storm TCEQ Office Use Only Water Discharges Associated with TPDES Permit Number TXR15•• •• •• •• NO - - -- _`� Construction Activity under the TPDES GIN Number Construction General Permit (TXR150000) TCEO For help completing this application, read the TXR150000 NOI Instructions (TCEO- 20023 - Instructions). A. TPDES Permit Number: TXR15 B. Construction Site Operator Customer Reference Number CN Name: KWA Construction, L.P. Mailing Address: 2525 McKinnon, Ste. 320 City Dallas State. TX Zip Code 75201 Country Mailing Information (if outside USA) Territory Phone Number 214 - 978 -0177 Extension Country Code: Postal Code: Fax Number 214 - 265 -0762 E -mail Address: C. Project / Site Information Regulated Entity Reference Number RN Name Town Houses of Coppell Phase III Physical Address: MacArthur Blvd. & Independence Dr. Location Access Description From 3040 -5 on MacArthur -site lust S of Sandy Lake Rd. City Copoell County DALLAS Zip Code: 75019 D. Contact - If the TCEQ needs additional information regarding this termination, who should be contacted? Name: Bridgett Bell Title: Office Manager Phone Number 214 - 978 -0177 Extension. Fax Number 214 -265 -0 7 E -mail Address: bbell(ft -w -a.com E. Certification I certify under penalty of law that authorization under the TPDES Construction General Permit (TXR150000) is no longer necessary based on the provisions of the general permit. I understand that by submitting this Notice of Termination, I am no longer authorized to discharge storm water associated with construction activity under the general permit TXR150000, and that discharging pollutants in storm water associated with construction activity to waters of the U S. is unlawful under the Clean Water Act where the discharge is not authorized by a TPDES permit. I also understand that the submittal of this Notice of Termination does not release an operator from liability for any violations of this permit or the Clean Water Act. Construction Site Operator Representative: Prefix: Mr. First: Keller Middle: Last: Webster Suffix: Title: President i If you havylquestions on how to fill out this form or about the storm water program, please contact us at (512) 2394671 Individuals are entitled to request and review their personal information that the agency gathers on its forms. They may also have any errors in their information corrected To review such information, contact us at (512) 239 -3282. The completed NOT must be mailed to the following address: Texas Commission on Environmental Quality Storm Water & General Permits Team; MC - 228 P.O. Box 13087 Austin, Texas 78711 -3087 TCEQ - 20023 (02/03) Page I of 1 s Notice of Termination (NOT) for Storm TCEQ Office Use Only Wr Water Discharges Associated With TPDES Permit Number TXR15•_•_ _ _•• NO � r� Construction Activity under the TPDES GIN Number •_•_ _ _ _ _ _ `..■ Construction General Permit (TXR150000) TCEQ For help completing this application, read the TXR150000 NOI Instructions (TCEQ- 20023 - Instructions). A. TPDES Permit Number: TXR15 B. Construction Site Operator Customer Reference Number CN Name. Colonial Town Homes Ventures Ltd. Mailing Address: 2525 McKinnon Ste. 320 City Dallas State. TX Zip Code: 75201 Country Mailing Information (if outside USA) Territory Country Code: Postal Code: Phone Number 214 - 265 -8686 Extension: Fax Number 214 - 265 -0762 E -mail Address. C. Project / Site Information Regulated Entity Reference Number RN Name Town Houses of Coppell Phase III Physical Address: MacArthur Blvd & Independence Dr. Location Access Description. From 3040 -S on MacArthur -site Oust S of Sandy Lake Rd City* Coppell County DALLAS Zip Code: 75019 D Contact - If the TCEQ needs additional information regarding this termination, who should be contacted? Name: Bridgett Bell Title. Office Manager Phone Number 214 - 978 -0177 Extension. Fax Number 214 - 265 -0762 E -mail Address: bbellft -w -a com E. Certification I certify under penalty of law that authorization under the TPDES Construction General Permit (TXR150000) is no longer necessary based on the provisions of the general permit. I understand that by submitting this Notice of Termination, I am no longer authorized to discharge storm water associated with construction activity under the general permit TXR150000, and that discharging pollutants in storm water associated with construction activity to waters of the U S. is unlawful under the Clean Water Act where the discharge is not authorized by a TPDES permit. I also understand that the submittal of this Notice of Termination does not release an operator from liability for any violations of this permit or the Clean Water Act. Construction Site Operator Representative: Prefix: Mr. First: Keller Middle: Last: Webster Suffix: Title President Signature. Date If you have q stions on how to fill out this form or about the storm water program, please contact us at (512) 239 -4671 Individuals are entitled to request and review their personal information that the agency gathers on its forms. They may also have any errors in their information corrected To review such information, contact us at (512) 239 -3282. The completed NOT must be mailed to the following address: Texas Commission on Environmental Quality Storm Water & General Permits Team; MC - 228 P.O. Box 13087 Austin, Texas 78711 -3087 TCEQ - 20023 (02/03) Page I of 1