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E:recutive Director TEXAS COMMISSION ON ENVIRONMENTAL QUALITY Protecting Texas by Reducing and Preventing PollutioTl Dear Applicant: Re: TPDES General Penuit for Construction Storm Water Runoff Storm Water Notice of Intent Authorization Your Notice of Intent application for authorization under the general permit for discharge of storm water associated with construction activities has been received. Pursuant to authorization from the Executive Direclor of the Texas Commission on Environmental Quality, the Division Director of the Water Quality Division has issued the enclosed Certificate. Authorization under the Edwards Aquifer Protection Program is required before construction can begin where the site is located within the Edwards Aquifer Recharge Zone. Contributing Zone. or Contributing Zom: within the Transition Zone. See 1IIIp ,\\ \\ \\ .1l.:eq,stale.l.x.lIs/coIllPlianceifidd ops/eapp/prouram.html for additional information. A Notice of Termination must be submitted when pennit coverage is no longer needed. You may submit the Notice of Termination form electronically as well. All authorizations that are active on September I st of each year will be assessed an annual fee of$100.00. The Notice of Tennination must be post marked tor delivery to TCEQ on or before September 1 to avoid the annual fee assessment. The billing statement will be mailed to the Operator in January and payment must be made within 30 days to avoid late fees. It is the responsibility ofthe Operator to notify the TCEQ Storm Water Processing center of any change in address supplied on the original Notice of Intent by submitting a Notice of Change. For questions related to processing of forms you may contact the Storm Water Processing Center by email at SWPERi\lIT.o Ll:l.'tl.slatl.'.t:-..US or by telephone at (512) 239-3700. If you have any questions regarding coverage under this general permit or other technical issues, you may contact the storm water technical staff by email at S \V( JP({i'll'ctP;t~it~.tx.us or by telephone at (512) 239-4671. Also. you may obtain infonnation on the storm water web site atw\V\\'.rcCtl.state.tx.us. Sincere Iy , ~a!fI~ L'Oreal W. Stepney. P.E.. Director Water Quality Division P.O. Box (3087 . Austin. Texas 78711-3087 . 512/239-1000 . Internet address: www.lceq.slale.lx.us TCEQ STEERS - STORM WATER GENERAL PERMITS https:/lwww6.tccq. state. Ix .us/~1eers/index.cfm?fuseaction ~SW. view 10... n . Home Logout Contact U. Help SW Home Create New Edit/Sign/Pay Terminate Storm Water General Permit Construction Notice of Intent TXR1SJJ07 Today's date is: 01/0412008 Please print out this page. This form has been submitted to the TCEQ. The confirmation number for this form is 15262. The hash code for this form is 009FE43A07D90BE48611AE8118E6482E. Reference No. 15262 Operator Information Name: Mailing Address: Phone: Fax: Email: Busin~ss Type: Independently Owned? Stale Tax ID: DUNS Number: Billing Information Mailing Address: Phone: Fax: Email: Facility Site Information Name: lof4 LEE LEWIS CONSTRUCTION INC 17111 PRESTON RD SUITE 100 DALLAS, TX 75248 972 - 818 - 0700 972 - 818 - 0706 TFERGUSON@T,RELEWIS.COM CORPORA TE Yes 17516808010 040923021 Number of Employees: 101-250 Federal Tax TO: 751680801 TX SOS Charter/Filing Number: 004986780 17111 PRESTON RD SUITE 100 DALLAS, TX 75248 972 - 818 - 0700 972 - 818 - 0706 TFERGUSON@LEEI,EWIS.COM VISTA RIDGE STEERS 14:48 J/4i2008 12: 17 PM TCEQ STEERS. STORM WATER GENERAL PERMITS https:/lwww6.tceq.state.tx. us!stcers/ind~x.cfm ?fuseaction=sw. viewfo. .. Mailing Address: Physical Address: County: Phone: Fax: Email: Latitude: Horizontal Datum: Collection Method: Primary SIC Code: Primary NAIl'S Code: Primary Business Description: General Characteristics 17111 PRESTON RD SUITE 100 DALLAS, TX 75248 NO ADDRESS COPPELL, TX 75019 NEC DENTON TAP ROAD@ S.H. 121 DENTON 972 . 818 - 0700 972 - 818 - 0706 TFERGUSON@J,EELEWIS.COM 33.6575 Longitude: Hz. Datum Source: -93.6533 UNKNOWN 1542 Secondary SIC Code: Secondary NAICS Code: RETAIL STORE l. Is the facility site located on Indian Country lands? No 2. Has a storm water pollution prevention plan been developed and implemented as Yes specified in the General Permit? 3. Is the discharge or potential discharge within the Recharge Zone, Contributing Zone, No or Contributing Zone within the Transition Zone of the Edwards Aquifer? If the answer is Yes, please note that a copy of the agency approved Plan required by the Edwards Aquifer Rule (30 TAC Chapter 213) must be included in the Storm Water Pollution Prevention Plan. 4. Is the discharge into an MS4? If so, please enter the name in the Discharge section. Yes 5. Is the project site part of a larger common plan of development or sale? No 6. What is the total acres disturbed? 15 acres Discharge Information 1. I f you answered yes to the MS4 yes/no question, what is the name of the MS4 Operator? 2. What is the name of the receiving water body(s) where storm water runotT will flow from the site? 3. What is the segment number of the classified water body that the discharge will eventually reach? Compliance History Check 2of4 CITY OF COPPELL COTTONWOOD BRANCH 0825 1/4/2008 12: 17 PM TCEQ STEERS - STORM WATER GENERAL PERMITS htlps:/ /www6.tceq.state.tx.us/steers/index.cfm?fust:action=sw. v iewfo... t. Is the operator currently doing business with the TCEQ? If so. what is the operators's Customer Reference Number (eN)? 2. Is the site tor which you are seeking aulhorization currently regulated by TCEQ? If so, what is the site's Regulated Entity Reference Number (RN)? Yes CN601722788 No Certification 1. Yes I certify that I have obtained a copy and understand the terms and conditions of the general permit. 2. Yes I certifY that the activities at this site qualify for coverage under the general permit. 3. Yes I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed. 4. Yes I understand that permits active on September 1 st of each year will be assessed an Annual Water Quality Fee. 5. Yes I certifY that the Operator's name provided on this form is the full legal name, and if the entity is a corporation, partnership, or dba, the name provided is as filed with the Texas Secretary of State or County, and is Active. Application Contact Information Email: TOM FERGUSON PRESIDENT 972 - 818 - 0700 972 - 818 - 0706 TFERGUSON@LEELEWIS.COM Name: Title: Phone: fax: Certification I certify under penalty oflaw that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware there are significant penaJties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I further certify that I mn authorized under 30 Texas Administrative Code '305.44 to sign and submit this document, and can provide documentation in proof of such authorization upon request. Operator Signature: Tom E Ferguson Account: ER005253 Date: 01104/2008 view Letterl View Certificate I cancel) As of 11/16/2006, the notice of authorizations are saved as PDF documents. (Help with PDF.) 3of4 li4/2008 12: 17 PM TCEQ ePay https://www6.tceq.state. tx.usiepay/index.cfm ?fuseaction=receipts. pml.. . "'Hi' ShODoinQ Cart )) Select !"lore Fees )) Search Transactions )) Questions or Comments )) SIQn Out Your transaction Is complete. Note: It may take up to 3 working days for this electronic payment to be processed and be reflected in the TCEQ epay system. Print this receipt and the vouchers for your records. An emall receipt has also been sent. Transaction Information Trace Number: Date: Payment Method: Amount: epay Actor: Actor Emall: IP: 582EA000030493 01/04/2008 12: 16 PM CC - Authorization 0000004291 $100.00 Tom Ferguson tferguson@leelewis.com 64.207.73.147 Payor Information Payor Name: Company: Address: Phone: Lee Lewis Lee Lewis Construction 7810 Orlando Avenue, Lubbock, TX 79424 806-797-8400 Cart Items Click on the voucher number to see the voucher details. Voucher Fee Description AR Number Amount 39861 GENERAL PERMIT CONSTRUCTION STORM WATER DISCHARGE NOI APPLICATION $100.00 Tool fees for transaction: $100.00 .Pay Again I ElCit .Pay I Note: It may take up to 3 working days for this electronic payment to be processed and be reflected in the TCEQ epay system. Print this receipt for your records. I of I 1/4/2008 (2:16PM Judy Ward From: Sent: To: Cc: Subject: steers@tceq.state. be. us Friday, January 04,200812:17 PM Tom Ferguson Judy Ward STEERS Storm Water Notice Submitted This confirms the subm~ttal of your Storm Water Construction Notice of Intent to ~he TCEO. Your subm'ttal was received at 01/04/200H 12.:17 PM. '~'tle confirmation number for this submittal is 1~262. T~le ~ash code for this submittal is 009FE43A07D90BE48611AEHIIHF.64R?E. You may access the copy of record (submitted application) d:1d approvAl letter d:ld ceIL~[lcate from ~he submit log which is available by selecting Submissions from thR Hom~ oaql" c;f STEEI<S. If you huve Any questions please contact the STEERS Help Line at. 512-239-6925 ur bye-mail at steers~tccq.state.tx.us. 1