ST9905-CS090204
r
Copy of Record - Texas Commission on Environmental Quality - www.tceq.state.tx.us Page 1 of3
571'10 (
Texas Commission on Environmental Quality
Construction NOI Notice of Termination
TXR 15GS72
Today's date is: 2009-02-04
'.
Customer (Applicant) Identification
What is the applicant's Customer
Number (CN)?
Type of Customer
Texas SOS Filing Number
Prefix
Legal Name
Suffix
Federal Tax 10
State Franchise Tax 10
DUNS Number
Number of Employees
Independently Owned and Operated?
CN600426225
Corporation
5138606
TISEO PAVING CO
382209998
13822099985
21-100
Yes
r--
Regulated Entity Identification
What is the Regulated Entity's Number
(RN)?
What is the name of the Regulated
Entity (RE)?
RN105269948
Does the RE site have a physical
address?
Because there is no physical address,
describe how to locate this site:
TISEO PAVING ROADWAY &
DRAINAGE IMPROV BETHEL ROAD I
& BASS PRO DRIVE
No
r---
City
State
ZIP
County
Latitude (N) (##.######)
Longitude 0N) (-###.######)
What is the primary business of this
entity?
Primary SIC Code
Secondary SIC Code
Primary NAICS Code
Secondary NAICS Code
ON BETHEL RD FROM CITY LIMIT
TO FREEPORT PKWY & BASS PRO
DR FROM SH 121 N FRONTAGE RD
TO COPPELL CITY LIMITS
COPPELL
TX
75019
TARRANT
32.95472
-97.01083
1611
Customer (Applicant) Address & Phone
https://www9.tceq.state.tx.us/ePermitsExtemal WEB/faces/i soPalZes/ConvOfR P.r.()T(fR pnnrt ;
') IA r>n(\n
Copy of Record - Texas Commission on Environmental Quality - www.tceq.state.tx.us
Page 3 of3
r---
fine and imprisonment for knowing violations.
1. I am Louie Tiseo OPERATOR
2. I have protected my accounUpassword and am in full complaince with the electronic
signature submitted to receive account ER012996.
3. I have the authority to submit this data on behalf of the operator of the storm water
discharge site named above.
4. This action constitutes an electronic signature equivalent to my written signature.
5. I am knowingly and intentionally signing Construction NOI Notice of Termination
TXR15GS72.
6. My signature indicates that I am in agreement with the information on this form, and
authorize its submittal to the TCEQ.
~
OPERATOR Signature: Louie Tiseo OPERATOR
Account Number: ER012996
Signature IP Address: 216.201.216.170
Signature Date: 2009-02-04
Signature AEOF AF078EF177E8D78FF687 A36A7157D262CF2F88E25036E5BE2A411 CAC 17D8
Hash:
Form Hash DBF31 F8642359076AA656EEC914C6E89084D891 FOBEEC7D1 B50A9A80676C1 DE6
Code at
time of
Signature:
Submission
Reference Number:
The application reference number is
13020
The application was submitted by
ER012996/Louie Tiseo
The application was submitted on
2009-02-04 at 07:13:31 CST
The application was submitted from IP
address 216.201.216.170
The confirmation number is 29816
The STEERS version is 5.51
The permit number is TXR15GS72
Submitted by:
Submitted Timestamp:
Submitted From:
Confirmation Number:
Steers Version:
Permit Number:
Additional Information
Application Creator: This account was created by Louie Tiseo
r--
https://www9.tceq.state. tx. us/ePermitsExtemalWEB/faces/ispPages/CopvOfRecordReDort. i... 2/4/2009
Copy of Record - Texas Commission on Environmental Quality - www.tceq.state.tx.us
Page 2 of3
~
-------
What is the applicant's role with the
RE?
What date did this applicant begin any
regulated activity at this site? If in the
future, enter today's date. (mm/dd/yyyy)
Mailing Address (include Suite or Bldg.
here, if applicable)
Routing (such as Mail Code, Dept., or
Attn:)
City
State
ZIP
If Outside U.S.: Foreign Postal Code
and Country
Phone (ttfffl ###"####)
Extension
Fax (ttfffl ttfffl .####)
E-mail
Mailing Address (include Suite or Bldg.
here, if applicable):
Routing (such as Mail Code, Dept., or
Attn:):
City:
State:
ZIP:
If Outside U.S.: Foreign Postal Code:
and Country:
Phone: (###-#l#f.-####)
Extension:
Fax: (ttfffl ttfffl 1ttHHt)
E-mail:
Operator
03/23/2007
PO BOX 270040
DALLAS
TX
75227
UNITED STATES
9722890723
9722165637
Construction Notice of Intent - Termination Reason
What is the reason for terminating?
(See instructions for descriptions of
reasons.)
Final stabilization has been achieved.
Certificatio n
I certify that I am authorized under 30 Texas Administrative Code '305.44 to sign this document and
can provide documentation in proof of such authorization upon request.
".--.
I certify under penalty of law that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware there are significant penalties for submitting false information, including the possibility of
https://www9.tceq.state.tx. us/ ePermitsExtemaIWEB/faces/i sDPa!:!es/CoDvOfRecordRenort. i... 2/4/2009
r---.
Buddy Garcia, Chairman
Larry R. Soward, Commissioner
Bryan W. Shaw, Ph.D., Commissioner
Mark R. Vickery, P.G., Executive Director
TEXAS COMMISSION ON ENVIRONMENTAL QUALITY
Protecting Texas by Reducing and Preventing Pollution
TISEO PAVING CO
PO BOX 270040
DALLAS, TX 75227
Re: TXR15GSn for the facility/project, RNl05269948, TISEO PAVING
ROADWAY & DRAINAGE IMPROV BETHEL ROAD I & BASS PRO DRIVE
Located at: ON BETHEL RD FROM CITY LIMIT TO FREEPORT PKWY &
BASS PRO DR FROM SH 121 N FRONTAGE RD TO COPPELL CITY LIMITS
COPPELL, TX 75019, TARRANT County
Issued to: CN600426225, TISEO P A vn~G CO
Dear Applicant:
We have received your Notice of Termination of coverage under the general permit for discharge of stormwater
for your facility at the location listed above. We have updated our records to show your termination of coverage
request to be effective on February 4,2009
By signing this Notice of Termination, you are no longer authorized to discharge storm water associated with
the activity under the general permit. Any discharge of pollutants in storm water associated with the activity to
surface water in the state is unlawful under the Clean Water Act where the discharge is not authorized by a
Texas Pollutant Discharge Elimination System (TPDES) permit. In addition, 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.
As stated in the TPDES storm water general permit the Storm Water Pollution Prevention Plan and all data used
to complete the NOI for coverage under the general permit, must be maintained and made readily available for
review for a minimum period of three years following the termination date. Failure to comply with this or any
permit condition is a violation of the permit and the statutes under which it was issued, and is grounds for
enforcement action.
If you have any questions related to processing you may contact the Storm Water Processing Center by email at
SWPERMIT@tceq.state.tx.us or by telephone at (512) 239 3700. For technical issues, you may contact the
storm water technical staff by email at SWGP@tceq.state.tx.us or by telephone at (512) 239-4671. Also, you
may obtain information on the storm water web site at www.tceq.state.tx.us.
Sincerely
c/ffkP/S?-~
,----..
L'Oreal W. Stepney, P.E., Director
Water Quality Division
P.O. Box 13087 . Austin, Texas 78711-3087 . 512/239-1000 . Internet address: www.tceq.state.tx.us