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TCEQ-----· -----·-.... -iii! ... CONSTRUCTION SITE NOTICE FOR THE Texas Commission on Environmental Quality (TCEQ) Storm Water Program TPDES GENERAL PERMIT TXR150000 The following information is posted in compliance with Part 11.D.2. of the TCEQ General Permit Number TXRI 50000 for discharges of storm water runoff from construction sites. Additional information regarding the TCEQ storm water permit program may be found on the internet at: http://www.tceq.state.tx.us/permitting/water quality/stormwaterffXR15 AIR.html Contact Name and Phone Number: Chris Rhodes (979) 260-2800 Project Description: Creek Meadows -GPT Bar-Ditch Grading Located northwest of Greens Prairie Trail -approximately 400 LF (Physical address or description of the site's north of Royder Road. location, estimated start date and projected end date, or date that disturbed soils will be Estimated Start Date: 6/14 stabilized) Estimated End Date: 8/14 Location of Storm Water Pollution RME Consulting Engineers P.O. Box 9253 Prevention Plan : College Station, TX 77842 ~ For Construction Sites Authorized Under Part 11.D.2. (Obtaining Authorization to Discharge) the following certification must be completed: I Chris Rhodes (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 II.D.2. of TPDES General Permit TXRl 50000 and agree to comply with the terms of this permit. A storm water pollution prevention plan has been developed and implemented according to permit requirements. A copy of this signed notice is supplied to the operator of the MS4 if discharges enter an MS4 system. I am aware there are significant penalties for providing false information or for conducting unauthorized discharges, including the possibility offine and im ~s;~nm/t for/J p'?g violations.& =+/_1;-+___._ /;/~'f _______ _ Signature and Title v 1" . J l'I ,...).. (' ' Date r . · JJt?Jet0Pm.!Lfr, ;erv1cef I 5) CERTIFICATION 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 (TXRl.50000). [!]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. [!]Yes c) I understand that a Notice of Termination (NOT) must be submitted when this authorization is no longer needed. [!]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 TXRl.50000. 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. [!]Yes Operator Certification: I Chris Rhodes >·~~~~~~~~~~-'--~'----'-~~~~~~~~ Typed or printed name VP -Construction Management Title 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 inquhy 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 30 Texas Administrative Code 305-44 to sign and submit this document, and can provide documentation in proof of such authorization upon request. Signature: TCEQ 20022 (03/05/2013) Page 6