CM-06-09-174em- oa-og- i��-
rill Notice of Termination (NOT) for Storm
Water Discharges Associated with
IConstructionActivity under the TPDES
TCEQ Office Use Only
TPDES Permit Number: TXR15-•• •_•• —_•'- NO
GIN Number:
Construction General Permit (TXR150000)
TCECIFor help completing this application, read the TXR150000 NOI Instructions (TCEQ-20023-Instructions).
A. TPDES Permit Number. TXR15 Y601
B. Construction Site Operator Customer Reference Number: CN 600413181
Name: CITY OF ROUND ROCK
Mailing Address: 221 E. MAIN STREET
City: ROUND ROCK State: TX Zip Code: 78664
Country Mailing Information (if outside USA) Territory: N/A Country Code: N/A Postal Code: N/A
Phone Number: 512-218-5555 Extension: Fax Number: 512-218-5563
E-mail Address:
C. Project / Site Information Regulated Entity Reference Number: RN 104839196
Name: CITY OF ROUND ROCK BRUSHY CREEK TRAIL EAST PHASE 1 2005
Physical Address:
Location Access Description: ON INTX OF FOREST BLUFF 8 FOREST RIDGE BLVD
City: ROUND ROCK County: WILLIAMSON Zip Code: 78664
D. Contact - If the TCEQ needs additional information regarding this termination, who should be contacted?
Name: Ruth Haberman. P.E. Title: Engineer
Phone Number: 512-218-6605 Extension: Fax Number: 512-218-5563
E-mail Address: rhabermanebround-rock.tx.us
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 (Attie 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: JAMES Middle: R.
Last: NUSE Suffix: P.E.
Title: CITY ANAGER
Signature: C\ Date:
If you have q ons on how to fill out this form or about the storm water program, please contact us at (512) 239-4671.
Individuals are - . itled 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 1 of 1
em- oa-og- i��-
DATE: August 28, 2006
SUBJECT: City Manager Approval - September 1, 2006
ITEM: Consider an action by the City Manager to sign a Notice of
Termination (NOT) for Storm Water Discharges
Associated with Construction Activity under the TPDES
General Permit for the Brushy Creek Trail East project.
Department: Engineering & Development Services
Staff Person: Ruth Haberman, P.E.
Justification:
Construction of this project has been completed. The Notice of Termination,
signed by the City Manager, must be sent to the Texas Commission on
Environmental Quality (TCEQ) to close out the project.
Funding:
Cost: -0-
Source of funds: N/A
Outside Resources: N/A
Background Information: N/A
Public Comment: N/A