CM-07-08-187Notice of Termination (NOT) for Storm
1111110 Water Discharges Associated with
Construction Activity under the TPDES
`•■ Construction General Permit (TXR150000)
TCEC1For help completing this application, read the TXR150000 NOI Instructions (TCEQ-20023-Instructions).
TCEQ Office Use Only
TPDES Permit Number: TXR15•. NO
GINNumber: •• •• •• •• •• •• •• ••
A. TPDES Permit Number. TXR15 CH01
B. Construction Site Operator
Name: City of Round Rock
Mailing Address: 2008 Enterprise Drive
City: Round Rock
Customer Reference Number: CN 600413181
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) 218-6601 Extension: N/A Fax Number: (512) 218-5563
E-mail Address: wdobrowolskit round-rock.tx.us
C. Project / Site Information
Name: Red Bud Lane Improvements
Physical Address: N/A
Regulated Entity Reference Number: RN
N/A
Location Access Description: South of Intersection of County Road 122 (Red Bud Lane) and Highway 79
City: Round Rock County: WILLIAMSON Zip Code: 78664
D. Contact - If the TCEQ needs additional information regarding this termination, who should be contacted?
Name- William J. Dobrowolski, 111, PE Title: Senior Engineer
Phone Number: (512) 218-6601 Extension: N/A Fax Number: (512) 218-5563
E-mail Address: wdobrowolski(airound-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 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: James Middle: R.
Last: Nuse Suffix: P.E.
Title: City anager
Signature: Date: OS;/6)-C)/
If you have u tions on how to fill out this form or about the storm water program, please contact us at (512) 239-4671.
Individuals a ; 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
1�1,03.1�,
7
EQ - 20023 (02/03)
Page 1 of 1
DATE: August 3, 2007
SUBJECT: City Manager Approval - August 10, 2007
ITEM: Action authorizing the City Manager to execute Notice of Termination
(NOT) with the Texas Commission on Environmental Quality (TCEQ)
for Red Bud Lane Sidewalk Improvements.
Department: Engineering and Development Services
Staff Person: Danny Halden, P.E., City Engineer
Justification:
The NOT is needed to closeout Red Bud Lane Sidewalk Improvements with TCEQ.
Funding:
Cost: N/A
Source of funds: N/A
Outside Resources: N/A
Background Information:
Red Bud Lane Sidewalk Improvements was covered under the Notice of Intent (NOI) for CR
122 Street Improvements (Phase 1 & 2) and 16" East Water Transmission Line (Phase
3A.1). The Notice of Change (NOC), CM -06-07-143, was approved by the City Manager on
June 30, 2006.
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04