CM-08-01-002Notice of Termination (NOT) for Storm
Water Discharges Associated with
111111i, Construction Activity under the TPDES
liftwa1111 Construction General Permit (TXR150000)
TCECFor 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 EQ78
B. Construction Site Operator
Name: City of Round Rock
Customer Reference Number: CN 600413181
Mailing Address: 212 Commerce Boulevard
City: Round Rock
Country Mailing Information (if outside USA) Territory: NA
State: TX Zip Code: 78664
Country Code: NA Postal Code: NA
Phone Number: (512) 218-5555 Extension: NA Fax Number: (512) 218-5563
E-mail Address: NA
C. Project / Site Information Regulated Entity Reference Number: RN NA
Name: Southwest Downtown District Infrastructure Improvements Ph. 1A
Physical Address: NA
Location Access Description: Intersection of Blair Street, Florence Street, and McNeil Road
City: Round Rock, Texas
County: WILLIAMSON Zip Code: 78664
D. Contact - If the TCEQ needs additional information regarding this termination, who should be contacted?
Name: Mr. Michael Thane Title: Director of Utility Department
Phone Number: (512) 218-3236 Extension: NA Fax Number: (512) 218-3234
E-mail Address: mthaneOround-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 NA
Title: City
Signature:
If you have
Individuals
also have any
anaaer
Date: L- (10
tions on how to fill out this form or about the storm water program, please contact us at (512) 239-4671.
titled to request and review their personal information that the agency gathers on its forms. They may
rrors 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
C - 00)--
DATE: December 28, 2007
SUBJECT: City Manager Approval - January 4, 2008
ITEM: Action authorizing the City Manager to execute a Notice of
Termination (NOT) for storm water discharges associated with
construction activity to the Texas Commission on Environmental
Quality (TCEQ) for the Southwest Downtown District Infrastructure
Improvements Phase 1A.
Department: Utility Department
Staff Person: Michael Thane, P.E., Director of Utility Department
Justification:
The NOT is needed to notify the TCEQ the construction activity for the Southwest Downtown
District Infrastructure Improvements Phase 1A has been completed.
Funding:
Cost: $0.00
Source of funds: N/A
Outside Resources: Chasco Contracting
Background Information:
The Notice of Intent (NOI) approved by the TCEQ on October 5, 2006.
Public Comment: N/A
Blue Sheet Format
Updated 01/20/04
LIAA C