Ple_ See In"tructlons Before CompleUng ThIs Fann -'""-'.......,... NPDES A 􀁅􀁁􀁾􀀠 u_SlaIaWsa eornll.i..,.\I.'u. ,r. .. .D"C" P􀁾_A􀀠g/KI I::f FORM ...-.... Nolles of Termlnallon (NOT) of Coverage Under the NPDES General Permit 􀁾􀀬􀀮􀀮􀀮􀀠 for Storm Water Dlsctiarges Assocfaled with Industrfal Aetlvlty Sub_􀁾􀁾 _ 01 Termi_, ___!he paII'f _ rn Sed!Iln n0( litis 10m> Is no a-_ to dIsdlatge __ as ared _ industrial acMIy _1Il00 NPoes pn:>gr.om. AU. NECESSARY lNFORMAnON l\IIJST Be PR01IIoeo ON nus FORM: 􀁮􀀮􀁆􀁡􀁤􀁉􀁩􀁉􀁹􀁾􀁾􀀧􀁢􀁬􀀧􀁟􀀧􀀠 Na!M: I"I.b,1!:il11 ,0,F. ,!I,d,el, 1,5,lI, n, , , , , , , I , , , , I '",-19,1'6. 􀀱􀂥􀀮􀀵􀀯􀀩􀁉􀁾􀁡􀀻􀀷􀀬􀀧􀀷􀀱 I I M:lre= l:, /J., .t;6l, .tl.o,l, a , , , , , , , , , I , I I , , • I I I I CIly: 􀀱􀁴􀀡􀁦􀀮􀀮􀀮􀁊􀀮􀁾1 ,5,0,n, ., I f' , I I I I l • I I , , ,. I -􀁾􀀠2lPCode: 17S,O{J,l, " ?'O,l ,01 m. Fai:!IilyISIte I..aca!Icn InlalTl1lltion • Name: ,A 􀁲􀀻􀁾􀁰􀀮􀁾􀀬􀁨􀀬􀁯􀀬􀀠 ./fwui 􀀬􀀴􀁾􀀬􀀯􀀱􀀬􀁳􀀡􀁦􀀮􀁲􀀮􀀬􀁵􀀢 􀁦􀁬􀀬􀁏􀁬􀁯􀀮􀀠 , , • • I I M:lre= 1!I;r:P., 1J.tl.h,D, ,!!,p,tl.d. , , , , , , , , , , , I , , • • I • , I • CIly: l/;d,d, I ! 5! 0,nI , I , I , , • , , , , , , , I -tlKJ 2lPCode: 􀀱􀀷􀀡􀀵􀀬􀁯􀀬􀁾􀀠I. -, , ., , 1 􀁾 􀁲􀀳􀀱􀁾􀀱􀀶􀀱􀀱􀁬􀀳􀁉􀁯􀁬􀀠 􀁬􀁯􀁮􀁧􀁩􀀡􀀡􀁊􀁤􀁥􀀺􀀱􀀶􀀯􀀱􀀱􀁾􀀱􀁾􀀱􀀱􀀱􀀮􀀲􀁉􀁄􀁉􀀰􀁵􀁡􀀡􀀡􀁳􀁲􀀺􀀠W Sedfon: L..J r.......,;p: I , , , I Range: ! I 1 I , IV. 􀁾I 􀁾penalty 01 law _ all stcrm water dIsd1arg.. asso<:i"lQoy ate """"-!!Ie__0111>1 -. F«_-... _lion will _ oc::M!y """"" __aI all".".'....... a..l1..t.to. _goo"-OId Complo1lng 11>1 Form _:site_ -1InoJ!y...-..., • Type taty -.and.......". =-I ............ -_...-....... be...-pac:a ead'I: d'W'Ktet 􀁾ttlt ntak:s. .AbbnJ ...if 114 Y fa stay within aI an 􀁾 _.""_ all.."". ",.....-.,__lot_item. UMcdt __lotbntalts __ II>oy'" _todari!y -dfsI:IIatga rlUd will! _ oc::M!y "'"" ..._ siZe !Ita! ... ..-by a NPOES genn potmlI _ ""'otWbo """" _ted. ""' ... 􀀢􀀢􀁾__ __ JOIr _ .. I Y<'I-""f ___1I1is f4mt. calI!!I4t SIxIn!I Water """",,"ted. and _ • ......", pononniaJ 􀀬􀁾..""'" will! a donsi!y 01-'01 IlciU,"" aI (7!l3J UI-'«tI. -................... 􀁟􀁉􀁩􀁉􀁾􀁟􀁡􀁬 . Sito ..._r.._.,......,........_by__... -_􀁏􀁴􀁾__'"'n ........... (such u!!lo _01 tf!Irop. ga-.o/11 , , , I I I I , , I , , , , I S!a!a: tZ:& ZlF Co:jl/! ,75/lA I, -I I ., , , La!i!uI1a: 􀁲􀀺􀀳􀁴􀁾􀀠,617121£11 longilude: 161qI 􀁾􀀱􀀱􀀱􀁱 1.2IDI QwIor. W Sed!on: W TawnsI1i)l: I , I I I Range: I 1 1 I I IV. 􀁾I􀁾􀁥􀁲 penalty 01 law thai all stann _ dlsc:!Iarges 􀁾􀁥􀁤 with i_0<:IMIy /rom the identified fadl'1!)! that are -by • NPOES 􀁾pennit been efiminale<:l 01' lI1o1l am no longer the opotlIIOr of the facility or OO1IStI1JCtIQn site. 1underotand lItaI by submitting lI1is Nob of T_n. I am no longer auIIlorized 10 dlsc:!Iarge storm water 􀁾with ii>cIt.JstriaJ ac:UvIty under 1I1i11 genOl'al􀁾""" lItaIcIIsdlargi!1g poll'''''''''' in ..""" _ 􀁾with industtial 0<:IMIy to _ of lite UnilOd _ is unlawful _lite Clean Water Act lite disdlatge is nol _orized by • NP!lSS permit. 1_underotand thai the sutlmiltal at this Notice ot Torminadon does ""I'reIease an operalOt trom Ilal>1ity lor mt 􀁾of this permij or lite Clean WaIBt Act.. • ,J.fi..!I,·e, 5, ,e, 􀀬􀀬􀁦􀀬􀁉􀀬􀁥􀀬􀁲􀀬􀁣􀀬􀁥􀁾􀀬􀀠 ,J.r., , , , , , , ,0,4-, I,D ,.0,61 I PrintName: !. ! !. ! ! I Oate: 􀀵􀁽􀁹􀁁􀁁􀀢􀁾􀀠􀁾􀀠 Sigr!oI!Jre: t' L I V \../_cIIons '0' COmp/etlng Nolf"" of Term/nallon (NOT) Form WI!o May FlI... HolIcufT...../_lflO'lJ Forni Wbent 10 FRe HOT Fomr 􀁐􀁾􀁟... 􀁾􀁟􀀮􀀮􀀭􀀡􀁬􀁴􀁯􀁅􀁬􀀧􀁁 .....ed __ Send U'fi::t farm to !tie Ittlt tolfowing .address: Ois<:!latg;II< _ tnt -.. ........ 􀁾􀀠 p.O. Box 1165 QS SQ • t.1 with 􀁾;actt.my as deffned in the _tnt W3I8t 􀁾􀁴􀁩􀁯􀁍 if 40 􀁾􀁖􀁁􀁺􀁡􀁬􀁺􀁡􀀠 CNll22.2e ibll1Ol. at _1IIey are no 1c!>;IIrid '-..-and _Il0l ""noel moallUres • T)'P'lt or prinl usitIg: u;:r:Iet-¢3;5'1t telltrS. itt the app'QpiiaN arwf:S onfy. 􀁐􀁉􀁥􀁾􀀠 ha\ot be:fM temaved or wiD be_ntmCY_ed at 􀁡aco!􀁮YiIy􀁾trom􀀮 ...If m_e. or" tfTa"t ai,l stoIIInant place each d'Wild8f' between the martc:s. AbtItwiafa if .... ! '1 to stay wil;tlin In, number of chanlder"s allowed for nc:h il8m. Usa 0I'If1 on. s;13C8 for t:.tnks ... __III' a NI'OSS gen,,", 􀁾 _ ",,,,,,.,", boftl ._ed. ""_""rds, but not /(It 􀁾__1IIey "'" _ 10 dorify Flftol_ m...,. that lIiI ..􀁾__aI !ItO "'" .... _ your response. a)CU .... 3lTf questIonS -..litis fC!l'll. C3JJ!ItO Sb:>rm W':alor "_" ' ....le.d r. aondt !I_ta! .a,_. .. """"""'" 􀁾__adensily of 70% of Ho_at (703182104823. and ateasnot_III'_,_hu __􀀢􀀧􀁾􀁟􀁥􀁭􀀭􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀧􀀡􀁟� �􀀧􀀡􀁉􀁴􀁏􀀠 _of 􀁲􀁬􀀻􀀾􀁴􀀲􀁰􀀮􀁾􀀬􀀢􀀧􀀻􀀢􀀢􀀮􀁉􀁩􀁉..) ....􀁟􀁾􀀠 P1.EASE SEE REVERSE OF THIS FOAM FOA Fl.IImIER rNSTll1JCT10NS I 􀁾 Printed on Recycled paper .". 􀀺􀁾􀀮􀀬􀀻􀀢􀀬􀀺􀀭􀀮􀀠 &EPA &EPA u.s. ENVIRONMENTAL PROTECTION AGENCY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) STORM WATER CONSTRUCTION GENERAL PERMIT COVERAGE NOTICE May 25,1999 Dear Operator: Your Notice ofJntent (NOI) for the facility noted below has been processed by the U.S. Environmental Protection Agency. This facility is authorized to discharge storm water associated with construction activity under the tenns and conditions imposed by EPA's NPDES storm water construction general permit issued for use in the state of Texas. Your facility's NPDES construction storm water general permit number is TXRlOEW55. EPA's storm water construction general permit requires certain storm water pollution prevention and control measures. Among the conditions and requirements of this permit, you must prepare and implement a pollution prevention plan (PPP) that is tailored to your construction site. Enclosed is an insert explaining how you may obtain a summary guidance document designed to assist you you in the development and implementation of your PPP. The summary is organized according to the phases ofthe pollution prevention planning process and contains a set of worksheets and an example of a pollution prevention plan. As a facility authorized to discharge under this storm water construction general pennit, all terms and conditions must be complied with to maintain coverage and avoid possible penalties. FACILITY: OPERATOR: Araphao Road Construction Town Of Addison ArapahoRd PO Box 9010 Addison, TX 75001-9010 Addison 325730, 0964930, TX 75001-9010 To obtain a copy of the construction l1eneral permit terms and conditions to which you are now held accountable, please call the EPA Office of Water Resource Center at (202)260-7786. If you have general questions concerning the storm water program, please call the EPA Region 06 contact: Brent Larsen, (214) 665-7523. EPA STORM WATER NOTICE OF INTENT PROCESSING CENTER 401 MStreet, S.W. (4203) Washington, DC 20460 3011495-4145 Dear Permittee: Information on obtaining assistance for developing storm water pollution prevention plans for construction sites is provided below: • A guidance manual entitled Storm Water Management for Construction Activities: Developing Pollution Prevention Plans and Best Management Practices. EPA-832-R92-005, is available from the National Technical Information Service (NTIS) at a cost of $38.50 plus handling fees. To order the complete guidance manual, contact NTIS at 1-800-553-6847 or e-mail at order@ntiS.fedwor/d.govand order document number PB 92-235951INZ. The manual contains comprehensive guidance on the development of storm water pollution prevention plans and identification of appropriate best management practices for construction activities. • A summary of the detailed guidance manual entitled Storm Water Management for Construction Activities: Developing Pollution Prevention Plans and Best Management practices: Summary Guidance. EPA-833-R-92-001, can be ordered from the EPA Resource Center at no charge. To order the summary manual, contact the EPA Office of Water Resource Center at (202) 260-7786 and order document number EPA-833-R92-001. The summary guidance manual is also available from the NTIS. Contact NTIS at 1-800-553-6847 or e-mail at order@ntis.fedworld.govand order document number PB 93-223550INZ. The summary is organized according to the phases of the pollution prevention planning process and includes a set of worksheets and an example of a pollution prevention plan. • If you have questions concerning the storm water permitting program, you may contact your permitting authority at the appropriate state agency or EPA regional office. &EPA &EPA Reference Number: EPATXRI0EW55 March 17, 1999 James C Pierce Jr Asst Cty Eng Town OfAddison Po Box 9010 Addison, TX 75001-9010 Dear James C Pierce Jr Asst Cty Eng: You recently submitted a Notice of Intent (NOI) form for coverage under the U.S. Environmental Protection Agency's storm water construction general permit for use in the State ofTexas for the following facility: Name: Araphao Road Construction Address: Arapaho Rd Addison, TX 75001-9010 LatILong: 325730/0964930 Quarter, Section: ; Township, Range: You have not been granted permit coverage because the information on yourNOI form was incomplete. Approximately 3 months ago a letter was sent to you indicating which information was missing from your original submission, and requesting that you correct the deficiencies. Since we did not receive a reply to this letter or the reply did not include all required information, you have not been granted permit coverage and are not authorized under the NPDES program to discharge storm water. Ifyou determine that you still need storm water permit coverage, please immediately submit a newly completed and signed NOI form to: Storm Water Notice Of Intent (4203) 401 M Street SW Washington, DC 20460 Contact the EPA NOI Center at (301) 495-4145 ifyou have questions about this letter. Ifyou do not wish to seek coverage, no response to this letter is necessary. Ifyou have questions regarding the types ofactivities covered by EPA's storm water construction general permit, please refer to the permit terms and conditions or call the EPA Region 06 contact: Brent Larsen, (214) 665-7523. & EPA &EPA U.S. ENVIRONMENTAL PROTECTION AGENCY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) STORM WATER CONSTRUCTION GENERAL PERMIT COVERAGE NOTICE January 26, 1999 Dear Operator: Your Notice oflntent (Nor) for the facility noted below has been processed by the U.S. Environmental Protection Agency. This facility is authorized to discharge stonn water associated with construction activity under the tenns and conditions imposed by EPA's NPDES stonn water construction general pennit issued for use in the state of Texas. Your facility's NPDES construction stonn water general pennit number is TXRlOGQ50. EPA's stonn water construction general pennit requires certain stonn water pollution prevention and control measures. Among the conditions and requirements of this pennit, you must prepare and implement a pollution prevention plan (PPP) that is tailored to your construction site. I Enclosed is an insert explaining how you may obtain a summary guidance document designed to assist you in the development development and implementation of your PPP. The summary is organized according to the phases of the pollution prevention planning process and contains a set ofworksheets and an example ofa pollution prevention plan. As a facility authorized to discharge under this stonn water construction general permit, all tenns and conditions must be complied with to maintain coverage and avoid possible penalties. FACILITY: OPERATOR: Arapaho Road Construction Town Of Addison Arapaho Rd POBox 9010 Addison, TX 75001-9010 Addison 325730, 0964930, TX 75001-9010 To obtain a copy ofthe construction general penni! tenns and conditions to which you are now held accountable, please call the EPA Office ofWater-Resource Center at (202)260-7786. If you have general questions conceming the stonn water program, please call the EPA Region 06 contact: Brent Larsen, (214) 665-7523. &EPA &EPA U.S. ENVIRONMENTAL PROTECTION AGENCY NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) STORM WATER CONSTRUCTION GENERAL PERMIT COVERAGE NOTICE January 26, 1999 Dear Operator: Your Notice ofIntent (NOI) for the facility noted below has been processed by the U.S. Environmental Protection Agency. This facility is authorized to discharge storm water associated with construction activity under the terms and conditions imposed by EPA's NPDES storm water construction general pennit issued for use in the state of Texas. Your facility's NPDES construction stonn water general pennit number is TXR 10GQ50. EPA's stonn water construction general pennit requires certain stonn water pollution prevention aod control measures. Among the conditions aod requirements of this permit, you must prepare aod implement a pollution prevention plao (PPP) that is tailored to your construction site. Enclosed is ao insert explaining how you may obtain a summary guidaoce document designed to assist you in the development aod implementation of your PPP. The summary is orgaoized according to the phases ofthe pollution prevention planning process and contains a set of worksheets and an example of a pollution prevention plan. As a facility authorized to discharge under this storm water construction general permit, all tenns and conditions must be complied with to maintain coverage and avoid possible penalties. FACILITY: OPERATOR: Arapaho Road Construction Town Of Addison ArapahoRd PO Box 9010 Addison, TX75001-9010 Addison 325730, 0964930, TX 75001-9010 To obtain a copy ofthe construction general pennit terms and conditions to which you are now held accountable, please call the EPA Office of Water· Resource Center at (202)260-7786. If you have general questions conceruing the stonn water program, please call the EPA Region 06 contact: Brent Larsen, (214) 665-7523. &EPA Reference number: TXROOL163 October 14, 1998 James C Pierce Jr FACILITY LOCATION: Town OfAddison Arapaho Road Construction PO Box 9010 Arapaho Road Addison, TX 75001-9010 Addison, TX 75248Lat: 325730 Long: 0964930 Quarter: Section: Township: Range: Dear James C Pierce Jr: Thank you fur submitting your Notice ofln""'t (NOl) fonn, seeking coverage under the U.s. Environmental Prorection Agency's stoim water industrial general permit issued for use in the Slale ofTexas. You have nol yet been granted permit coverage because your NOI form was either missing infurmation or requires clarification ofinformation. Authorization fur coverage can not be granted until the infunnalion indicated below is provided. Please PRINT, on this letter, Ibe correct infurmation to the right ofeach item listed below.' Then PRINT your name and date, SIGN the certification 􀁳􀁴􀁡􀁴􀁥􀁭􀁥􀁮􀁾􀀠and RETURN TIllS PAGE BY January 12, 1999 to: Storm Water Notice Offntent (4203) , 401 M Strcet SW Washington, DC 20460 Primary Industrial Activity/SIC Code:__,-;---,-C.--;:Dc:::--:-:=-=:::Ifseeking coveenge for a construction activity enter CO or 1500-1799. Ifyour SIC Code is Construction (i.e., 1500-1799, or CO) Please indicate Project Start Onle & Acres Disturbed.,.,.. _ Permit Type Missing/Invalid or Permit Type/SIC Code Mismalch. Enter Pennit Type: (G)roup or (C)onstruction?____ Certification: I certifY under penalty oflaw Ibal this document and all attachments were prepared under my direction or supervision in accordance with a system designed 10 assure thai qualified personnel properly galher and evaluate the information submitted. Based on my inquiry ofthe person or persons who manage the system, or Ibose pe""ns directly responsible for ga!hering the information, the informBlioo submitted is, to the bestofmy knowledge and belief, true, """urate, and complete. I am aware thai there are significant penalties for suhmining fillse infonnation, including the possibility of fine and iroprisonment for knowing violations. Printneme:_______________________ Signature: ______________Dale:______ Ifyou have any questions regarding this letter, please contact the Storm WalerNotice ofIntent Processing Center aI (301)495-4145. Ifyou have other general questions concerning the storm waler progrmn, pIease call the EPA Region 06 contact: Brent Larsen, (214)665'7523. &EPA Reference number: TXROOL162 October 14, 1998 James C Pierce Jr FACILIlY LOCATION: Town Of Addison Arapabo Road Construction PO Box9010 Arapaho Road Addison, TX 75001-90 J0 Addison, TX 75248Lat: 325730 Long; 0964930 Quarter; Section; Township: Range; Dear James C Pierce Jf: Thank you for submitting your Notice ofIntent (NOI) funn, seeking coverage under the U.S. Environmental Protection Agency's storm waler industrial general permit issued for use in the State ofTexas. You have not yet been granted pennjt coverage because your NOr fonn was either missing information or requires clarification ofinfurmarinn. Authorization for coverage con nat be granted until the information indicated below is provided. Please PRINT, an this letter, the co!reet infunnarion to the right ofeach item listed below. Then PRlNT your name and dale, SIGN the _ifieation 􀁳􀁴􀁡􀁴􀁥􀁭􀁥􀁮􀁾􀀠and RETURN TIns PAGE BY January 12, 1999 to: Storm Water Notice Oflntenl (4203) 401 M Street SW Washington, DC 20460 Primary Industria! Activity/SIC 􀁃􀁮􀁤􀁥􀀺􀁾􀁾􀁟􀀨􀀮􀀮􀀬􀀭􀁏􀀽􀀭􀀭􀀭􀀬􀀽􀀺􀀺􀀭􀀺􀁯􀀽􀁟If seeking coverage for a construction activity enter CO or 1500·1799. ICyour SIC Code is Construction (i.e., 1500-1799, or CO) Please indicate Project Start Date & Aeres Disturbed ___ Pennit Type Missingllnvalid or Permit TypelSIC Code Mismatch. Enter Permit Type: (G)roup or (C)onstruction?' ____ Certification: I certify under penalty of law that this document and all attacbments Were prepared under my direction or supervision in accordance with a system designed to assure that qnalified pmonnel properly galheJ: and evaluate the infunnation submitted. Based on my inquiry ofthe pelllOn or pmons who manegn thesystem, Or those persons directly responsible for gathering the infurmarion, the informalian submitted is, to the bestofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for SUbmitting false information, including the possibility of fine and imprisonment fur knowing violations. Printname:,_________________ ____ Signalure: ----______Dole:,______ Ifyou have any questions ragarding this letter, please contact the Storm Waler Notice oHntent Processing Center at (301)495-4145. Ifyou bave other general questions concerning the sloom water program, please call the EPA Region 06 contact: Brent Larsen, (214)665·7523. &EPA" Reference number: TXRI0EW55 October 14, 1998 James C Pierce Jr Asst Cty Eng FACILITY LOCATION: Town OfAddison Araphao Road Construction Po Box 9010 ArapahoRd Addison, TX 75001-9010 Addison, TX 75001-9010 Lat: 325730 Long: 0964930 Quarter: Section: Township: Range: Dear James C Pierce Jr Asst Cty Eng: Thank you forsubmitting yourNoticeofintent (NO!) form, seeking coverage under the U.S. Environmental Protection Agency's storm waterconsttu<:tion geneJ3l permit issued for use in the State ofTexas. You have not yet been granted permit coverage because your NOI furm was either missing information or requires clarificolion ofinformation. Authorization for coverage eon not be granted until the information indicated below is provided. Please PRINT, on this letter, the correct information to the right ofeach item listed below. Then PRINT your name and date, SIGN the certificolion slalemen, and RETURN THIS PAGE BY January 12, 1999 to: Storm Water Notice Of Intent (4203) 401 M Street SW Washington, DC 20460 Are species listed in Addendum A in proximity to discharge (Y/N:)? 􀁾􀀠 Under which sections ofPart JB3e and Part JB3f do you certifY 􀁥􀁬􀁩􀁧􀁩􀁢􀁩􀁬􀁩􀁾􀀠 Certification: I certifY ueder penalty ohB􀁾􀁴􀁨􀁩􀁓document and all a!t!Chrnents were prepared under my diroedon or supervision in accordance with a system designed to assure !hat qnalified personnel properly gather and evaluate !he information submitted. Based on my inquiry ofthe person or persons who manage !he system, crthose persons directly responsible for gathering !he information, !he infOrmation submitted is, to the bestofmy knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing 􀁓􀁩􀁧􀁮􀁡􀁴􀁵􀁲􀁥􀀺􀀭􀀩􀀺􀁾􀁾􀁾􀁾􀁖􀁊􀀮􀀮􀀮􀀡􀀶􀀻􀀻􀀬􀀻􀀮� �􀁾􀁄􀁡􀀡􀁥􀀺􀀠 l-8'-Ajj Ifyvu 􀁨􀁡􀁶􀁾􀀠 lY que tOllS JeptdilJg this Jdt¢i2 please 􀁾􀁮􀁴􀁡􀁣􀁴 the StOm'1 Vlat;r'NvticcofIntcr.tProces:,i.'1g 􀁃􀁣􀁮􀁾􀁥􀁲 at 􀀨􀁊􀁏􀁬􀀩􀀴􀀹􀀵􀁾􀀴􀀱􀀴􀀵􀀮􀀠 Ifyou have other gene-ra! questions cemi g the storm water program, please call the EPA RegiOn 06 COntact: Brent Larsen, (214)665-7523. violations. Print 􀁮􀁡􀁲􀁮􀁥􀀺􀀭􀀭􀀬􀀽􀀧􀁦􀀢􀀭􀁲􀀮􀁡􀀮􀀮􀀮􀀡􀀮� �􀁊􀀬􀀢􀀬􀀬􀀭􀀢􀀧􀀭􀀭􀀧􀁬􀀢􀀢􀁬􀀭􀀧􀀧􀀭􀀡􀀮􀁾􀁣􀀮􀀮􀀺􀀺􀁾􀁾􀀮􀁵􀀮___--::___ noi224.pdfat www.epa.goy Page 1 of2 o ffi;;1-..6\,. (r",}"£I\/'\ , rc" v(! THIS FORM REPLPCES PREVIOUS FORM 3510-S (8-98) Fonnft,pproved. OMS Nn 2.0«)-0188 See Rev.... !Or Instructions United States 81'-.iramerl:ai Protection AfP'iCi 􀁟􀁾􀀢􀀢􀀰􀁉􀀱􀀬􀀠DC ZJ40Cl 􀁾􀁾􀀠&EPA _Notice of Intent (NOI) tot Storm Water Discharges Associated wllh CONSTRUCTION ACTIVITY Under a NPDES G",e",l Permit 5tbnissfon oC tl'is N:itioo Cllnlert con&itues notice that 􀁾 party Irrntified in Section I or tHe klrm lrterds to t:e rut.t'.orized bf a NPCES perrrit issued forstormwa!er 􀁤􀁩􀁾􀁨􀁩􀁬􀁾􀀤 asromted wlh OO"IStn.r;jionactr.ity fn the $tateJtndan Co!.nfry 􀁬􀁡􀁾 􀀡􀁾􀁉􀁥􀁤 in 􀁾􀁤􀁩􀁣􀀨􀁊􀀠II at tl'is i'orm $I.bnissioo cl His NOOce tllrtert also coostitttes ndice that the j:Hrtj 􀁾􀁥􀁤 In Secfon I of tlis Ibrm treats tOOl efgli.llity req . 􀀮􀁤􀁲􀁥􀁾􀁮􀁬􀁳􀀠!n Part I,B. oftte 􀁾􀁥􀁲􀁡􀀡􀀠pamit On:::lo:flf'g loose related to proleefon of erdangerod species. 􀁾􀁥􀁲􀁲􀁮􀁩􀁮􀁥􀁤 tlYoug, the procedJres In Ad:tend..un Ad tre g;:neral penm), urde's!ands that cortiOJf.'d aulhotizallon to dscharge is oortin:;;ert on mairtairing permit elig1l::ility, am Uut itrpemertallon or the storm'Wi!J.er PoIktion !"revertioo Plan req..ired t.o:Ier Rift IV d the general perrdt wiU begf'l at !he lime the permittee oonmen:::es work on too coostn:clioo project Idertified In Secioo II balew. IN ORDER TO OerAlN 1IJTH000ZATION, ALL INFCI.-1..l.....L.JI",E>:L1.I NameofRCCte Estimel;'; of area to be di$tlZbed (10 fo2.atest acre}; L I I , 1M 􀁅􀁳􀁾􀁭􀁡􀁴􀁥􀀠of Ulrelit'ood of o:screr!1Jl (choose ony om): 1. 0 Urlikely 2 􀁾􀀠""" per menth 3. 0 Qloo perVleek 4 0 enoe p",d,.,. Based on irstrudion provided in A6:!eMt.rn A of the purr2i:, ere Itxue ar'V ls!ed endangsred o· 􀁫􀁻􀁾􀁴􀁥􀁭􀁤 spades., or designated critical tahlta\ in the project af'i8? Yes 0 t have $1:ltisfied 􀁲􀀺􀁥􀁭􀀻􀁾􀀠e!lgitilitl "'1\0 f£g3rd to protec{lcn of 􀁥􀁲􀁤􀁡􀁾􀁲􀁥􀁤􀁓􀁩􀀮􀀧􀁬􀁥􀁣􀁩􀁥􀁳􀀠tlvOLgh ttte i1ti:2!edseden Or Part 1 a.3.e.(2} of the p?flTit (cll:;>cX one or rrore bJxes): tal 0 (1)) 0 (el 0 (d) 0 III. Certification I certify LOder p?nalty or law frwt this doolJl'Tleflt ard aU atiactvoo-nts were 􀁰􀁲􀁥􀁾􀁲􀁥􀁤􀀠t.Ilder ITt( direction Of sUf=etvlsion in acrotdarce with a system ooSgred to assure ttat qt.a!if!ed persomsl 􀁾􀁲􀁬􀀮􀀬􀀮􀀠gather and evaluate the lriCfl11l!:ioosul::rrffied. Based on ffl/irqJlIy dthe J:efSon (If p?rsons....no rTar'age tHs system. or loose p;"lrsonsdireclty re5fXlOSllie for I}3tterirg the Irtorrratio!,\ the lrtorrmfion stAlrritled is, taU);! best or my krov.1eq,e and bellef, trua, ar:x:Lra!e., and cofllliete. I emaware that tl:«e are significant 􀁾􀁮􀁡􀁬􀁈􀁥􀁳 fors\brritting raise Irtolm9tiOl\ irciu:Hrg tre p:lssitility 􀁯􀁾􀁦􀁩􀁮􀁥􀀠and il'TlXisoment fer 􀁩􀀼􀁮􀁯􀁷􀁩􀁾 vio!arort>. Prin'N."..,: Jq s C Signahxe: 7/20/98 􀀯􀁊􀀱􀁁􀀴􀀯􀁾􀀠/.r £;;11-􀀷􀀭􀁾􀀧􀁉􀁟􀀿􀁹􀀸􀀺􀀳􀀲􀀺􀀵􀀶􀁁􀀺􀁍􀀠 ('6:'-rna/led 􀀯􀁏􀁾􀀲􀀮􀁬􀁉􀀭􀀱􀁲􀀠􀁻􀁣􀀮􀁾􀁶􀁨􀁻􀀬􀁾􀀠􀁾􀁮􀀱􀀠􀀬􀁥� �􀀮􀀨􀀮􀁥􀁾􀀠 ED BELL CONSTRUCTION COMPANY POST OFFICE BOX 540787 10605 HARRY HINES DALLAS, TEXAS 75354-0787 DALLAS, TEXAS 75220 July 22, 1998 Mr. James C. Pierce, Jr., P.E. Assistant City Engineer Town ofAddison P.O. Box 144 Addison, Texas 75001 Re: Arapaho Road Reconstruction Addison Road to Dallas North Tollway Town of Addison Dear Mr. Pierce: Enclosed for your records is a copy ofthe Notice of Intent (NO!) documentation that we resubmitted to the Environmental Protection Agency. If you have any questions, please contact our office. Sincerely, 􀁾􀁾􀀧􀁾􀁲􀀧􀀢 C_my Robert D. Weber Project Engineer AN EQUAL OPPORTUNITY EMPLOYER n,oi224.pdf at www.epa.gov Page 1 of2 TIllS FORM REPl..'CES PREVIOUS FORM 351 Q.S (8-98) Form Approved. OMS Nn 2)4)..Q168 see _lorInstnJcliol1S Uritedstates Bwirc,)(mertal Pmlect:on Pq!JnOf NPDE8 I Waslin(/Qn. DC 20<00 :RMj &EPA Notfc9 of Intent (NOI) for Storm Water Oi:scharges Assoetated with CONSTRUCTION ACTIVITY Under a NPDES General Permit 􀀭􀀭􀀭􀁾􀀭 Stbrrisslon 􀁾 !lis N::Ittt'B d Intert conEtitU:es notice that the party identified: in Sectiorll or tlis form Uteros to I::e authorized bf a NPCES penrit issued forstorm waler c:isch9rges as.s:ldated wth ccn;tru::tion adivity In the Sateltndian CoLnIry Lard iOantifled in Section 1I or Uis I'orm. Stbrrission or ttis 􀁾􀀠 d Irtm. also cons1itlJes nolice that the 􀁾 ld3ntilled In&.clon I orins lOOn m.oets 1M eJtl!!=-nty feqJlrelmflls in Fart I.a oftre geneml ;.enit (imkdrg lOOse related to protection of erdangered spedes deterrrinedtIToug; the pmceruresin Ad:IendJID A d thr!:: general pemit). un:lemands UBtcortlrued aulttorlzatlon to diiiChasye IS cortirgert cortirgert on malrtalnng pemit 􀁥􀁬􀁩􀁧􀁬􀁡􀁬􀁾􀀠ard tMtirrpemertation d the storm \I\I8Le:r Pollt.tion F'rlM!rt!on Pian req.iJed tn:fef Part IV d the geneml permt 1NIli begn at the time the pemittee 􀁣􀁯􀁭􀁮􀁾􀁳 WQJ'k on the constrwtitl"l project fdertlflErl in Seeitrlil oolow. IN ORDERlO OEITAlN I'UTHORIZATIQN ALL 'NFCRMATION REOJESTED MUST BE '>.eLUteD ON THlS FORM. SEE INSTRUCTIONS oN BACK 01' FORM. I. OHnerlCperator {Applicant} Information Narre: 􀁉􀁇􀁉􀁾􀀠 '\!,IE'ILlld IL,Oltl(>jI 􀀱􀁾􀀱􀁵􀀮􀀮􀀱􀀨􀀮􀁉􀁉􀁉􀁉􀁉􀁏􀁴􀀭􀁬􀀱􀀠 IgOI tl PI 􀁾􀁉􀀠􀁾􀀧􀀨􀁉􀀠 I POOre: Ill! d:15ISI8'ICISI8111 stalus or If] Ad:l..ss; LieJ.610 ,51 􀀱􀀱􀁴􀀱􀁾􀀱􀁾􀀱􀁜􀀱􀀮􀀱􀀧􀀨􀀱􀀠 1l!:llltll"I$1 IBI"I\lIOI I 1 I 1 1 I 1 I 1 I 􀁏􀁈􀁾􀁲􀀯􀁱􀁊􀁥􀁦􀁡􀁴􀁯􀁲􀀮􀀠 City: 1\)1"'1(.11..1-"1 􀁾􀀠I I I 1 I I I I 1 I I I I 1 ,I state: iTcA ZipCQ:ie: I!'S"l t l2.ICIDI I I I I II ProjecflSte fnforroation Istrn fdly located on Int:.UI Cantly Lands? Yes 0 􀁎􀁯􀁾􀀠 , Project Nan-e: IA 􀁉􀁦􀀡􀀮􀀬􀁾􀀠􀀱􀁾􀀱􀀯􀀧􀀡􀀱􀀱􀁬􀀺􀀱􀀠0 I 􀀧􀁾􀀨􀀩􀁉􀀢􀀧􀁬􀁬􀁬􀀠 I I , I I I I I I I 1 I I I I I I I Project M:t""""-.ocaIiQn: II) 􀁉􀁾1t-,t.11I.IS I 11:3 mOl I-II-IWI" e(1 II!OI I 􀁾􀁬􀀾􀁬􀁢􀁬􀁬􀁬􀀾􀀱􀀶􀀱􀁬􀀡􀀠I 􀁉􀁾􀁉􀁾􀀠 I City: 􀁉􀁁􀁬􀁢􀁬􀁴􀁬􀁬􀁬􀁬􀁾􀁉􀁏􀁉􀀡􀀺􀀡􀁊􀀠 I I I I I I I I I 1 I I I I 1 I stale: 􀁾􀀠Zip Code: r;SI2t4r4IDI I I 1 I Latitu"': U I I I I I Lorgllude: I I 1 1.LlJ.J Cty: 􀁾 􀁾􀀱􀁴􀀮􀀮􀀱􀀱􀀮􀀮􀀧􀀧􀀧􀀧􀁉􀁾􀀱􀀠 I , I I I 1 I 1 I I I I I Has tm Sorm Water f1>Ut.tloo Prevenlion Plan (SV\oPPP) been FRPared? Yo$gS NoD qx!onal: Ad.:iress rj location cI S'V\flF? fOr '-ilMirg 3 Ad::iress il 􀁾􀁣􀁴􀁩􀁯􀁮􀀠I abt'Ye oAQjress n SedJon II abCJ'ole o Oherad.ress Cd '-'0) b,,,",, SV;f'f'? poo"" Ad:ress:: i 1 I I I 1 I I I 1 I I I I I I I , I I I I 1 , 1 1 I I I 1 I I I I I I I 1 I I I I 1 I City: I I 1 I I J I I I I I I I I I 1 I I I 1 I I I state: W ZipCode: Lt I I I 10 1 I 1 I I Na!re of Recefvirg Vt.eter; 􀁾􀀱􀀱􀁩􀁕􀁅􀁌􀀮􀁬􀀮􀁉􀀡􀀮􀁴􀁏􀁉􀀨􀀮􀁉􀁜􀁃􀁩􀀠 I "II!: Ilrl 1:[1 k'I I I I I I I I I 􀁉􀁑􀁉􀁓􀁉􀁏􀁉􀀱􀀱􀀱􀀱􀀧􀁜􀀱􀁾􀁬􀁧􀁬􀀠 􀁉􀁾􀁉 􀁜􀁉􀁾􀁉􀀢􀁉􀁾􀁉􀀠 Mm Day ""''' o.y 9stirreted Comtru::tion -start oate Estimated 􀁏􀀺􀁭􀁾􀁥􀁬􀁩􀁯􀁮 t:a.te -EstiO"eIe Of area to be distlSbed {to marest acre}' L! I I 1 161 E$1Irnate of Llkelitl.'x:Jd cI Oscrorge (moose oriy one): 1. 0 UriiInslructlon Gene",1 Permit If youl>ave Que.1Ioos about whether you need a permit uncler the NPOES Storm water program, or H􀁾 nNd lnformetion as to whether a particular particular program Is admlnlst...d by EPA or a State agency, write to or telephone the .N6tIca of fntant Pnx:asstng Canter .t (703) S3Hl230. Where to File NO. Fonn NOI. must bo sent to the following addr.ss: Storm WalerNoI!co of Intent (4203) USEPA 401 M. 􀁓􀀱􀁲􀁥􀁥􀁾􀀠SW wa.hlngton. D.C. 20460 Do not !lend Storm Water PoUu!.ion Prevention PJans (SWPPPs) to the abov& addrass. For ovemlghtlupreoo deiVery of 00$. please include the room numbor 2104 Northeast MaO and phone numlH>r (202) 2<10-9541 In the address. When to Ale ThIs form must be flied at least 48 ho.", bolM! con!ilruCliOn begins. CompJeting tho Form OBTAIN AND REAO A COPY OFTHEAPPFiOI'RIATE Ell'. STORM WATER CCNSTAUCTION GENEAAt PERMIT FOR YOUR AREA. To compl.l. this form, type or print. u$fng uppen::as:e letters. In 1he appropriate areas only. Plaase placa each characler botwea. 1M mar1 v.i1t1 Swppp requirements Of' olher pennit conditions. Each person that meets either of these critarla. must file thls brm. 00 not USQ acoI:IoqulaJ name. Correspon. dence for1he pennit win be sent to thb address. Enter th& epprcpriate leHar I. indicate tha legal status of th. owner/oporator of the project: F = Federal; S • State; M ., Publlc (other than federal or state); p ... Private. _on 11. ProJocllSlt61nlamlllllon Enter th& oIfIdal 0, fogaI name etaI OOmpiota _tadd"SS.lncIudi"1l clly. counly••_. zip code. etaI phone numbe' of th& prc!eotor 01lI0. If It lacks a street add ....... _ with • g...atal_tIlofocallon of til. site ( •• g .. lntalS1aIned by...mng 101100 USAMAPS. LOngitude GIld latitude may also be obtalned at the Census Bureau Internet site: ht!r>:lIwww.census.gov/cgl-blnlgaz_er. Wtude and IongllUda tor a facility In d_lorm must be _ to degr.... "'nutes and seconds for ptopol' en1!y on the NOI 101m. To convert declmat I.UIutaIn seconds. muI1!pI)1 "'" romalnlng throe ",mb... to the light 01 th& decimal from the ._Inslop 2 by0.06: 40h0.06 =24.24. Sinc. th& _rsIn the right 01 the docImal point.... not used. th& 􀁲􀁥􀁳􀁵􀁾􀀠Is 24". S) Th."",vers!ontor45.123h45 ' T 24". indicate whether the project Is on ,_Cave been prnparnd. Optional: Provide the add",.. and ph""" number who.. the SWPPP can be viewed If different from addrGSS8$ prevfousfy given. Chedc 8pp«)prtat8: box. Ent.r the name of the closest walar body which r.celves tha projecr. construction storm water discharge. Enter the ..!!mated oonstnJcIIon otoI\ and completion datos USIng four digits fo,the 􀁹􀁥􀁡􀁴􀁾.•. 05127/1998). Enler the astlmated ara. to b. dlslUrbod IncludIng but not IImHad 10: grubbing. excaval1on. gtading. and utlliUes and InlraslnJcl1Jrn II1stallation. IndIcate to 1he nearest aefit;lf less thaJ11 acre, entor ·1," Nota: 1 acre = 43.560 sq. ft. Indicat. your bast _to01 the Ike!ihood 01 storm watardlschatgas from 1hB project. EPA recognizes that actual discharges may differ from this: estimate due to lmforasseR at chance circumstances. Indicate If there are any lilted endangered or threatened specles, Or designated cri1k:ol habitatIn 1b. project ..... Indlcat. which Part 01 the permfl that tho applicant fs eligible with ..gant to proIecIIon of _gored or _nedspecl.s. or designated critleal habitat. SectIon III. CttrtifleaUon Federal StaMos proWlofor..v.... panallfastor sutllmling _In_ on 1h1. app1lcation form. Federal rogulallons ..qui.. qui.. thIS appllcallon to ba signed as follows: For a corporation: by a responsible corporate officer, whtch meens: (I) president. secretary. treawrer, or vice president of the COfJlOration In marge of a principal busJ..... l\mcIIon. or any oIhar PO""'" whO per10rms similar poliey or decisJon maldng functions. or Oil the manager of one or more manufaoturing, production. or operating fecll1tles omployi"1l mora !han 2SO pe"""'" or having oroos annual sal.. or ""Pondllu"", axceedlng $25 million On saoond·quartor 1980 dollars). Hauthority 10 sign documents has boen assigned or delegated 10 the manager in acoordanoo with corporate procedures; For a par1l1o,.h" or sole proprialClShip; by a general portn... ollfle proprietor. or Fora munIcIpaJIty.atete. tedOfal. or otharpelllicfacilily : byelthe' 8 prlnoipaf exaculive or ranIcIng alacted official. An unsigned or undsled NOI form will not bo 9ra11ted pormH "'''''13ge. Poperwork _uoll•• Act NoUce Pubic repOrting bwden, for this "",,1_ jQ astimated to avor.ga 3.7 hoofs. ThIs esHrnate Includes time for reviewing Instrtidions. searching 􀁾􀁴􀁡 SO'"".". galherin!l end melntainlng the data needed. and and II!vlev.lng th& coIl&cfoo oIlnfonnation. Iv! agency may nol orsponsor, and .. p...... is not ..qu1fed to ",.pond to. a collection oIlnfonnatlon unI... ft dlcpleys • cunantiy valid OMB control numb.r. Sand commonlo rogsnllng the burden astimal•• any oth.r aspect 01 the collection ollnfoonallon. or suggosllon$ tor impt'oving this loon. Including My suggestions which mey Increase or red""" this burden 10: 01_. OPPE ReguIa!oryinfomlaIIon IlMsloo (213'1). U.S. __Pmtec1ion Agency. 401 M Str..t. SW. Washlnglon, D.C. 20460. lndud.the OMB control number on My com!SpondflflO8. Do not sand the canp1a!ed form to tills eddr.... .. PUBLIC WORKS DEPARTMENT (972) 450-2871 Post Office Box 9010 Addison, Texas 􀀷􀀵􀀰􀀰􀀱􀁾􀀹􀁑􀁉􀁏􀀠 1680l Weatgrove July 20, 1998 Mr. Robert D. Weber, Project Engineer Ed Bell Construction P.O. Box 540787 Dallas, TX 75354-0787 Re: Arapaho Road Storm Water -Notice ofIntent (NO!) Dear Mr. Weber: EPA Region 6 has reissued the General Permit for Storm Water Discharge (the old one expired September, 1997) and accordingly, a revised NO! form must be submitted within 90 days ofJuly 6, 1998 in order to obtain coverage under the new permit. Since you have previously submitted a NO! for pennit coverage, you will not be required to fill in the endangered species portion ofthe NOI on the new form. I have attached a copy ofthe NOI for your use along with some general information from EPA Please send me a copy ofthe NOI you submit. Please call me at 972-450-2879 if you have any questions. Very truly yours, Town ofAddison 􀁾􀁣􀁰􀁩􀁢􀀦 sistant City Engineer cc: John Baumgartner, Director ofPublic Works Enclosures noi224.pdf at www.epa.goy Page 1 of2 THIS FORM REPL'CES PREVIOUS FOOM 3510-8 (8-98) Form Approved. OMB Nn 2040.()188 i See Rev..... for Inslruclions i &EPA United states 81"'rorrnertal protection AgiIrlCf NPDES Wilshinflon. DC 2J4.3O FORM Notice of Intent {NOI} for Storm 'Water Discharges Associated with CONSTRUCTION ACTIVITY Under a NPOES General Permit SIJ:II1'Vssion cf this fibt!Q: of lotart 􀁾􀁩􀁢􀀮􀁩􀁥􀁳 notice that tre fQrty identifia:i in Section I cl UlS form irtems to te authorized OJ a NPCES permit issued for slormwatel dootw.uges assoamed wah cooslru:;tionadMty !n the sta!:ellndan CotnI1y LaOO idenlified in &.!dioo II of tl'is form SwrnsslM of ttVs Nolli::e of lriert also COI1.'ltitltes nottce that the j.X'lrty iOOntffied In Section I of ilis form rooets tre elgit111ty req.dremenls in f'art IAofire gEl(!efal r,srrit Qn::lu::lirg trose reiated to protection of 􀁥􀁾􀁲􀁥􀁤 spades determned ttvooltl fhe proceruresln A£tlendim A cI the gel19 peinit). 􀁵􀁲􀁤􀁾􀁴􀁡􀁮􀁤􀁳􀀠htcortirued 􀁡􀁬􀁬􀁬􀁴􀀱􀁯􀁲􀁾􀁴􀁴􀁩􀁯􀁮􀀠to dsdlarge 15 􀁯􀁯􀁲􀁴􀁩􀁾􀁲􀁴􀀠onmairtruring pemlt eligtblity, ardthat 􀁩􀁾􀁩􀁯􀁮 of Jhestorrnwater PoIlltioo PreYedloo Plan req..ired U"rler Part IV of the general pern'it will begn at the tI!1'ta' the pernitteeCOimlereesworkonthecoo«.n.ctiQnprojeetidertif!0d InSecion II 00100. IN ORDER TO OBTAIN AUTHORIZATION, ALL 􀁉􀁎􀁾􀁍􀁁􀁮􀁏􀁎 REQJESTEO MUST BE INCWCEO CN THIS FORM. SEE INsmucnG.3 ON BACK OF FORM. I. D.vner/q,erator (Applicant) Information Narre: I I I I I I I I I I 1 I I I I I I I I I I I I I I I I 1 I I POOre: I .. I I I I I I I I I I Ad:Iress: I ! I I I I I I I 1 1 I I 1 LLLl I 1 I 1 I I I I I I I I I I I Staluso£ D D.vreliq,erator: Cily: I I I I I I I I I I I I 1 ·1 I I I I I I I I I Slat.:W ZJpCod.: I I 1 I I I£)! I I I I It ProjectJSite Information Is the facility bcated on Inaan Cotnlry Lands? Project ""Ire: I I I I I I I I I I I 1 I 1 I I 1 I I I I 1 I 1 I I I I I I I Yes 0 NoD Ptoi'''' lI, Act, ... amended, (33 U.S.C. 1251 elseq.; tho Act)••xcept ... provided by Pert Ul.a the porml!, Federal law prohibits dlschargoo 01 pollutants 10 stenn water from construction activities Wi1I>outa NalionaIPoIutant Ois<:ha!go ElimInation Syslom P...rut Operatol(s) of construction sttes where 5 ormore acres are dlstuJbed, smaller sltes that are part of a larger common plan of development or taIe Where ihere is a cumulative disturbance of at least 5 acres, or any site designated by the Director, must submit an NOI to obtain coverage under sn NPOSS Storm watsr Construction General Permit If you have questions about whether you need a permit under the NPDES Storm Water program. Of Uyou nMd Information as to whether a particuiar program Is admlnlstered by EPA or a State agency. write to Qf telephorw;l the NOtIce of 'ntent ProcessIng Canter at (709) 9311"eSS deivery of NOIs., please Include the room numbOl21G4 Northeast Mal! and phone number (202) 26(l..9S41 In tho add= Private. SeoHoo It ProjectlSlte Information Enler tho offICial or legal name and compl.to stroat addraso. Including city, county, state. zip code, and phon. numbor of lhe project or sII.. If It lac"" a street address, indicate wtth a general fttltement 1I1e JocalJon of 1he sUe (e.g.. lntelsacllon of SIal<> Highways 61 and 34). Complete sit. Information must be provided for p,ermlt coverage to be granted, The applicant omst also provide tho laUlude and IongHude of thelac8lty In degmes, 􀁭􀁬􀁮􀁵􀁴􀁥􀁳􀁾􀀠and S6G0nds 10 the nea1'est 15 ucond's. The IatttUde and Iongilude of your facility can be located on USGS quadrangl. maps. Quad".,gle mop. can bo _ned by calling Hloo USA MAPs. I.ongII\ld6 anrllatilude may 81so be obtained at the Census Bureau Internel $ile: 􀁨􀁜􀀱􀁰􀁾􀀯􀁷􀁷􀁷􀁟􀀮􀁧􀁯􀁶􀁬􀁣􀁧􀁴􀂷􀁢􀁬􀁮􀁬􀁧􀁡􀁺􀁥􀁴􀁴..'. Latitude and longitude for a facility In declmaJ form must be converted 10 degrees, minutes and socondefor proper ontly on tile NOllorm. To conv.rt declmallaillude or longitude fa d.g'.... mlnulils. and seconds, 'ollow lhe stepe In lhe tollowlng example. Convert decImal tetltude 45.1234567 to deg'.", mInutes. and .econds. 1) The numbers to the left ot the d&cimal point are degrees. .2} To obtain minutes, multlply the first four numbers to the right 01 the dac1ma1 polnl by 0.006. 1234 x.006 􀁾 7.404. 3) The numbers to the feH of the d&eimal point In the result obtained in step 2 Bfe the mlnutes: 7'. 4} 10 obtain seconds. multiply the mmalning three numbers to the right of tile decimal from tho "",""In step2by 0.06: 404 .o.oe =24.24, Sinc. the numbers to the right of the decimal point ate not used. the result Is 24-, 5) Theconverslonfor45.123,f=45¢ T 24-, ,,,,,'ca!e whotho, tile proje", Is on Inclan Country t.ands. Indicate II Ihe storm Wat., Poliulion Pra_ Plan (SWPPP) has be.n dovelopod. Refe,toPart IV of the ge_ponntforlntormaliononSWPPPs. To be eligible br coverage, a SWPPP must have been prepared. Optional: Provide the address and phone number where the SWPPP can be vtewed If different from addresses previously glven.. Check appropriate box. Enter the name of th€t closest water body which receives the project's construction stonn water discharge, Enter me estimated construction start end completion dates using fot.lr digits fo,tho yearQ.o. 0512711998). Enter 1he estimated area to be disturbed Including but not Ilmlted to: grubbing, excavation, gmding, and utilities and infmstrucrure fnslallalion. Indicate to the nearest acre; it less than '1 acre, enter -1." Note; 1 acre = 43,560 sq. ft. Indicale your best estimate of the likelihood of storm waterdlscharoes from the project. EPA recOgnlzes that actual discharges may differ from this estimate due to unforeseen Of chance circumstances. Indicate If there are any listed endangered or threatened species, or dMlfgnsted 􀁣􀁲􀁩􀁾 habitat in 1he pro:!ect area. tndicale which Part of tho, permIt that the app6cant ts efigible with regard to to protection of endangered or threatened species. or designated critical habilal Section HI. Certifictdion Federal StaMos p!O'!. or o1her ptlblic fecnity: by eithera principal executive or ranking elected official, M unsigned Or undated NOJ fom'! wilt not be granted p9m'!it coverage. Po_ricRe IO disturbed acres, a sediment basin with a volume of 3,600 cubic feet per acre drained, Or eqUivalent control measures, shall be provided until final stabilization of the site. Where a basin is not attainable, smaller basins andlor sediment traps should be used. At a minimum, silt fences or equivalent sediment controls are required for all sideslope and downslope boundaries of the construction area. These minimum controls shall also apply to drainage locations serving < 10 acres unless a sediment basin with a storage volume of3,6OO cubic feet per acre drained is provided. Stabilization Measures: Stabilization practices may include temporary seeding. permanent seeding, mulching, geotextiles. sod stabilization, vegetative buffer strips, protection of trees. preservation of mature vegetation. and other appropriate measures. Stabilization measures will be initiated as soon as practicable where construction activities have temporarily or permanently ceased. The measures will be initiated no more than 14 days after activity bas temporarily or permanently ceased except where construction activity will resume on that portion of the site within 21 days or initiation of stabilization measures is precluded by snow or seasonal arid conditions. Arid conditions may occur occur in areas where the average rainfaH is less than 20 inches. Storm Water Management: Practices include wet ponds, retention structures, flow attenuation using vegetated swales and natural depressions, infIltration and sequential systems using one or more of these practices. h:l... 117l2sw3p.doc 􀁐􀁡􀁾􀁥􀀷􀀠 APPENDIX This appendix contains: Site Maps Erosion & Sediment Control Plan & Details. Inspeetion Forms & Reports Notice OfIntent Forms (Copies) Certification of Contractors Notice ofTerminationFOITIl s (Copies) Record of major soil disturbing activities Record of RevisionsIModifications h:1...11772sw3p.doc Page 8 BEL T LINE RD. N ARAPAHO ROAD ARAPAHO ROAD CONSTRUCTION USGS Topograpbic Map -7.S Minute Series Addison Quadrangle Huitt-Zollars, Inc. ARAPAHO ROAD CONSTRUCTION GENERAL LOCATION MAP Huitt-Zollars. Inc. THIS FORM REPLACSS PREVIOUS FORM 351()"6 (8·92) See Reverse for Instructions form Approved. OMS No, 204Q..0086 Approval expires 13-31·9-8 NPDES' ft EDA FORM i C7r rl-\. United States Environmental Protection Agency Washington, DC 20460 Notice of Intent (NOI) for Storm Water Discharges Associated with Industrial Activity Under a NPDES Permit 􀁾􀀠 Submission ot thIs Notice of Intent constitutes notice that the party identified in Section Il of this form intends to be authorized by a NPDES permit issued for I storm water discharges assocIated with industrial activity in the State Identified in Section III of this form 􀀸􀁥􀁣􀁯􀁭􀁪􀁮􀁾 permittee obligates such discharger to comply with the terms and conditions of the pennit. ALL NECESSARY INFORMATION MUST BE PROVIDED ON IS FORM. I. Permit Selection: You must indicate the NPDES Storm Water general permit under which you are applying for coverage. Check one of these. Baseline Baseline Multi-Sector Industrial Construction (Group Permit) 0 0 0 II. Facility Operator Operator Information Name: I ED nEf,I'1 CQNSnUCT!0!l 1 1 1 1 1 1 I I I I I I I I I I I I i Phone: 12+4 􀀻􀁬􀀱􀀳􀀮􀀵􀀸􀀱􀀶􀁾􀀸􀀡􀀠 I I Status of Address: I L06Q5 , , [!:J 1􀁾􀁙􀀡􀁈􀁾􀁎􀁅􀁓􀁉􀁂􀁏􀁾􀁅􀁖􀁾􀁉􀀠 I I I I 1 I I I I I I I I I I 1 Owner/Operator P City: 1D6IJ,AS I I I I I I I I I I I I I I I I I I I 1 State: lnJ ZIP Code: 17:i3j4 I I I -I I 1 1 i III. Facility/Site Location Information Is the facility located on 0 Name: ! HAfiO, RpAp POPS:ptYCII?N 1 I 1 I I I I I I I I I 1 I I I I 1 Indian Lands? (Y or N) Address: I I I I I I I I I 1 I I I I I I I I 1 I I I I 1 I I I I I 1 I I 1 City: I D ! ! , , , , 1 I ! 1 ! ! ! ! ! I State: ZIP Code: I7,?01)1 , I ,-I I I I I : Latitude: 1 􀁾􀀲􀀱􀀷􀁊􀀬􀁯􀀠I 1Longitude: 1 I 􀀹􀁰􀀴􀁾􀀳􀀨􀁊􀀠 1 Iauarter.LLJ Section:LLJ Township:! 1 Ranged IV. Site Activity Information TOWN OF ADDISON MS4 Operator Name; I 1 1 I!! I , [ WHITE ROCK CREEK Receiving Water Body:' ! I ! [ ! , ! ! If you are filing as a co-permittee, enter storm water general permit number. SIC or Designatea nl Activity Code: Primary: 1 I I =y 1 2nd: I , I Is the facility required to submit monitOring data? (1. 2, 3, or 4) G:J If You Have Another Existing NPDES I Permit, Enter Permit Number. . I ! ! ! ! I ! V. Additional Information Required for Construction Activities Only Project Start Date: Completion Date: Estimated Area to be 1 I I I 1 I 1 1 1 I I 1 I 1 Disturbed (in Acres): 1 Multi-Sector Permit Aoplicants Only: Based On the Instructions provided in Addendum H of the Multi-Sector pennit, are species identified in Addendum H in proximity to Ihe storm water discharges to be covered 0 under this pennit, or the areas of BMP construction 10 control those storm waler discharges? (Y or N) Will construction (land disturbing activities) be conducted 0 for storm water controls? (Y or N) Is applicant subject to and in compliance with a written 0 historic preservation agreement? (Y or N) Is the Stonn Water Pollution Prevention Plan in compliance with State andlor Local 􀁾􀀠 I I I 11141 sediment and erosion plans? (Y or N) L!J VI. CertificatlOn: The 􀁣􀁥􀁲􀁴􀁩􀁦􀁩􀁣􀁡􀁾􀁯􀁮􀀠statement in Box 1 applies to all applicants. The certification statement in Box 2 applies onlVto facilities applying for the Multi·Sector storm water general permit. BOX 1 ALL APPLICANTS BOX 2 MULTI-SECTOR STORM WATER GENERAL PERMIT APPLICANTS ONLY: I certify under penalty of law that this document I certify under penalty of law that I have read and understand Part LB. eligibility requirements and all attachments were prepared under my for coverage under the Multi-Sector storm water general permit, including those requirements direction or supervision in accordance with a relating to the protection of species identified in Addendum H, system designed to assure that qualified To the best of my knowledge, the discharges covered under this pennit, and construction of personnel properly gather and evaluate the BMPs to control storm water run-off, are not likely to and will not likely adversely affect any information submitted. Based on my inquiry species species 􀁩􀁤􀁥􀁮􀁴􀁾􀁩􀁥􀁤􀀠in Addendum H of the Multi-5ector storm water general pennit or are otherwise of the person or persons who manage the eligible for coverage due to previous authorization under the Endangered Species Act. system, or those persons directly responsible for gathering the information, the information To the best of my knowledge, I further certify that such discharges, and construction of BMPs submitted is, to the best of my knowledge and to control storm water run-off, do not have an effect on properties listed or eligible for listing oelief, true, accurate, and complete. I am on the National Register of Historic Places under the National Historic Preservation Act, .or 􀁡􀁾􀁥􀀠 aware that there are significant penalties for, othefWlse. eligible for coverage due to a prevIous agreement under the NatIonal Hlstonc submitting false information, including the ! PreservatIon Act. :lOSSibility of fine and imprisonment for knowing : I understand that continued coverage under the Multi-Sector general permit is contingent upon liolations. , maintaining eligibility as provided for in Part I.B. Date: 1 1 1 I I I 1 3ignature: EPA Fonn 3510·6 (8-98) Instructions -EPA Form 3510-6 Notice Of Intent (NOI) For Storm Water Discharges Associated With Industrial Activity To 8e Covered Under a NPDES General Permit Who Must File A Notice Of Intent (NOI) Form 􀁆􀁾􀁲􀁡􀀱 􀁲􀁡􀁾at 40.􀁾 Part , 22 prohibits pojrtt sootce t1iSd'larges of storm water associated WIth Industnal activity to a warerbody(teS) of the U.S. WithOuta NatiOnal Pollutant 􀁾􀁩􀁳􀁣􀁨􀁡􀁲􀁧􀁥􀀠 Elimination System (NPDES) permit The operator of an Industnal activity that has sucn a stonn water discharge must submit a NOI to Qbtaiti coverage under a NPDES Storm Water Genetal Permit If you have CjuestiOns annut Whether you need a penrnt undor the NPOES Storm Water program. or if you need information as to wMther a particular orogram Is administered by EPA or a stale agency. telephone or write to the Notice ot Intent Processing Cernsr at (703) 931-3230. . Where To Fife NOI Form 'JOls must be senllO the following address: Storm Water Notice of Intent (4203) 401 M 􀁓􀁴􀁲􀁥􀁥􀁾􀀠S.W. WaShington. DC 20460 :;ompleting The Form (ou must type or prim. using upper-case leners, in the appropriate areas only, Please )Iace each character between Ihe marks_ Abbraviate it necessary to stay within Ihe lumber of characters allowed for each ftem. Use one space fOf breakS between words jut not for punctuation markS unless they are needed to clarify your responses. II you lava any questions on thiS fonn, calilhe Notice of Intent Processing Center at (703) 931J23O. Section I Permit Selection fOU!!l!:!§.t indicate the NPOeS storm waler generai permi! under whiCh you are appfylng or coverage. Check one box onry. The Saseline Industrial and Baseline ConstrucUon fermits ware issued in Seplember 1992. The Mul1t-Sector Pem'lft became effective )ctober 1. 1995, ;ection II Facility Operator Information 'rovide the legal name 01 the person, firm, public organizatton. or My olher entity that ,perates the facility or site descrIDed in this application. The name at the operator may ., '!lay not be the same a:s the name, of the facility. The responsibJe party is the legal ,ntlty that controis the facdlty's operation. rather than the plant or site manager. 00 not se a colloquial name. Enter the complete address and telephone number of the operator. :nter the appropriate letter 10 indicate the legal status of the operator 01 the iacmw: : Feaeral; S =-State; M ::: Public {other than federal or Slate}; P = Private lection III Facility/Site Location Information :nterlhe racility's Of site's official or le9al name and complete street address, InClUding Ity, state, and ZlP code, 00 not proVIde a P.O. Box number as the street address. If pplying lor a Baseline Permit and the faelJity or site lacks a street address, indicate Ie srate and either the latitude and longitude of the facility to the nearest lS seconds r the quarter, seC'lion, township. and range (to the nearest quarter sectiOO) of the pproximate center of the Site. If applying for the MuUi-5ector Penn it Indicate the amplote street address.aml either the latitude and longitude of the facility to the earest 15 seconds g£ the quarter • .section, township. and range (to the nearest uarter section) ot the approximate canter at lha site. Ii applicants must indicate whether the facility is located on Indian lands. ;eclion IV Site Activity Information the slorm water discharges to a municipal separate stann sewer system (MS4), enter 19 name of the opennor of the MS4 {e.g., munidpallty name, county name)..am;! the Iceiving water of the dIscharge from the .MS4. JA MS4 is defined as a conveyance or ;stem Of conveyances (Including mads WIth dramage systems, municipal streets, catch 1slm;, cu;t)s, gutters, ditches, man-made channels, or storm drains) that is owned or Jerated by a state. City. town, borough, county, parish, diSlfict. associalion, at OIhe( Jblic body which is designed or used for collecting or conveying stonn water_) the facility discharges storm walerdfreclly 10 receiving water(s), enter the name of Ihe .celving waler(s). you are filing as a co-permittee and a storm water general permit permit number has been sued, enter the number In the place provided. ::Ifc-?.te the monitoring status of the 􀁦􀁾􀁬􀁩􀁴􀁹􀀮􀀠Relerro tI1e penni! for lnformation on monitoring qUlrements. Indicate the momtoring status by entenng one of the following: 1 Not SUbject to monllOring requirements under the conditions of the permit :2 Subject to monitoring requirements 􀁾 required to submit data_ l SUbject to monitoring requirements bur 1lQ1 required to submit data. 􀁾􀀠 SUbJect to monitoring requirements bUt submitting certifkatlon tor monitoring exclusion. List. in descending order of sfgnift:ance. up to two 4-digit standard induslrialclassmcatJon (SIC) codes that best describe the principal products or services proVided at the 'p:ciUty 2L!il.t!.l identtlied in Sectlon III of this appiication. If you are applYing for coverage unOOf tFi'i"Constructlon genera! pennit, enter "CO. (which represents :SIC codes 1SCKJ.1799). For industrial activities defined in 40 CFR 122.26(b)(14l(i}·(xi) that dO not have SIC codes Ihat acC1.lmtely describe the prinCipal products produced or seMcas provlded. use 1M: following 2..waracter¢Odes, HZ "'" Hazardous wasta treatment, storage, or disposal faCilities•. inclUding IhOse that are operating under Interim status or a pemut under subtitle C of RCRA {4O CPA 122.26(b)(14)(iv))i . LF :::: Landfills. land application sites, and open dUmps that rece've or have (eceived any industrial wastes, including those that are subjec: to regulation under subtitle D of ReRA ['" CFR 122.26(b)(14)(V)1i se Steam elecrric power generating facilities, inclUding coal handling slles (40 CFR 122.26(b)(14)(viQJi TW "'" Treatment worl if the _ Water 0 Gonera! 􀀢􀀢􀀢􀀢􀁾 Number. I I I I I , I I the Ope: I I I I Rang.: I I I I I IV. Canification: I 􀁣􀁡􀁲􀀱􀁩􀁾􀀠under penalty 01 law !hat all stcnn water discharges assoCiated wi!h industtial actMty lrom the <1_facility !ha, are .ulhorized by a 􀁎􀁐􀁏􀁾􀁥􀁲􀀮􀀻􀁉 􀁰􀁥􀁭􀀡􀁾􀀠 """ been eliminated or !hat I am no longer !he 0!"IfaI0r ot,!helac:11ty or consll'\Jctlon site. I und_ that by submil\i!1g Ihis Nolica 01 Tern>' n, I am no lon!Jl!!' authorized 10 d1sc11a1ga srorm water assoCiated wi!h i_aI acdvity under this 􀁧􀁥􀁮􀁾􀁩􀁴􀀮􀀠and that discharging poilu,,,,,", in stcnn water associated 'Nith industrial actMty 10 _ 01 !he Uniled Slales i. unlawful under 1I1e Clean Water Act the discharge i. nol aul!1orized by a NPOeS permiL I also understand that !he submittal 01 this Notice 01 Torminallon does not'release an _rfrom liability for at!'f ""lations of this permit or !he C1san Water Act. , ' Print Name: I I I I I I I I I I ! I I I I I ! I I I' I I ! , I I ! I , I I Date: I I I I I I I S'>gnature, InsttuCllans lor CamplCllng NoUce of Termination (NOil Form Wbo May FU•• Hctlce of Termlnatfon {Non Farm Where 10 file HOT Form Pennit'lees who ate pnJ$8f'Itty cO'Yefttd unci. the EPA iSSlled National: Pollutant Sand tnis term 10 the me fallowing addras: Ol$C:harge Slmindon System (NPOeS) General Permit !or Stonn WatGr O1cttarges Assodated with Industrial Ac!iWy may $ubnm: a Notice crt i annin\lUOtt Sterm Water N"otiee at T€lmdnatton (NOT) fonn ...tIen !he$( facilities no longer haw any stotm water 􀁾􀀠 P.O.b 11.85 associated with induStrial activity as delJned in the stotm wafit' regulations at 4Q Nswmgton. VA 32122 CfR 122J!6 (blll'l. or when I!IOy "'" no long" tn. _ 01"", tadJiIlas. For 􀁾􀁮 actMtla. alimmaffon of all storm watlH' dtscharges iI$.SOCiated Compfettng the !=omt with indusUiaf act:tmv oeeurs when d:i:stutbed SOils at !he 􀁾$ita haw bean linaiIy stabilized and IempOt3IY erosion and sediment control maa.suteS . Type at print. using uppar-<:aSG leiters. irt the 􀁾areas OfIty. Please haw bNn temoYed Or wiD be tetnQVtiJ(f at an apptOQrial8 time. or !hat aU $kimI place 98Ch character between tna marits. AbI:I1Mate if neces:sary to stay wilhin ...at", e:Ifscn$1i78S 􀁾wtth induMriaf a::tiWy from nut <::on:strUCt:fon Site lhat the rrumber 01 char.adaf'S allowed for each item. Use t:Wt on8 :$pace lor bnlalcs are auIhOrized by a NPOeS general permit have othetwia.ct bean $Hminac8d. between words. bur noJ lor punc:twllfon matk:s urrlesa they are needed 10 d.arify F'mar SUtbiHzarfan means tMf all 􀀤􀁯􀁈􀁾􀁲􀁢􀁉􀁴􀁉􀁧􀀠􀁾at !he sfte have been 􀁹􀁴􀁊􀁕􀁉􀁾􀀮􀀠If you nave any question's about this form. call the Storm Water CCl'fIP'eted. and that a unilQrm perennial vegetatMl cover vrith a density 01 􀁾􀁾 ot HoUIn& at (703) 821-423. the cover for unpaved areas and areas not CDWn!Id by 􀁾sttuaurlJ!S has beeff estabtIshed.. or 􀁾􀁦􀁈􀀱􀁴 j)etmananf $tabillutJon mea:suras (SUCh a"l: the use of riptap. gabfons. or geotextllK) hav9 been emptoyed. FI.EASI! See RI!VElISI! OF THIS FORM FOil FURTHER INSTRUCTIONS ePA Form .3510-; (8-92' ,tn Printed en Recycled Paper :to? InaU1Ac::tIana '" EPA Form 3$11)07 􀁟􀀢􀁔􀁟􀀨􀁎􀁏􀀧􀁉􀀩􀀢􀁾__NPo.es __K tor Slcum Waw Ok tIM' 􀁾􀀠...􀁾Acttvtty t _1_-.IV CadfIk:aIfan Etuar 1M uiIdng NPCSS Sltum Wev GenataI PemUt I1UI'IltI8f aaaignad to the Federal GlUfes pnMde fer sev«B petlaltiss fer su.bmitling falsa infocmalJan on /aoiIIy .. sIIa __In -.􀁕􀁾􀀠 I you 40 __... ____---'.... 􀁾tonn. -... -"""""" roqulto III.. """,lea...,., be 􀁾as ........... ___.. (7Il3)a:t1-4823. • _ . _.your_􀁦􀁯􀁴􀁾 .... _ OIT_by -.;... For .. 􀁾by. a mp td:I&a corpor.lI8 ottlcer. which meanc (I) pteIid4nt. 􀁾􀁢􀁏􀁸􀀺􀀠 ........,. _.􀁯􀁴􀁾01 .... CCI»CRIian in 􀁾0/. prindpaJ -.ot any.__whO podomIII_ polley Of-. " d'Ient h.u: .been a cftang8 of op!IfU:V ;md you are no longer 1ha oper.uot 􀁾funaions. ot (ii) 1M I1't.anagIIIt at one Of mora ma.nuIaau.rinQ • production; 0/lIIo/aoilly ", __In 􀁾 􀁟􀀱􀀱􀁾 _ 􀁬􀁉􀁴􀁯􀁾􀁢􀁯􀁸􀀮􀀠 _ QI/ot__ _empIo)iIIg ...... ""'" 2SO __orl1aW1g __ ........:IIng $25_ (In _1__ if 􀁾􀀠 􀁾􀁤􀀭􀀢___at ... faoilb'for"'._1n 5_'11have been auctxwity to sign doCw'n8f"d5 has bHn 􀁾􀁮􀁥􀁤 Qt GeIagalOO to 1ha manager in 􀁉􀁉􀁉􀁯􀁾􀁢􀁯􀁸􀀮 __ _ ,.;1II_• .,..,.,.....,as; _ij 􀁆􀁯􀁣􀁩􀁉􀁉􀁴􀁹􀁏􀁾􀁟􀀠 Far. {1iiItIISIship Or _ propti6tDtshlp:by • ge,,,,,", _ at 1110 proprioOor. '" Far. 􀁭􀁾􀀮􀀠 _. p.tbIic '-' _ • prindpaJ . _ oIIIca< ot _ 01_ QIficiaL _ ..._ ......oI.... -.IInn.pubIic__"'any._.....,1IlaI S/aUt, or _ by gper.rtM Ute facilityotsila 􀁾in !his Wkation. The nama of the operatot lnIlJ ot may noI be the same·name as the facility_ The opar.Ib3( of the facility is Il1o __which _Is... faClity's --"""........ !han Ill. plant ot situ "--'"_on....Halloo manaQer_ 00 not U$8 a coIoquiaI natruf. Enw the Clunpleta addm:ss and taaaphona numbaf of the opetaIDr. Public reponing burden fot this appUc:auon is unmated to avetage 0.5 hounl; per 􀁾􀀮 induding time ror reviewing 􀁾􀁾uisting data ........ gallllIring """ mainlliUling ... daIa _. and CC""'_ ana t8ViewioQ tha coUeaion: 01 lntormadon.. Send comm&nlS regan:ilng I:ha burden 6.-1h.a 􀁾􀀤 ot sitit'S otfidaI ot legal nam* and CClttlpteht addtasIS. itttdl.Idfng IGilirnal8. any 0_ 􀁾 01 the CQ.Ifec:tion 01 information. or : C!Iiof. Infotmalion PolIcy _ PN·22:3. U.S. _ _ IaW!!shlp. and mnga (OJ lito ......... _ -'1 01 lit. __ PrctactionAgenc:y.401 M SIl'8et. SW, Was.hfttgton, CO 20460, orOlteic:tor, Offica c;anw ot rna s&ta. 0/InI!rlmaJion _ RegWaI 10 disturbed acres, a sediment basin with a volume of 3,600 cubic feet per acre drained, or equivalent control measures, shall be provided until final stabilization of the site. Where a basin is not attainable, smaller basins andlor sediment traps should be used. At a minimum, silt fences or equivalent sediment controls are required for all sideslope and downslope boundaries of the construCtion area. These minimum controls shall also apply to drainage locations serving < 10 acres unless a sediment basin with a storage volume of 3,600 cubic feet per acre drained is provided. Stabilization Measures: Stabilization practices may include temporary seeding, permanent seeding, mulching, geotextiles, sod stabilization, vegetative buffer strips, protection of trees, preservation of mature vegetation, and other appropriate measures. Stabilization measures will be initiated as soon as practicable where construction activities have temporarily or permanently ceased. The measures will be initiated no more than 14 days after activity has temporarily or permanently ceased except where construction activity will resume on that portion of the site within 21 days or initiation of stabilization measures is precluded by snow or seasonal arid conditions. Arid conditions may occur occur in areas where the average rainfall is less than 20 inches. Storm Water Management: Practices include wet ponds, retention structures, flow attenuation using vegetated swales and natural depressions, infiltration and sequential systems using one or more of these practices. h:\,,\l772sw3p.doc Page 7 APPENDIX This appendix contains: Site Maps Erosion & Sediment COI1lrOl Plan & Details Inspection Fonns & Repom Notice OfIntent Fonus (Copies) Certification of Contractors Notice of Termination Fonns (Copies) Record of major soil disrurbing activities Record of RevisionsIModifications h:\..\I772sw3p.doc PageS N 􀁾􀀠 II) cc « ac:i BEL T LINE RD. ARAPAHO ROAD CONSTRUCTION USGS Topographic Map -7.5 Minute Series Addison Quadrangle Huitt-Zollars, Inc. \, ARAPAHO ROAD CONSTRUCTION GENERAL LOCATION MAP Huitt-Zollars, Inc. THIS FORM REPLACES PREVIOUS FORM 3510-6 (8-92) Fonn Approved. OMS No. 2040..0086 See Reverse for Instructions Approllal expiras 8-l1·9S NPDES I&EPA United States Environmental Protection Agency Washington, DC 20460 FORM Notice of Intent (NOI) for Storm Water Discharges Associated with Industrial Activity Under a NPDES Permit Submission at this Notice of Iment constitutes notice that 1118 party identified in Section II of this form intends to be authorized t:fiJ a NPDES permit issued for storm water dJsC:harges associated with industrial activity in the State identified in SeCtion III of this form. Becoming a permittee obligates such discharger to compiy with the terms and conditions of the permi!. ALL NECESSARY INFORMATION MUST BE PROVIDED ON THIS FORM. i L Permit Selection: You 􀁭􀁾􀁳􀁴􀀠indicate the NPDES Storm Water general permit under which you are applying for coverage. Check one of these. Baseline 0 Baseline 0 Multi-Sector 0 Industrial Construction (Group Penmit) II. Facility Operator Information Name: I El> BELLI CQNj!TRU\::TWN I I I I I I I I I I I I I I I I I I IPhone: 1214 ;f 􀀧􀀳􀁾􀀸􀁬􀀶􀁾􀀸􀀡􀀠 I I ! Status of n 1 1 J 1 I ! 1 , ! Owner/Operator I!J I ' City: I D6J.T.A5 1 ! ! ! ! ! ! t ! 1 1 State: InJ ZIP Code: 175354! I I -I I I , I III. Facility/Site Location Information Name: 1 􀁁􀁦􀁁􀁦􀁁􀁾􀁏􀁉􀀠RpAp fOrSTRYCtI?NI Is the facility located on 0 : Indian Lands? (Y or N) City: 1 1-1-I¥_D.J.tI_SP-,-NJ..1-,--,--,--,--,-'_1,-,--,---,--,--,--,--,--,,-,-,--,--,--,1 State: 12!-ZIP Code: 1-17..1;;_0-,-9_.I .-,--,-1-,-1-'-.J-.-'--' Latitude 1 12;J710 I 1 Longitude:' , 9p4P3Q , Quarter:L..t..J Section:L..t..J Township:! ! I ! 1 Range:' :IV. Site Activity Information TOWN OF ADDISON MS4 Operator Name: I t I [ ! ! ! ! J WHITE ROCK CREEK ReceivingWaterBody' I I , I t I I I 1 I 1 I I I I , I I , , ! I I I If you are filing as a co-permittee, Multi-Sector Permit AQQlicants 􀁏􀁮􀁬􀁾􀀺􀀠 enter stonm water general pennit number. 1 I I I I I I I I , Based on the Instructions provided in Addendum H of the SIC or Designated , Multi-Sector permit, are species identified in Addendum H in proximity to Ihe storm water discharges to be covered 0 Activity Code: Primary: I I I CD I ! 2nd:' I I I I under this permit, or the areas of BMP construction 10 control those stonm water discharges? (Y or N) Is the facility required to submit monitoring data? (1,2,3, or 4) G:J Will construction (land disturbing activities) be conducted 0 : If You Have Another Existing NPDES 1 , for storm water controls? (Y or N) Penmit, Enter Permit Number: , I I I I ! I I Is applicant subject to and in compliance with a written 0 I historic preservation agreement? (Y or N) V. Additional Information Required for Construction Activities Only Project Start Date: Completion Date: Is the Stonm Water Pollution Prevention Plan , , , , Estimated Area to be 1 4' in compliance With State andlor Local [!J I I I I : I I I I Disturbed (in Acres): I I I I I I : sediment and erosion plans? (Y or N) , VI. Certification: The certification statement in Box 1 applies to all applicants. The certification statement in Box 2 applies only to facilities applying for the Multi-Sector storm water general permit BOX 1 BOX 2 ALL APPLICANTS MULTI-SECTOR STORM WATER GENERAL PERMIT APPLICANTS ONLY: I certify under penalty of law that this document I certify under penalty of law that I have read and understand Part I.B. eligibility requirements and all attachments were prepared under my for coverage under the Multi-Sector storm water general penmit, including those requirements direction or supervision in accordance with a relating to the protection of species identified in Addendum H. system designed to assure that qualified To the best of my knowledge, the discharges covered under this permit, and construction of personnel properly gather and evaluate the BMPs to control storm water run-off, are not likely to and will not likely adversely affect any information submitted. Based on my inquiry species identified in Addendum H of the Multi-8ector stann water general 􀁰􀁥􀁮􀁭􀁾􀀠or are otherwise of the person or persons who manage the eligible for coverage due to previous authorization under the Endangered Species Act. system, or Ihose persons directly responsible for gathering the infonmation, the information To the best at my knowledge, I further certify that such discharges, and construction of 8MPs submitted is, to the best of my knowledge and to control storm water run·off, do not have an effect on properties listed or eligible for listing belief, true, accurate, and complete. I am on the National Register of Historic Places under the National Historic Preservation Act, or are aware that there are significant penalties for otherwise eligible for coverage due to a previous agreement under the National Historic submitting false information, including the Preservation Act. Jossibility at fine and imprisonment for knowing I understand that continued coverage under the Multi-Sector general permit is contingent upon liolatioos. maintaining eligibility as provided for in Part I.B. , , 'rin! Name: I I I ! I I I I I I I I ! I ! I I I I I I I I I I I I I I I 1 Date: I I I I 3ignature: _PA Form 3510·6 (8-98) I I Instructions· EPA Form 3510-6 Notice Of Intent (NOI) For Storm Water Discharges Associated With Industrial Activity To Be Covered Under a NPDES General Permit Who Must File A Notice Of Intent (NOI) Form Feder.:il raw at 40 CFFI Pan 122 prohibits point source disdiarges ofstorm water associa:ted with industrial acrMtylO a vvaterbody{fes} of the U.S. without a National ?oUurantOischarga Elimination System {NPOES} penrut. The operator of an jndustrial activity that has such a mann water discharge must submit a NO! to obtain coverage under a NPOeS SlOan Water Geoorai Pennil If you have queslioos aboutwhelheryou need a permit under the NPOES Storm Water program. or if you need information as to whether a particular program is admmiStared by EPA or a state agency, telephone or write to the NotICe 01 Intent Processing Carner at (703) 􀁧􀀳􀀱􀁾􀀳􀀲􀀳􀀰􀀮􀀠 . Where To File NOI Form NOts must be sent to the fOlloWing address: Storm Water Notice of Intent (4203) 401 M Street, S.W. Washington, DC 20460 Completing The Form You must type or print, using 􀁵􀁰􀁰􀁾􀁲􀀭􀁣􀁡􀁳􀁥􀀠leners, in lhe appropriate aleas only_ Please place: each character between the matks. Abbreviate if necessary to stay within the number of characters allowed for each item. Use one space for breaks between woms. but not lor puncruatiOfl marks unless lhey are needed to danfy your responses. If you have any questions on thIS fotrn, call the Notice of Imant pl'O¢eSSjng Centerat (703) 􀀹􀀳􀀱􀁾􀀠 3230. Section I Permit Selection You!!:l.!S indicate the NPDES storm water gMaral permit under which you are applying tor coverage. Check one box only. The Basebne Industrial and Baseline Construction perrrdts were issued in September 1992. The Multl4 Sec[or Permit became effective Octoberi,1995, Section II Facility Operator Information Provide the fegal name of the person, firm, public organlzatfon, or any other entity lhal operates the factlity or site described in this application. The name of the operator may or may not be the same as the name ot the lacJIIly. The respoflSible party is the legal entity that controls the facility's operation, rather than the plant or site manager. Do 001 use a colloquial name. Enterthe comptete address and telephone number ot the ope!3tor. Enter the appropriate fetter to indicate the 'egal slatus of the opera lor ot !he facility: F Federal; S = 􀁓􀁴􀁡􀁴􀁥􀁾􀀠M = Public {other than laderal or state); P = Private Section III Facility/Site Location Information Enter !.he 􀁴􀁡􀁣􀁩􀁬􀁾􀁳􀀠or site's offICial or legal name and complete street address, induding city, slate. and ZIP code. Do not provide a P.O. Box number as the streat address. Jt applying tor a Baseline Permit and the fa¢itlly Of site lacks a street addross. indicate the state and either ,the latitude and longitude 01 the facilIty to the neams! 15 seconds Q! the quarter. sectIon, township. and range (to the nearest quarter section) of the approximate center of the site. It applying tor the MulU..$GClor Permit Indicate tho completo street address,mg either the latitude and longitude of tho facility to the nearest 15 sec:onds 2.t thG quarter, section, township. and range (to the nearest quarter section) ot the approxJmate (len tar ot the site. AU applieants must indicate whether the facility Is located on Indian lands. Section IV Site Activity Information If the Sionn water discharges to a municipal separate storm Sewer sy:s1em (MS4). enter lhe name of the Ope!3lOr of the MS4 (e.g •• muniCipatity name, county name).am! the receiVIng water of the dlscharqe from the MS4. (A MS4 is defined as a conveyance or system Of conveyances (lncludtflg roads with drainage systems, municipal streets, catch baSins, curbs, gutters. ditches. man-made channels, or storm drains) that is owned or ope!tltad by a state. City. town, borough. county, parish. district, association. or other publrc body Which is designed or used for collecting or conveylng storm water.) If the faeffity 􀁤􀁾storm water directly to receiving water(s}, enter the name or the _mg ""terlo). It you are filing as a co-permittee and a storm water general permit number has been issued. enter the number In the place provided. Indicate the monitoringstatus or the facility. Refer!O the permit forinformatlon on monitoring requirements, IndJcate the monitoring status by entering one of the following; 1 = Not subject to monitoring requirements under the conditions of the permit 2 =Subject to monitoring requirements.and reqwred to submit data. 3 =Subject 10 monitoring requirements but tw1 required to submit data, 4 :I Subject to monitoring requirements but submitting certification for monitoring exclUSion. List, In descending order of signiticance, up to two 4-, 􀁉􀁾􀁉􀀠E"ILILI t <"1 °It-l l 􀁾􀀠LI1fld!,c..I:I, II 􀁏􀁬􀁾􀀠 􀁉􀁾􀁉􀀠0 1'"'" PIAI""I VI I phone:IZIII4-I'IS 181b,S ,91' 1 Status 01 Addre..: 11,0,(',0 ,S", ,I+JI", 􀁾􀀬􀁾 L! , I'f..! « llf: 1E"'12 I ,r., f.,.., 􀁶􀀬􀁾􀀬􀀠 , , , , , , , , , I DwnerlOperalor. [f] CMy: It> ,i>.If..., \.., ».,2, , I I I I I I I I , , , , , , 1 State: t:I:i.cJ ZIP Code: 1:t,S ,'l,..j1.,!'21 " , , , 1 III. Facility/Site Location Information IIIr,R ,/>.,? ,"',Ib 0, ,B 0,"",1:> , , , , , , , , , , , , , , , , , , Is the 'r:.%IOCaIed on Name: 1 Indian ? (y or N) 􀁾􀀠 AdCf'S$: 11),». ,[..,[.., ",",s. , 􀀬􀁉􀁊􀀬􀁟􀀭􀀱􀁩􀀮􀁧􀀬􀁢􀁬􀁢􀀮􀀨􀀬􀁊􀀮􀁈􀁲􀀮􀁊􀀮􀁾􀀠,0, ,,.,.,t>.l\,I,),o,N, ,jtjb, , I CUy: IfIr,\) ,\),I,S,o,}4, , , , , , , , , , , , , , , , I Slale: t:I:u!l ZIP Code:l.f ,S ,2.,4.4', " , ! , I Latitude: I I I I I I I LongilUde: I I I I I I I 1 Quarter. W 5eC11on: W Township: I I , I I Range: I I I I I IV. Site ACilvity Information MS4 Operalor Name: IT.o e! It!, 􀁉􀁏􀁉􀁾􀀠! 􀀱􀁰􀀮􀀮􀀱􀁾􀀠Ib I' 151QINI , , I , , I , I , , I I I I , 1 Receiving Water Body: 1"',"<' ,T,e', 􀁉􀁧􀁤􀀲􀀱􀀨􀀮􀀡􀁾􀀡􀀠 􀁉􀁃􀀮􀀬􀁉􀀡􀀭􀀬􀁅􀀧􀀬􀁥􀀭􀀬􀁾􀀠 I , ! , I I I I V. Additional Information Aequlred for eonslrUCllon Activities Only Projeet Start Date: Completion Date: Is the Storm Waler Pollution Prevention Plan [1J 10,5]0.\ 1<'1.01 10 EstImated Area to be In compliance with State and/or Local SIOI{ 11 1t)1 Disturbed On Acres): I ! ! I I ,61 sediment and erosion plans? (Y or N) VI. Certification: The certillcetlon slalementln eo. 1 applies to all applicants. The certificatiOn statement In Sox 2 appIi8f' 􀁮􀀢􀁨􀁾􀀠t ... (,,.mH_ 􀁾􀁶􀁩􀁮􀁲􀁴 􀀧􀁴􀁜􀁾􀀠thA 􀁦􀁊􀁊􀁵􀁴􀁈􀁾􀁾 c:.tnrm wAtAr n9:..n_e_ral...:.pe__rm_I_L____--I If yeu are filing as a co-permittee, Mullt,.Sectot firmlt Annllcants Qotv' enter stann water general permit number: 1 Based on the InsIrUCIIon. pn>VIded In Addendum H of the . . . , , , . . 1 MulU-Sector 􀁰􀁥􀁮􀁮􀁬􀁾􀀠are species Identified In Addendum H SIC or DeSignated In proximlly 10 the storm water discharges 10 be covered ACllvity Code: Primal)': IC,o, o, ! 1 2nd: 1 I , , 1 under this permit, or the areas 01 BMP construCllon 10 control mese storm water discharges? D (y or N) D Is the-faCility required to submit moniloring data? (1, 2. 3. or 4) Will consItUction (land dlsturbln2 ac1Ivities) be COI'Iducted 11 You Have Another Existing NPDES for storm water controls? (y or ) D Perm". Enter Permit Number: 1 , , I , , ! , , I D aOX1 .ALLAPPUCANTS: I certify under panalty of law thai Ihls document and all attachments were prapated under my direction or supervislon In aocordan<:e with a system designed to assura mat qualified personnel properly gather and evaluate the Information subml\led. Based on my Inqull)' of the person or persons who manage the syetem, or these persons direetiy responsible for gathering tlte Information, the information submi\led Is, to the best of my knowiedge and belief. true, accurate, and complete. I am aware thai there are significant penalties lor submitting false information,lncluding the possibility-01 fine and Imprisonment for knowing violations. PriotName: 51 newr • EPA Fe,," 3510-6 (8-98) 􀁂􀁏􀁘􀁾􀀠 I certify undo! coverage unq the protection To the 􀁢􀁥􀁳􀁴􀁾􀀱 COI'Itrol storm Addandum to previous 1 Tome best a control storm National Reg eligible for eo I understand, maintaining E 'UCANTS ONLY: eligibility requirements for se requlrementa relating to .net construCllon 01 BMPs to leet any species Identified In ;se eligible lor ocverage due onstruction 01 aMPs 10 IIgibie for listing on the Ion AcI, or are otherwise ,0IiC Preservation Act nit Is conUngenl upon --------HLII1T-Z(lll\PS 􀁈􀁵􀁩􀁴􀁴􀁾􀁚􀁯􀁕􀁡􀁲􀁳􀀬􀀠Inc./3131 McKinney Avenue I Suile 600 JLB 105 /Dalias, Texas 75204-2489/2141871-33111 FAX 2141871-0757 May 22, 1998 iYfr. Robert D. Weber Ed Bell Construction Company 10605 Harry Hines Blvd. P.O. Box 540787 Dallas, TX 75354-0787 Re: Arapaho Road Reconstruction Addison, Texas Dear iYfr. Weber: Attached are three copies ofthe Stonn Water Pollution Prevention Plan for your use. Please feel free to call should you have any questions. Sincerely, HUITT-ZOLLARS, INC. 􀁾􀀰􀀭􀁾􀀠 Kenneth A. Roberts, P.R Vice President ; ."' H:IPROJlOll7720 1 IPOLUTlON2.DOC Dallas JFort Worth I Houston! EI Paso I Phoenix; TUStin I Ontario I Albuquerque I Seattle /Tacoma HUrTrZOLkL\,RS 􀁈􀁵􀁩􀁴􀁴􀁾􀁚􀁯􀁬􀁩􀁡􀁣􀁳􀀬􀀠Inc, /3131 McKinney Avenue I Suite 600 I LB 1051 Dallas. Texas 75204-2489/2141811-3311 JF.A.X 2141871-0757 TRANSMITIAL May 21, 1998 TO: Ed Bell Construction i· 10605 Harry Hines Boulevard ! I Dallas, TX 75354 :! RE: Stonn Water Pollution Prevention Plan Arapaho Road Construction· Addison, TX Huitt·Zollars Project No. 01-1772-01 Please find attached three (3) copies of the referenced plan. The following items should be completed to implement the Stann Water Pollution Prevention Plan prior to beginning construction: • Sign the plan in accordance with permit requirements. (The same person who signed the Notice of Intent should sign the plan.) The Town of Addison will submit an Nor as copermittee. • A copy ofeach Notice of Intent (NOn should be inserted in the Appendix of the plan. • A copy of each Notice of Intent (NOn should.be posted on the job site (as stated in part X of the plan). • All contractors must submit a certification to the Owner prior to construction. construction. (See Part VII of the plan.) Blank forms are provided in the Appendix. • Inspections must be perfonned as outlined in Part IV of the plan. Inspection fonns are provided in the Appendix. • A record should be kept of major soil disturbing activities. Forms are provided in the Appendix of the plan. Please note that issuance of the new NPDES general permit for construction for EPA Region 6 (currently pending) will require that you re-apply for the permit. I have also attached a brief sunttaary of steps to be taken for compliance with the NPDES requirements for construction projects. Sincerely, HUITI·ZOLLARS, INC. OaJift-o-David R. Hennessy attachment G:\PROMll9!i807\SWPPP,'IRA f?allas I Fort V!orth I 􀁾􀁉􀀿􀀧􀀺􀁬􀁾􀁾􀀮􀁮􀀺􀀡􀀠8 PasOl 􀁾􀁊􀁴􀀺􀁯􀁯􀁮􀁩􀁸􀀠I T􀀡􀁊􀁾􀁴􀁬􀁮􀀠I Ontario I Albuquerque