Laserfiche WebLink
Attachment 2 <br /> Stale Water Resources Control Board <br /> NOTICE OF INTENT <br /> TO COMPLY WITH THE TERMS OF THE <br /> GENERAL PERMIT TO DISCHARGE STORM WATER <br /> ASSOCIATED WITH CONSTRUCTION ACTIVITY(WQ ORDER No.99-08-DWQ) <br /> I. NOI STATUS SEE INSTRUCTIONS <br /> MARK ONLY ONE ITEM 1. ❑ New Construction 2. ❑ Change of Information for WDID# <br /> II. PROPERTY OWNER <br /> Name Contact Person <br /> Mailing Address Title <br /> City State Zip Phone <br /> III. DEVELOPER/CONTRACTOR INFORMATION <br /> Developer/Contractor Contact Person <br /> Mailing Address Title <br /> City State Zip Phone <br /> IV. CONSTRUCTION PROJECT INFORMATION <br /> [A. <br /> e/Project Name Site Contact Person <br /> ysical Address/Location Latitude Longitude County <br /> y(or nearest City) Zip Site Phone Number Emergency Phone Number <br /> Total size of construction site area: C. Percent of site imperviousness(including rooftops): <br /> Acres D. Tract Number(s): _. _ <br /> Before Construction: % <br /> B. Total area to be disturbed: <br /> Acres (%of total _) After Construction: % E. Mile Post Marker: <br /> F. Is the construction site part of a larger common plan of development or sale? G. Name of plan or development: <br /> ❑ YES ❑ NO <br /> J. Projected construction dates: <br /> H. Construction commencement dale: <br /> Complete grading: Complete project: <br /> I. %of Site to be mass graded: <br /> K. Type of Construction(Check all that apply): <br /> 1. ❑ Residential 2. ❑ Commercial 3. ❑ Industrial 4. ❑ Reconstruction 5. ❑ Transportation <br /> 6. ❑ Utility Description: 7. ❑ Other(Please List): <br /> V. BILLING INFORMATION <br /> SEND 13ILL TO: Name Contact Person <br /> ❑ OWNER <br /> (as in II.above) <br /> Mailing Address Phone/Fax <br /> ❑DEVELOPER <br /> as in 111.above <br /> City State Zip <br /> El OTHER <br /> enter information at n ht <br />