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635-1143000Registration for Aggregate Production Operations (APOs)IMPORTANT:Use the INSTRUCTIONS to fill out each question in this form.Once processed, your registration can be viewed at: FEE INFORMATION:Payment and Registration form must be mailed to separate addresses.You can pay online:Go to application fee is based on the number of acres disturbed at your APO:0-10 Acres Disturbed: $300>10 Acres and <=50 Acres Disturbed: $500>50 Acres and <=100 Acres Disturbed: $700>100 Acres Disturbed: $950Provide your payment information below, for verification of paymentMailedCheck/Money Order Number: Click here to enter text.Check/Money Order Amount: Click here to enter text.Name Printed on Check: Click here to enter text.EPAYVoucher Number: Click here to enter text.Copy of Payment Voucher enclosed?Yes ? FORMTEXT ??REASON FOR APPLICATION:Select the reason you are submitting this application:? FORMTEXT ??New registration? FORMTEXT ??Renewal of registration number: AP Click here to enter text.NOTE: Effective September 1, 2016, stationary and portable processing plants are not required to register as an APO! Section 1. RESPONSIBLE PARTY (Applicant)If the applicant is currently a customer with TCEQ, what is the Customer Number (CN) issued to this entity? CN Click here to enter text.What is the Legal Name of the entity (applicant) applying for this permit? (The legal name must be spelled exactly as filed with the Texas Secretary of State, County, or in the legal document forming the entity.)Click here to enter plete and attach a Core Data Form (TCEQ 10400) for this customer. Section 2. APPLICATION CONTACTThis is the person TCEQ will contact if additional information is needed about this application.Is the application contact and contact information the same as the applicant identified above?? FORMTEXT ??Yes, go to section 3? FORMTEXT ??No, complete section belowPrefix (Mr. Ms. or Miss): Click here to enter text.First and Last Name: Click here to enter text.Suffix: Click here to enter text.Title: Click here to enter text.Credentials: Click here to enter text.Phone Number: Click here to enter text.Fax Number: Click here to enter text.Email: Click here to enter text. Mailing Address: Click here to enter text.City, State, and Zip Code: Click here to enter text. Section 3. REGULATED ENTITY (RE) INFORMATION ON PROJECT OR SITEIf this is an existing permitted site, what is the Regulated Entity Number (RN) issued to this site? RN Click here to enter text.Name of project or site as known by the local community:Click here to enter text.Section 4. GENERAL CHARACTERISTICSWhat type of material are you extracting at this site? Select one or more:? FORMTEXT ??Granite? FORMTEXT ??Limestone? FORMTEXT ??Gravel? FORMTEXT ??Sand? FORMTEXT ??Caliche? FORMTEXT ??Soil? FORMTEXT ??Other, specify Click here to enter text.What is the total number of acres disturbed for this APO? Click here to enter text.Section 5. REQUIRED MAPIf this application is for a new registration, provide an 8 1/2 x 11 aerial map showing the specific location of this Aggregate Production Operation. Draw the outline of your property boundaries on the map. The boundaries should reflect the land for which you are responsible. Aerial maps are available on various websites on the internet, such as Google Maps, Yahoo Maps, and MapQuest. If this application is for a renewal of an existing registration, provide an updated map if there have been any changes to the property boundaries of the land for which you are responsible since you last provided a map to TCEQ. Is the required map attached to this application? ? FORMTEXT ??Yes: Required for New Registrations? FORMTEXT ??No: The existing map does not need to be updated.Section 7. CERTIFICATIONI certify that I have read and understand the terms and conditions of30 Texas Administrative Code Chapter 342.Yes ? FORMTEXT ??I understand that APO registrations must be renewed annually prior to expiration.Yes ? FORMTEXT ??I understand that I must cancel this registration when it is no longer needed.Yes ? FORMTEXT ??I certify that the full legal name of the entity applying for this registration has been provided and is legally authorized to do business in Texas.Yes ? FORMTEXT ??Responsible Party Certification:Responsible Party Name: Click here to enter text.Responsible Party Title: Click here to enter text.I certify that, based on information and belief formed under reasonable inquiry, the statements and information contained in the attached documents is true, accurate, and complete. I am aware there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. I further certify that I am authorized to sign and submit this document for an entity as described below in the instructions for this form, and can provide documentation in proof of such authorization upon request. Signature (use blue ink): ________________________________Date: ___________Signature (use blue ink): ________________________________Date: ___________Texas Commission on Environmental QualityRegistration Payment Submittal FormUse this form to submit your Application Fee only if you are mailing your plete items 1 through 5 below.Staple your check in the space provided at the bottom of this document.Do not mail this form with your registration form.Do not mail this form to the same address as your registration form. Mail this form and your check to:BY REGULAR U.S. MAILTexas Commission on Environmental QualityFinancial Administration DivisionCashier’s Office, MC-214P.O. Box 13088Austin, TX 78711-3088BY OVERNIGHT/EXPRESS MAILTexas Commission on Environmental QualityFinancial Administration DivisionCashier’s Office, MC-21412100 Park 35 CircleAustin, TX 78753Fee Code: APORegistration:APO0000000Check / Money Order No: Click here to enter text.Amount of Check/Money Order: Click here to enter text.Date of Check or Money Order: Click here to enter text.Name on Check or Money Order: Click here to enter text.REGISTRATION INFORMATIONIf the check is for more than one registration, list each Project/Site (RE) Name and Physical Address exactly as provided on the registration form. DO NOT SUBMIT A COPY OF THE REGISTRATION WITH THIS FORM AS IT COULD CAUSE DUPLICATE REGISTRATION ENTRIES.If more space is needed, you may attach a list.Project/Site (RE) Name: Click here to enter text.Project/Site (RE) Physical Address: Click here to enter text.Staple Check in This SpaceInstructions for Registration for Aggregate Production Operations (APOs)GENERAL INFORMATIONWhere to Send the Registration FormBY REGULAR U.S. MAIL:Texas Commission on Environmental QualityApplications Review and Processing Team (MC-148)P.O. Box 13087Austin, Texas 78711-3087BY OVERNIGHT/EXPRESS MAIL:Texas Commission on Environmental QualityApplications Review and Processing Team (MC-148)12100 Park 35 CircleAustin, TX 78753Application FeePayment of the fees may be made by check or money order, payable to TCEQ, or through EPAY (electronic payment through the web).Application Fee: This fee is required to be paid at the time the registration application is submitted. Failure to submit payment at the time the application is filed will cause delays in approval or denial of your application for registration. The application fee is based on the number of acres that your Aggregate Production Operation disturbs:0-10 Acres Disturbed: $300.00>10 Acres & <= 50 Acres Disturbed: $500.00>50 Acres & <= 100 Acres Disturbed: $700.00>100 Acres: $950.00Mailed Payments:Use the attached Registration Payment Submittal Form. The application fee is submitted to a different address than the registration form. Read the Registration Payment Submittal Form for further instructions.ePAY Electronic Payment: making the payment you must select Water Quality then select the fee category that applies to your Aggregate Production Operation. APO REGISTRATION APPLICATION WITH 0-10 ACRES DISTURBEDAPO REGISTRATION APPLICATION WITH >10 ACRES & <=50 ACRES DISTURBEDAPO REGISTRATION APPLICATION WITH >50 ACRES & <=100 ACRES DISTURBEDAPO REGISTRATION APPLICATION WITH >100 ACRES DISTURBEDYou must include a copy of the payment voucher with your Registration Application. Your Registration Application will not be considered complete without the payment voucher.TCEQ Contact ListApplication – status and form questions:512-239-APOP (2767)Technical questions:512-239-4671Environmental Law Division:512-239-0600Records Management - obtain copies of forms:512-239-0900Reports from databases (as available):512-239-DATA (3282)Cashier’s office:512-239-0357 or 512-239-0187Registration Application ProcessWhen your registration application is received by the program, the form will be processed as follows:Administrative Review: Each item on the form will be reviewed for a complete response. In addition, the responsible party’s legal name must be verified with Texas Secretary of State as valid and active (if applicable). The address(s) on the form must be verified with the US Postal service as receiving regular mail delivery. Do not give an overnight/express mailing address.Notice of Deficiency: If an item is incomplete or not verifiable as indicated above, a notice of deficiency (NOD) will be mailed to the operator. The operator will have 30 days to respond to the NOD. The response will be reviewed for completeness.Approval of Application: An Approval Certificate will be mailed to the responsible party. This certificate acknowledges approval of the registration under 30 TAC Chapter 342.orDenial of Coverage: If the responsible party fails to respond to the NOD or the response is inadequate, registration under 30 TAC Chapter 342 may be denied. If the registration is denied, the responsible party will be notified.APO RegistrationFor registration forms submitted electronically through ePermits, registration under 30 TAC Chapter 342 begins immediately following confirmation of receipt of the registration form by the TCEQ.For paper Registration applications, registration under 30 TAC 342 is effective on the date the completed application is postmarked for delivery to the TCEQ.You should review 30 TAC 342 when submitting your application. You may view and print 30TAC 342 on the TCEQ web site . Search using key word “Aggregates”.Change in Responsible PartyA registration under 30 TAC Chapter 342 is not transferable. If the responsible party changes, the present responsible party must submit a Cancellation form and the new responsible party must submit a Registration and Core Data Form. The Cancellation, Registration and Core Data Forms must be submitted no later than 10 days prior to the change in responsible party status.INSTRUCTIONS FOR FILLING OUT THE FORMNew Registration: You must register your site 10 days before you begin extracting aggregates. Renewal of General Permit: You must renew your registration each year prior to the expiration date of the current registration. Provide the current registration number. This number will begin with AP followed by 7 digits.If the registration number provided was cancelled, expired, denied, or was not provided, a new registration number will be issued. Section 1. Responsible Party (Applicant)If there is more than one owner or operator, complete Attachment A for each additional owner and operator.Customer Number (CN)TCEQ assigns each customer a number that begins with CN, followed by nine digits. This is not a permit number, registration number, or license number. If the applicant is an existing TCEQ customer, the Customer Number is available at the following website: . If the applicant is not an existing TCEQ customer, leave the space for CN blank.Legal Name of Applicant Provide the current legal name of the applicant. The name must be provided exactly as filed with the Texas Secretary of State, or on the legal documents forming the entity as filed with the county. If filed in the county, provide a copy of the legal documents showing the legal name.Core Data FormComplete a Core Data Form (TCEQ 10400) for this customer.Section 2. Application ContactProvide the name, title and contact information of the person that TCEQ can contact for additional information regarding this application.Section 3. Regulated Entity (RE) Information on Project or SiteRegulated Entity Reference Number (RN)The RN is issued by TCEQ to sites where an activity is regulated by TCEQ. This is not a permit number, registration number, or license number. Search TCEQ’s Central Registry to see if the site has an assigned RN at . If this regulated entity has not been assigned an RN, leave this space blank.If the site of your business is part of a larger business site, an RN may already be assigned for the larger site. Use the RN assigned for the larger site. If the site is found, provide the assigned RN and provide the information for the site to be authorized through this application. The site information for this authorization may vary from the larger site information.An example is a chemical plant where a unit is owned or operated by a separate corporation that is accessible by the same physical address of your unit or facility. Other examples include industrial parks identified by one common address but different corporations have control of defined areas within the site. In both cases, an RN would be assigned for the physical address location and the permitted sites would be identified separately under the same RN.Name of the Project or SiteProvide the name of the site or project as known by the public in the area where the site is located. The name you provide on this application will be used in the TCEQ Central Registry as the Regulated Entity name.Section 6. General CharacteristicsType of MaterialChoose the type(s) of material that you are extracting at this site. You may select one or more types. Types include granite, limestone, gravel, sand, caliche, and soil. If the type of material relating to your site is not listed, choose “Other”. If you select “Other” as the type of material that you are extracting, specify the type of material.Total number of acres disturbedSpecify the total number of acres disturbed for this Aggregate Production Operation. “Disturbed” means areas that are cleared, graded, excavated, used for storage of raw or processed material, or other similar activities. If you have any questions about this item, please call the Aggregate Production Operations processing staff at (512)239-APOP (2767).For more information, go to the Aggregate Production Operations web page on the TCEQweb site at: 5. Required MapAn 8 1/2 x 11 aerial map showing the specific location of this Aggregate Production Operation and the property boundaries (the boundaries of land for which you are responsible) is required to be included with this application for a new registration. Aerial maps are available on various websites on the internet, such as Google Maps, Yahoo Maps, and MapQuest.Failure to provide the required map will delay processing of your application and may result in denial of your application for registration under 30 TAC Chapter 342.If this application is for a renewal of an existing registration, provide an updated map if there have been any changes to the property boundaries of the land for which you are responsible since you last provided a map to TCEQ.Section 7. CertificationsFailure to indicate “Yes” to ALL of the certification items may result in denial of coverage under the general permit. The certification must bear an original signature of a person meeting the signatory requirements as specified below.CorporationBy signing the Registration Application or similar form, you are certifying that you have the authority to sign as a president, secretary, treasurer, or vice-president of the corporation in charge of a principal business function, or any other person who performs similar policy or decision-making functions for the corporation, or a duly authorized representative of such person if the representative is responsible for the overall operation of one or more manufacturing, production, or operating facilities applying for or subject to a registration and either: the facilities employ more than 250 persons or have gross annual sales or expenditures exceeding $25 million (in second quarter 1980 dollars); or the delegation of authority to such representatives is approved in advance by the registering authority. The TCEQ may request documentation evidencing such authority.Partnership or Sole ProprietorshipBy signing the Registration Application or similar form, you are certifying that you are either a general partner or the proprietor, respectively.Municipality or other Government EntityBy signing the Registration Application or similar form, you are certifying that you are either a principal executive officer or ranking elected official. A principal executive officer of a federal agency includes the chief executive officer having responsibility for the overall operations of a principal geographic unit of the agency. Documentation demonstrating your position as a ranking elected official or principal executive officer may be requested by the TCEQ.If you have any questions or need additional information concerning the signatory requirements discussed above, please contact the Texas Commission on Environmental Quality’s Environmental Law Division at 512-239-0600. ................
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