APPLICATION FOR SALE, TRANSFER,
OR MERGER OF A RETAIL PUBLIC UTILITY
TABLE OF CONTENTS |
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Application For Sale, Transfer Or Merger Of A Retail Public Utility |
2 |
Information That Apply To The Transferor (Current Service Provider Or Seller) |
2 |
Information That Apply To The Transferee Or Purchaser |
3 |
Texas Comptroller Of Public Accounts |
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Information That Apply To More Than Two Parties Involved In This Transaction |
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Historical Balance Sheets |
8 |
Historical Income Statement |
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Historical Expenses Statement |
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Projected Balance Sheets |
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Projected Income Statement |
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Projected Income Statement Conerning General/Administrative Expenses |
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Projected Sources And Uses Of Cash Statements |
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Information That Apply To The Physically Distinct System Being Transferred Or Acquired |
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Information That Apply To The Franchise Agreement Or Consent Letter From The City Or District |
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Oath For Seller Or Former Service Provider |
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Oath For Purchaser Or Acquiring Entity |
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Notice To Current Customers, Neighboring Systems And Cities |
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Notice To Current Customers, Neighboring Systems, Landowner And Cities |
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TCEQ-10516 (Rev 09/2012) |
Page 1 of 22 |
APPLICATION FOR SALE, TRANSFER,
OR MERGER OF A RETAIL PUBLIC UTILITY
*CN# *If known (See instructions)
1. Proposed action of application (check all the boxes that apply): |
Sale of |
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Portion |
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Water system(s) under CCN No.: |
Acquisition |
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Sewer system(s) under CCN No.: |
Lease/Rental |
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Transfer of |
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Portion of the |
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Certificated water service area – CCN No.: |
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Certificated sewer service area – CCN No.: |
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If only a portion of a system or certificated service area is affected by this transaction, please specify the areas or subdivision involved:
and to:
Obtain a CCN for the transferee (purchaser) – indicate if purchaser will take the seller’s CCN
Amend the transferee’s CCN No.:
Merge or consolidate public utilities Cancel CCN of the transferor (seller)
2.Proposed effective date of this transaction:
(Must be at least 120 days after proper notice is provided)
☞QUESTIONS 3 THROUGH 5 APPLY TO THE TRANSFEROR
(CURRENT SERVICE PROVIDER OR SELLER)
3.For the current CCN holder or service provider please indicate:
A. Name:
who is a(n):of Individual
(Individual, Corporation or Other Legal Entity)
Corporation WSC HOA or POA Other
B. Utility Name (if different than above):
C.Contact person. Please provide information about the person to be contacted regarding this application. Indicate if this person is the owner, operator, engineer, attorney or accountant.
Name: |
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Title: |
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Address: |
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Telephone: (AC) |
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Fax: |
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Email: |
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TCEQ-10516 (Rev 09/2012) |
Page 2 of 22 |
4.About the last rate increase for the system or facilities being transferred:
A.What was the effective date of the last rate increase?
B.Was notice of this increase provided to the Texas Commission on Environmental Quality or it predecessors?
No Yes- Application/Docket Number: Date
5.Please provide a list of all customers affected by this transaction who have deposits held by the transferor or seller utility, if any, and include the following information (attach additional sheets if necessary):
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Name and Address of Utility Customer |
Date of |
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Amount of |
Amount of Unpaid |
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Deposit |
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Deposit |
Interest on Deposit |
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☞Within 30 days of the actual transaction date, and prior to the transfer of the certificate by the TCEQ, the seller must provide proof to the Commission that these customer deposits were returned to the customers or transferred to the purchasing utility. Proof should include a sworn affidavit.
☞ |
QUESTIONS 6 THROUGH 16 REFER TO |
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THE TRANSFEREE OR PURCHASER |
6.For the person or entity acquiring the facilities and/or CCN:
Applicant:
(Individual, Corporation, or Other Legal Entity)
Utility Name:
(If different than above)
CCN Numbers held prior to the filing of this application:
7.Check the appropriate box and provide information regarding the legal status of the transferee applicant:
Individual
Home or Property Owners Association
Partnership; attach copy of partnership agreement
Corporation; provide charter number as recorded with the Office of the Secretary of State for for Texas: Non-profit, member-owned, member-controlled Cooperative Corporation (Article 1434(a) Water
Supply or Sewer Service Corporation); provide charter number:
Municipally-owned utility
District (MUD, SUD, WCID, etc.)
County
Other (please explain):
TCEQ-10516 (Rev 09/2012) |
Page 3 of 22 |
8.If the applicant is an INDIVIDUAL or sole proprietorship, provide the following information. If not, skip to the next question.
Name: |
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Address |
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Telephone (AC): |
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Fax (AC): |
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9.If the applicant is other than an INDIVIDUAL provide the following information regarding the officers or partners of the legal entity applying for the transfer. You must complete either question 8 or question 9, whichever applies to the transferee applicant.
•Name: |
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Telephone (AC): |
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Address: |
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Position: |
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Ownership % (if applicable): |
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•Name: |
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Telephone (AC): |
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Ownership % (if applicable): |
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Telephone (AC): |
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Ownership % (if applicable): |
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Telephone (AC): |
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Position: |
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Ownership % (if applicable): |
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Ownership % (if applicable): |
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•Name:
Address:
Position:
Telephone (AC):
Ownership % (if applicable):
-Attach additional sheet(s) if necessary –
☞Important: • If the applicant is a for-profit corporation, please provide a copy of the corporation's "Certification of Account Status" from the State Comptroller Office. This "Certification of Account Status" can be obtained from:
Texas Comptroller of Public Accounts
P. O. Box 13528, Capitol Station
Austin, Texas 78711
1-800-252-5555
•If the applicant is an Article 1434a water supply or sewer service corporation or other non- profit corporation, please provide a copy of the Articles of Incorporation and By-Laws.
TCEQ-10516 (Rev 09/2012) |
Page 4 of 22 |
10.Contact person. Please provide information about the person to be contacted regarding this application.
Indicate if this person is the owner, operator, engineer, attorney or accountant.
Name: Title:
Address: |
Telephone (AC): |
Fax # |
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Email |
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Relationship to the applicant: |
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☞IF THERE ARE MORE THAN TWO PARTIES INVOLVED IN THIS
TRANSACTION, PLEASE ATTACH SHEETS PROVIDING
THE INFORMATION REQUIRED IN QUESTION 6 THROUGH QUESTION 10 FOR EACH PARTY
11.Please respond to each of the following questions. Attach additional sheets if necessary.
A.Describe the experience and qualifications of the applicant to provide adequate utility service to the requested area
B.Has the applicant acquiring the CCN or facilities or an affiliated interest of the applicant been under enforcement action by the TCEQ, Texas Department of Health (TDH), the Office of the Attorney General (OAG) or the Environmental Protection Agency (EPA) in the past for noncompliance with
rules, orders or State Statutes? |
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Yes |
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No |
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If yes, please attach copies of any correspondence with these regulatory agencies concerning these enforcement actions and describe any actions and efforts to comply with those requirements. Attach additional sheets if needed.
C.Describe the source and availability of funds required to make the planned or required improvements, if any, to meet minimum requirements of the TCEQ and ensure continuous and adequate service.
D.Describe the anticipated impact of this transaction on the quality of utility service and explain any anticipated changes in the quality of service.
E.How will the transaction serve the public interest?
TCEQ-10516 (Rev 09/2012) |
Page 5 of 22 |
12.Please describe the nature of the proposed transaction:
13.If the transferee applicant is an Investor Owned Utility (IOU) and will be under the rate jurisdiction of the TCEQ, please provide the following information. Water supply or sewer service corporations and political subdivisions of the state should mark this section N/A:
A.• Total Purchase Price:
• Total Original Cost (as recorded on books of seller or merging entity):
•Accumulated Depreciation as of the proposed effective date of the transaction:
•Contributions in Aid of Construction:
- Specific surcharges approved by TCEQ: - Revenues from explicit customer agreements:
- Developer Contributions (please explain):
- Other Contributions (please explain):
Total Contributions in Aid of Construction
• Net Book Value:
☞If the Original Cost or any of the above items has been established in a rate case proceeding by the PUC, the TWC or the TCEQ, please provide the Application/Docket Number and date:
Application/Docket Number: Date:
☞If the applicant is not under the rate jurisdiction of the TCEQ, only the purchase price and information related to Contributions in Aid of Construction is required.
B.Please provide any other information concerning the nature of the transaction you believe should be given consideration if not explained elsewhere in the application.
[attach additional sheet(s) if necessary]:
TCEQ-10516 (Rev 09/2012) |
Page 6 of 22 |
C.Complete the following proposed entries listed below as shown in books of purchasing (or surviving) company. Additional entries may be made; the following are suggested only, and not
intended to pose descriptive limitations.
Utility Plant in Service: Plant Acquisition Adjustment: Extraordinary Loss on Purchase:
Accumulated Depreciation of Plant:
Cash:
Notes Payable:
Mortgage Payable: Others (please list):
As the purchaser, I understand that it is my responsibility in any future rate proceeding to provide written evidence and support for the original cost and installation date of all facilities used and useful for providing utility service.
Purchaser’s Initials: Date:
14.Please indicate the proposed effect of this transaction on the rates to be charged to the affected customers:
All the customers will be charged the same rates as they were charged before the transaction.
Some All customers will be charged different rates than they were charged before the transaction.
If rates are changing, please explain:
Applicant is an IOU and intends to file with the Commission or municipal regulatory authority an application to change rates of some/all of its customers as a result of this transaction. If so, please explain:
Other. Please explain:
15.List all neighboring water and /or sewer utilities, cities, and political subdivisions providing the same service within two (2) miles of area affected by this proposed transaction. This information should be available from the water utility database (WUD) or Applicant’s licensed water operator.
TCEQ-10516 (Rev 09/2012) |
Page 7 of 22 |
16. Financial, Managerial and Technical information for the acquiring entity.
HISTORICAL BALANCE SHEETS
CURRENT A-1 YEAR A-2 YEAR A-3 YEAR A-4 YEAR A-5 YEAR
YEAR (A)
CURRENT ASSETS
Cash
Accounts Receivable
Inventories
Income Tax Receivable
Other
Total
FIXED ASSETS
Land
Collection/Distribution System
Buildings
Equipment
Other
Less: Accum. Depreciation or Reserves
Total
TOTAL ASSETS
CURRENT LIABILITIES
Accounts Payable
Notes Payable, Current
Accrued Expenses
Other
TOTAL
LONGTERM LIABILITIES
Notes Payable, Long-term
Other
TOTAL LIABILITIES
OWNER'S EQUITY
Paid in Capital
Retained Equity
Other
Current Period Profit or Loss
TOTAL OWNER'S EQUITY
TOTAL LIABILITIES AND EQUITY
WORKING CAPITAL
CURRENT RATIO
DEBT TO EQUITY RATIO EQUITY
TO TOTAL ASSETS
TCEQ-10516 (Rev 09/2012) |
Page 8 of 22 |
HISTORICAL INCOME STATEMENT
CURRENT A-1 YEAR A-2 YEAR A-3 YEAR A-4 YEAR A-5 YEAR
YEAR (A)
METER NUMBER
Existing Number of Taps
New Taps Per Year
Total Meters at Year End
METER REVENUE
Fees Per Meter
Cost Per Meter
Operating Revenue Per Meter
GROSS WATER REVENUE
Fees
Other
Gross Income
OPERATING EXPENSES
General & Administrative
Interest
Other
NET INCOME
TCEQ-10516 (Rev 09/2012) |
Page 9 of 22 |
HISTORICAL EXPENSES STATEMENT
CURRENT A-1 YEAR A-2 YEAR A-3 YEAR A-4 YEAR A-5 YEAR
YEAR (A)
GENERAL/ADMINISTRATIVE
EXPENSES
Salaries
Office Expense
Computer Expense
Auto Expense
Insurance Expense
Telephone Expense
Utilities Expense
Depreciation Expense
Property Taxes
Professional Fees
Other
Total
% Increase Per Year
OPERATIONAL EXPENSES
Salaries
Auto Expense
Utilities Expense
Depreciation Expense
Repair & Maintenance
Supplies
Other
Total
% Increase Per Year
ASSUMPTIONS
Interest Rate/Terms
Utility Cost/gal.
Depreciation Schedule
Other
TCEQ-10516 (Rev 09/2012) |
Page 10 of 22 |
PROJECTED BALANCE SHEETS
START UP YEAR 1 YEAR 2 YEAR 3 |
YEAR 4 |
YEAR 5 |
CURRENT ASSETS
Cash
Accounts Receivable
Inventories
Income Tax Receivable
Other
Total
FIXED ASSETS
Land
Collection/Distribution System
Buildings
Equipment
Other
Less: Accum. Depreciation or Reserves
Total
TOTAL ASSETS
CURRENT LIABILITIES
Accounts Payable
Notes Payable, Current
Accrued Expenses
Other
Total
LONGTERM LIABILITIES
Notes Payable, Long-term
Other
TOTAL LIABILITIES
OWNER'S EQUITY
Paid in Capital
Retained Equity
Other
Current Period Profit or Loss
TOTAL OWNER'S EQUITY
TOTAL LIABILITIES AND EQUITY
WORKING CAPITAL
CURRENT RATIO
DEBT TO EQUITY RATIO
EQUITY TO TOTAL ASSETS
TCEQ-10516 (Rev 09/2012) |
Page 11 of 22 |
PROJECTED INCOME STATEMENT
YEAR 1 YEAR 2 |
YEAR 3 |
YEAR 4 YEAR 5 |
TOTALS |
METER NUMBER
Existing Number of Taps
New Taps Per Year
Total Meters at Year End
METER REVENUE
Fees Per Meter
Cost Per Meter
Operating Revenue Per Meter
GROSS WATER REVENUE
Fees
Other
Gross Income
OPERATING EXPENSES
General & Administrative
Interest
Other
NET INCOME
TCEQ-10516 (Rev 09/2012) |
Page 12 of 22 |
PROJECTED INCOME STATEMENT
YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTALS
GENERAL/ADMINISTRATIVE EXPENSES
Salaries
Office Expense
Computer Expense
Auto Expense
Insurance Expense
Telephone Expense
Utilities Expense
Depreciation Expense
Property Taxes
Professional Fees
Other
Total
% Increase Per Year
OPERATIONAL EXPENSES
Salaries
Auto Expense
Utilities Expense
Depreciation Expense
Repair & Maintenance
Supplies
Other
Total
% Increase Per Year
ASSUMPTIONS
Interest Rate/Terms
Utility Cost/gal.
Depreciation Schedule
Other
TCEQ-10516 (Rev 09/2012) |
Page 13 of 22 |
PROJECTED SOURCES AND USES OF CASH STATEMENTS
YEAR 1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 TOTALS
SOURCES OF CASH
Net Income
Depreciation (If Funded)
Loan Proceeds
Other
Total Sources
USES OF CASH
Net Loss
Principle Portion of Pmts.
Fixed Asset Purchase
Reserve
Other
Total Uses
NET CASH FLOW
DEBT SERVICE COVERAGE
Cash Available for Debt
SERVICE (CADS)
Net Income (Loss)
Depreciation, or Reserve Interest
Total
REQUIRED DEBT SERVICE (RDS)
Principle Plus Interest
DEBT SERVICE COVERAGE RATIO
CADS Divided by RDS
TCEQ-10516 (Rev 09/2012) |
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If yes, indicate the number of customers within the city limits or district boundaries: Water Sewer
☞PLEASE ANSWER QUESTIONS 17 THROUGH 22 ON A DIFFERENT SHEET
FOR EACH PHYSICALLY DISTINCT SYSTEM BEING
TRANSFERRED OR ACQUIRED
17. A. For Water Systems. TCEQ Public Water System Identification Number:
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B. For Wastewater Systems: |
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-TCEQ Discharge Permit Number: |
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-Name of Permitee: |
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-Date of application to transfer Discharge Permit submitted: |
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-Date of application to transfer Discharge Permit approved by TCEQ: |
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18. A. Are any improvements required to meet TCEQ standards? |
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Yes |
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No. If yes, please explain: |
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B. Is there a moratorium on new connections? |
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No. If yes, please explain: |
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C.Provide details of each required major capital improvement to correct the deficiencies and meet the TCEQ standards (attach additional sheets if necessary):
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Description of the Required Improvement |
Schedule to Complete |
Estimated Cost |
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19.Does the system being transferred operate within the city limits of a municipality or within district
boundaries? Yes No
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Attach copy of franchise agreement or consent letter from the |
city |
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district. |
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20. Do you currently purchase water or sewer treatment capacity from another source? |
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Yes |
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No |
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Water |
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Sewer |
Purchased on a |
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Regular |
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Seasonal |
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Emergency Basis |
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•Source: % of total supply:
TCEQ-10516 (Rev 09/2012) |
Page 15 of 22 |
21. List the number of existing connections to be effected by this transaction.
Water |
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Sewer |
-Non Metered |
-2”meter |
-Residential Connection |
-5/8" or 3/4" meter |
-3" meter |
-Commercial Connection |
-1" meter |
-4" meter |
-Industrial Connection |
-1 1/2" meter |
-Other |
-Other |
Total Water Connections: |
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Total Sewer Connections |
20.Has the system reached 85% of its capacity based on TCEQ’s minimum requirements? If yes, please explain what steps are being taken to address the capacity issues:
23. List the name, class, and license number of the operator(s) that will be responsible for the system:
24.Attach the following maps with each copy of the application:
a.One small scale map clearly showing affected service area with enough detail to accurately locate the area if the application is for the transfer of all or a portion of a CCN.
b.One large scale map showing the proposed service area boundaries being sold, transferred, or merged and, if available, the existing and proposed facilities. Color coding should be used to differentiate existing from proposed facilities. Facilities and service area boundaries should be shown with such exactness that they can be located on the ground. If transferring area not currently in a CCN or a portion of an existing CCN area please attach the following hard copy maps with each copy of the application:
1.A general location map delineating the proposed service area with enough detail to accurately locate the proposed area within the county.
2.A map showing only the proposed area by:
i.metes and bounds survey certified by a licensed state or registered professional land surveyor; or
ii.projectable digital data with metadata (proposed areas should be in a single record and clearly labeled, data disk should be included); or
iii.following verifiable natural and man-made landmarks, or
iv.a copy of recorded plat map with metes and bounds.
3.A written description of the proposed service area.
TCEQ-10516 (Rev 09/2012) |
Page 16 of 22 |
OATH FOR SELLER OR FORMER SERVICE PROVIDER
STATE OF
COUNTY OF
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,being duly sworn, file this application for |
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sale, lease, rental or merger or consolidation as |
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(indicate relationship to applicant) that is, owner, member of partnership, title as officer of corporation, or other authorized representative of applicant); that, in such capacity, I am qualified and authorized to file and verify such application, am personally familiar with the documents filed with this application, and have complied with all the requirements contained in the application; and, that all such statements made and matters set forth therein with respect to applicant are true and correct. Statements about other parties are made on information and belief. I further state that the application is made in good faith and that this application does not duplicate any filing presently before the Commission.
I further state that I have provided to the purchaser or transferee a written disclosure statement about any contributed property as required under Section 13.301(j) and copies of any outstanding Orders of the Commission or Attorney General and have also complied with the notice requirements in Section 13.301(k) of the Water Code.
AFFIANT
(Utility’s Authorized Representative)
If the Affiant to this form is any person other than the sole owner, partner, officer of the Applicant, or its attorney, a properly verified Power of Attorney must be enclosed.
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public in and for the State of Texas,
day of , 20 .
SEAL
NOTARY PUBLIC IN AND FOR THE
STATE OF TEXAS
PRINT OR TYPE NAME OF NOTARY
MY COMMISSION EXPIRES
One copy of this page must be submitted for each utility involved in this transaction.
TCEQ-10516 (Rev 09/2012) |
Page 17 of 22 |
OATH FOR PURCHASER OR ACQUIRING ENTITY
STATE OF
COUNTY OF
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,being duly sworn, file this application for |
sale, lease, rental or merger or consolidation as (indicate relationship to applicant) that is, owner, member of partnership, title as officer of corporation, or other authorized representative of applicant); that, in such capacity, I am qualified and authorized to file and verify such application, am personally familiar with the documents filed with this application, and have complied with all the requirements contained in the application; and, that all such statements made and matters set forth therein with respect to applicant are true and correct. Statements about other parties are made on information and belief. I further state that the application is made in good faith and that this application does not duplicate any filing presently before the Commission.
I am also authorized and do agree to be bound by and comply with any outstanding orders of the Commission or the Attorney General which have been issued to the system or facilities being acquired and recognize that I will be subject to administrative penalties or other enforcement actions if I do not comply.
AFFIANT
(Utility’s Authorized Representative)
If the Affiant to this form is any person other than the sole owner, partner, officer of the Applicant, or its attorney, a properly verified Power of Attorney must be enclosed.
Applicant represents that all other parties to this transaction have been furnished copies of this completed application.
SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public in and for the State of Texas,
day of , 20 .
SEAL
NOTARY PUBLIC IN AND FOR THE
STATE OF TEXAS
PRINT OR TYPE NAME OF NOTARY
MY COMMISSION EXPIRES
One copy of this page must be submitted for each utility involved in this transaction.
TCEQ-10516 (REV 09/2012) |
Page 18 of 22 |
FORM A |
Application No. |
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Notice to Current Customers, Neighboring Systems and Cities |
‘S
(Seller’s or Transferor’s Name)
NOTICE OF INTENT TO SELL FACILITIES AND TRANSFER CERTIFICATE OF CONVENIENCE AND
NECESSITY (CCN) NO TO
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(Purchaser’s or Transferee’s Name) |
IN |
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COUNTY, TEXAS |
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To: |
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Date Notice Mailed |
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Sellers or Transferors’ Name |
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has submitted an application with the Texas Commission on Environmental Quality to sell facilities and transfer
water or sewer (please select) CCN No. |
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in |
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[County Name] |
County to: |
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Purchasers or Transferee’s Name |
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The sale is scheduled to take place as approved by the Executive Director (V.T.C.A., Water Code §13.301). The transaction and the transfer of the CCN include the following subdivision(s) and zip codes:
The area subject to this transaction is located approximately |
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downtown |
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;on the east by |
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;on the south by |
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;and on the west by |
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The total area being requested includes approximately |
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acres and serves |
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current customers. |
This transaction will have the following effect on the current customer's rates and services: |
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TCEQ-10516 (REV 09/2012) |
Page 19 of 22 |
Affected persons may file written protests and/or request a public hearing within 30 days of this notice.
To request a hearing, you must:
(1)state your name, mailing address and daytime telephone number;
(2)state the applicant's name, application number or another recognizable reference to this application;
(3)include the statement "I/we request a public hearing”;
(4)write a brief description of how you, the persons you represent, or the public interest would be adversely affected by the proposed transaction and transfer of the CCN; and
(5)state your proposed adjustment to the application or CCN which would satisfy your concerns and cause you to withdraw your request for a hearing.
Only those persons who submit a written request to be notified of a hearing will receive notice if a hearing is scheduled. The Executive Director will issue the CCN requested in the referenced application unless a hearing is scheduled to consider the transaction. If no protests or requests for hearing are filed during the comment period, the Executive Director may issue the CCN 30 days after publication of this notice.
Persons who wish to protest or request a hearing on this application should write the: Texas Commission on Environmental Quality
Water Supply Division
Utilities and Districts Section, MC-153
P. O. Box 13087, Austin, TX 78711-3087
Se desea informacion on Espanol, puede llamar al 512-239-0200.
Utility Representative
Utility Name
TCEQ-10516 (REV 09/2012) |
Page 20 of 22 |
Notice to Current Customers, Neighboring Systems, Landowner and Cities
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‘S NOTICE OF INTENT TO SELL FACILITIES TO |
(Seller’s or Transferor’s Name) |
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AND FOR |
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(Purchaser’s or Transferee’s Name) |
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Purchaser’s or Transferee’s Name) |
TO OBTAIN OR AMEND A CERTIFICATE OF CONVENIENCE AND NECESSITY (CCN) IN COUNTY, TEXAS
To: |
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Date Notice Mailed |
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Sellers or Transferors’ Name |
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Address |
City/State/Zip Code |
has submitted an application with the Texas Commission on Environmental Quality to sell water or sewer (please
select) Facilities in |
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[County Name] County to: |
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Purchasers or Transferee’s Name |
Address |
City/State/Zip Code |
The transferee has also requested to obtain/amend a CCN in this application. The sale is scheduled to take place as approved by the Executive Director (V.T.C.A., Water Code §13.301). The transaction and the proposed service area include the following subdivision(s) and zip codes:
The area subject to this transaction is located approximately |
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miles |
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[direction] of |
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downtown |
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,[City or Town] Texas, and is generally bounded on the north by |
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;on the east by |
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;on the south by |
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;and on the west by |
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The total area being requested includes approximately |
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acres and serves |
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current customers. |
This transaction will have the following effect on the current customer's rates and services: |
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TCEQ-10516 (REV 09/2012) |
Page 21 of 22 |
Affected persons may file written protests and/or request a public hearing within 30 days of this notice.
To request a hearing, you must:
(1)state your name, mailing address and daytime telephone number;
(2)state the applicant's name, application number or another recognizable reference to this application;
(3)include the statement "I/we request a public hearing”;
(4)write a brief description of how you, the persons you represent, or the public interest would be adversely
affected by the proposed transaction and transfer of the CCN; and
(5)state your proposed adjustment to the application or CCN which would satisfy your concerns and cause you to withdraw your request for a hearing.
Only those persons who submit a written request to be notified of a hearing will receive notice if a hearing is scheduled. The Executive Director will issue the CCN requested in the referenced application unless a hearing is scheduled to consider the transaction. If no protests or requests for hearing are filed during the comment period, the Executive Director may issue the CCN 30 days after publication of this notice.
Persons who wish to protest or request a hearing on this application should write the:
Texas Commission on Environmental Quality
Water Supply Division
Utilities and Districts Section, MC-153
P. O. Box 13087, Austin, TX 78711-3087
Se desea informacion on Espanol, puede llamar al 512-239-0200.
Utility Representative
Utility Name
TCEQ-10516 (REV 09/2012) |
Page 22 of 22 |
