Control Number : 43704
Item Number: 196
Addendum StartPage : 0
Texas Commission on Environmental Quality
Reg istration of Submetered OR Allocated Utility Service
This Box for TCZQUse,
Re istration No. S
Date: 19 •^. g. Iy By:
This Box for TCEQUse Only
CUSTOMER REFERENCE NUMBER
REGULATED
2J / d6 l, ` dLTV
REFERENCE NUMBER
^ Send a completed Core Data Form (TCEQ 10400) with this registration
PROPERTY OWNER (Customer on TCEQ-10400)
Name Southwestern Cotton of Plainview, Inc. -iL_Do = enter the name of the owner's contract manager, management company, or billing c
NAME AND TYPE OF PROPERTY WHERE UTILITY SERVICE IS PROVIDED (Regulate c
Name Cameron Place A rtments
on TCEO-1
x A artment Com lex
Condominium
Manufactured Home Rental Commun'
If applicable, describe the "multiple-use facili " here:
INFORMATION ON UTILITY SERVICE
Tenants are billed for J x Water I x Wastewater
Name of utili providing water/wastewater
X Submetered
City of San An
Allocated * * *
Date submetered or allocated billing begins (or began)
9/1/2014
Re u.
METHOD USED TO OFFSET CHARGES FOR COMMON AREAS Check one line only.
x Not applicable, because
x
Bills are based on the tenant's actual submetered consum
There are PA Lt= common areas Mr an installed irrigation system
All common areas and the irrigation system(s) are metered or submetered:
-^.
We deduct the actual utility charges for water and wastewater to these areas
then allocate the remainiii,eharges among
our tenants.
This prope has an installed irrigation system that is
= separately metered or submetered:
We deduct
percent (we deduct at least 25 percent) of the utility's
total charges for water and:waWwater
consum p tion, then allocate the remainin g charges among
our tenants.
This property has an installed irrigation system(s) that h&g separately metered or submetered:
We deduct the actual utility charges associated with the irrigation system(s),
then deduct at least 5 percent of the utility's
total charges for water and wastewater
consumption, then allocate the remaining charges among our tenants .
I This property does not have an install ed irrigation system:
We deduct at least 5 percent of the retail public utility's
total charges for water and wastewater consumption, and then
allocate the remainin^ charges among our tenants.
***IF UTILITY SERVICES ARE ALLOCATED, YOU MUST ALSO COMPLETE PAGE TWO OF THIS FORM * yh *
Send BOTH this form 10363 and the
OR
By mail to: TCEQ, Utilities & Districts Section, MC 153
TCEQCore Data 10400 form by
PO Box 13087
fax to: 512/239-6972
Austin, TX 78711-3087
If you need help completing this form,
call the Utilities & Districts Section at 512-239-4691. Additional information
about submetering and allocation billing is available at the following Websi e"^.
If you need help completing the Core Data Form call our Central Registry Program
at 512-239-5175 or visit the following
Website "2
1. htto://^vv
vw tcea texa^f,ou/utilitis/cubmeter html
2. httts ltwww tc^q r X3s ^ou(permi r glrQnrrai r$Ls ► ,Z
TCEQ-10363 (Rev 07l2012)
Page 1 oP2
(q&
4r
rk^
METHOD USED TO ALLOCATE UTILITY CHARGES
Check the box or boxes that describe the allocation method used to bill tenants.
Occupancy method: The number of occupants in the tenant's dwelling unit is divided by tne totai numuer uL
ipants in all dwelling units at the beginning of the month for which bills are being rendered.
Ratio occupancy metho
^.
Number of Occupants
1
2
3
>3
The number of occupants in the tenant's dwelling unit
is adjusted as shown in the t able to the right. This
adjusted value is divided by the total of these values
for all dwelling units occupi ed at the beginning of the
r,-rail nublic utilitv's billing period.
Estimated occupancy method:
The esti mate d occu pancy for each unit is based on the
number o f be d room s as shown in the table to the
ri ght. The estimated occupancy in the tenant's
dwellin g unit is divided by the total estimated
occupancy in all dwelling units regardless of the actual
rumher of occunants or occupied units.
Number of Occupants for
Billing Purposes
1.0
1.6
2.2
2.2 + 0.4 for each additional occupant
Number of
Bedrooms
0 (Efficienc)
1
Number of Occupants for
Billin g Purposes
2
2•8
3
4.0
>3
4.0 + 1.2 for each additional bedroom
1
1.6
percent ( in which no more than 50%) of the utility bill ror
Occupancy and size of rental unit
remainder is allocated
water/wastewater consumption is allocated using the occupancy method checked above. The
according to either:
• the size of the tenant's dwelling unit divided by the total size of all dwelling units, OR
. the size of the st)ace rented by the tenant of a manufactured home divided by the size of all rental spaces
-J Submetered hot water.
dwelling unit is divided by all submetered hot water used in
The individually submetered hot water used in the tenant's
all dwelling units.
for hot water provided through a central system:
Submetered cold water is used to allocate charges
The individually submetered cold water used in the tenant's dwelling unit is divided by all submetered cold water used in
all dwelling units.
As outlined in the condominium contract. Describe:
Size of manufactured home rental space:
area rented
The size of the
.....^^....^..^
the tenant divided
-_
the total area of all the size of rental
Size of the rented space in a multi-use facility:
The square footage of the space rented b the tenant divided b the total
of all rental
Page 2 of 2
TCEQ 10363 (Rev 07/2012)
^
TCEQ Use Only
TCEQ
TCEQ Core Data Form
For detailed instnictions regarding completion of this form, please read the Core Data Form Instructions or call 512-239-5175.
SECTION T: General Information
. .,---- . ,. . . .
... .
tit v,+,er,s iwiec+rea prease aescrioe rn space provided)
New Permit, Registration or Authorization (Core Data Form should be submitted with the program application)
q Renewal (Core Data Form should be submitted with the renewal tom)
q Other
2. Attachments
Describe An Attachments: ex. Trtte V
qYes 23No
3. Customer Reference Number if issued
plication, Waste Tran
Fotictiv this tnk to search
4. Regulated Entity Reference Number if issued
or CN or RN numbers in
CN
rterA ficat±on, etc.)
Centrat ^ RN
SECTION II: Customer Information
5. Effective Date for Customer Information Updates (mmlddtyyyy)
6. Customer Role (Proposed or Actual) 4 as it relates to the Reou'ated Enb'tv!'rsted an this form. Please check only one of the fottowing.
ZOwner
qOccupationai Licensee
q Operator
q Responsible Party
q Owner & Operator
q Voluntary Cleanup Applicant
[]Other:
. General Customer tnformaGan
JE New Customer
q Update to Customer Information
qChange in Legal Name (Verifiable with the Texas Secretary of State)
q Change in Regulated Entity Ownership
q No Chance-
"if "No Change" and Section 1 is comutete skip to Section Hi Regulated Entity lnformation
8. T e of Customer:
q Ci Govemment
q Other Government
0 Co ration
Individual
Coun Govemment
Sole Pro rietorshi - Q.6 A
Federal Govemment
q State Government
q General Partnership
q Limited Partnership
q Other:
If
new
Customer
erater nrevious Customer
9. Customer Legal Name (it an individual, print last name first: ex: Doe, 10hn)
bet w
Southwestern Cotton of Plainview, Inc.
New
3109 Olton Road
End Date:
10. Mailing
Address:
City
Plainview
State
11. Country Mailing information ^aouts^de US4)
13. Telephone Number
$06 ) 293-5829
q 21-100
ZIP
14. Extension or Code
q 101-254
q 251•500
79072
ZIP+4
12. E•Mail Address t;rapprncat^i
18. Federal Tax ID (a^^) ^,17.,TX State Franchise Tax ID (ii aOrst
752247095
,s
20. Number of Employees
o-20
TX
15. Fax Number (if applicable)
if
I
18. DUNS Numbertaaopkaoral
q 501 and higher
;^19, TX SOS Filing Number ^r^^t
^ 4'2'-Oo
21. Independently Owned and Operated?
^
q Yes
q Na
5L1,11U1V Ill.- Regulated Entity Information
22. General Regulated Entity Information (I1 "New Regulated Entty" is selected below this
form should be accompanied by a permit application)
New Regulated Entity
q Update to Regulated Entity Name
0 Update to Regulated Entity Information
q No Change" (saeberow)
"M "NO CHANGE" is checked and Sectbn i is complete, skip to Section IV, Preparer Information.
23. Regufated Entit Name (name of the site where the regulated action is takrn place)
Cameron Place Apartments
TCEQ-1 0400 (09/07)
Page 1 of 2
5014 Westway Drive
24. Street Address
of the Regulated
Entity:
^,No P.O. Boxest
City
San Angelo
State
TX
ZIP
76941
ZIP+4
TX
ZIP
79^ 1^
^iP ^ 4
5307 W Loop 289, Suite 201
26. Mailing
Address:
City
26. E-Mail Address:
27. Telephone Number
Lubbock
State
deanna^tigrisilc.net
28. Extension or Code
29. Fax Number (rtaFpkabte)
325 ) 617 5963
325 } 617•5962
31. Secondary SIC Code (4 digits)
30. Primary SIC Code (4 digits)
6513
34. What is the Primary i3usiness of this entity?
32. Primary NAICS Code
5 ar 5 di As)
33. Secondary NA
s ar s^^
531 10
(Pdease do not reAea! the StC car NAtCS ^scripiion.)
Leasing Apartments
Questions 34 - 37 address geographic iocation Please refer to the instructions for applicabititY
rams and write in the P®mutslrragtstration numbers that will be affected by the updates submitted on this form or the
39. TCEQ Programs and ID Numbers Check all Prog
Data Form instructions for additional guidance.
fisted,
cheick
other
and write it in. See t h e C ore
updates may not be made. It your Program is not
C3 Municipal Solid Waste
q {ndustrial Hazardous Waste
q Edwards Aquiter
Districts
q [)am Safety
q
[3 OSSF
q Petraleum Stora^e Tank
q PWS
q Sludge
q New Source Review - Air
q Title V- Air
q Tires
q Used Oil
q Utitities
q Stormwater
1771 wastewater
El wastewater Agriculture
[] Water Rights
q other.
I,Atur,farv t'tPan„r,
Page 2 at 2
TCEQ-10400 (09/07)