HomeMy WebLinkAbout580 Carmel Drive SW Permit 4-16-15.pdfc*t�:„� °'�
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� STORMWATER ME1�'AGEMENT PEI2MIT APPLICATIQIV
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Permit#: � �-�' �
Sutimission of this �appiicati�n c�onstitutes notice��thaY the ptojut site owner is applyiug �for coverage under Uie Carmel Cify Code §6-I80
through §6-209 foi' �stormwater tlisoharges associated with�construction activity disYurbing'/a acre or �nore �f land. Permitted project aite
ownersare required to comply with all terms and conditions of the Carmet City Code.
Project Name: �+ �„,
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Project Location: ,.,
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Quarter: Seauon: Townshrp: Range:
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Project Site Owner Name: � p Title/PosiGon:
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Company:
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Address; ` , �, �
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Pl�one: Fax: E-mail Address: �� J ��� �
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SWPPP Contact Person: �^ �� CompahyName:
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Afri]iation to Project Site Owner. pa^y� �(�
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Address (If di� fferent frorn aboue):
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City: State:
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Phone: � Fax: E-mail Address:
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By signing tltis applicadon, I cerufy the Po]lowing:
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The storm water quality measures included in the Stornz Water Pollution Prevenvon Plan (SGVPPP) camply with the requirements of
§6-}80 through §6-209 of the Carmel City Code, the. City of Carmel Stormwater Technical SCandards Manual, and all applicable
federal, state, and local stormwater requirements;
The measures required� by the Stoimwater Pollution Prevention Plan (SVJPPP} shall be implemented;
Stormwater quality measures beyond those specified in the Stormwater Pollution Pr'evettrion Plarr (SWPPP) wiil b��implemented
cluring the �liPe of the permit if necessary Lo comply wifh the Carmel City Code; and
Tmplementation of stoi7nwater quafity mcasures will be inSpected by h�ained individaals;
Pursuant to Carmel City Gode §� G-205, the City reserves the right to inspect�and/or implement fhe stormwater z�uality measures
outlined �n Yhe Stormwater�Pollufiou Prevention Plan (SWPPP) or provide�maintenance tliereCo, at my expense, if not perfottlled.
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Sigoature of Projeet�er Printed Name �,.; Date �
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Approved: Engineering Departmei�t � � Date
Approval of tivs applieafion cousfimtes acceptaoee of the SWrm Wate�' Poilu6on Prevention Plan (SWPPP) by�the City �f Carmel.