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HomeMy WebLinkAbout580 Carmel Drive SW Permit 4-16-15.pdfc*t�:„� °'� ' � CLZj7 D, f C[LYH'IZCZ � STORMWATER ME1�'AGEMENT PEI2MIT APPLICATIQIV �%GiANP 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: �+ �„, � �';�P,3 i _�('t..a'vl��i� 6...�`� 3�� Project Location: ,., � �`"-�ri:,:� � a �..�i'�a�1 �.�iW �`�.a�9a� �%�,t� s�"«*b�e' l.. x � P� Quarter: Seauon: Townshrp: Range: ,� � � � a�11 ��,� s,s t.� p.;"�J,'�°�.�,, Project Site Owner Name: � p Title/PosiGon: t� a � q � �x �,�-C� �� tr� . -� �` �. Company: �� �8 h� �.��,�.--� l.i��'. Address; ` , �, � I�.� ��u�s,d.� �1�.�a��:.� ��i� CiCy: g"� � . _ �q, State: i �. Zi�: �,„) 9'�*1:��. a�.„ <.5 hti �:.�+�i..� A�� 9 9 Pl�one: Fax: E-mail Address: �� J ��� � {�p SWPPP Contact Person: �^ �� CompahyName: � � Y 1.�:,�. �t; � 6d.. ! � n-.�a ,9`�.�' ,+ 'i �" 4: 0 °�`.z��.� � �.ea�evl9°'1�'w° t�`j� l.,rc�r�4"a"��-"a..Ad�d.,•-�ew,,• Afri]iation to Project Site Owner. pa^y� �(� 4_.,�±w�`s' 'f�'.4.�t:.'� �@ i?��a� 9 " o-.d�.=�a� �:=k:. Address (If di� fferent frorn aboue): °�u"�',�- �90�t`�CC�t`1�.+,;; ���e+.66°� City: State: 7.ip: Aj � 6t� � m �.c:at^a�"�«e�-6 � � � �%�ry ��C� Phone: � Fax: E-mail Address: �) d F� �L �:�a dr.� .� - t �.�`� �.. �.�' �.. .. . � �°y , � � .. i� "" .'���P�a'� '` � c,�5�';�`r,.�L,-^�k��'� �lta��aac.+� �.:,z"yaFQ"a "�"d , ..l.is�R � E,stimated Project DuratioiL. �.�- pd ^e,.e ,'S `�;;y "� ��.re& q,,,� � �' ' e t.s s'«d' � , 9�..� By signing tltis applicadon, I cerufy the Po]lowing: � C. D. E. 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. �„ ........ `�"^a^'°''""i 7✓'� �R � i tW1�7."�^- � t � � �� ;Y '08�G� � Sigoature of Projeet�er Printed Name �,.; Date � �/1Gll.� Approved: Engineering Departmei�t � � Date Approval of tivs applieafion cousfimtes acceptaoee of the SWrm Wate�' Poilu6on Prevention Plan (SWPPP) by�the City �f Carmel.