HomeMy WebLinkAbout15100133 Storm Water Permit.pdf1�t4aFang� 2
( ` � City of Carmel
,� STORMWATEit
���1N(ttRRX "'�
Pemut #: �� �
Subuussion of lliis applicaaon cpnstitutes noCice that the project site owner is applying faA� coverage undec the Carniel G4fy'C'.ode §6-180
thraugh §b-209 fot stormwater discharges associated with construction acuvity disturbing �/n acre or more of land. Pertnitted project site
owners aze reqnired to comply with all terms and candifions of the Curnel City Code.
ProjectName: Butler Maserati
Project IACation: � Corner of
Quarter; SE Section: &
Project Site Owner Narne:
R.A.
Company: 4200 E. 96th St,
Address:
4200 E 96th
City:
Carmel
Phone:
SWPPP Contact Person:
H. Dugan
Affiliation to Project Site Owner.
Address (tf differenxfrom a�bove):
City:
Indianapolis
Phone: 317-638-3355
Estimated Pcoject Duration:
By signing tlris application, I certify t
A. The siorm water qaality measure
§6-18Q thcough §6-209 of the Ca
federal, state, and local �tormwat
S. The measures required by the Stc
C. Stormwater quality measuras be}
during the life of the pernut if ne
D. ImplemenTation of sYormwarer qi
E. Pursuant to Cazmel City Code §
ouilined ln the Stormwater Pollu
�%>t7L",� , 9L 7 `�� ? �
ler
and Randall Drive
Townslup:
17N
State:
Contractor
5 Bloyd Ave
Range: 4 E
TitlelPosition:
FiSi
State: =N
Member
Zip:
46240
E-mail Addcess:
cwcbuzz@aol.com
Company Name:
Gilliatte General Contractors
I;Umail Address:
l, 2015 - Novemb�er 1, 2016
Z`p' 46z1a
hdugan@gilliate.com
followin�:
ncluded in the Storm Water Pollution Prevention Plan (SWPPF) eornply with ttce iequirements af
�el City Cofle, the City of Carmel Stormwater Technical Standards Manual, and all applicable
requirernents;
nwatex Pollution Ptevenfion Plan (SWPPP) shall Ise irnplemented;
id those specified in the Storrnwater Pollution Prevention Plan (SWPPP) will be implemented
>sazy to comply with the Cazmel City Code; arid
ity measures wiIl be inspected by trained individuals;
?05, the Ciry reserves the right to inspect andlor unplement-the stormwater qualiry measitres
n Prevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
�./-�. ��rL�,�
�Printed Name
,�l,u 1�5�
Date
/��� ��l
Date
of elus application apnsritutes acceptance of the Storm Water Pollutioo Prevention Plan (SWPPP) by the City of Carmel.