HomeMy WebLinkAbout15040129 Storm Water Permit.pdf/°�rp m. [Rq�fl
J City of Carnted
� /, 5T't?RMWATER MANAGEMENT PERMIT APPLICATION
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Pertnit �k:
Stibmission of this application constitutes notice ihat the project site owner is applying for coveYage under` tfie Carmet City Code §6-13Q
through §6-2Q9 for stormwater discllarges associaEed with constru�tio�� activity disturbing �/a ac��e or more of land. Penvitted project site
owners are required to comply with all terms and conditions of the Carmel City Code.
Project Name:
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Project Location:
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Quazter: Section:
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ProjeckSite Owner Name:
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Township: Range:
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Company:
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Address:
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c�ty:
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Phone: Fax:
ut'7- 7p8'�"1QC3 �,.
SWPPP Contact Person:
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AfCiliation to Project Site Owner; _
Address (If different fi'ona aUove):
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City:
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Phone. Fax;
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Estimated Project Duration:
cr� 5�
State:
Ry signing this�spplication, I cer&fy the following:
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State:
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TitlefPosition:
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Zip:
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E-mail Address:
Gia.a Cao�� C�. tSs. �nnc.�,.
Company Name:
C_.'F�,1 C,r.�'C'r��,Pr�.�C . l ttt
E-mail Address:
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'Phe storm water quality measures induded in tUe Storm Water Pollution Pre��ention Plan (S�WPPP) comply �vith tlie requirenients of
§6-180 througil §6-209 of the Cannet City Code, the City of Canne] Sfoznxwater Tacluiical Standards Manual, and all lpplicabla
federal, state, and local stormwnter requirements;
fihe measures zaquired by the Stormwater Poliution Prcventio�7 Plan (SWPPP) sl�all Ue i�nple�uented;
Stormwater quality measores beyond those specified in the Stormwatec Pollution Prevention Plan �SWPPP) wiil be implemetited
during the life of 8ie permit if necessary to comply wittr ti�e Carmel City Code� and -
Implementation of srormwater quality measures will be inspected tiy traincd individuils;
Pursuant to Carmel Cicy CQda § 6-2Q5, the City resetves i6e right Co inspact �ndfor implement the stoPni�vater qiiality measures
outlined in the Stornlwater Pollution Pre�>ehtion Plan (SWPPP) or provide m�iritenance thereto, <it nry expense, if not performect.
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ignat raofProjectQwner :PrintedName �Date
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��;rdiit Ap�roved: &ngineering Depaetmeirt .I>ate
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Approval of this applicaUon caistiwtes acceptance of the Storm Wnter Pollution Yreventioe Plan (SWPPP) by the City af Carmel.