HomeMy WebLinkAbout323055 03/21/18 1 �C4NM
CITY OF CARMEL, INDIANA VENDOR: 146900
¢, ONE CIVIC SQUARE INDIANA DEPT OF ENVIRONMENTAL M�IECK AMOUNT: $"'"""50.00'
x. CARMEL, INDIANA 46032 P.O.BOX 3295 CHECK NUMBER: 323055
vy_TON.�o;T INDIANAPOLIS IN 46206-3295 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 22497 50.00 OTHER EXPENSES
VOUCHER NO. 185090 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor# 146900 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
IDEM CITY OF CARMEL
100 N. Senate Avenue An invoice or bill to be properly itemized must show: kind of service,where performed,
Indianapolis, IN 46207-7060 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
50.00 146900 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR IDEM Terms
Carmel Wasterwater Utility 100 N. Senate Avenue Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Indianapolis, IN 46207-7060
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
22497 01-7752-05 $50.00 and received except 3/19/2018 22497 $50.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20
Clerk-Treasurer
MUNICIPAL NPDES PERMIT
COMPLETENESS CHECKLIST &
SUBMITTAL FORM
MAIL TO:
Indiana Department of Environmental Management
Office of Water Quality-Mail Code 65-42
Municipal NPDES Permits Section
100 North Senate Avenue
Indianapolis,Indiana 46204-2251
NPDES PERMIT No. INOO 22497
Facility Name City of Carmel Wastewater Treatment Plant
Mailing Address 9609 Hazel Dell Parkway
Indianapolis.Indiana 46280
Facility Location Same as Above
Contact&Telephone Fd Wolfe Phone: ( 317) 571 - 2634 x1633
REQUIRED INFORMATION
REQUIRED WITH ALL APPLICATIONS TECHNICAL APPLICATIONS
X $50.00 Permit Application Fee Semi Public/Minor Municipal Application
X Affected Parties Identification Form X Major Municipal Application/EPA Form
X Request for Information Form X Whole Effluent Toxicity Test(WET-TEST)
** An issued Construction Approval is required with all applications for a AWWNPDES
permitted facility.
The Permit Fee,Affected Parties Form and Request for Information Forms are required with all
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.pp_ to u► Ccadcevit regiitobs s ec> ezn2AC S 3 uli�d 2 Please
check the information that is included,and insure that all forms are completely filled out with date and
signature.