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Home My WebLink AboutNOI Rule 5_01-16-19RULE 5 - NOTICE OF INTENT (NOI) Type Submittal (Checknt [Ii Rte Box): ❑ Amendment [I Renewed Slatena ri Department ent/2-15) Offices Water Quality Environmental Management Permit Number: ° Office of Water QualRy Approved by State Board of Accounts, 2005 (Note: The initial subrrudal does ref mauve a pertnd number, the Department will assign a number. A permitnumber is required when filing an amendment, applying for renewal, or correspondence related to this permit). Note: Submission a this Notice of Intent letter consolutes notice that the project 00 owner is applying for coverage under the National Pollutant Discharge Elimination System (NPDES) General Permit Rule for Stono Water Discharges Associated with Construction Activity. Parmifted project site owners are required to comply with all terms and conditions of the General Permit Rule 327 IAC 185 (Rule 5). NAME AND LOCATION OF PROJECT Name of Project: County: The Hamlet at Jackson's Grant, Section 2 Hamilton Brie( Description of Project Location: West side of Sprang Mill Road approximately 1,000 North of 116th Street. Pmjed Location: Describe location In Latitude and Longitude (Degrees. Minutes, and Seconds or Decimal representation) and by legal description (Section, Township, and Range, Civil Township) Latitude: Longitude: 39" 57'37" 86" 09'53" Quarter: East 1/2 Section: 34 Township: 18N Range: 3E Civil Township: Clay Does 171 all or ❑ part of this projectlie within the jurisdictional boundaries ore Municipal Separate Stomp Sewer System (MS4) as defined M327 IAC 15134 Ib Yes ❑ No if yes, name the MS4(s): Carmel SIM OWNER OF PROJECT AND CONTACT INFORMATION OF PROJECT Name of Company (IlApplicabia): Homes by John McKenzie Name of Project Site Owner: (An Individual) Tdle/Position: John McKenzie Owner/ President Address: 4631 Osborn Drive City: State:ZIP Code: Carmel Indiana 46033 Phone: FAX: E -Mail Address: (irAvalleblii) (317) 574-7616 (317) 5748806 john@mckenziecollection.com Ownership Status (check one): Govemmental Agency: ❑ Federal ❑ State ® Local Non -Governmental: El Public ® Private ❑ Other. (Explain) Contact Person: Name of Company: (If Applicable) John McKenzie Homes by John McKenzie Affiliation to Project Site Owner: Same Address: (Odilferenthom above) City: State: ZIP Code: Phone: FAX: E -Mail Address. (IfAvailable) PROJECT INFORMATION Project Description: ® Residential -Single Family ❑ Resldentiat-Multi-Family ❑ Commercial ❑ Industrial ❑ Other: (Explain) Name of Receiving Water: Williams Creek (NoteItapplicable. name of municipal operatorofstorm sewer and the ultimate receiving water Ifa retention pond is present on the property. the name ofthe nearest possible receiving water receiving discharge must be provided). Project Acreage Total Acreage: 3.389 Proposed Land Disturbance: (in acres) 3.0 Total Impervious Surface Area: (in square feet, wthou ted for completed project) 88,988.8 Project Duration Estimated Start Date: April 2019 Estimated End Date for all Land Disturbing Activity. April 2024 (continuer, on By siamon this Notice of Intent letter I certify the following. A. The storm water quality measures included in the Construction Plan comply with the requirements of 327 IAC 15-55.5, 327 IAC 1537, and 327 IAC 15- 67.5; 8. the storm water pollution prevention plan complies with all applicable federal, state, and local storm water requirements; C. the measures required under 327 IAC 15-5-7 and 3271AC 15.5.7.5 will be implemented in accordance with the atom water pollution prevention plan; D. if the projected land disturbance is One (1) acre or more, the applicable Soil and Water Conservation District or other entity designated by Me Department, has been sent a copy of the Construction Plan for review, E. atom water quality measures beyond those specified in the stone water pollution prevention plan will be implemented during the life of the permit if necessary to comply with 327 IAC 15-5-7; and R implementation of storm water quality measures will be inspected by trained individuals. In addition to this form, I have enclosed Me following required information: ❑ Verification by the reviewing agency of acceptance of the Construction Plan. ❑ Proof of publication in a newspaper of general circulation in the affected area that notified the public that a construction activity is to commence, including all required elements contained in 327 IAC 15-55 (9). The Proof of Publication Must include company name and address, project name, address/location of the project, and the receiving stream to which storm water will be discharged. Following is a sample Proof of Publication: %CERT Development Inc. (10 Mlow Lane, Indianapolis, homes 46206) Is submitting a Notice o/Intent to the Indiana Department of Environmental Management of owintent to comply with the requirements of 327 /AC IS -5 M discharge storm wafer from construction activities associated with Water Garden Estates located at 24 Washout Lane, Indianapolis, Indiana 46206. RunoMfrom Me project site will discharge to the White River. Questions or comments regarding this project should be directed to Walter WaterofXERT Development Inc." ❑ $100 check or money order payable to the Indiana Department of Environmental Management. A permit tee is required for all NOI submittals (initial and renewal). A fee is not required for amendments. By signing this Notice of Intent [suer, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my Inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted Is, to Ne best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for exporting Islas information or violating Me provisions of 3271AC 155, including the possibility of fine and Imprisonment for knowing violations. Printed Name of Project Owner: Signature of Project Owner: Date (month day, year): January 16, 2019 This Notice of Intent must be signed by an individual mea ngrllre signatory requirements in 327 IAC 1643(g). All NOI submittals must include an original signature (FAX and photo replace are not acceptable). Note: Within 46 hours of Me initiation ofcom fructlon aMivtry, Me project site owner most notify, Me appropriate plan review Agency and IDEM, Office of Water Quality of the actual project start data if It varies Isom the date provided above. NoteA permit issued under 327IAC 15-5 is granted by the commissioner Me a period of five (5) years Isom Me date coverage commences. Once the five (5) year permit teen duration is reached, a general parmB Issued under this rule will be considered expired and as necessary for construction activity continuation, a new Notice of Intent leder (Renewal) Is required to be submitted ninety (90) days poor M the termination of coverage. The submittal most include Me Nor letter Pmalnf Puhlica6on. Fee and verificisi n Mat the plan for Me project was approved (original verification of plan approval is acceptable provided the Mail this form to: Indiana Department of Environmental Management Storm Water Program, IGCN, Room 1255 100 North Senate Avenue Indianapolis., IN 46204-2251 3271AC 155.5 (a) also requires a copy of the completed Notice of Intent letter be submitted to the local Soil and Water Conservation District or other entity designated by the Department, where Me land disturbing activity is to occur. Questions regarding the development or implementation of the Construction PlaniStorm Water Pollution Prevention Plan should be directed to the local county Soil and Water Conservation District(SWCD). If you are unable to reach the SWCD or have other questions please direct those inquiries to the IDEM Storm Water Permit Coordinator at 317233-1884 or 80N451-8027 ext.34864. For information and forms visit hit '0 lde"4896 Mm .