HomeMy WebLinkAboutNOI Watermain_01-16-19NOTICE OF INTENT TO CONSTRUCT A WATER MAIN EXTENSION
State Form 49008 (R314-15)
Approved by State Board of Accounts, 2015
General Construction Perinnit For Water Main Extensions
1. Title of proposed project 2. County of Proposed project
The Hamlet at Jackson's Grant, Section 2 Hamilton
i
3. Location of proposed project Gncluoing nearest public intersec8on and nearest quarter Section. Township, Range)
West side of Spring Mill Road approximately 1,000' North 116th Street. Part of the East Half of Section 34, Township 18 North, Range 3 East.
4. Name, title, email address and firm of responsible person (as definedin 3271AC 8-3.5-6)
S. Telephone number of responsible person
John McKenzie, Owner/President, john@mckenziecollection.com, Homes by John McKenzie
( 317 ) 574-7616
B. Address of responsible person (number and street, city, state, and ZIP code)
4631 Lisbom Drive, Carmel, Indiana 46033
7. Name of Public Water System (PdVS)
8. PWS identification number
Carmel City Utilities
5229004
9. Address of PWS (number and street, city, state, and cede)
10, Telephone number of P✓JS
30 West Main Street, Suite 220, Carmel, Indiana 46032
( 317 ) 571-2451
11. Name and firm of professional engineer
12. Telephone number of professional engineer
317 849-5935
David J. Stoeppelwerth - Stoeppelwerth & Associates, Inc.
( )
13.Address (numberand street, dty state, and ZIP code) and email address of professional engineer
7965 East 106th Street, Fishers, Indiana 46038 - dstoeppelwerth@stoeppelwerth.com
14. Name an e-mail address of developer a icable)15.
Telephone numberofdeveloper
574-7616
John McKenzie,john@mckenziecoilection.com
(317)
16. Address of developer (numberandsmet, city, state, into ZIP wdel
4631 Lisbon Drive, Carmel, Indiana 46033
17. Timing of construction (check one of the following):
* The proposed construction of the water main will begin on Apt 2019 and be completed on A"20N_. (Cannot begin construction less than thirty (30)
days after IDEM receives a complete and suffident N01.)
N from L((CannI at least commencement o� na radion
before edays
an
not begin constructionfees,less thng
e ofthis NOIte
and well Includencopy of the nformafron on he first pagit
than (30)s after IDEM
comdem and sufident NOI.
18. Fee Schedule: The complete NOI farm may be submitted by emaA(derwi@idem.ngw) a by catifed m01110 e
addre�bdow.
❑ No fee, exempted under n7IAC 8-3-7(3).
X No fee for water main extensions under 2,5(0 linear fact. rolare Dep3dment of Environmental Management
D$150 for water mein exromuns from 2,501 to 5.000 linear feet Drinking Water Permits Section JGCN for1201)
100 With Senate Avenue
D $250 for water main extercions from Son to 10,000 linear feet. Indianapolis, IN 46204
D$500 for water main extensions greater than 10.000 linear feet It a tea is required, see instructions lorpayrrlelt Options.
19. Certifications:
Responsible Person:
"I cedlfy that I have reviewed and understand the applicability and eligibility requirements of this rule and that the water main proposed with the submission of
this NOI meets the applicability and eligibility requirements of this rule. I also certify that the design and construction of the project will be performed under my
direction or supervision to assure conformance with 327 IAC 6-3.5 and Will meet all local rules or laws, regulations and ordinances. The infommion submitted is
to the beat of my knowledge and belief, met, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the
possibility of fine and IImprisonment.
Signature of responsible rmnDate
agn (mont , ay, yea
Will
January 16, 2019
Professional Engineer:
"I cedily under the penalty of law that the design of this project will be performed under my direction orsupervibimn to assure conformance with 3271AC 8-
the of said to be performed in conformance with this rule. The design of the
3.5 and that the plans and specifwation will require construction project
proposed project will meet all local rules or law, regulations and ordinances. The information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false Information, including the possibility of fine and imprisonment."
hire of fie sion neer
Date signed (month, day, year)
January 16, 2019
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Developer.
"I certify under the penalty of law that the construction of this project Mil be performed under my direction or supervision to assure conformancewith 327 IAC
83.5. The construction of proposed project will meet all local rules or laws, regulations and ordinances. The information submitted is, to the beat of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fine and imprisonment:"
Signature of Developer
a signetl (mo y year)
January 18, 2019
PWS Representative:
"I cedify under the penalty of law that I have agreed to furnish water to the area in whk♦r the velar main is proposed. I acknowledge the public water system's
responsibility for examining the pans and specifications to determine that the proposed water main meet local rules at laws and ordinances.
I also acknovAedge the public water system's respormbillties as outlined in 3271AC 88.512. 1 am aware that there are significant penalties for submitting false
information, including the possib118y of fine and imprisonment"
Signature of PWS representative
Date signed (monf g year)
Project Design Criteria:
Alternative Technical Standards (327 IAC 88.2-20)
2D. Are any "Alternative Technical Standards' proposed to be used in this project?
❑ Yes, I have attached copies of the approval with the NOI. ❑ No
Pudic Water System Capacity Status
21. The PWS's Daily Production Firm Capacity: A. MGD B. 23,611 GPM
22, The PWS's five (5) highest demand days in the previous two (2) years only:
Demand (MGD)
Date (month, day, year)
1. 21,996,000
8/20/17
2. 21,558,000
7/20/18
3. 20,851,000
7/18/18
4. 20,640,000
6/9/18
5. 20,208,000
8127/17
23. Average of five (5) Peak Daily Demand (PDD) listed above:
C. MGD
24. Ratio of PDD to PWS Daily Production Capacity = (Item D = Item C I Item A x 100)
D. %
25. Anticipated Customer Demand of Proposed Water Main
Residential Customers:
E. Number of homes
22
F.Avemge Daily Demand times Peaking Factor (at least 0.87
gpmmome) 0.87
G. Total Average Dally Demand times Peaking Factor (G = E x F)
19.14 gpm
other (Commereral and Indusbuth Customers:
Description(inducting size of domestic meterlj:
Average Daily Derrell (ore "Sas Mabnum
Ope'a6rg C8p8W f dorresfic meter)
V meters @ 50 gpm
50 gpm
gpm
Sub Total:
H. 50 gpm
TotalCustomer Demand of Proposed Water Main(gpm)=(Rem G+item H)
1. 19.14 gpm
Ratio of total Customer Demand of Proposed Water Main (gpm) to the PWS Daily Production Firm
Capacky (gpm) (Item J = Rem V gem B x 100)
J 0.2928 `A
26. Cross Connection Hazard Prevention
A. Are any of the new customers included in Section 25 designated as cross com action hazards (sae inshucriars)?
❑ Yes ® No ❑ WA
B. Will an air gap be constructed or a reduced pressure principal backflow Preventer be installed on the customers service line?
0 Yes ® No ❑ NIA
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