HomeMy WebLinkAboutSEWER - Dermatology CarmelTriCo Regional Sewer Utility
10701 N. College Avenue Suite A Indianapolis, Indiana 46280 phone 317-844-9200 fax 317-844-9203 www.trico.eco
Commercial g & g Permit Ordinance 12-08-08
Lateral Location
Address Number
Address 2
Street
City
State
Zip Code
Subdivision
Section Number
Lot Number
Permit Information
Owner / Occuoant Information
725
Owner
First Name
Lakefront Court
Last Name
Carmel
Phone Number
IN
Mobile Number
46032
Fax Number
Carmel Science and Technology
Email Address
4
Facility Features and Addition Information
Slab Foundation
Crawl Space
Basement
Cleanout
Ejector Pump
Sump Pump
Grinder Station
Program Specifications
Owner Address if Different
Address Number
Address 2
Street
city
State
Zip Code
Builder Information
Builder
Phone Number
YES Square Footage
Water Type
Basement Status
YES Main ID
Lift Station
City of Carmel
Not Applicable
CST443C-CST443B
01 Carmel Creek Station
■ This program requires prior to the sale/occupance of a property that the property owner/builder notify TriCo and
schedule an inspection. The inspection will verify that:
` Downspouts are not connected to the sanitary sewer
■ The sump pump is not connected to the sanitary sewer
■ Cleanout caps are in place and watertight
■ No yard drains are connected to the sanitary sewer
■ There are no sinkholes or other indications that the sewer lateral is leaking
• 5 Ton or greater HVAC units do not dishcarge condenstion to the sanitary sewer.
` If deficiencies are found, the property owner will be notified and must make corrections immediately. The property
owner will need to schedule a follow up inspection. If a certificate of compliance is not issued within 30 days of the
change in ownership, a sewer surcharge of $20 per month will be assessed and added to the sewer bill.
i
Owner/Occupant Signature t �.'f��... �,��1t,�.1:�" Date: is
Approved By: r JaeTMt� y �� Date: /G I2T/Pl�rt�
(DPNCBANK 40544
N
Dermatolo PBANK,N.A. 071
C Iv Cheek Number: 40544 1N INDIANAPOLIS, IN Nov 1, 2018
•-1NC 70-21891719
3755 E. 82nd Street, Suite 75
Memo: Indianapolis, IN 46240
DATE 18,864.55 AMOUNT
PAY Eighteen Thousand Eight Hundred Sixty -Four and 55/100 Dollars
TO THE TRICO REGIONAL SEWER
10701
onoEn 10701 N COLLEGE AV
OF ATE A
INDIANAPOLIS, IN 46280 J `*
�e
AUTHORIZED SIGNATURE
=M
0040 5441II 1:0 7 h9 2 189 0: 46 18 2 7 11,09,10