HomeMy WebLinkAboutCapacityCertAllocation-3-20-19Part of State Forms 53159 (R3 / 9-15)
CAPACITY CERTIFICATION/ALLOCATION LETTER
This form must be filled -out in its entirety.
Name of applicant BC Gramercy II, LLC by Platinum Properties Management Co., LLC its manager
Name of applicant representative Tim Berry
Name of project Gramercy West, Sections 2, 3 & 4
CERTIFICATION
, representing the
(Name of individual) (Name of municipality or utility)
, in my capacity
as have the authority to act on behalf of the
(Title) (Name of municipality or utility)
certify that I have reviewed and understand the requirements of 327 IAC 3 and that the sanitary collection
system proposed, with the submission of this application, plans and specifications, meets all requirements
of 327 IAC 3. 1 certify that the daily flow generated in the area that will be collected by the project system
will not cause overflowing or bypassing in the collection system other than NPDES authorized discharge
points and that there is sufficient capacity in the receiving water pollution treatment/control facility to treat
the additional daily flow and remain in compliance with applicable NPDES permit effluent limitations. I
certify that the proposed average flow will not result in hydraulic or organic overload. I certify that the
proposed collection system does not include new combined sewers or a combined sewer extension to
existing combined sewers. I certify that the ability for this collection system to comply with 327 IAC 3 is
not contingent on water pollution/control facility construction that has not been completed and put into
operation. I certify that the project meets all local rules or laws, regulations and ordinances. The
information submitted is true, accurate, and complete, to the best of my knowledge and belief. I am aware
that there are significant penalties for submitting false information, including the possibility of fine and
imprisonment.
Gallons per day (Total Average Flow for Project) 52,700
Wastewater treatment plant (Name of WWTP) Carmel Wastewater Treatment
Sewers (Owners of sewers) City of Carmel
Signature
Date signed (month, day, year)
(Please refer to IC 13-30-10 for penalties of submission of false information.)
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