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!� City of Carmel
STORMWATER MANAGEMENT PERMIT APPLICATION
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Permit #:
Submission of this application constitutes notice that the project site owner is applying for coverage under the Carmel City Code §6-180
through §6-209 for stormwater discharges associated with construction activity disturbing'/a acre or more of land. Permitted project site
owners are required to comply with all terms and conditions of the Carmel City Code.
Project Name: Avid Hotel
Project Location: 13285 Illinois St. Cannel, IN 46032
Quarter: NW Section: 26 Township: 18 N
Range: 3 E
Project Site Owner Name: Jim Jacob
Title/Position:
Company: Saantrajya, LLC
Address: (c &0 q W �T AN 6 K_E✓�A
City: �1JK�1V State:
1U Zip: Lf r73 qC�
Phone: ��f �� g L Fax:
E-mail Address: im jacob68@gmail.com
SWPPP Contact Person: Fred Parker, CPESC
Company Name: Weihe Engineers
Affiliation to Project Site Owner: Civil Engieer
Address Qf different from above): 10505 N. College Ave.
City: Indianapolis State:
IN Lip: 46208
Phone: 317-846-661 1 Fax:
E-mail Address: parked@weihe.net
Estimated Project Duration: 6 months
By signing this application, I certify the following:
A. The storm water quality measures included in the Storm Water Pollution Prevention Plan (SWPPP) comply with the requirements of
§6-180 through §6-209 of the Carmel City Code, the City of Carmel Stormwater Technical Standards Manual, and all applicable
federal, state, and local stormwater requirements;
B. The measures required by the Stormwater Pollution Prevention Plan (SWPPP) shall be implemented;
C. Stormwater quality measures beyond those specified in the Stormwater Pollution Prevention Plan (SWPPP) will be implemented
during the life of the permit if necessary to comply with the Carmel City Code; and
D. Implementation of Stormwater quality measures will be inspected by trained individuals;
E. Pursuant to Carmel City Code § 6-205, the City reserves the right to inspect and/or implement the stormwater quality measures
outlined in the Stonnwater Pollution Prevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
-- UO't . _J�A_t_c s , 6.3o -19
igna re of Project Owner Printed Name Date
Permit Approved: Engineering Department Date
Approval of this application constitutes acceptance of the Storm Water Pollution Prevention Plan (SWPPP) by the City of Carmel.