HomeMy WebLinkAboutspp010.6City of Carmel Permit
STORMWATER MANAGEMENT PERMIT APPLICATION
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Submission of this application constitutes notice that the project site owner is applying forcoverage under the Carmel City Code §6-180
construction §6-209 for stormwater discharges associated with consction activity disturbing /. 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: P9AWOV
Project Ucation: _1100o 5()1-'
Quarter. Section: f Township: t` Range:
Project Site Owner Name:
Company:--r^OIJ 6,5 IL l G1 f 6
Address: () _R -) I
City
State: TJ
Phone: 31
SWPPP Contact Person: Lo
cl 4n,/
Affiliation to Project Site Owner-
s
wners (If different from above): v `
State:
City:
Phone: Fax
Estimated Project Duration: ! U
Title/Positio: �[VI/Z
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Zip: j{ ,08 2 3 Hyl
E-mail Address: V Y @ 6D /1-1
Company Name:
Zip:
E-mail Address:
M 4-, s -,i- - Its 2.o1
By signing this application. I certify the following:
The storm water quality measures included in the Storm Water Pollution Prevention Plan (SWPPP) comply with the requirements of
A
§6 1st 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 Stormwater Pollution Prevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
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Signature of Project Printed Name Date
pmpproved: Engineering Department
Date
Approval of this application constitutes acceptance of the Storm Water Pollution Prevention Plan (SWPPP) by the City of Carmel.