HomeMy WebLinkAboutStormwater Permit - SignedCity of Carmel
STORMWATBR MANAGEMENT PERMIT APPLICATION
Permit #:
Submission of this application constitutes notice that the project site owner is applying for coverage under the Carmel City Code $6-180
through $6-209 for stormwater discharges associated with construction activity disturbing t/e acte or more of land. Permitted project site
owners are required to cornply with all terms and conditions of the Carmel City Code.
Project Namet Private Residence
Project Location: 4s4s w. 141st street, carmel, lN 46ar4
Ouarter: Section: Townshio: Ranse:-sw1918N-3E
Project Site Owner Namet phil pegram TitlelPosition:
Company:\
Address: Mgrl clnriots \ffhisper Drive
citY: carmer
State: lN zry: 46ar4
Phone:
317 .506.5155
Fax:E-mail Address;' philp@rndy. rr"com
SWPPP Contact Person:Company Name: . -..Whicker ConstructionBrad \trt'hicker
Affiliation to Project Site Ownen Builder
Address (If differentfrom above): p.O. Box l,z
citY: Phinfierd State: lN ziP: 4616s
Phone: g11.g3g.g3s3 Fax:E-mail Address: B\ /hicker@whickercon$truction.com
Estimated Project Duration: ,1 year
By signing this application, I certiff the following:
A. The storm water quality measures included in the StorrrWater Pollution hevention Plan (SWPPP) corply 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 stonnwater requirements;
B. The measures required by the Stormwater Pollution Prevention Plan (SWPPP) shall be imFlerrented;
C. Stormwater quality measures beyond &ose specified in the Stormwater Pollution Prevention Plan (SWPPP) will be irnplemented
during the life of the permit if necessary to comply with the Carmel City Code; and
D, Implementation of stormwater quulity measures will be inspected by trained individuals;
E. Fursuant 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 hevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
- Plltt t tP L. PeAReU 5 ilarr Aot?
Pdnted Name Date
Permit Approved: Engineering Departrnent Date
Approval of this application constitutes acceptance of the Storm Waler Pollution Prevention Plan (SWPPP) by the City of Carmel.