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City of Carmel
l 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 1/4 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: Jackson's Grant on Williams Creek, Section 7
Project Location: West side of Spring Mill Road p g approximately 4,600' North of 116th Street.
Quarter: NE Section: 34 Township:18N Range: 3E
Project Site Owner Name: e Titl/Position:
Douglas B. Wagner Senior Vice President
Company: Jackson's Grant Real Estate Co., LLC by JG Development Company, LLC its manager.
Address:13578 East 131 st Street, Suite 200
City: Fishers State: Zip:
Indiana 46037
Phone: 317-770-7011 Fax: E-mail Address:
dwagner@republicdev.com
SWPPP Contact Person: Douglas B. Wagner Company Name: Jackson's Grant Real Estate Co., LLC by JG
Development Company, LLC its manager.
Affiliation to Project Site Owner:
Same
Address (If different from above):
City: State: Zip:
Phone: Fax: E-mail Address:
Estimated Project Duration: March 2020 thru March 2025
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 Stormwater Pollution Prevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
Doug Wagner - Senior VP Jackson's Grant Real
Estate Co., LLC by JG Development Company,
e (�(� .�..-, LLC its manager.
Signature &roject Owner U Printed Name
Permit Approved: Engineering Department
Date
December 18, 2019
Date
Approval of this application constitutes acceptance of the Storm Water Pollution Prevention Plan (SWPPP) by the City of Carmel.