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NOI Water Main Extension Sec 4A 03-18-20
Par, 06 NOTICE OF INTENT TO CONSTRUCT A WATER MAIN EXTENSION �i State Form 49008 (R314-15) Approved by State Board of Accounts, 2015 b 1. Title of proposed project General • • • The Grove at The Legacy, Section 4A • 2. County of proposed project Hamilton 3. Location of proposed project (including nearest public intersection and nearest quarter Section, Township, Range) North side of Cherry Creek Boulevard approximately 1,000' West of Community Drive. 4. Name, title, e-mail address and firm of responsible person (as defined in 327 IAC 8-3.5-6) 5. Telephone number of responsible person Todd Pyatt, Member, Todd@Pyattbuilders.com, PM Development Holdings, LLC (317) 379-0184 6. Address of responsible person (number and street, city, state, and ZIP code) 168 West Carmel Drive, Carmel, Indiana 46032 7. Name of Public Water System (PWS) Carmel City Utilities 8. PWS identification number 5229004 9. Address of PWS (number and street, city, state, and ZIP code) 10. Telephone number of PWS 30 West Main Street, Suite 220, Carmel, Indiana 46032 (317) 571-2451 11. Name and firm of professional engineer 12. Telephone number of professional engineer David J. Stoeppelwerth - Stoeppelwerth & Associates, Inc. (317) 849-5935 13. Address (number and street, city, state, and ZIP code) and e-mail address of professional engineer 7965 East 106th Street, Fishers, Indiana 46038 - dstoeppelwerth@stoeppelwerth.com 14. Name and e-mail address of developer (If applicable) Todd Pyatt - Todd@ Pyattbuilders.com 15. Telephone number of developer (317 ) 379-0184 16. Address of developer (number and street, city, state, and ZIP code) 168 West Carmel Drive, Carmel, Indiana 46032 17. Timing of construction (check one of the following): Fa The proposed construction of the water main will begin on June 2020 and be completed on June 2027(Cannot begin construction less than thirty (30) days after IDEM receives a complete and sufficient N01.) ❑ The proposed construction schedule will be submitted separate from this NOI at least ten (10) working days before the commencement of the construction and will include a copy of the information on the first page of this NOI. (Cannot begin construction less than thirty (30) days afterlDEM receives a complete and sufficient Not. 18. Fee Schedule: The complete Not form may be submitted by e-mail (dwnoi@idem.in.gov) or bycertified mail to the ❑ No fee, exempted under 327 IAC 8-3-7(a), address below. © No fee for water main extensions under 2,500 linear feet. Indiana Department of Environmental Management ❑ $150 for water main extensions from 2,501 to 5,000 linear feet. Drinking Water Permits Section (IGCN Rm 1201) 100 North Senate Avenue ❑ $250 for water main extensions from 5001 to 10,000 linear feet. Indianapolis, IN 46204 ❑ $500 for water main extensions greater than 10,000 linear feet. ifa fee is required, see instructions forpaymentoptions, 19. Certifications: Responsible Person: "I certify that I have reviewed and understand the applicability and eligibility requirements of this rule and that the water main proposed with the submission of this NOI meets the applicability and eligibility requirements of this rule I also cerliEj that the design and Construction of this project will be performed under my direction or supervision to assure conformance with 327 IAC 5-3.5 and will meet all local rules or laws, regulations, and ordinances. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment. Signature of responsible perso Date signed (month, day, year) March 18, 2020 Professional Engineer: "I certify under the penalty of law that the design of this project will be performed under my direction or supervision to assure conformance with 327 IAC 8- 3.5 and that the plans and specification will require the construction of said project to be in conformance performed with this rule. The design of the proposed project will meet all local rules or law, regulations and ordinances. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Si lure of p ofe Tonal n ineer Date signed (month, day, year) r - March 18, 2020 Page 1 of 2 Developer: "I certify under the penalty of law that the construction of this project will be performed under my direction or supervision to assure conformance with 327 IAC 8-3.5. The construction of proposed project will meet all local rules or laws, regulations and ordinances. The information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Signature of developer Date signed (month, day, year) March 18, 2020 PWS Representative: 17 "I certify under the penalty of law that I have agreed to furnish water to the area in which the water main is proposed. I acknowledge the public water system's responsibility for examining the plans and specifications to determine that the proposed water main meet local rules or laws and ordinances. I also acknowledge the public water system's responsibilities as outlined in 327 IAC 8-3.5-12. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment." Signature of PWS representative Date signed (month, day, year) Project Design Criteria: Alternative Technical Standards (327 IAC 8-3.2-20) 20. Are any "Alternative Technical Standards" proposed to be used in this project? ❑ Yes, I have attached copies of the approval with the NOI. ❑ No Public Water System Capacity Status 21. The PWS's Daily Production Firm Capacity: A. MGD B. 23,611 GPM 22. The PWS's five (5) highest demand days in the previous two (2) years only: Demand (MGD) Date (month, day, year) 1.21,996,000 8/20/17 2. 21,558,000 7/20/18 120,851,000 7/18/18 4. 20,640,000 6/9/18 5. 20,208,000 8/27/17 23, Average of five (5) Peak Daily Demand (PDD) listed above: C. MGD 24. Ratio of PDD to PWS Daily Production Capacity = (Item D = Item C / Item A x 100) D. % 25. Anticipated Customer Demand of Proposed Water Main Residential Customers: E. Number of homes 36 F.Average Daily Demand times Peaking Factor (at least 0.87 gpm/home) 0.$7 G. TotalAverage Daily Demand times Peaking Factor (G = E x F) 31.32 gpm Other (Commercial and Industrial) Customers: Description (including size of domestic meter); Average Daily Demand (the Safe MaximumOperating Capacity" ofdomestic meter) 1" meters @ 50 gpm gpm gpm Sub Total: H. gpm Total Customer Demand of Proposed Water Main (gpm) = (Item G + item H) 1. 31.32 gpm Ratio of total Customer Demand of Proposed Water Main (gpm) to the PWS Daily Production Firm Capacity (gpm) (Item J = Item I/ Item B x 100) J. 0.1326 % 26. Cross Connection Hazard Prevention A. Are any of the new customers included in Section 25 designated as cross connection hazards (see instructions)? ❑ Yes 9 No ❑ NIA B. Will an air gap be constructed or a reduced pressure principal backflow preventer be installed on the customer's service line? ❑ Yes 9 No ❑ NIA Page 2 of 2