HomeMy WebLinkAboutStormwater Management Permit ApplicationJai ur Cin\
City of Caiwiel permit 4:
STORNINVATER MANAGEMENT PERMIT APPLICATION
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Submission of this application constitutes notice Ilmt the project site owner is applying for coverage under the Carmel City Code §6-180
throuah §6-209 for stormwater discharges associated with construction activity disturbing 1 acre or more of land. Permitted project site
owners are required to comply with all Ienns and conditions of the Carmel City Crxle.
Project Name: 12955 Old Meridian Remodel
Project Location: 12955 Old Meridian Street
Quarter: Section: 26 Township:
18N Rangc. 3E
Project Site wnerName:
Title/Positio
Company:
JR^('t
Address:
_76 11ad or �G
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City: ����
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State: f Zip:
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Phone: F Fax:
217 - 37$ 7Z 7
E-mail Address:
SNNTPP Contact Person: Nicholas Ver atos
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Company name:
JPS Consulting Engineers
Afiilialion to Project Site Owner.
Civil Engineer
Address (if dijjerent from above):
9365 Counselors Row, Suite 116
City. Indianapolis
State: IN Zip: 46240
Phone: Fax:
317-617-4270
E-mail Address:
nvergatos a(.7j psce.com
Fstimated Project Duration:
Sy signing this application, I certify the following:
A. Tlic 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'reclmical Standards Manual, and all applicable
federal, slate, and local stunnwater requirements;
B. The measures required by the Stormwater Pollution Prevention Plan (SWPPP) shall he 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 Codc; and
I). 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 [lie stormwater quality measures
outlined in the Stormwater Pollution Prevention Plan (SWPPP) or provide maintenance thereto, at my expense, if not performed.
Signature of Yrafcct () t Printed Name Date
Permit Approved. Engineering Department
Date
Approval of this application constitutes acceptance of the Storm Water Pollution Prevention Plnn (SWPPP) by the City of Carmel.