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CITY OF CARMEL
PERMIT RECEIPT
OPERATOR: lstewart
COpy # 2
Sec:07 Twp:17 Rng:03 Sub:WCC Blk: Lot:1
PARCEL ID ........: 1713070019001000
DATE ISSUED.......: 05/17/2007
RECEIPT #. . . . . . . . .: 25114
REFERENCE ID # .... 07050060
SITE ADDRESS ...... 10496 COMMERCE DR (& #100)
SUBDIVISION......: WEST CARMEL CENTER
CITY .............: CARMEL
IMPACT AREA......: 421
OWNER ............: PR BLOCK C, LLC
ADDRESS..........: 8463 CASTLEWOOD DR
CITY/STATE/ZIP ...: INDIANAPOLIS, IN 46250
RECEIVED FROM ....:
CONTRACTOR .......:
COMPANY.......... :
ADDRESS.......... :
CITY/STATE/ZIP ...:
TELEPHONE .........
FEE ID
UNIT
QUANTITY
CIIC/O
CIINAA
ICIIELEMTR
ICIIFINAL
ICIIFTSLB
ICIIFTSLB+
ICIIROUGH
ICIISITE
FLAT RATE
SQUARE FEET
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
FLAT RATE
1. 00
20,002.00
1. 00
1. 00
1. 00
1. 00
1. 00
1. 00
TOTAL PERMIT :
METHOD OF PAYMENT
AMOUNT
CHECK
TOTAL RECEIPT :
5139.40
------------
------------
5139.40
WURSTER CONSTRUCTION
LIC # WURSCON
WURSTER CONSTRUCTION CO INC
8463 CASTLEWOOD DR
INDIANAPOLIS, IN 46250
(317) 841-1000
AMOUNT PD-TO-DT THIS REC NEW BAL
---------- ---------- ---------- ----------
111.00 0.00 111.00 0.00
4404.40 0.00 4404.40 0.00
104.00 0.00 104.00 0.00
104.00 0.00 104.00 0.00
104.00 0.00 104.00 0.00
104.00 0.00 104.00 0.00
104.00 0.00 104.00 0.00
104.00 0.00 104.00 0.00
---------- ---------- ---------- - - -,- - - - - --
5139.40 0.00 5139.40 0.00
NUMBER
047394
TreatmenU"I,mt CTRWD WwrP
Subdivision Ma'plecresrCommons
Section Number
'-Build~ -Wurster-- .
Commercial
275402007
Permit Type Final
Lift Station
_~-...c.'--,---.-__
-' - - --
Regional Waste District
SA~ITARY SEWER PERMIT
INDIVIDUAL LOT I EXISTING BUILDINGS
Lot Number
Address Number 10496
Street Commerce Dr
City Carmel
Zip Code 46032
-~-=--e.~ "='"_ _
County Hamilton
T
->"!:'~ _--0"-_,
Parcel Acreage
Employees
Square Footage
Invoice Number 2240
Plan Review andlns'pection
Application Fee
EDU Fee
Interceptor Fee
Fees Due
$2;950.00
$48,675.00
$51,625.00
PLEASE NOTE: Installation. of building,sewer ~hall be per the specifications of the Clay Township Regional V)iaste
District (see reverse) and allY conditions noted below. Aliinstallations shall be inspected by District personnel during
"open trench" ph-aseand before backfilling with stone to twelvelnches above the pipe. NO fooiing or foundation drains,
or ather sources of ground or stormwater, shall be permitted to enter the: District's sani!ary.sewer system~ The District
will assume no liability for drains which are below the grade level ohhe nearest downstream manhole nor for laterals
which are extended beneath driveways or sidewalks. The permit holder (property owner, developer or bUilder) will be
responsibie for dalTJ.ages to the District's sewer ~ystem. This includes damages to manholes, castings, rnanhole lids
and the like; caused by construction activity on tre building site which is the subject of. this permit.
Inspections by the District are MANDATORY and .shall be arranged by contacting the District's.office'at 844-9200
24 hours)n advance. All new construction will' be placed.on billing six months after connection has ,been made or when
water IS connected, whichever comes first,
Up
Down
The building has, a: Grease Trap No Slab Foundation Yes Lid Elevation
Grit Interceptor No Crawl Space No First Floor Elevation 895.45 It
Gr;nder ::;tat;on No Basement. No Basement Eievation
Ca!culatio.n is based on botl1 Manhole Lid Elevations-and the eievaUon oUhe First Floor C--s95Asl-----------lj
I
895.45 ft
I
Per Ordinance 9-13-gg'and the elevations provided, the substructure shall be plumbed by: Not A.pplicable
~/' ,k The District re-ser\ies the right to inspect a II 'sump pum. p co.nn~?ti9ns to ensure n.o. illeg?1 connectio~s have been made.
/ .
,
. Manholes shall remain accessible at,all-times. Burled manholes will be corrected by the Developer/Owner:
Conditional Permit Terms:
Plans Submitted No
No Connection No
Ce'rtificate of Insurance No
Inspection Notice No
Fees Paid No
Plan Review No
Other Permits No
No Occ~pancy No
Fats, Oils & Grease No
Manhole Core
Two sets of plans showing alleast one sanitary manhole and top of'casting elevation
NO CONNECTION to the sewer until further notification.
Certificate of Insurance must be on file with CTRWD listed as certificate holder.
48 hours' notice before work starts on manhol~ core drilling or cuts of active lines
All District fees will be paid in.!ul!.
Approval pending Districts review of plans.
Copies of approved permits from appropriate county or city
By signing below, I attest thai I am'fa~~h ~e Dist( t' speCi.ficationsand agree to accept responsibility for all work done. under this permit.
Builder I Owner Signature ~ . Phone Number ~n 0+ 1000 '
P~i::::v::::' '~?t- ~00/vv0N ~ ) Permit Date 5/8/2007
Candy J Feltner, Director AdminIstration & Customer servlcV
Revised 4/26/07 Permitjs valid}or ONE-YEAR from t e date issLJed. Permit valid only with CTRWD seal in red ink.