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182318 02/17/2010 Q CITY OF CARMEL, INDIANA VENDOR: 074600 Page 1 of 1 ONE CIVIC SQUARE DEPT OF NATURAL RESOURCES CHECK AMOUNT: $10.00 CARMEL, INDIANA 46032 DIVISION OF WATER 402 W WASHINGTON ST W254 CHECK NUMBER: 182318 INDIANAPOLIS IN 452D4 CHECK DATE: 2117/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4350400 PERMITS 10.00 GROUNDS MAINTENANCE Return to: Page 1 of APPLICATION FOR AQUATIC FOR OFFICE USE ONLY DEPARTMENT OF NATURAL RESOURCES VEGETATION CONTROL PERMIT License No. Division of Fish and Wildlife State Form 26727 (R4 2 -04) Commercial License Clerk A roved State Board of Accounts 2004 Date Issued 402 West Washington Street, Room W273 Whole lake ❑Multiple Treatment Areas Indianapolis, IN 46204 Check type of permit Lake County INSTRUCTIONS: Please print or type information FEE: $5.00 Applicant's Name Lake Assoc. Name rmea Cla n Rural Route or Street Phone Number 1 -4 I 1 E l I LEL S 3 t 1 5 1 -�1 City and State ZIP Code Car I nl cpn Certified Applicator (if applicable) Company or Inc. Name Certification Number Rural Route or Street Phone Number City and State ZIP Code Lake (One application per lake) Nearest Town County 1 r P e -land 1 (4 mI(I+orj Does water flow into a water supply Yes I� No Please complete one section for EACH treatment area. Attach lake map showing treatment area and denote location of any water supply intake. Treatment Area LAT /LONG or UTM's Total acres to be controlled 9 �j Proposed shoreline treatment length (ft) Perpendicular distance from shoreline (ft) aC> Maximum Depth of Treatment ft Ex ected dates) of treatments f"i 11 c; 1 0 Treatment method: ®Chemical OPhysical Biological Control Mechanical Based on treatment method, describe chemical used, method of physical or mechanical control and disposal area, or the species and stocking rate for biological control. p) S O` UiI OCl O� A U0.('L and Plant survey method: Rake ®Visual ❑Other (specify) Aquatic Plant Name Check if Target Relative Abundance Species Rio of Community 1 i n M I'd 4 7 i_I I Lf lax- Page a of Treatment Area C LAT/LONG or UTM's Total acres to be controlled Proposed shoreline treatment length (ft) j D Perpendicular distance from shoreline (ft) 5 0 Maximum Depth of Treatment ft Expected date(s) of treatment(s) CD l7 t D Treatment method: ®Chemical Physical Biological Control OMechanicai Based on treatment method, describe chemical used, method of physical or mechanical control and disposal area, or the species and stocking rate for biological control. C) O O O�LT�'1 O 1(ilu_ r Y Plant survey method: Rake visual Other (specify) Aquatic Plant Name Check if Target Relative Abundance Species of Communi o INSTRUCTIONS: Applicant must sign the application and is the only signature required. If applicant is also a certified chemical applicator, sign the "certified applicator" signature box Applicant Siq tur Date 1 to Certified Applicator's Signature Date FOR OFFICE ONLY Fisheries Staff Specialist Approved E] Disapproved Environmental Staff Specialist Approved El Disapproved Mail check or money order in the amount of $5.00 to: DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH AND WILDLIFE COMMERCIAL LICENSE CLERK 402 WEST WASHINGTON STREET ROOM W273 INDIANAPOLIS, IN 46204 �'4'�Yinv,�•a.�.� Vie= x R1 �atoi �'i,y, f�1D _rc�n F� �L ISr< ,oa'��"�`''$'�.',41:;L �d'tF�� 1� 11 a�ID� S�� i4i� ,f,N c'kJ '2ih�.♦ !t••s� i o� �aG 7 r;:ba;'. �ii��. tom' 'e� .►JL�'�1 I nod` r s yy 1 9' t pi �\j� alp,, Vi J. arc rf. 7D.& 2:t'9' 4t,. 1 �,y� �yr rr�.7�+� t I'•`•v i i. oek c 1 4� mogg \tS'• V t dt �'it 4;�.� ��.�Zt �d\�,yd ►�k i .1 �+�+,�C- ,t".�^p' I. r 7 9 fSa o•�'k?�+ A��ai ��1��$': q1�s' A`l' ,'CO�pptGC�or to u� "v J'I.,}. RQ u �o t 1� `9� Yt ��u'jo�lidY�\9 q t� r. c, fro -n �i li: q "00 S.t .y,L�C� iluoo t'�: 1'� e m },'.t if:� j; :•�g0. s ��F.�,�'.'sp of a fo mi ni Dupe,•. a� r t• aP�f..�, o w ielh .e iY si:' o�o ,.:ie.- �uf �.1 G1 t a+ 6➢teV R9 oi n o Y.��_ tit t...�e J I �.y A_ +mOp'� ?\C�� Ln r, :.st IP Z oiAin ate:? �a..�ataavav`�,♦+�ia` i►�� i11 -(I ;.��ya'x' r+ ,i•'_ f:,. .5.11,E P 1;f 1 .'11,. ti 'W ,t lv •1 flFi� 1 if'll�t�'�. f j 1 311'x' Al J l jr il f I fi 111111 111 HIT f 3 ►,��1 i a IN 1 Return to: Page 1 of APPLICATION FOR AQUATIC FOR OFFICE USE ONLY DEPARTMENT OF NATURAL RESOURCES VEGETATION CONTROL PERMIT License No. Division of Fish and Wildlife State Form 26727 (R4 2 -04) Commercial License Clerk f AWroved State Board of Accounts 2004 Date Issued 402 West Washington Street, Room W273 Whole take Multiple Treatment Areas Indianapolis, IN 46204 Check type of permit Lake County INSTRUCTIONS: Please print or type information FEE: $5.00 Applicant's Name Lake Assoc. Name IXM rI1,S Rural Route or Street Phone Number l4l1 E ?,I 7_ City and State ZIP Code r l I�1 (pb Certified Applicator (if applicable) Company or Inc. Name Certification Number Rural Route or Street Phone Number City and State ZIP Code Lake (One applica nn per lake) Nearest Town County r llv, ca y rn a m'\� +on Does water flow into a water supply El Yes Fallo Please complete one section for EACH treatment area. Attach lake map showing treatment area and denote location of any water supply intake. T reatment Area LAT /LONG or UTM's Total acres to be controlled 5- Proposed shoreline treatment length (ft) Qd 3a I Perpendicular distance from shoreline (ft) 1 (3 Maximum Depth of d Treatment ft Expected date(s) of treatment(s) 1 0 Treatment method: Chemical E]Physica! Biological Control Mechanical Based on treatment method, describe chemical used, method of physical or mechanical control and disposal area, I orr the species and stocking C2 rate for biological control. D0 0, O Ot cf&V. j Ur n T Plant survey method: Rake Visual Other (specify) Aquatic Plant Name Check if Target Relative Abundance Species %of Community Page d of 3 Treatment Area L T /LONG or UTM's Total acres to be controlled Proposed shoreline treatment length (ft) Perpendicular distance from shoreline (ft) Maximum Depth of Treatment (tt) Expected date(s) of treatment Treatment method: Chemical Physical Biological Control Mechanical Based on treatment method, describe chemical used, method of physical or mechanical control and disposal area, or the species and stocking rate for biological control. Plant survey method: Rake Visual Other (specify) Aquatic Plant Name Check if Target Relative Abundance Species of Community INSTRUCTIONS: Applicant must sign the application and is the only signature required. If applicant is also a certified chemical applicator, sign the "certified applicator" signature box Applican�re at Date Certified Applicator's Signature Date FOR OFFICE ONLY Fisheries Staff Specialist Approved Disapproved Environmental Staff Specialist Approved Disapproved Mail check or money order in the amount of $5.00 to: DEPARTMENT OF NATURAL RESOURCES DIVISION OF FISH AND WILDLIFE COMMERCIAL LICENSE CLERK 402 WEST WASHINGTON STREET ROOM W273 INDIANAPOLIS, IN 46204 J ar I I !i I 11 IC ii l 1 1 1 v U Ll6 Area Open Fleldt a Trail f90 -Grant i r 1 ound it burl y ri� a I Atrall V 1 olp il rail 4y lb lid* I Gra Park ba�ary nd 111 shmleer Parkin8 of R 4 0 3 I U 'Ri n Clod. Wet m w �ee•uire r A '1 Swfr�a p•,Q� j l� MIL ion 1 Q w Idee i (spri31J V Q I cloy lay atru I` I I ralrle fiiaza I I I Grarden West Park sS 2 001 0 k00' 200' 400' !`,roraruction co W PAR scale I' 120' November 11, 7001 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Department of Natural Resources Purchase Order No. 074600 Division of Fish and Wildlife Terms Commercial License Clerk 402 West Washington St., Room W273 Indianapolis, IN 46204 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1126110 Permits Vegetation control permits 10.00 Total 10.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with tC 5- 11- 10 -1.6 20_ Clerk- Treasurer Voucher No. Warrant No. Department of Natural Resources 074600 Division of Fish and Wildlife Allowed 20 Commercial License Clerk 402 West Washington St., Room W273 Indianapolis, IN 46204 In Sum of 10.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Permits 4350400 10.00 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 11 -Feb 2010 *1W n&tm Signature 10.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund