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Home My WebLink About192118 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00351805 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF ENVIR MGT 1, CARMEL, INDIANA 46032 100 N SENATE AVE, PO BOX 6015 CHECK AMOUNT: $100.00 PO BOX 6015 CHECK NUMBER: 192118 INDIANAPOLIS IN 46206 -6015 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4358300 PERMIT 100.00 OTHER FEES LICENSES �"a r Type of Submittal (Check Appropriate Box): RULE 5 NOTICE C N N NOI) Initial Amendment Renewal 9 r Stale Form 47487 (R51 10 -05) Permit Number: Indiana Department of Environmental Management Office of Water Quality (Note: The initial submittal does not require a permit number, the Department will Approved by State Board of Accounts, 2005 assign a number. A permit number is required when ding an amendment, applying for renewal, or correspondence related to this p ermit). Note: Submission of this Notice of Intent letter constitutes notice that the project site owner is applying for coverage under the National Pollutant Discharge Elimination System (NPDES) General Permit Rule for Storm Water Discharges Associated with Construction Activity. Permitted project site owners are required to comply with all terms and conditions of the General Permit Rule 327 IAC 15 -5 (Rule 5). Project Name: County Central /Clay Central Park, Eastside Development Project Hamilton Brief Description of Project Location: The project is located south of E. 116th Street between Westfield Boulevard and Monon Greenway in the City of Carmel, Hamilton County, Indiana. Project Location: Describe location in Latitude and Longitude (Degrees, Minutes, and Seconds or Decimal representation) and by legal description (Section, Township, and Range, Civil Township) Latitude: Longitude: 39 Deg 57' 09" N 86 Deg 07'49" W Quarter: N1 /2 NE1 /4 Section: 1 Township: 17N Range: 3E Civil Township: Clay Does alf or part of this project lie within the jurisdictional boundaries of a Municipal Separate Storm Sewer System (MS4) as defined in 327 IAC 15 -13? Yes No If yes, name the MS4(s): City of Carmel A Company Name (if Applicable): Carmel /Clay Board of Parks and Recreation Project Site Owner's Name: (An Individual) 7 Title /Position: N/A Address: 1411 E. 116th St. City: State: ZIP Code: Carmel IN 46032 Phone: FAX: E -Mail Address: (if Available) 317- 573 -4017 317 -571 -413 mwestermeier @carmelclayparks.com Ownership Status (check one): Governmental Agency: Federal State Local Non Governmental: Public Private Other: (Explain) Contact Person: Company Name: (If Applicable) David Wolmutt, P.E. JJR, LLC Affiliation to Project Site Owner: Project Engineer Address: (if different from above) 625 Williamson St. City: State: _____7ZIP Code: Madison WI 53703 Phone: FAX: E -Mail Address: (if Available) 608 327 -4446 608 251 -6147 david.wolmutt @jjr- us.com Project Description: Residential Single Family Residentlal- Multi Family Commercial Industriaf other: (Explain) Parks and Recreation Name of Receiving Water: Carmel Creek (Note: If applicable, name of municipal operator of storm sewer and the ultimate receiving water. If a retention pond is present on the property, the name of the nearest possible receiving water receiving discharge must be provided). Project Acreage Total Acreage: 77.2 Proposed Land Disturbance: (in acres) 15.4 Total Impervious Surface Area: (in square feet, estimated for completed project) 107,000 Project Duration Estimated Start Date: December 1, 2010 Estimated End Date for all Land Disturbing Activity: December, 2011 (Continued on Reverse Side) By sicinino this Notice of Intent letter, I certify the following A. The storm water quality measures included in the Construction Plan comply with the requirements of 327 IAC 15- 5 -6.5, 327 IAC 15 -5 -7, and 327 IAC 15- 5-7.5; B. the storm water pollution prevention plan complies with all applicable federal, state, and local storm water requirements; C. the measures required under 327 IAC 15 -5 -7 and 327 IAC 15 -5 -7.5 will be implemented in accordance with the storm water pollution prevention plan; D. if the projected [and disturbance is One (1) acre or more, the applicable Soil and Water Conservation District or other entity designated by the Department, has been sent a copy of the Construction Plan for review; E. storm water quality measures beyond those specified in the storm water pollution prevention plan will be implemented during the life of the permit if necessary to comply with 327 IAC 15 -5 -7; and F. implementation of storm water quality measures will be inspected by trained individuals. In addition to this form, I have enclosed the following required information: Verification by the reviewing agency of acceptance of the Construction Plan. Proof of publication in a newspaper of general circulation in the affected area that notified the public that a construction activity is to commence, including all required elements contained in 327 IAC 15 -5 -5 (9). The Proof of Publication Must include company name and address, project name, addressllocation of the project, and the receiving stream to which storm water will be discharged. Following is a sample Proof of Publication: "XERT Development Inc. (10 Willow Lane, Indianapolis, Indiana 46206) is submitting a Notice of Intent to the Indiana Department of Environmental Management of our intent to comply with the requirements of 327 iAC 15 -5 to discharge storm water from construction activities associated with Water Garden Estates located at 24 Washout Lane, Indianapolis, Indiana 46206. Runoff from the project site will discharge to the White River. Questions or comments regarding this project should be directed to Walter Water of XERT Development inc," $100 check or money order payable to the Indiana Department of Environmental Management. A permit fee is required for all NO] submittals (initial and renewal). A fee is not required for amendments. e By signing this Notice of Intent letter, I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, 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 or violating the provisions of 327 IAC 15 -5, including the possibility of fine and imprisonment for knowing violations. Printed !dame of Project Owner Carmel /Clay Board of Parks Recreation by and through Mark Westermeier, Director Signature of Project Owner: Date: if 07- This Notice of Intent must be signed by an individual meeting the signatory requirements in 327 IAC 15- 4 -3(g). Alt NOI submittals must include an original signature (FAX and photo copies are not acceptable). Note: Within 48 hours of the initiation of construction activity, the project site owner must notify the appropriate plan review agency and 1DEM, Office of Water Quality of the actual project start date if it varies from the date provided above. Note: A permit issued under 327 iAC 15 -5 is granted by the commissioner for a period of five (5) years from the date coverage commences. Once the five (5) year permit term duration is reached, a general permit issued under this rule will be considered expired, and as necessary for construction activity continuation, a new Notice of intent letter (Renewal) is required to be submitted ninety (90) days prior to the termination of coverage. The submittal most include the NO1 Letter, Proof of Publication, Fee, and verification that the plan for the project was approved (original verification of plan approval is acceptable provided the scope of the project has not changed from the original submittal). Mail this form to: Indiana Department of Environmental Management Cashiers Office Mail Code 50 -10C 100 North Senate Avenue Indianapolis., IN 46204 -2251 327 IAC 15 -5 -6 (a) also requires a copy of the completed Notice of Intent letter be submitted to the local Soil and Water Conservation District or other entity designated by the Department, where the land disturbing activity is to occur. Questions regarding the development or implementation of the Construction Plan /Storm Water Pollution Prevention Plan should be directed to the local county Soil and Water Conservation District (SWCD). If you are unable to reach the SWCD or have other questions please direct those inquiries to the IDEM Rule 5 Coordinator at 3171233 -1864 or 8001451 -6027 ext.3 -1864. For information and forms visit: http:i iwww.in.govlidemipermitsiwater wastewater /wetwthr /storm /rule5.html Audrey Kostrzewa From: Mark Westermeier Sent: Tuesday, November 09, 2010 3:26 PM To: Audrey Kostrzewa; Debra Grisham; Deb Grisham Subject: Fwd: Permits Attachments: CarmelStormwaterPermitForm.pdf; ATT24066.htm; IDEM NOI Form.pdf; ATT24067.htm This one replaces the one I just sent to you.... Mark Begin forwarded message: From: "Dave Wolmutt" David.Wolmutt@jjr- us.com To: "Mark Westermeier" MWestenneier na,cannelclayp arks. com Cc: "Mike Stirk" Michael.Stirk(c�Jjr- us.com "Laura Verden" Laura.Verden Qjr- us.corn "Mark O'Leary" Mark.OLeary(a)ilr- us.com Subject: Permits Mark Just wanted to give you a quick summary of our recent permit submittals for the East Woods project and request some information to tie up "loose ends In a nutshell, I am requesting the following: Signatures on the City of Cannel Stormwater Permit Application and Notice of Intent Forms (attached). A check for $200 to the Indiana Department of Natural Resources Division of Water for the Flood Control Act. Permit Application A check for $100 to the Indiana Department of Environmental Management for the SWPPP Notice of Intent application. The following is the permit status and further explanation: I. An Application Package for permitting fill in Waters of the Nation under Section 404 has been submitted to the US Army Corps of Engineers. This application was signed by Mark O'Leary of our office per your prior authorization. It is our understanding that there is no application fee, but a fee may be requested at a later date at the discretion of the Corps District Engineer. 2. The COE Application package is also being submitted to the Indiana Department of Environmental Management for Section 401. Water Quality Certification for impacts to Waters of the Nation. Mark O'Leary also signed this application per your authorization. There `s no ee associated with this application. f 3. An Application Package for a Flood Control Act Permit has been submitted to the Indiana Department of Natural Resources. This application is for permit coverage for construction in the Carmel Creek Floodway, including replacement of the culvert. Mark O'Leary signed this application. There is a $200 permit fee which we have not yet submitted. We are requesting a check from you (Parks) made out to "Indiana Department of Natural Resources Division of Water" for this. Either mail this to me and I will forward to IDNR or, depending on time frame, provide to Mark O'Leary or Mike Stirk. 4. We have completed a report titled Stormwater Drainage Technical Report and Pollution Prevention Plan SWPPP). Per direction of the City, this will be submitted to the Hamilton. County Soil and Water Conservation District for review on behalf of the City (for SWPPP review) and the City (Drainage review). We are assuming there will be no review fee since this is essentially a City project. However, we will confirm this. I have attached the City's Stormwater Permit Application Form, which requires your signature. 5. After approval of the permit application by Hamilton County and the City, we have to issue a public notice. The City approval, verification of public notice and Notice of Intent form must be submitted to IQEM at least 48 hours before beginning construction. A check for $100 to "Indiana Department of Environmental Management" must accompany the Notice of Intent form. I have attached a copy of the NOI form, which requires your signature. You will be receiving copies of each of these application packages within the next few days. Please call if you have any questions. David Wolmutt, PE Senior. Civil Engineer JJR 625 Williamson Street Madison, WI 53703 T 608.327.4446 F 734.780.8969 www, ijr- us.com http: /www.jjr- us.com 2 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 Purchase Order No. 00351805 Indiana Department of Environmental Mgmt Terms Cashier Office Mail Code 50 -10C 100 North Senate Ave Indianapolis, IN 46204 -2251 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1119110 Permit SWPP notice of intent application East woods project 100.00 Total 100.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20 Clerk- Treasurer Voucher No. Warrant No. 00351805 Indiana Department of Environmental Mgmt Allowed 20 Cashier Office Mail Code 50 -10C 100 North Senate Ave Indianapolis, IN 46204 -2251 In Sum of 100.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Permit 4358300 100.00 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 18 -Nov 2010 xow7w Signature 100.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund