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HomeMy WebLinkAboutResponse to CTRWD, Hartman ate S " PP. r . ERYI- & ASSOCINFES, INC. t'(NSU1.,P11i t:::a ENGINEERS lAN tµ RVEIZ"i""+t R David J.Stoeppellwerth Presidf,'i q,GEO P Vole".nsean aY EngIIIeef Fliokimmunal Land:bas eyor e tenaber 4, 201 Curt is Fluff vu."e P umitwnt,Coo Prsurr+:asirar°M tand' i.0+.ny r C l�ry "1"owvnship Regional Waste District. R .s�toeppel w i'M 1. ?O1 forth College Avenue F saun def Suite A. F"uaain �us:rraday l nipsnrr.ro i snt ,,„h6a pvni L,'md Indianapolis, Indiana 46280 attention: Ryan Hartman, Re: Village Of West Clay, Section 1 001 O-C° Dear Mr. Hartman: Enclosed please find a set o1'C'otrstruaction flans which were revised per conanre ats and your comment letter dated !-luugu.rst 10, 2012. 'Those comments were addressed as follows: 1” We have labeled the existing manhole oil 126"' Street with the prefix. #VWC-101 W wid the existing manhole from VWC IOD01 O-B as flVWC- 10 ' r . We have removed all stubs from the sewer design and profiles except Vor at 1x'111 800A (lure to the depth, Svc want to avoid deep excavation at this location with future construction. We ]lave revised the run between existing, and NIV4, 00 to be SDR 26 Pvc.. 4. We have axed youuu°Suggestion and rerouted our sanitary to connect to the ex,isting manhole: that already has the stub, Thank.. your. . These will still be a need 1°or°a drop structure at MI-1 800A. We are conl:udent ill ouau'future design to go ahead and install a drop and stab to the east at this location to avoid deep excavation, ill th Culture. A droll stmeturre detail has been added to the sanitary detail sheet. 6. prefix "C-FP has been used for all manholes.. 7� We have revised the sanitary sewer utility contact to C"1"l WI') on the Cover Sheet. . We will create SSE1 exhibits aracl have them recorded as soon trs possible_, Copies o1"the recorded easement doelNments will be provided to your 7965 EaM 1060)Stfeet Fishers,k1di„ann prior to pre-construction, 4603 2EiOb 9. dotes referring to City of"Carmel lirr'raaanhole coating have been revised. F,axr 317,849,5942 r :d.*d aw garrrl+rrarrtii corn Clay Township Regional Waste District Ryan Hartman September 4, 2012 Page 2 of 2 10, Saddle Tee and Deep Lateral Connection Details have been removed from Sheet C800 and Exterior Drop, Service Lateral and Manhole Core Details have been added. 11. A copy of our IDELM Sanitary Sewer Permit subinittal is included. If'YOL,l have any questions,regarding these revisions, please Feel free to give me a call at (317) 570-48/11. Best regards, STOEPPELWE�IRTII & ASSOCIATES, INC Brett A. Ruff Cc: Matt I-ohnicycr 13AI I/meb SAS 5960PU L-S I Whic.8OOkAA.ycncy,,,Cof respondenceMZesponse CAI?WD 09-04-12,doc Indiana Department of E-:nvlroiiiiient-li�Manag�e[Tiel'It APPLICATION FOR SANITARY SEWER 01fice ofWatar Quality—sAOCC,de 65-42 Facitities consiruc(ton Section N 1 5 CONSTRUCTION PERMIT PER 3271AC 3 _6 100 North Senate Avenue,Room N1256 StalL FofMi 53160 in -aay Indianapolis,IN 46204-2251 1 INSTRUCTIONS I This faun n7ust ba rilled out completely 2 Additional pages(attachments following This foln')are part of(h1s applical1011 rom)and most be fillad out compfelahl 3 SobaTISSIOn Of Plans and spociricalloas are Part of 1118 application 5 to the above address 4 SubnA the application form,Ilddillontl Pag0s,Plans and specification yal(317)232-8570. slions to ardinn this a n,ca ce Of ter Q I-01 t 6�-If you have 'GIG, 11111113 MU11111,314TWOM 1 dame Name "me David J. Stoe peel werth Matthew Lohmeyer company Name Stoeppelwerth & Associates, Inc- 17,th Company Name & Assoclates, �1`1('- Pulte Homes jAddress Address 11590 North Meridian Street, Suite 530 7965, East 106th Street Addre )0 8 Address Carmel, Indiana 46032 ss Fishers, Indiana 46038, Telephone number 5 Telephone number (317) 849-5935 ( 1 y) 575-2350 A Saritary Sewer Design,Summa FofV yes Name West Village II at West Clay, S ection 1, "'Capacity Gerliflication/Allocation Letter.El Yes RR,7eWWd lj7,�Xi,51119 streets L'C'ji, _.0 of Registered Engineer or L�nd' ui,_m i��Yor C Cerfificalign Location FLan Between 1 26th Street & 131 st Street Leler, �Yes . ocal" Location approximately 1/4 mile West of Town Road. D Plans and Specifications:VIYOS E IdentificatIon o Potentially Affected Personas 0-00 0 pot L P a Y GO n yw e 0 1 e fR D I e gI s 0 A 0 ac 0 0a S stereo d c Road. S and 8 OC "at! P . -;�yu r ally A E enrifica I n 0 pole 11tj ("ily Carmel nOW belo.w!)�:jYez F M L 1,f r 'te M ling Labels for'Potenlially Affected Persons: county Hamilton Yes motel eg rrj� j �j b ve a . , f m a 0 ote Regarding item(I-')above it b , Fully Identify all persons, by name and address,Who 1710Y be potentially affected by the isstia"GO Of this perrjlil, such as adjoining landowners,persons with a propriety interest,andlor persons,who have GO!"PlOilled Or submitted comments about your facility UnderIC4-21,6- 3•5,IDEM Is required to notify potentially affected persons of its portnit decisiom 7777777 FUNDING MMUCAIi6N FOR CONsirRUCTIO,Nif EXPANSION, OR MoDoc ATioN OF (Cillackall that appty) SRF Funding: Dyes A Municip, I Goijection Facility: Ulyes B Semipublic Collection Facility: D'Yes, ----------- 0 t4ew facjjjty�.;6'Yes D Expansion or modification of existing facIRY: LjYes iliarcompi thofize the activities describe re 11 1 certify that I am familiar with the . am Is tr7 hereby made for a Permit to au uo Application Is knowledge and belief such Informi7ation is true,complete Information contained In this application and to the best of MY and accurate. —parson signing Title f e of pers Printed na Pirofessicna�l L'Enkineer----. David J toe), elwerth 15aj�7apprzatForl sl q ned (month, day, year) July 20, 20 2 "Please refer toIC13-30-10forpe ies of subnjls—si r ff llse informatioW PART OF STATE FORM 53159 01-0-7) Dear Applicant:. To complete your construction application, you must submit all of the necessary itums if your be application materials are incomplete,you will be sent a deficiency notice, and our applica do wild be retained for 0 days if the information is not received within the g day,period, denied due to incompleteness. You can get a copy of this application package on the Internet at: vre .in. �a wrdiorn� litslwsatorlaterstrcorstrrcticnincix.kfmi or wow.l�r. vlyderrrlfrr.rblicationitormslt dehtml�watrfrrrr� Please complete the following~Mops (only ono copy of the requested documents ncei,s to lie subrrri�:tecl�: Request that the utility to which you will be connecting your gravity sewer or farce main complete the attached capacity Certification/Allocation Letter A completed Certification of Registered Professional Engineer or Land Surveyor getter must. be completed by the professional engineer or land surveyor who designed and stamped the plans A copy of this letter is attached Complete all the information on the sewer design summary and certify it with a professional engineer's stamp (or nand surveyor's stamp for gravity sewer projects), signature and date signed by a Sign and date the application farm and fill it ou �acel�eigei by ti°�eo,�ner or aerepresentative city or town official others, such as private pr o ects an r�r Submit one set of plans with profiles and bedding detaiis. Every page roust be stamped and signed by a professional engineer(or land surveyor for gravity sewer pr*ctsY List all affected parties This list should include: officials of affected counties, cities or towns, adjacent property owners, and all other potentially affected parities, their names and mailing addresses. A competed set of mailing labels with the mailing code of 65m2PC listed above each party on each label Is required Please be advised that If your project will disturb one(1)or more acres of land area, coverage under 2 'lb-b Rule b is required. Rule b is the General Permit for Storm"Pater Runoff Associated I C J wi'lh Construction Activity You can review the Rule 5 web site for information at: rw ,lin,qovlidel�w./permit fwr~raterlwv stewater)wetw it r st—orM rpl ,i tm and/or contact David Garr at 317/233-J66_4 for more information Please send construction applications to: Indiana t)epartment of Environmental Management off ice of'Water Quality- Dail Cove 65-42 100 Forth Senate Avenue, Rm N1255 Indianapolis, IN 46204-2251 Attention Cron Worley Telephone. 317/232-5579 327 IAC 3.6.5 vVastowater Construction Permit Fees (There are currently no fees required for Sewer (Projects, either private or public.) P rge 2 of to PART OF S'TIJE FORM 53159 0 1..07) Design Flow 4wwrnter of units �. �r � rirunit pd TI rroapartments �_.�- room apartments 3 Wg gpdNws nit it gpd pd e family lwornes gpd Commercial lots ._ .- gpd gpd . Total average flow 6 66ft f, gpd to 34,57T40 gpd . feofactor 4 _ flow�,. > ,..Pj _. D " T . �. _ -(sewer type) 1564 ft. 8 iawcq _ f , ft. tfi-Inch 19358 STATECIF �,._-__ .._.�.. -.. _.�.. �!��+'✓ �� Ara ������ 1 564 „ Total length of sewer Abe new sewer+ ill be connected to an existing D -Inch diameter sanitary sewwer at a�imatel Eft from _.(r�fererwced to twwo existing (P.E or L.S.stamp. lt4 [$, � 1 streets approximately.�._i ely tr4 mile west of Towne Rd .� sI nst��re�nr9�f�te centerline �bt4w t"s proximat Lift Station ( y�e ,vwet�wEe l rnounteda etc ) Type � (wet/dry, subrnerswble�__ -�--- Nurnber of pumps RPM Back-up f✓s act of urra � 9prn -- _. LA m �. �� er source E 1'es h�o ._ wet-well detention time _ ..... _ .._ _ - eVorm with self"cont9ined poorer supply or telemetry system�� � feet of onctw (rYrce Main ischarrge eievetion _ .� Waste Treat_. rrten � - tewv iertr .rn ant~will i by fit �f� rm I waste W 2r Treatment Plant J rctiorw cturin� construction wow�il tae prov i Ict ins : Irt etiown a r� e°nrace rtl ,P' st District 9 d,... ..�.�.....�..e-....�.?rfr�d� ��±r��rrw6�i Ike i� n p . id Re ional " Usste District ._..let_. ..��ii fntenence after com ietion .�be provided is 1� "Tc�' ris i Page 3 of 10 PAR'f F 'FATE FORM 53,15 (I'l-07) CAPACITY CENT"TI I A'TIONIAtwI-OCATION LETTER Tilis i" erg must be filled-orat ill its e0tirety. Name of applicant Pu,lte Homes Name of olraarer Name of pro ��"��. .-.._ gy7r 1 ga t , CERTIFICATION I , representing the Cara( me or city or town) el nay capacity ideaali CaYrrrr have tlle authority to act on behalf of the .,..�-. �a�e�e nF Inr�iw�Y_.,, (�6ama�r�afiN car r�>,r�nr as trrai certify that I have reviewed and understand the requirements of 327 IAC 3 and that the :sanitary collection system proposed„ with the submission of this application, plans and specifications, meta all requirements of: 7 IAC 3 I certify that the dally flow generated in the area that will be collected by the project system will not cause overflowing or bypassing sufficient t�capacity collection system eceivi g ewater�pollution authorized discharge points and tl rat there l p licable treatment/control facility to treat the additional daily flow and remain in compliance with app NPDES permit effluent limitations I certify that the proposed average flow will not result in hydraulic or organic overload l certify that the proposed collection system does not include new combined sewers or a combined sewer extension to existing combined sewers. I certify that the ability for this coliecthon systern to comply with 327 IAC 3 is not contingent on water pollution/control facility construction that I-,as not been completed and put into operation I certify that the project meets all local rules or laws,. regulations and ordinances The information submitted is true, accurate, and complete, to the best of my knowledge and belief. I am aware that there are significant penalties for submitting false information, including the possibility of fare and iimprisonment. Gallons per day(Total Average Flow for Project) 0600 ._ (Narrte of TP7 ter r" tmt lot _ atrnent plant wastevuater ire _ Sewers (Cwne�rs of sewers) 'arm el Utilities Date sfigrza~d(geonrra,day,year) Signature p P (Please refer to IC 13-30-10 for penalties of submission cad"false 117fojrmation) Page 4of14 FT OFS'FATE l ORZIVI 53159 Q'l 1.0 p IATICI REGISTERED � t� I�I�C '�' Itr9I�NAtmm I�' II� EI�, OR t�Al�lla il.fFi",VE"t't�F t_B1fTl= This from must be filled-out tra its entirety Name pit'ep�SVlc nt Pulte Homes, Ntam�e of o'Wner frame of project West Villacle 11 at W tCl y, e t6ar r CERTIFICATION I David J. ,toeppelwerth _, representing the project applicant, Ill my capacity as a registered ii,ll ml-r 1mdlvrprtamll 1 9358 certify the professional lip ineer �_ tmylrner � er auwymrJ ltrdimma rpgrrppllr�pu rrpaampasy following under penalty of law: The design of this project has beery performed under my direction or supervision to assure conformance with 327 IAC 3 and the plans and specifications require the construction of said project to tae performed In conformance with 327 IA - The peak daily flow rates, in accordance with 32.1, IAC 3-6-11 generated from within the specific area that will be collected by the proposed collection system that is the subject of the application plans, and specifications (when functioning as designed and properly installed}, will not cause overflowing or bypassing in the same specific area serviced by the proposed collection system other than from NPDES authorized discharge points. The proposed collection system does not include new combined sewers (serving new areas) or a combined sewer extension to existing combined sewers The sewer at the point of connection is physically in existence and operational Based upon information provided by the owner of the Wastewater System„ the ability for this collection system to comply with 327 IAC 3 Is not contingent on downstream water pollution/control facility construction that has not been completed and put into operation The design of the proposed project meets applicable local rules or lags, regulations and ordinances The information submitted Is true, accurate,, and complete, to the best of rely knowledge and belief. I am aware that there are significant penalties for submitting false information including the possibility of fine and imprisonment Gallons per day t'rciel Average f=lows for Project yl 8,06M Utilities s -er Treatment.Plant e yPttat � t�lty of far mel .......�.......��. .....�...._�.. Wastewater treala�eml pleppt(nlapIle orww,VTn alt cif arrr�rel ast Sewer.,(Owners of sewrers) __. bate signed(rmarar9a.tray ynar) lgnalu e r r July 20, 2012 (please refer to IC 13-30-10 for penalties of submission, of false informa tic n-) Page 5 of 10 I^ , N �:,Nm•l PIN= o-;;0 t, ,Y':.:I`p I`1�nk+I T3 199 milli y rA orn anls n e and address �- ant's nglneer;company name,an s name,address telephone ... �.. and loc�atnon of proposed sanitary se runect to(rrlunicipat or semipublic) D ture ll a intact or the prof e t a ant of colle otwon facwilty khe project wu co�..._. . including date slgnerl p g In n _ 1aeck here 'Sower design Summary n flew wtnYltiply number of uniks by recastrendd average llau fnr 6laal lylae of unit Refer ire 52i IA( w 1 design flow rate requiremernts for collection systems and water pollution treatment/control facllRies. dais is a section of the Article 3 Ad�minislreltve Curte and Is available on the Internet at v. 2A 3lrticlel llacfi Cl't" 4YfAf7Cf),I'C� raaa vlould need fo ellcl.under +later am lor�lr fwr 1Cnlle T`otai all average flow and enter total average flow i nter faeaki;n (factor,If peaking factor end factor is it nirnown, m " ��� " a factor of�f is usually sufbcient,iaowwr:ver, an exact factor may be calculated from the following equation: Peaking fr�ra'Ior' 1 Where P�is 1110 populralio n it)thousands pp �f+/f� -� 4 Multiply total average flaw by peaking factor and enter product as peak Now �-••. g y g yp p p � able '�. — •• d professional . _ SDRla nd AST`M t cifi adorns grad kale o6 tar ddiaag. _�-..•.-- p...,�......�.._ _ "en tbn�cpeia diameter, and signed fiay a�reglste�qt �a"lice Certlher s seal Sanitary Sawwen Design'Summary slaoupd b en sneer or a land serve or if no lilt station Is 1pw+opvad. streets,n e so �. .Connection Point f exwstin sewer t point(unless connection point is at a lift elation) giaaiaatIn of. many feet vrrWst and so g at corrnecluolr of fee4on Oh of the Inte sled ton of street A a d of et—(2-)sewvar sea rrnan et A and treat a " gift station:enter all faropos�ad Ilft stationn information,yr enter I IFS if no filift station ns involved.(li an existing flit station is being directly alfeoted,enter existing lift station informallon and specify that It is an existing lift station and Irnclude Its current load. - -• .- _ l'rovlde dent n oapoupatNons ps N � _ i Number end capacnt of pu _ El for"TI�H and wet-well detention tirnra S Provide a graph h of flee um nrawve_�._....�...._�._....�.__ 4 Specify highest elevation in true force main - n ._ �..__ .� _ it..m. � yeti (ASTM and SUR),and bedding w G. Specify an audio and vl�uatiamater and-material ntained power supply and telemrwtny � �El p alarm with setf c � ' �paecify force main length p vT"S ecify nature of back-up l p n,If any � —project" _. _ .y � cower source for ilrl static y Ore Ina n�t.enter flee name of sora9w trhllc u w municipal Iceatment facill wlawcta tile +rrwlt be connecting to.if there is more dean one treatment faculty in the rrnaaniclpaiity or sanitary district,please specify which rune. y p �flbl ..,�. tnspeotionPlwllainteruance: palease spaeclfy name of company,tndlvidnlat ar part res on,� a for Inspection �y�A�tu construction-2-f tine ro act and maintenance of the prcleut char oorrstruuttaan Is complote� Check here ',Capacity cer°tificationfallocation letter � _" irovldu'flee utllll s letter �� y fleet Is lreaiing the wastewater the ettacNaert capacity certik call onda Ito cation letter �"iai __Must tae failed orut pn its entire _ _ ° Ineck mere p state of lsrrilann are etlgibpe to 4 Plans ands ecificatirrn�s e p g p inr crs vrlao taro registered wltiawn tie specifications, A very page of th tans slnonlld be slgnerl and susa4ed as vaeNC rrs the cover a e for any r ,dify plans and ...� en gift d t I?rofesslonal g y y �.,�.; �.._.....,�.._�_. s eciflcations for all t es of ro eots 2 A land surveyor he N registered wlthln true state of Indiana!ma ce�tfif pNans�and specifications or gravity Iype sanitary sewers o1,and may not certify plans and specifications Irnvolvinrp�stations nd rorce mains, Page 6 of 10 4rt Check hereJW R The-folNowln items are ussaally nece salY for roper to clinical review of sanitary sewers and lift stations. _ ��- p one(�crrsstPrrr,seet) .plans end specifications ft slakions . � o,..�.� �m�__ c end c Isw of fk� �e"�crs Ynck�raw&ir seed�ar�stecy Invert eievatiantel�eA�ar�kien�rrt,�e�rer rrrinirnurry tr�n foraT Y�orsA en owar errs,axis reds, ro __ aces prR e rvf w�ofsthe aawc is in lu,d nce of slope, nv features,and a mttnirrrurn of i p'o'h ver"igical sedaratlon of i nanhole to near T M-. from r ny yJhere applic ybNe eladls cal ail appurtenances irtcludi rruanl gales drop manholes,inverted slplyons,etc sewer and water malns Bedding dakarls for install of Janata evWr -orc e Main: _ .. lFts Sid pipe should he class A,B or as descntyed In--KS TM 1 . ..... _ d b pNexihla pipe.should kaa class l,.it,or NNl as dsscrlkaed to AS TM D "t n � � Minimurn three font Dover depth ataove the crown of TY�e sasyitary sewer forme mein is Air Relief valves to he Yaoed at all relative hNgYy Naorttts in ilia g Automat ..�..._....� .�...�.�� awlechanicaN�'osnks slyottld lye specified for aVl rovai from lryriiana dressed of all ersransrovr r parties wlyo may be potentially affected by tl��ise�rance. okra:+conslmucllo Ciepartment of Natural fesouiross,f�ivrslopn of vVatar _.__.m,._..-�_ aware that tartars le soul �....... e �,A f.l,st cat narncs and ad p to properly rdenta and notify these l�srapls orauid iyays the hack here otthis prole rlNn an sd felon rraa s rogarding this permit_ p Y A The appYlcank must takes fail respcansibititg�far praper ldentifscalion of a9l polenkiaily affected pe�rsorar�or par 1'hs foYlowring are tl�s minirnr.srn reoopn�rnend�tions made try lhis office made as to who should k�e rncNucfed in _ �..w� Y AYN landowners addacsrrt ko tl�s property wl�srs tho Yyr�posed ccpnsi�to occrsr AYI persons�nrith a sutystantial grad cNireol proprsskary interest lr�tlya issrsanca of th'i's perrnst„such as, nearby businesses that could have their business in sortie way all acked lay tYys isscaance of this x An�yonre who is known �. .. _._a p est" l� _ Disci or y n try have coprspYainerf or otherwise ex raised an In sr rn this articlaNar rnmm mm. ... ra"acts in this s epific area. _� y y I uis _ 4 Anyone else whorl,The a f.3licai)l May feel that rnlght he pokenkiaip affected ty the issuance of t ep �t ircatior� carwn rnrt t l e s.119 nrt and dated try the applicant or trues applicant t11? ed ent, �. 6.The,App ` Please note that this checklist fs only designed rto expedite no waysis it exuded to yreplace the technical review subillission for arooess„nor is sanitary sewer e for tthera construction 1 nskruclion Permit _.. .. _ . ,pave 7 of 10 IDENTIFICATION OF POTENTIALLY AFFECTED PERSONS. Please list any and all persons whom you have reason to bclieve I-lave a substantial or proprietary interest in this matter, or could otherwise be considered to be potentially affected under late. Failure to notify a person who Is Peter determined to be potentially affected could result in voiding our decision on procedural grounds To ensure conformance with Administrative Orders and Procedures Act(AO A), please list all such parties The letter can the opposite side of this form will further explain the requirements under the AOPA Attach additional names and addresses on a separate sheet of paper, as needed, Please indicate below the type of agency action you are repuesting Name � Name Please see attached 4 list Address(number and s fro et) Addraass(number and street ,o City L'ay -�...� .�..�. .�_...�. Ile State ray Name My Address(rrourr,a�arencd staaak)�_. . �— Citye e-s (n,-„ taar,nd sfine l)..� aa Staar zap” Name __. AddraWra(rrrrntdrer and street Addresstar�'na�ararrdsta�et) City City ._�... ZMN' sta4a ZM Stab Name t4 _AK Aad rdrarea_s�e�,nrr»a- er and 5dreaC) _ _(number and slmat)Address City eta state ZIP ZIP sa CERTIFICATION I certify that to the best of my knowledge I have listed all potentially affected parties,, as defined by Proposed facility name Printed Name West Village 11 at West lay, Section 1 David toeppel� erth � rd ,.1, ,Signature pity Carmel Cate(rcaerr+I datr, ear)duly 20, 201 Bounty Hamilton Page S of 1 PART OF STATE FORM 53159 (11-07) IDENTIPICATION OF POTENTIALLY AFFECTED PERSONS (continued) Tm Applicant Subject, Identification of potel)tially Affected Persons .Fhe Administrative Adjudication Act IC 4-21 5-3-5 requires that the Indiana Department of Environmental Management (IDEM)give notice of its decision on your application to the following persons. Each person:to whom the decision is specifically directed; Each person to whoill a law,requires notice be given, Each competitor who has applied to the IDEM for a 1-nut ally exclusive license, if issuance Is the subject of the decision and the competitor's application has not been denied in arc order for which all rights to judicial review have been waived or exhatAsted Each person who has provided the IDEM with written request for notification of the declsioni Each person who has a substantial and direct pq`oprietary interest in the Issuance of the (pen-nit) (variance); Each person whose absence as a party in the proceeding concerning the (permit)(variance) decision would deny another party complete relief In the proceeding or who claims art interest related to the issuance of the (permit) (variance) and is so Situated that the disposition of the matter, ill the person's absence may. (1) As a practical matter impair or impede the person's ability to protect that Interest, or (2) leave any other person who is a party to a proceeding concerning the permit suliject to @ substantial risk of incurring multiple or otherwise inconsistent obligations by reason of the person's clall-ned interest Under IC 4-21.5-3-5 (f) IDEM is requesting your assistance in identifying potentially ,affected persons. IC 13-16-3-1 requires I,DEM to provide notice of receipt of a permit application to the fol,lowing: I., Tile county executive of a county affected by a permit aPPlicati011, 2. The executive of a city affected by a permit application, 3. The executive of a town council of a town affected by a permit application. Under IC 13,-15-3-1 (b) IDEM is requesting information necessary to provide such notice to tile appropriate officials. Page!9 of 10 r.�._. IDENTIFICATION OF POTENTIALLY AFFECT D PERSONS ( ollfinued) Attention: Since: Jun °1 � 1999, mailing labels are required to be ubmitt d with your project. Having these labels with your application is helpful to You as well aG OUr office. These mailing labels, need to have the names, and addresses of the affected parties alolig wwttli our mailing cod (which Is 65-42FC) listed above each affected party listing For Exampia: 5.4 F ,JOHN DEERE I 11 GIRCLE DR YOUR CITY IN 44444 page '10 of 10 * AVERW 51600 Bend alo,ng Hoe to as Peet Labels Feed Paper pmo— expose pop-up Edge'" Use fiery QD Template 51600 65-42FC 65-42FC 65-42FC 1111 of Indiana W Breniwick TND Cornrnunitieso I_LC William k&Karen A, mugavin 9025 North River Road,Suite 100 12775 ljo;seferry Road,Suite 230 2634 Alcott Street Indianapolis, Indiana 46240 carr"nel, Indiana 46032 Carmel,Indiana 4602 65-42FC 65-42'FC 6-5.42 FC, Lal(es at llayden Run/Ridge at He yd en Mark G, &Rebecca A, Herbison JBWC Real Estate, LLC Run Homeowners Association, Inc. 2621 West 131"Street 13685 Golden Ridge Lane 5702 Kirkpatrick' aY Carmel, Indiana 4,6032 McCordsville, Indiana 46055 Indianapolis, Indiana 46220 65-42FC 65-42FC 65-42FC Rhys Cr.&Shelia J.Jones John I-,&Paula D. Bedoya Erik&Elizabeth Wetzel 12717 Brandenburg Drive 12705 Brandenburg Drive 12729 Brandenburg Drive Carmel, Indiana 46032 Carmel, Indiana 46032 Carryiel, Indiana 46032 65-42FC 65-42FC, 65-42FC Scott M. &Lisa M. Dillon Changyuan Ni &Hongping Yuan h&W Pulte Homes of IrIdjana, LLC 12663 Brandenburg Drive 1,2685 Brandenburg Drive 11590 North Meridian Street,Suite 530 Carmel, tndiana 46032 Carmel, Indiana 461732. Carmel, Indiana 46032 65-42FC 65-42FC 65-42FC ilenbein Mercedes Ratliff,Life Estate&Renjainder Carmel 2002 School Building Corp. Karen Marie Vanderfleet Muel' to Lance D. Ratliff 5201 East Main Street 2995 West 126'h Street 1232 North park Avenue Carmel, Indiana 46033 Carmel, Indiana 46032 Indianapolis, Indiana 46202 65-4,2FC Laurel Lakes Home owner Association 1171.1 North college Avenue, Suite 100 Carmel, Indiana 46032 www,avery.corn A Repliezblabachureafinde 11 1.800•GO-AVERY ttiquette5 faciles b peter Sens de MOW le reboo,d Pop-tip I .1 ...... , _.