R2009-238 AUTHORIZING EXECUTION OF DECATUR PARK DISTRICT INTERGOVERNMENTAL AGREEMENT

Home Browse Search

APPLiCATION FOR CONSTRUCTION PERMIT PAGE 2 9.3 Describe that portion of We project within the boundaries of the other public water supply N/A 10.0 CERTIFICATIONS 10.1 Certificate by Design Engineer I hereby certify that I am familiar with the information contained in this application, and that to the best of my� knowledge and belief such information is true,complete and accurate. Robert A. Walter, P.E., LEED AP 06205fi807 � > Hanson Professional Services Inc. (2�7) 747_92g7 � 1525 Sout tre , Springfield, 1L 82703 �G�- �- �L 10.2 Certificate by Applicant(s) Commencing J�uary l, 1990, Section 16.1 of the Environmental Protec#ion At(Ill. Rev. Stat. 1987,Ch. 111 2,par. 10i6.1, as aznended by P.A. 8G-670)requires the agency to collect a fee for certain applications for the installation ar elctension of water mains. There are no permits fees far other improvements to public water supply systems and only eertain water main projects will be affeeted. In accordance�vith the Act ef�ective January l, 1990,I/We hereby agree to pay the appropriate fee for this Permit to install or extend Water main. Except far the conditions listed beIow in 10.3 the foiiowing fee schedule shall apply: Note:The fee schedule has been modified to include the increased permit fees as authorized under Public Act 93-32. These fees are effective as of July 1,2003. Fee I.ength of Water main ❑ $ 0 200 feet ar Iess ❑ $240 Greafer than 20Q feet,but not more than 1,000 feet ❑ $720 Greater than 1,000 feet, but not more than 5,000 feet ❑ $1200 Greater than 5,000 feet Please check the appropriate fee;make check or maney order payable to:Treasurer, State of IIlinois and submit along with this application. Any fee remitted to the Agency shatl not be refunded at any time or for any reason, either in whole or in part. I/We hereby certify that I/We have read and thoroughly understand the canditions and requirements of this submittaI_ UWe hereby agree to coufoim with the Standazd Conditions and with any Special Conditions made part o£ this Canstruction Per,nit. All such Conditions shall be as authorized by the Environmental Protection Act und ihe Rules adopte.ci by the Pollution Control Board under authority granted by the Act. Joe Atiwood, Decatur Park�istrict Decatur Airport,Airport Terminal Building, 910 Airport Road, Decatur, li[inois 62521 � � DATfi Airport Director Please note that Chapter 148 of the Ill. Revised Statutes Section?2 requires that a trust disctosure statement be provided when a trustee of a land trust makes application to the State of Illinois for any permit.