ࡱ> NPM @ 5bjbjFF F,,r @80d$ S _P.000000$R5!<T]1"STM".. 2 ,0q!q!q!\KvTDY'KKKTTt t Louisville and Jefferson County Metropolitan Sewer District 700 West Liberty Street, Louisville, Kentucky 40203-1911 540-6000 24hr. Emergency 587-0603 Notice of Construction Fax completed Notice of Construction form to the MSD Development Team at (502) 540-6562 no later than (3) working days prior to initiating construction. MSD Area Team Fax Number: (502) 540-6562Manager- Development Services Fax Number: (502) 574-8129 Project Name:  FORMTEXT       Project#:  FORMTEXT       Project Address:  FORMTEXT       Construction to begin: (Date)  FORMTEXT       Anticipated Construction Completion: (Date)  FORMTEXT       Permittee: Contact Name:  FORMTEXT       Permittee Signature: ____________________ Company Name:  FORMTEXT       Company Address:  FORMTEXT        FORMTEXT       Office Phone:  FORMTEXT       Mobile Phone:  FORMTEXT       Fax Number:  FORMTEXT       Pager Number:  FORMTEXT       Design Firm: Company Name:  FORMTEXT       Contact Name:  FORMTEXT       Company Address:  FORMTEXT        FORMTEXT       Office Phone:  FORMTEXT       Mobile Phone:  FORMTEXT       Fax Number:  FORMTEXT       Pager Number:  FORMTEXT       Contractor: Company Name:  FORMTEXT       Company Address:  FORMTEXT        FORMTEXT       Certification Statement  I hereby certify under penalty of law that by signing as the On Site Contractor Representative, the installation & maintenance of all erosion & sediment control BMPs, and the completion of the Stormwater Construction Site Inspection Report will be performed by me or by an EPSC certified person under my direction and the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 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( tText1Text6Text14Text15Text16Text17Text18Text19Text20Text21Text22Text23Text24Text25Text26Text27Text28Text29Text30!DjFl < _  3V|(X~ - N q  y \pL===Vbk;  T`juuA 8*urn:schemas-microsoft-com:office:smarttagsdate9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity9*urn:schemas-microsoft-com:office:smarttagsState;*urn:schemas-microsoft-com:office:smarttagsaddress:*urn:schemas-microsoft-com:office:smarttagsStreet>*urn:schemas-microsoft-com:office:smarttags PostalCode 200848DayMonthYearr * 3 r U}~ /Ob #6I[]`s 3CVi|(EXk~  - ; N ^ q r r QP2cACUO!Ta&%* +M/q//2B3p6_;/?mDVI)ZIP\IFJwpJ5qJ)K}PL<QsARTt\U ](_IsatHd[ f phkkksGvw&|ymZLwcB$Ty88_eBrrH~0RA {=};s+?{L( &I!.>~aD[VEn{]U~ @qX p@p p ppp$@p0UnknownGz Times New Roman5Symbol3& z Arial5& zaTahoma"qhi{Fp{Fjfh h %!@dr4dn n 3QH)?[ f kirkkirkOh+'0 $ @ L X dpx kirk NoticeOfConstruction-Rev5.dotkirk3Microsoft Word 10.0@@)y:n@'@~ h ՜.+,0 hp  Metropolitan Sewer Districtn   Title  !"#%&'()*+-./0123456789:;<>?@ABCDFGHIJKLORoot Entry F| QData $1Table,q!WordDocumentFSummaryInformation(=DocumentSummaryInformation8ECompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q