2025-05-28 WS & CC Packet - Laserfiche WebLink

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PRIVATE STORM WATER DRAINAGE GRANT APPLICATION 05/23/25 Date:____________________________________________________________ Cesar and Anita Rios Applicant(s):______________________________________________________ Same Property Owner(s): _________________________________________________ 1680 Lakeland Circle Property Address:__________________________________________________ Backyard drainage, 170' buried 4" pipe (Discharge) Proposed Project:__________________________________________________ Would the above stated project remediate ineffective stormwater drainage impacting your property? Yes or No Yes Have you secured two quotes?:______________________________________ Schifsky Companies$14,496 Contractor:___________________________ Dollar Amount:_____________ Innovative Basement$6,733 Contractor:___________________________ Dollar Amount:_____________ Are you interested in Specially Assessing any of these costs? Yes or No Have you submitted all drawings, calculations, etc.? Yes or No Does this remediation project degrade conditions on other properties or natural features which may promote water uptake? Yes or No I have received Res. #23-017 which authorizes the program in which I/we would like to participate in. I understand that contractor fees will be paid by the city and my contract will provide all forms required by the city. I also understand that if am and interested in being Specially Assessed for any of these costs, city staff will provide I/we with an agreement. Said agreement will be authorized, and adopted by the City Council of the city of Centerville prior to work commencing. Signatures of Property Owner(s): SeeOriginal ______________________________ ______________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Internal Office Use Are you interested in Specially Assessing any of these costs? Yes or No Is this project environmentally sustainable? Yes or No Is this project feasible? Yes or No Does this remediation project degrade conditions on other properties or natural features which may promote water uptake? Yes or No϶ 103