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Home My WebLink AboutSchumann Waterway Bridge ApplicationALSHOUSE BOSSUOT KUTZ NEAL NIXON "OPE ESSERGIPE GRANT _LEr1AIN (LOWE) G`FN HART JOHNSON APPLICATION ASSIGNMENT SHEET PAGE 1 DATE APPLICATION RECEIVED: o� DATE: APPLICATION NUMBER: OWNER: APPLICANT: 0 CONSULTANT/ENGINEER: PROJECT NAME: TYPE OF APPLICATION: DREDGE AND FILL SHORT FORM: �� New Modification (M) STANDARD FORM: Extension (E) INFORMATION RECEIVED WITH APPLICATION: NUMBER OF PLANS RECEIVED 141 LIST OTHER INFORMATION RECEIVED WITH APPLICATION (BOUND REPORTS, CALCULATIONS ETC.) AND DISTRIBUTION OF INFORMATION. FEE RECEIVED: $200 (SHORT FORM) $3000 (STANDARD FORM) RECEIPT NUMBER: OFFICE THAT RECEIVED APPLICATION: JACKSONVILLE ORLANDO MELBOURNE _Lz----,,PALATKA Request for additional information must be mailed by f &?-i n If this application is determined to be administratively and technically complete upon dat of receipt, the latest Regulatory Meeting date is : 11 �j�� 9y ***NOTE*** A COMPLETE COPY OF THIS APPLICATION MUST BE MAILED TO THE COE WITHIN 24 HOURS OF RECEIPT. ATTACH A C PY OF THE LETTER TRANSMITTING THE COE'S COPY. DATE SENT j 2/} BY C; 7 i - l - - . r ---s..--s------- ---_— � . �J �' ,�,� - • --JL4'{-(-� �1�-r�1-r��'.?i1-.-_f�.�..-�it.fis__,-_-_-__•--_--_- c, ATL_. :. "'U `q L.;,, •., T%4FOON'ATICN IS 'Y'_=_DED T^ ADV"g'.STcA?TV=LY C1%4PL. _- AP� T• yT•"Y �LCAS= 14CLUDE L T4r_ FOLLCWIS-3. R'';JE3T NIT4 MUIR '�� • T_'L � y L t . p�•.I LETT=�. S -.-,N 5T'JR = If 0WNER 4FFI,.AVIT Df OWNFISHIP wZTH NI OTACY SEAL :3TNAL SIGNATURE Of P.E. & 0RIGINAL RAISED SEAL ADDRC--SSSS OF ADJACENT Ll\;D0WNF_4S w r,-401 ETC SETS OF THE' APPL2�C�ATI3'-' PICXAl-F kLu!AaER 'RECEIVED —� -- 4 S=T: F ° 1/Z IRY 11 CLANS — rsti�9ER REC-2`JE? `'�---- --�-- if^ITT vE1)]_•r '�T ='L°C.3T?C�! TS AC'"T�icT�ATIV:LY C°'�'"QL=?S / yn r�•,D_--: 11-1T no 7=lTw r 1 1'4 -----------•------------- a + PJ AT - 17 4 1 9 ' T T - i S C'4Y ------ -- ------------_--_—_— - ------------------- • APaMJV%L/:=viAL. r^-'~ •�'^ -------------------------------------------------------- CER Form 17-1.203(1) Effective November 30, 1982 Page 1 of 4 JOINT AF'PLICATION DEPARTMENT OF THE ARMY/FLORIDA DEFMTNENf OF ENVIFK1"ENTAL REMATION For Activities in the Waters of the State of Florida CORPS APPLICATION NUMBER (official use only) DER APPLICATION (UMBER (official use only) 1. APPLICANT'S NAME AND ADDRESS GENERAL DEVELOPMENT C'O R P O R A T I O N NAME 1 1 1 1 SOUTH B A Y S H O R E DRIVE STREET M I A M I F L 3 3 1 3 1- 2 9 9 3 CITY STATE ZIP TELEPHONE NUMBER (Day) (305) 350 1532 (Night) (305) 350 1200 2. Name, address, zip code and title of applicant's authorized agent for permit application coordination r• Y �,! Richard B. Darling.rav i General DEwlapment Corporation 1.111 South Bays!wre Drive 1 Miami, FL 33131-2993 DEC 27 Telephone Number (305) 350 1549 3. NAME OF WATERWAY AT LOCATION OF THE ACTIVITY.Code Schmiann Waterway (1), Harbor Waterway (2) PA TMw Code 4. LOCATION WFE}TE PROD ACTIVITY EXISTS OR WILL OCCUR. 1) Empress Avenue 19 31S 39E 2) Lewis Drive 13 31S ME Street, road or other descriptive location Section Township Range 1) 27* 46'EV 2B' Sebastian 2) 2T 47' W 29' Incorporated city or tows Latitude Longitude Indian River Tax Assessors Description: (if known) County N/A N/A N/A Map No. Subdiv.No. Lot No. 5. NAME AND ADDRESS- INCLUDING ZIP CODE OF ADJOINING PROPERTY Ot4ERS kHOSE PROPERTY ALSO ADJOINS THE WATERWAY. General Development Corporation, 1111 South BayshoreDrive, Miami, FL 33131-2993 b. PROPOSED USE Private Single Dwelling ( ] Private Multi -dwelling [ ] Public [X] Commercial [ ] Other ( ] (Explain in remarks) CER Form 17-1.203(1) Effective November 30, 1982 Page 1 of 4 7. DESCRIPTION OF PROJECT (Use additional sheets, if necessary) A. Structures: 1. New work [X] Maintenance of existing structure [ ] 2. Piers, docks and use: Commercial [ ] Private ["] Public [ ] COE a. Single pier [ ) length width Work Code b. Number of piers [ ] length width c. Number of boat slips [ ] length width d. Number of finger piers [ ] length width e. Other (please describe) 3. Seawalls, revetments, bulkheads: length a. Type: Vertical [ ] Riprap [ ] Slope: Horizontal: Vertical b. Material to be used 4. Other type of structure Bridges B. Excavation or Dredging: New Work [X] Maintenance work [ ] Total acreage involved 0.73 1. Access Channel [ ] or Canal [X] 1) Length 80 ft. Width 115 ft. Depth 6.3 ft. 2) 2B0 ft. 20 ft. 7.5 ft. 2. Boat Basin [ ] or Boat Slip [ ] 3. Other 2)plug 70 ft. 4. Cubic yards: Total for project 5.840 a. 3.760 cyd. waterward/ 2.080 landward of ordinary/mean high water b. Type of material to be excavated/dredged Sand/silt/shell C. Fill: 1. Amount of material a. Cubic yards placed waterward of ordinary/mean high water O DER Code b. Cubic yards placed landward of ordinary/mean high water 5,940 _253 403 c. Total acreage to be filled 7.1. Total acreage of wetlands involved O 2. Containment for fill a. Dikes [ ) b. Seawall [ ] c. Other (please explain) Fill will be spread on adi item upland lots owned by mC 3. Type of fill material to be used Sand/silt/sheli 4. Source of fill material to be used Excavation (detailed above) DER Form 17-1.203(1) Effective November 30, 19e2 Page 2 of 4 911 W, 014 8. Date activity is proposed to commence within 30 days; to be completed within 5 years of all approvals 9. Previous permits for this project have been A. Denied (date) B. Issued (date) C. Other (please explain) ' Differentiate between existing work and proposed work on the drawings. Corps # 10. Remarks (See instruction Pamphlet for additional information required for all applications and certain activities. Use additional sheets if necessary.) I11. AFFIDAVIT OF OM RS -(IP OR CONTROL of the property on which the proposed project is to be undertaken 11 I CERTIFY THAT: (please check appropriate space) Cx7 I am the record owner, lessee, or record easement holder of the property decribed below. [ ] I am not the record owner, lessee, or record easement holder of the property described below, but I will have before undertaking the proposed work the requisite property interest. (Please explain what the interest will be and how it will be acquired.) LEGAL DESCRIPTION OF PROPERTY SITUATED IN INDIAN RIVER COUNTY, FLORIDA (Use additional sheets if necessary). 1) Portion of the recorded plat for Sebastian Highlands Unit 17 shown in the official records of Indian River Canty, Plat Bbok 9, Page 46M dated July 21, 1971; and 2) Portion of the recorded plat for Sebastian Highlands Unit 16 shown in the official records of Indian River Canty, Plat Book , 45B dated July 21, 1971. Signature Sworn and subscribed before me at �� County, ^� dA , this JQ_ day of N1 �Ks v NOTARY PUBLIC OF FLORIDA My Commission expires: e, i;'92 DER Form 17-1.203(1) Effective November 30, 1982 Page 3 of 4 112. Application is made for a permit(s) to authorize the activities described herein. A. I authorize the agent listed in Item #2 to negotiate modifications or revisions, when necessary, and accept or assent to any stipulations an my behalf. B. I understand I may have to provide any additional information/data that may be necessary to provide reasonable assurance or evidence to show that the proposed project will comply with the applicable State Water Quality Standards or other environmental standards both before construction and after the project is completed. C. In addition, I agree to provide entry to the project site for inspectors with proper identification or documents as required by law from the environmental agencies for the purpose of making preliminary analyses of the site. Further, I agree to provide entry to the project site for such inspectors to monitor permitted work if a permit is granted. D. Further, I hereby acknowledge the obligation and responsibility for obtaining all of the required state, federal or local permits before commencement of construction activities. I also understand that before commencement of this proposed project I must be granted separate permits or authorizations from the U.S. Corps of Engineers, the U.S. Coast Guard, the Department of Environmental Regulation, and the Department of Natural Resources, as necessary. I 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. I further certify that I possess the authority to undertake the proposed activities. Signature of icant Dake NOTE: THIS APPLICATION MUST BE SIGNED by the person who desires to undertake the proposed activity or by an authorized agent. If an agent is applying an behalf of the applicant, attach proof of authority fon the agent to sign and bind the applicant. 18 U.S.C. Section 1001 provides that: Whoever in any manner within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a' material fact or makes any false, fictitious or fraudulent statements or representations or makes or uses any false writing or document knowing same to contain any false, fictitious or fraudulent statement or entry, shall be fined not more than $10,000 or imprisoned not more than five years, or both. NOTICE TO PERMIT APPLICANTS This is a Joint Application; it is NOT a Joint Permit! You Must Obtain All Required Local, State, and Federal Authorizations or Permits Before Commencing Work!! For Your information: Section 370.034, Florida Statutes, requires that all dredge and fill equipment owned, used, leased, rented or operated in the state shall be registered with the Department of Natural Resources. Before selecting your contractor or equipment'. you may wish to determine if this requirement has bVen met. For further information, contact the Chief of the Bureau of Licenses and Motorboat Registration, Department of Natural Resources, 3900 Commonwealth Boulevard, Tallahassee, Florida 32303. Telephone Number 904/488-1195. THIS IS NOT A REQUIREMENT FOR A PERMIT FROM THE DEPARTMENT OF ENVIRONi"ENTAL REGULATION. utrc rorm 1i-1.1VS(1) Effective November 30, 1982 Page 4 of 4