HomeMy WebLinkAbout2009 Surface Water Management SystemSt. lohns River
Water Management District
Kirby B. Green III, Executive Director • David W. Fisk, Assistant Executive Director
4049 Reid Street • P.O. Box 1429 • Palatka, FL 32178-1429 • (386) 329-4500
On the Internet at www.sjrwmd.com.
June 4, 2009
City Of Sebastian
1225 Main Street
Sebastian, FL 32958 &09 Joy a
SUBJECT: Permit Number 40-061-68172-15
COS Hangar
Dear Sir/Madam:
-?i;zfz
Enclosed is your general permit as authorized by the staff of the St. Johns River Water
Management District on June 4, 2009.
This permit is a legal document and should be kept with your other important documents. The
attached MSSW/Stormwater As -Built Certification Form should be filled in and returned to the
Palatka office within thirty days after the work is completed. By so doing, you will enable us to
schedule a prompt inspection of the permitted activity.
In addition to the MSSW/Stormwater As -Built Certification Form, your permit also contains
conditions which require submittal of additional information. All information submitted as
compliance to permit conditions must be submitted to the Palatka office address.
Permit issuance does not relieve you from the responsibility of obtaining permits from any
federal, state and/or local agencies asserting concurrent jurisdiction for this work.
Please be advised that the District has not published a notice in the newspaper advising the
public that it is issuing a permit for this proposed project. Publication, using the District form,
notifies members of the public (third parties) of their rights to challenge the issuance of the
general permit. If proper notice is given by publication, third parties have a 21 -day time limit on
the time they have to file a petition opposing the issuance of the permit. If you do not publish, a
party's right to challenge the issuance of the general permit extends for an indefinite period of
time. If you wish to have certainty that the period for filing such a challenge is closed, then you
may publish, at your own expense, such a notice in a newspaper of general circulation. A copy
of the form of the notice and a list of newspapers of general circulation is attached for your use.
In the event you sell your property, the permit will be transferred to the new owner, if we are
notified by you within thirty days of the sale and if you provide the information required by 40C-
1.612, F.A.C. Please assist us in this matter so as to maintain a valid permit for the new
property owner.
GOVERNING BOARD
Susan N. Hughes, CHAIRMAN W. Leonard Wood, VICECHNRMAN Hersey`Herky' Huffman, sECRETA Hans G. Tauler lll, TREASURER
PONTE VEDA t ERNANDINA BEACH ENTERPRISE JACKSONVILLE
Douglas G. Boumique Michael Ertel Maryam H. Ghyabi Richard G. Hamann Arlen N. Jumper
VERO BEACH OVIEDO ORMOND BEACH GAINESVIUE MRTMCCOY
Thank you for your cooperation, and if this office can be of any further assistance to you, please
do not hesitate to contact us.
Sincerely,
W` W
Janet White
Regulatory Information Management Specialist II
Division of Regulatory Information Management
Enclosures: Permit with As -built Certification Form
Notice of Rights
List of Newspapers for Publication
cc: District Permit File
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
Post Office Box 1429
Palatka, Florida 32178-1429
PERMIT NO. 40-061-68172-15
PROJECT NAME: COS Hangar
A PERMIT AUTHORIZING:
DATE ISSUED: June 4, 2009
Construction of a Surface Water Management System with stormwater treatment
by retention for COS Hangar, a 0.58 - acre project to be constructed as per plans received by
the District on May 7, 2009.
LOCATION:
Section(s): 25 Township(s): 30S Range(s): 38E
Indian River County
City Of Sebastian
1225 Main Street
Sebastian, FL 32958
Permittee agrees to hold and save the St. Johns River Water Management District and its
successors harmless from any and all damages, claims, or liabilities which may arise from
permit issuance. Said application, including all plans and specifications attached thereto, is by
reference made a part hereof.
This permit does not convey to permittee any property rights nor any rights of privileges other
than those specified herein, nor relieve the permittee from complying with any law, regulation or
requirement affecting the rights of other bodies or agencies. All structures and works installed
by permittee hereunder shall remain the property of the permittee.
This permit may be revoked, modified or transferred at any time pursuant to the appropriate
provisions of Chapter 373, Florida Statutes:
PERMIT IS CONDITIONED UPON:
See conditions on attached "Exhibit A", dated June 4, 2009
AUTHORIZED BY: St. Johns River Water Management District
Department of Resource Management
By: JI A L P%%L
( ervice nter Director - Palm Bay)
C ----)John Juilianna
"EXHIBIT A"
CONDITIONS FOR ISSUANCE OF PERMIT NUMBER 40-061-68172-15
CITY OF SEBASTIAN
DATED JUNE 4, 2009
1. This permit for construction will expire five years from the date of issuance.
2. All wetland areas or water bodies that are outside the specific limits of construction
authorized by this permit must be protected from erosion, siltation, scouring or excess
turbidity, and dewatering.
3. Prior to construction, the permittee must clearly designate the limits of construction on-
site. The permittee must advise the contractor that any work outside the limits of
construction, including clearing, may be a violation of this permit.
4. If historical or archaeological artifacts are discovered at any time on the project site, the
Permittee shall cease all activities in the immediate vicinity of such discoveries and shall
immediately notify the District and the Florida Department of State, Division of Historical
Resources, Review and Compliance Section at (850) 245-6333 or (800) 847-7278.
5. All activities shall be implemented as set forth in the plans, specifications and
performance criteria as approved by this permit. Any deviation from the permitted activity
and the conditions for undertaking that activity shall constitute a violation of this permit.
6. This permit or a copy thereof, complete with all conditions, attachments, exhibits, and
modifications, shall be kept at the work site of the permitted activity. The complete permit
shall be available for review at the work site upon request by District staff. The permittee
shall require the contractor to review the complete permit prior to commencement of the
activity authorized by this permit.
7. Activities approved by this permit shall be conducted in a manner which do not cause
violations of state water quality standards.
8. Prior to and during construction, the permittee shall implement and maintain all erosion
and sediment control measures (best management practices) required to retain
sediment on-site and to prevent violations of state water quality standards. All practices
must be in accordance with the guidelines and specifications in chapter 6 of the Florida
Land Development Manual: A Guide to Sound Land and Water Management (Florida
Department of Environmental Regulation 1988), which are incorporated by reference,
unless a project specific erosion and sediment control plan is approved as part of the
permit, in which case the practices must be in accordance with the plan. If site specific
conditions require additional measures during any phase of construction or operation to
prevent erosion or control sediment, beyond those specified in the erosion and sediment
control plan, the permittee shall implement additional best management practices as
necessary, in accordance with the specifications in chapter 6 of the Florida Land
Development Manual: A Guide to Sound Land and Water Management (Florida
Department of Environmental Regulation 1988). The permittee shall correct any erosion
or shoaling that causes adverse impacts to the water resources.
9. Stabilization measures shall be initiated for erosion and sediment control on disturbed
areas as soon as practicable in portions of the site where construction activities have
temporarily or permanently ceased, but in no case more than 7 days after the
construction activity in that portion of the site has temporarily or permanently ceased.
10. At least 48 hours prior to commencement of activity authorized by this permit, the
permittee shall submit to the District a Construction Commencement Notice Form No.
40C-4.900(3) indicating the actual start date and the expected completion date.
11. When the duration of construction will exceed one year, the permittee shall submit
construction status reports to the District on an annual basis utilizing an Annual Status
Report Form No. 40C-4.900(4). These forms shall be submitted during June of each
year.
12. For those systems which will be operated or maintained by an entity which will require
an easement or deed restriction in order to provide that entity with the authority
necessary to operate or maintain the system, such easement or deed restriction,
together with any other final operation or maintenance documents as are required by
subsections 7.1.1 through 7.1.4 of the Applicant's Handbook: Management and Storage
of Surface Waters, must be submitted to the District for approval. Documents meeting
the requirements set forth in these subsections of the Applicant's Handbook will be
approved. Deed restrictions, easements and other operation and maintenance
documents which require recordation either with the Secretary of State or the Clerk of
the Circuit Court must be so recorded prior to lot or unit sales within the project served
by the system, or upon completion of construction of the system, whichever occurs first.
For those systems which are proposed to be maintained by county or municipal entities,
final operation and maintenance documents must be received by the District when
maintenance and operation of the system is accepted by the local governmental entity.
Failure to submit the appropriate final documents referenced in this paragraph will result
in the permittee remaining liable for carrying out maintenance and operation of the
permitted system.
13. Each phase or independent portion of the permitted system must be completed in
accordance with the permitted plans and permit conditions prior to the initiation of the
permitted use of site infrastructure located within the area served by the portion or phase
of the system. Each phase or independent portion of the system must be completed in
accordance with the permitted plans and permit conditions prior to transfer of
responsibility for operation and maintenance of that phase or portion of the system to
local government or other responsible entity.
14. Within 30 days after completion of construction of the permitted system, or independent
portion of the system, the permittee shall submit a written statement of completion and
certification by a registered professional engineer or other appropriate individual as
authorized by law, utilizing As Built Certification Form 40C-1.181(13) or 40C-1.181(14)
supplied with this permit. When the completed system differs substantially from the
permitted plans, any substantial deviations shall be noted and explained and two copies
of as -built drawings submitted to the District. Submittal of the completed from shall serve
to notify the District that the system is ready for inspection. The statement of completion
and certification shall be based on on-site observation of construction (conducted by the
registered professional engineer, or other appropriate individual as authorized by law, or
under his or her direct supervision) or review of as -built drawings for the purpose of
determining if the work was completed in compliance with approved plans and
specifications. As -built drawings shall be the permitted drawings revised to reflect any
changes made during construction. Both the original and any revised specifications must
be clearly shown. The plans must be clearly labeled as "as -built" or "record" drawing. All
surveyed dimensions and elevations shall be certified by a registered surveyor. The
following information, at a minimum, shall be verified on the as -built drawings: 1.
Dimensions and elevations of all discharge structures including all weirs, slots, gates,
pumps, pipes, and oil and grease skimmers; 2. Locations, dimensions, and elevations of
all filter, exfiltration, or underdrain systems including cleanouts, pipes, connections to
control structures, and points of discharge to the receiving waters; 3. Dimensions,
elevations, contours, or cross-sections of all treatment storage areas sufficient to
determine state -storage relationships of the storage area and the permanent pool depth
and volume below the control elevation for normally wet systems, when appropriate; 4.
Dimensions, elevations, contours, final grades, or cross-sections of the system to
determine flow directions and conveyance of runoff to the treatment system; 5.
Dimensions, elevations, contours, final grades, or cross-sections of all conveyance
systems utilized to convey off-site runoff around the system; 6. Existing water
elevation(s) and the date determined; and Elevation and location of benchmark(s) for the
survey.
15. The operation phase of this permit shall not become effective until the permittee has
complied with the requirements of general condition 9 above, the District determines the
system to be in compliance with the permitted plans, and the entity approved by the
District in accordance with subsections 7.1.1 through 7.1.4 of the Applicant's Handbook:
Management and Storage of Surface Waters, accepts responsibility for operation and
maintenance of the system. The permit may not be transferred to such an approved
operation and maintenance entity until the operation phase of the permit becomes
effective. Following inspection and approval of the permitted system by the District, the
permittee shall request transfer of the permit to the responsible approved operation and
maintenance entity, if different from the permittee. Until the permit is transferred
pursuant to section 7.1 of the Applicant's Handbook: Management and Storage of
Surface Waters, the permittee shall be liable for compliance with the terms of the permit.
16. Should any other regulatory agency require changes to the permitted system, the
permittee shall provide written notification to the District of the changes prior
implementation so that a determination can be made whether a permit modification is
required.
17. This permit does not eliminate the necessity to obtain any required federal, state, local
and special district authorizations prior to the start of any activity approved by this
permit. This permit does not convey to the permittee or create in the permittee any
property right, or any interest in real property, nor does it authorize any entrance upon or
activities on property which is not owned or controlled by the permittee, or convey any
rights or privileges other than those specified in the permit and chapter 40C-4 or chapter
40C-40, F.A.C.
18. The permittee shall hold and save the District harmless from any and all damages,
claims, or liabilities which may arise by reason of the activities authorized by the permit
or any use of the permitted system.
19. Any delineation of the extent of a wetland or other surface water submitted as part of the
permit application, including plans or other supporting documentation, shall not be
considered specifically approved unless a specific condition of this permit or a formal
determination under rule 40C-1.1006, F.A.C., provides otherwise.
20. The permittee shall notify the District in writing within 30 days of any sale, conveyance,
or other transfer of ownership or control of the permitted system or the real property at
which the permitted system is located. All transfers of ownership or transfers of a permit
are subject to the requirements of rule 40C-1.612, F.A.C. The permittee transferring the
permit shall remain liable for any corrective actions that may be required as a result of
any permit violations prior to such sale, conveyance or other transfer.
21. Upon reasonable notice to the permittee, District authorized staff with proper
identification shall have permission to enter, inspect, sample and test the system to
insure conformity with the plans and specifications approved by the permit.
22. The permittee shall immediately notify the District in writing of any previously submitted
information that is later discovered to be inaccurate.
23. At a minimum, all retention and detention storage areas must be excavated to rough
grade prior to building construction or placement of impervious surface within the area to
be served by those facilities. To prevent reduction in storage volume and percolation
rates, all accumulated sediment must be removed from the storage area prior to final
grading and stabilization.
24. The project must be constructed and operated in accordance with the plans and
information received by the District on May 7, 2009.
25. The stormwater management system must be inspected by the operation and
maintenance entity once within two years after the completion of construction and every
two years thereafter to insure that the system is functioning as designed and permitted.
If a required inspection reveals that the system is not functioning as designed and
permitted, then within 14 days of that inspection the entity shall submit an Exceptions
Report on form number 40C-42.900(6), Exceptions Report for Stormwater Management
System Out of Compliance. The operation and maintenance entity must maintain a
record of each required inspection, including the date of inspection, the name, address,
and telephone number of the inspector, and whether the system was functioning as
designed and permitted, and make such record available for inspection upon request by
the District during normal business hours.
Notice Of Rights
A person whose substantial interests are or may be affected has the right to request an
administrative hearing by filing a written petition with the St. Johns River Water
Management District (District). Pursuant to Chapter 28-106 and Rule 40C-1.1007,
Florida Administrative Code, the petition must be filed (received) either by delivery at the
office of the District Clerk at District Headquarters, P. O. Box 1429, Palatka Florida
32178-1429 (4049 Reid St., Palatka, FL 32177) or by e-mail with the District Clerk at
Clerk ansirwmd.com, within twenty-six (26) days of the District depositing notice of
District decision in the mail (for those persons to whom the District mails actual notice),
within twenty-one (21) days of the District emailing notice of District decision (for those
persons to whom the District emails actual notice), or within twenty-one (21) days of
newspaper publication of the notice of District decision (for those persons to whom the
District does not mail or email actual notice). A petition must comply with Sections
120.54(5)(b)4. and 120.569(2)(c), Florida Statutes, and Chapter 28-106, Florida
Administrative Code. The District will not accept a petition sent by facsimile (fax), as
explained in paragraph no. 5 below. Mediation pursuant to Section 120.573, Florida
Statutes. is not available.
2. If the Governing Board takes action that substantially differs from the notice of District
decision, a person whose substantial interests are or may be affected has the right to
request an administrative hearing by filing a written petition with the District, but this
request for administrative hearing shall only address the substantial deviation. Pursuant
to Chapter 28-106 and Rule 40C-1.1007, Florida Administrative Code, the petition must
be filed (received) at the office of the District Clerk at the mail/street address or email
address described in paragraph no. 1 above, within twenty-six (26) days of the District
depositing notice of final District decision in the mail (for those persons to whom the
District mails actual notice), within twenty-one (21) days of the District emailing the
notice of final District decision (for those persons to whom the District emails actual
notice), or within twenty-one (21) days of newspaper publication of the notice of final
District decision (for those persons to whom the District does not mail or email actual
notice). A petition must comply with Sections 120.54(5)(b)4. and 120.569(2)(c), Florida
Statutes, and Chapter 28-106, Florida Administrative Code. Mediation pursuant to
Section 120.573, Florida Statutes, is not available.
3. A person whose substantial interests are or may be affected has the right to a formal
administrative hearing pursuant to Sections 120.569 and 120.57(1), Florida Statutes,
where there is a dispute between the District and the party regarding an issue of material
fact. A petition for formal hearing must also comply with the requirements set forth in
Rule 28-106.201, Florida Administrative Code.
4. A person whose substantial interests are or may be affected has the right to an informal
administrative hearing pursuant to Sections 120.569 and 120.57(2), Florida Statutes,
where no material facts are in dispute. A petition for an informal hearing must also
comply with the requirements set forth in Rule 28-106.301, Florida Administrative Code.
Notice Of Rights
5. A petition for an administrative hearing is deemed filed upon receipt of the complete
petition by the District Clerk at the District Headquarters in Palatka, Florida. Petitions
received by the District Clerk after 5:00 p.m., or on a Saturday, Sunday, or legal holiday,
shall be deemed filed as of 8:00 a.m. on the next regular District business day. The
District's acceptance of petitions filed by e-mail is subject to certain conditions set forth
in the District's Statement of Agency Organization and Operation (issued pursuant to
Rule 28-101.001, Florida Administrative Code), which is available for viewing at
www.s'rwmd.com. These conditions include, but are not limited to, the petition being in
the form of a PDF file and being capable of being stored and printed by the District.
Further, pursuant to the District's Statement of Agency Organization and Operation,
attempting to file a petition by facsimile is prohibited and shall not constitute filing.
6. Failure to file a petition for an administrative hearing within the requisite time frame shall
constitute a waiver of the right to an administrative hearing. (Rule 28-106.111, Florida
Administrative Code).
The right to an administrative hearing and the relevant procedures to be followed are
governed by Chapter 120, Florida Statutes, Chapter 28-106, Florida Administrative
Code, and Rule 40C-1.1007, Florida Administrative Code. Because the administrative
hearing process is designed to formulate final agency action, the filing of a petition
means the District's final action may be different from the position taken by it in this
notice. A person whose substantial interests are or may be affected by the District's final
action has the right to become a party to the proceeding, in accordance with the
requirements set forth above.
8. A person with a legal or equitable interest in real property who believes that a District
permitting action is unreasonable or will unfairly burden the use of their property, has the
right to, within 30 days of receipt of the notice of District decision regarding a permit
application, apply for a special magistrate proceeding under Section 70.51, Florida
Statutes, by filing a written request for relief at the Office of the District Clerk located at
District Headquarters, P. O. Box 1429, Palatka, FL 32178-1429 (4049 Reid St., Palatka,
FL 32177). A request for relief must contain the information listed in Subsection
70.51(6), Florida Statutes. Requests for relief received by the District Clerk after 5:00
p.m., or on a Saturday, Sunday, or legal holiday, shall be deemed filed as of 8:00 a.m.
on the next regular District business day.
9. A timely filed request for relief under Section 70.51, Florida Statutes, tolls the time to
request an administrative hearing under paragraph nos. 1 or 2 above. (Paragraph
70.51(10)(b), Florida Statutes). However, the filing of a request for an administrative
hearing under paragraph nos. 1 or 2 above waives the right to a special magistrate
proceeding. (Subsection 70.51(10)(b), Florida Statutes).
10. Failure to file a request for relief within the requisite time frame shall constitute a waiver
of the right to a special magistrate proceeding. (Subsection 70.51(3), Florida Statutes).
Notice Of Rights
11. Any person whose substantial interests are or may be affected who claims that final
action of the District constitutes an unconstitutional taking of property without just
compensation may seek review of the action in circuit court pursuant to Section 373.617,
Florida Statutes, and the Florida Rules of Civil Procedures, by filing an action in circuit
court within 90 days of rendering of the final District action, (Section 373.617, Florida
Statutes).
12. Pursuant to Section 120.68, Florida Statutes, a party to the proceeding before the
District who is adversely affected by final District action may seek review of the action in
the District Court of Appeal by filing a notice of appeal pursuant to Rules 9.110 and
9.190, Florida Rules of Appellate Procedure, within 30 days of the rendering of the final
District action.
13. A party to the proceeding before the District who claims that a District order is
inconsistent with the provisions and purposes of Chapter 373, Florida Statutes, may
seek review of the order pursuant to Section 373.114, Florida Statutes, by the Florida
Land and Water Adjudicatory Commission, by filing a request for review with the
Commission and serving a copy on the Florida Department of Environmental Protection
and any person named in the order within 20 days of the rendering of the District order.
14. A District action is considered rendered, as referred to in paragraph nos. 11, 12, and 13
above, after it is signed on behalf of the District, and is filed by the District Clerk.
15. Failure to observe the relevant time frames for filing a petition for judicial review as
described in paragraph nos. 11 and 12 above, or for Commission review as described in
paragraph no. 13 above, will result in waiver of that right to review.
Notice Of Rights
Certificate of Service
I HEREBY CERTIFY that a copy of the foregoing Notice of Rights has been sent by U.S.
Mail to:
City Of Sebastian
1225 Main Street
Sebastian, FL 32958
At 4:00 p.m. this 4th day of June, 2009.
Division of Regulatory Information Management
Gloria Lewis, Director
St. Johns River Water Management District
Post Office Box 1429
Palatka, FL 32178-1429
(386) 329-4152
Permit Number: 40-061-68172-15
Water Management
District
Kirby B. Green III, Executive Director • David W. Fisk, Assistant Executive Director
4049 Reid Street • P.O. Box 1429 • Palatka, FL 32178-1429 • (386) 329-4500
On the Internet at www.sjrwmd.com.
Holder of Standard General Permit
Dear Permittee:
Please be advised that the District has not published a notice in the newspaper advising the
public that it is issuing a permit for this proposed project. Publication, using the District form,
notifies members of the public (third parties) of their rights to challenge the issuance of the
permit. If proper notice is given by publication, third parties have a 21 -day time limit on the time
they have to file a petition opposing the issuance of the permit.
To confirm the period for filing such a challenge is closed, you may publish (at your own
expense) a notice in a newspaper of general circulation within the affected area. If you do not
publish, a person's right to challenge the issuance of the standard general permit extends for an
indefinite period of time.
A copy of the form of the notice and a list of newspapers of general circulation commonly used
by the District is attached for your use. However, you do not have to use only those
newspapers listed and this publication need only appear once. When the notice is published,
the newspaper will return to you an affidavit as proof of publication. To complete your file with
the District, submit this original affidavit of publication to:
Gloria Lewis, Director
Division of Regulatory Information Management
P. O. Box 1429
Palatka, FL 32178-1429
(386) 329-4235
Enclosed is a sample package used for newspaper noticing by the District. Particular attention
should be given to Pages 2 and 3 for successful completion of the newspaper noticing process.
If we can be of further assistance, please contact Shannon Barican at (386) 329-4266 or
Quenteria Johnson at (386) 329-4349.
Sincerely,
Gloria Lewis, Director
Division of Regulatory Information Management
GOVERNING BOAR
David G. Graham, CHAIRMAN Ann T. Moore, SECRETARY Duane L. DttenStrOBr, TREASURER Susan N. Hughes
JACKSONVILLE BUNNELL JACI(SONVILIE POWEVEDRA
Michael Ertel Hersey "Herky" Huffman Arlen N. Jumper William W. Kerr W. Leonard Wood
OVIEDO ENTERPRISE FORT WCOY MELBOURNEBEACH FERNANDINA BEACH
NOTICE OF AGENCY ACTION TAKEN BY THE
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
Notice is given that the following permit was issued on
(Name and address of applicant)
permit # . The project is located in
Section , Township South, Range
authorizes a surface water management system on
as . The receiving water body is
_ East.
acres for
_County,
The permit
The file containing the application for the above listed permit is available for inspection
Monday through Friday except for legal holidays, 8:00 a.m. to 5:00 p.m. at the St.
Johns River Water Management District (District) Headquarters, 4049 Reid Street,
Palatka, FL 32178-1429. A person whose substantial interests are affected by the
District permitting decision may petition for an administrative hearing in accordance
with sections 120.569 and 120.57, Florida Statutes, or may choose to pursue
mediation as an alternative remedy under section 120.573, Florida Statutes, before
the deadline for filing a petition. Choosing mediation will not adversely affect the right
to a hearing if mediation does not result in a settlement. The procedures for pursuing
mediation are set forth in section 120.573, Florida Statutes, and rules 28-106.111 and
28-106.401-.404 Florida Administrative Code. Petitions must comply with the
requirements of Florida Administrative Code Chapter 28-106 and be filed with
(received by) the District Clerk located at District Headquarters, Highway 100 West,
Palatka, FL 32177. Petitions for administrative hearing on the above application must
be filed within twenty-one (21) days of publication of this notice. Failure to file a
petition within this time period shall constitute a waiver of any right(s) such person(s)
may have to request an administrative determination (hearing) under sections 120.569
and 120.57, Florida Statutes, concerning the subject permit. Petitions that are not
filed in accordance with the above provisions are subject to dismissal.
Because the administrative hearing process is designed to formulate final agency
action, the filing of a petition means that the District's final action may be different from
the position taken by it in this notice of intent. Persons whose substantial interests will
be affected by any such final decision of the District on the applicant have the right to
petition to become a party to the proceeding, in accordance with the requirements set
forth above.
Revised May l9, 2009 2
R/pds/data/Holders of Standard General Permits
NEWSPAPER
ADVERTISING
ALACHUA
The Alachua County Record
Legal Advertising
P. O. Box 806
Gainesville, FL 32602
352-377-2444/fax 352-338-1986
BAKER
Baker County Press
Legal Advertising
P. O. Box 598
Maclenny, FL 32063
904-259-2400/fax 904-259-6502
BRADFORD
Bradford County Telegraph
Legal Advertising
P. O. Drawer A
Starke, FL 32901
904-964-6305/fax 904.9648628
BREVARD
Florida Today, Legal Advertising
P. O. Box 419000
Melbourne, FL 32941-9000
321-242-3500/fax 321-242-6618
CLAY
Clay Today, Legal Advertising
1560 Kinsley Ave., Suite 1
Orange Park, FL 32073
904-264-3200/fax 904269-6958
DUVAL
Florida Times Union
Legal Advertising
1 Riverside Avenue
Jacksonville, FL 32202
904359-4321/fax 904-359.4180
FLAGLER
Flagler Tribune, Go News Journal
P. O. Box 2831
Daytona Beach, FL 32120-2831
Revised May 19, 2009
H:/pds/data/Holders of Standard General Permits
(386) 740-4503 /fax (386) 736.8972
INDIAN RIVER
Vero Beach Press Journal
Legal Advertising
P. O. Box 1268
Vero Beach, FL 32961-1268
772-978-2214/fax 772-978.2340
LAKE
Daily Commercial
Legal Advertising
P.O. Drawer 490007
Leesburg, FL 34749
352-365.8230/fax 352-365-1951
MARION
Ocala Star Banner, Legal Advertising
2121 SW 19' Avenue Road
Ocala, FL 34474
352-867-4010/fax 352-867-4126
NASSAU
News -Leader, Legal Advertising
P. O. Box 766
Fernandina Beach, FL 32035
904261-3696/fax 904261-3698
OKEECHOBEE
Okeechobee News
Legal Advertising
P. O. Box 639
Okeechobee, FL 34973-0639
863-763-3134/fax 863-763-5901
ORANGE
Sentinel Communications
Legal Advertising
633 N. Orange Avenue
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MSSW/STORMWATER AS -BUILT CERTIFICATION
BY A REGISTERED PROFESSIONAL*
PROJECT NAME:
INSPECTION DATE(S):
FORM EN45
40C-4. FAG
40C42, FAC.
I HEREBY CERTIFY THAT ALL COMPONENTS OF THIS STORMWATER MANAGEMENT SYSTEM HAVE BEEN BUILT
SUBSTANTIALLY IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND IS READY FOR INSPECTION. ANY
SUBSTANTIAL DEVIATIONS (NOTED BELOW) FROM THE APPROVED PLANS AND SPECIFICATIONS WILL NOT PREVENT THE
SYSTEM FROM FUNCTIONING IN COMPLIANCE WITH THE REQUIREMENTS OF CHAPTERS 40C4, 40C-41, OR 40442, F.A.C. (AS
APPLICABLE), WHEN PROPERLY MAINTAINED AND OPERATED. THESE DETERMINATIONS HAVE BEEN BASED UPON ON-SITE
OBSERVATION OF THE SYSTEM CONDUCTED BY ME OR BY MY DESIGNEE UNDER MY DIRECT SUPERVISION AND/OR MY
REVIEW OF AS -BUILT PLANS CERTIFIED BY A REGISTERED PROFESSIONAL OR LAND SURVEYOR LICENSED IN THE STATE OF
FLORIDA.
NAME (please print)
COMPANY NAME -
COMPANY ADDRESS
CITY, STATE, ZIP CODE
TELEPHONE NUMBER
SIGNATURE OF PROFESSIONAL
FLORIDA REGISTRATION NUMBER
DA:yh
(Affix Seal)
SUBSTANTIAL DEVIATIONS FROM THE APPROVED PLANS AND SPECIFICATIONS:
(NOTE: ATTACH TWO COPIES OF AS -BUILT PLANS WHEN THERE ARE SUBSTANTIAL DEVIATIONS)
WITHIN 30 DAYS OF INSPECTION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO:
DMSION OF PERMIT DATA SERVICES
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
P.O. BOX 1429
PALATKA, FL 32178-1429
" A REGISTERED PROFESSIONAL IS DEFINED IN SUBSECTION 40C42.021(1) AS "A PROFESSIONAL REGISTERED ' FLORIDA WITH THE
NECESSARY EXPERTISE IN THE FIELDS OR HYDROLOGY, DRAINAGE, FLOOD CONTROL, EROSION AND SEDIMENT CONTROL, AND
STORMWATER POLLUTION CONTROL TO DESIGN AND CERTIFY STORMWATER MANAGEMENT SYSTEMS". EXAMPLES OF REGISTERED
PROFESSIONALS MAY INCLUDE PROFESSIONAL ENGINEERS LICENSED UNDER CHAPTER 471, F.S., PROFESSIONAL LANDSCAPE ARCHITECTS
LICENSED UNDER CHAPTER 481, F.S., AND PROFESSIONAL GEOLOGISTS LICENSED UNDER CHAPTER 492, F.S., WHO HAVE THE REFERENCED
SKILLS,
FORM 40C-1.131(13)
EFFECTIVE 3121193
FORM EN -46
40C-4, F.A.C.
40C41, F.A.C.
40C-40, F.A.C.
MSSW STORMWATER REGISTERED PROFESSIONAL'S*
INSPECTION REPORT
PERMIT NUMBER:
PROJECT NAME:
INSPECTION DATE(S):
INSPECTION RESULTS: (CHECK ONE)
I HEREBY VERIFY THAT I OR MY DESIGNEE UNDER MY DIRECT SUPERVISION HAVE INSPECTED THE SYSTEM AT THE
ABOVE REFERENCED PROJECT AND THAT THE SYSTEM APPEARS TO BE FUNCTIONING IN ACCORDANCE WITH THE
REQUIREMENTS OF THE PERMIT AND CHAPTERS 40C-4, 40C-41, OR 40C-42, F.A.C., (AS APPLICABLE). THE FOLLOWING
NECESSARY MAINTENANCE WAS CONDUCTED:
I HEREBY CERTIFY THAT I OR MY DESIGNEE UNDER MY DIRECT SUPERVISION HAVE INSPECTED THE SYSTEM AT
THE ABOVE REFERENCED PROJECT AND THAT THE SYSTEM DOES NOT APPEAR TO BE FUNCTIONING IN ACCORDANCE WITH
THE REQUIREMENTS OF THE PERMIT AND CHAPTERS 40C-4, 4OC-41, OR 40C-42, F.A.C., (AS APPLICABLE). I HAVE INFORMED
THE OPERATION AND MAINTENANCE ENTITY OF THE FOLLOWING: (A) THAT THE SYSTEM DOES NOT APPEAR TO BE
FUNCTIONING PROPERLY, (B) THAT MAINTENANCE IS REQUIRED TO BRING THE SYSTEM INTO COMPLIANCE, AND (C) IF
MAINTENANCE MEASURES ARE NOT ADEQUATE TO BRING THE SYSTEM INTO COMPLIANCE, THE SYSTEM MAY HAVE TO BE
REPLACED OR AN ALTERNATIVE DESIGN CONSTRUCTED SUBSEQUENT TO DISTRICTS' APPROVAL.
NAME (please print)
COMPANY NAME
COMPANY ADDRESS
CITY, STATE, ZIP CODE
TELEPHONE NUMBER
SIGNATURE OF PROFESSIONAL
FLORIDA REGISTRATION NUMBER
TE
(Affix Seal)
WITHIN 30 DAYS OF COMPLETION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO:
DEPARTMENT OF RESOURCE MANAGEMENT
DIVISION OF PERMIT DATA SERVICES
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
P.O. BOX 1429
PALATKA, FL 32178-1429
` A REGISTERED PROFESSIONAL IS DEFINED IN SUBSECTION 40C42.021(i) AS "A PROFESSIONAL REGISTERED IN FLORIDA WITH THE
NECESSARY EXPERTISE IN THE FIELDS OR HYDROLOGY, DRAINAGE, FLOOD CONTROL, EROSION AND SEDIMENT CONTROL, AND
STORMWATER POLLUTION CONTROL TO DESIGN AND CERTIFY STORMWATER MANAGEMENT SYSTEMS", EXAMPLES OF REGISTERED
PROFESSIONALS MAY INCLUDE PROFESSIONAL ENGINEERS LICENSED UNDER CHAPTER 471, F.S., PROFESSIONAL LANDSCAPE ARCHITECTS
LICENSED UNDER CHAPTER 481, F.S.. AND PROFESSIONAL GEOLOGISTS LICENSED UNDER CHAPTER 492, F.S., WHO HAVE THE REFERENCED
SKILLS.
FORM 40C-1.181(15)
TFFEC73VE 321/93
Permit Number:
Project Name:
St. Johns River Water Management District
Annual Status Report for
Surface Water Management System Construction
(Required whenever construction duration exceeds one (1) year)
St. Johns River Water Management District
Post Office Box 1429
Palatka, FL 32178-1429
Phase:
FORM EN - 56
Control Structure(s) Percent of Date of Anticipated Date of
Completion Completion Completion
Benchmark Description (one per major control structure)
Lake(s)
Ditch(es) /
Swale(s)
Exfiltration
Trench
Dry Area(s)
Berm(s)
Surface Water
Management
Works
Print Name
Permittee's or Authorized
Agent's Signature
HAPDS\FORMS\EN-56. DOC
form 40C4.900(4)
Percent of
Completion
Phone
Date of
Anticipated
Completion
Date of
Completion
Title and Company Date
Address
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
Construction Commencement Notice
St. Johns River Water Management District
Palm Bay Service Center
525 Community College Parkway, SE
Palm Bay, FL 32909
PROJECT:
PHASE:
FORM EN - 57
I hereby notify the St. Johns River Water Management District that the construction of the surface water
management system authorized by Environmental Resource Permit Number
has commenced/is expected to commence on
199_, and will require a
duration of approximately months weeks days to complete. It is understood that should
the construction term extend beyond one year, I am obligated to submit the Annual Status Report for Surface
Water Management System Construction for no. 40C-4.900(4).
PLEASE NOTE: If the actual construction commencement date is not know, District staff should be so notified
in writing in order to satisfy permit conditions.
Permittee's or Authorized Title and Company
Agent's
Telephone
HAPDSIFORMS\EN-57.DOC
Forth 40C-4.900(3)
Address
Date
J0
1 hns River
Water Management Disuict
Kirby B. Green Ill. Execulrve Director • David VI. Ftsa, Assistant Emurhve Doeolnr . Mike Slaylan. DeputyExecutwe Di aclor
Jahn Juilierma. Palm Bev seance Canter mramm Regulatory,
525 Community College Parkway S.E. @ Palm Bay, FL 32909 # (321) 984-4940
On the Internet at www.sjrwmd.com.
Dear Permittee:
The District issued the enclosed permit. We would like to offer our assistance to insure that your
project is constructed in accordance with the district permit. We will be glad to arrange for a
representative from this office to attend any preconstruction meeting that you may schedule for
this project. For planning purposes, we ask that you give us at least 10 days notice prior to the
scheduled meeting. This will enable us to gather all necessary information regarding your
permit. If no other preconstruction meeting is scheduled, you may arrange a separate meeting
with only District staff.
On permits where mitigation is proposed, the permittee is required by condition to
schedule a meeting with District staff. Therefore, please check your permit conditions to
determine whether or not a preconstruction meeting is required.
Please feel free to call Karen Boles at (321) 676-6616 to notify us of your preconstruction
meetings, or to arrange a meeting with District staff.
cc: File copy
Consultant
PDS -CI
GOVERNING BOARD
Davin G Graham, cr Pwf' Ann T. Moot, smmm m Duane L. Onemirber. v*,EasuFo. Susan N. Hughes
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