HomeMy WebLinkAbout2007 Boudrot Dock Conversion to Public Pier�..�rrerarp
.ter Management District
Kirby B. Green III, Executive Director • David W. Fisk, Assistant Executive Director • Mike Slayton, Deputy Executive Director
John Juilianna, Palm Bay Service Center Director, Regulatory
525 Community College Parkway S.E. • Palm Bay, FL 32909 (321) 984 -4940 �t�$ 9920��2
On the Internet at www.sjrwmd.com,
December 18, 2007
2007 DEC
City of Sebastian
C/o Mr. Al Minner�,
1225 Main Street �f
Sebastian, FL 32958 - ^.
Re: Letter of Consent
Boudrot Dock Conversion to the City of Sebastian Public Pier
Application number 18- 061 - 40429 -3
(Please reference this number on all correspondence.)
Dear Mr. Minner:
Thank you for notifying the St. Johns River Water Management District of your intent to
change the use of the Boudrot single - family dock to a public observation /fishing pier in
the Indian River Lagoon, along your shoreline at 1302 Indian River Drive, Section 6,
Township 31 South, Range 38 East, in Sebastian.
The existing single - family dock totals 1030 square feet, 10 -feet of which is located
landward of the mean high water line. To accommodate the proposed change in use
from a single - family dock to a public observation/ fishing pier, "No Mooring" signs will be
installed every 60 -feet along the length of the pier. In addition, a monofilament box will
be installed at the pier's entrance. Staff has reviewed the information you provided and
determined that the project qualifies for consent to use state -owned submerged lands.
The District has based this determination upon the following:
a) Sovereign submerged lands authorization was issued by the Department of
Natural Resources on July 18, 1990 for the Boudrot single - family dock.
b) The observation /fishing pier is open to the public.
And;
c) The 1,020 square foot observation /fishing pier does not cumulatively preempt
more than 10 square feet of sovereignty submerged land for each linear foot
of the applicant's shoreline.
These construction details are consistent with the provisions of Sections 18-
20.004(5)(x) 4,5, 18- 20.004(5)(b), 18- 21(1)(c)2., F.A.C.10314.
GOVERNING BOARD
David G. Graham, CHAIRMAN Susan N. Hughes, VICE CHAIRMAN Ann T. Moore. SECRETARY W. Leonard Wood, TREASURER
JACKSONVILLE PONTE VEDR.A BUNNELL FERNANDINA BEACH
Michael Ertel Hersey "Herky' Huffman Arlen N. Jumper William W. Kerr Duane L. Ottenstroer
OVIEDO ENTERPRISE FORT McCOY MELBOURNE BEACH JACKSONVILLE
Providing your facility is consistent with the above, please consider this the authority
sought under Section 253.77, Florida Statutes, and Chapter 18 -21, Florida
Administrative Code, to pursue this project.
Prior to commencement of construction and /or activities authorized herein, you must
obtain the U.S. Army Corps of Engineers (ACOE) permit if required by the ACOE. Any
modification to the construction and /or activities authorized herein that may be required
by the ACOE shall require reconsideration by and the prior written approval of the St.
Johns River Water Management prior to commencement of construction and /or any
activities on sovereignty, submerged lands.
This letter of consent in no way waives the authority and /or jurisdiction of any
government entity, nor does it disclaim any title interest the state may have in the
project site. Please check with your local government for specific requirements. Where
local governments have standards, the more stringent standards shall apply. This letter
does not constitute authority to proceed with your project under Chapter 373, F.S.
Please retain this letter, as it constitutes consent to use sovereign submerged lands by
the St. Johns River Water Management District. Please be aware that you are bound to
the conditions set forth in the attached "General Consent Conditions ". Your pier may be
inspected by authorized state personnel in the future to insure compliance with
appropriate statutes and administrative codes. If your pier is not in compliance, you
may be subject to penalties under Chapter 18 -14, F.A.C.
If you have questions, please contact me at 321 - 984 -4940.
Sincerely,
d�
John Juilianna, Director
Palm Bay Service Center
Enclosures: General Consent Conditions
Notice of Rights
cc: PDS -SSL
Jaime Zsiros
Joseph W. Schulke, P.E. - Schulke, Bittle, & Stoddard, LLC
1717 Indian River Blvd., Suite 201
Vero Beach, FL 32960
ST. JOHNS RIVER WATER MANAGEMENT DISTRICT
SUBMERGED LANDS & ENVIRONMENTAL RESOURCES PROGRAM
GENERAL CONSENT CONDITIONS
Project No. 18- 061 - 40429 -3
• No activities other than those set forth in the attached letter dated December
2007, are authorized. Any additional activities on state -owned sovereignty 17,
submerged lands must receive further consent from the Governor and Cabinet
sitting as the Board of Trustees of the Internal Improvement Trust Fund
(hereinafter the "Board ") or their properly designated agent.
2• Grantee agrees that all title and interest to all lands lying below the historical
mean high water line or ordinary high water line are vested in the Board, and
shall make no claim of title or interest in said lands by reason of the Occupancy
use thereof. p y or
3• Grantee agrees to use or occupy the subject premises for those ur
specified herein, and Grantee shall not permit the premises or any p p rt th ereof art th
be used or occupied for any other purpose or knowingly permit ereof to
nuisances or illegal operations of any kind on the premises. or suffer any
4. Grantee agrees to maintain the premises in good condition in the interest
Public health, safety and welfare. The premises are subject to inspection bf th
Board or its designated agent at any reasonable time. y e
5. Grantee agrees to indemnify, defend and hold harmless the Board and the
of Florida from all claims, actions, lawsuits and demands arising out of this State
consent.
6. No failure, or successive failures, on the part of the Board to enforce an
Provision, waiver or successive waivers on the part of the Board of any yrovisio n
herein, shall operate as a discharge thereof or render the same inoperative or
impair the right of the Board to enforce the same in the event of subsequent
uent
q
7. Grantee binds itself and its successors and assigns to abide by the provisions
and conditions set forth herein. In the event Grantee fails or refuses to compl y
with the provisions and conditions of this consent, the consent of use may be
terminated by the Board after written notice to the Grantee. Upon receipt of
notice, the Grantee shall have thirty (30) days in which to correct the viol such
Failure to correct the violations within this period shall result in the automaton.
revocation of this Letter of Consent. c
8. All costs, including attorneys' fees, incurred by the Board in enforcing the terms
and conditions of this consent shall be paid by the Grantee. Grantee agrees to
accept service by certified mail of any notice required by Chapter 18 -14, Florida
Administrative Code, at the address shown on the attached Consent of Use letter
and further agrees to notify the Board in writing of any change of address at least
10 days before the change becomes effective.
9. Grantee agrees to assume responsibility for all liabilities that accrue to the
sovereignty submerged land or to the improvements thereon, including any and
all drainage or special assessments or taxes of every kind and description which
are now or may be lawfully assessed and levied against the property during the
effective period of this consent.
10. Grantee agrees that any dispute arising from matters relating to this consent
shall be governed by the laws of Florida.
11. The Letter of Consent associated with these General consent conditions as well
as these conditions themselves are subject to modification after 5 years in order
to reflect any applicable changes in statutes, rule or policies of the Board or its
designated agent.
12. In the event that any part of the structure(s) consented to herein is determined by
a final adjudication issued by a court of competent jurisdiction to encroach on or
interfere with adjacent riparian rights, Grantee agrees to either obtain written
consent for the offending structure from the affected riparian owner or to remove
the interference or encroachment within 60 days from the date of the
adjudication. Failure to comply shall constitute a material breach of this consent
and shall be grounds for its immediate termination.
NOTICE OF RIGHTS
A person whose substantial interests are or may be determined has the right to request an
administrative hearing by filing a written petition with the St. Johns River Water Management District
(District), or may choose to pursue mediation as an alternative remedy under Sections 120.569 and
120.573, Florida Statutes, before the deadline for filing a petition. Choosing mediation will not
adversely affect the rights to a hearing if mediation does not result in a settlement. The procedures for
pursuing mediation are set forth in Sections 120.569 and 120.57, Florida Statutes, and Rules 28-
106.111 and 28- 106.401 -.405, Florida Administrative Code. Pursuant to Chapter 28 -106 and Rule
40C- 1.1007, Florida Administrative Code, the petition must be filed at the office of the District Clerk at
District Headquarters, P. O. Box 1429 Palatka, Florida 32178 -1429 (4049 Reid St., Palatka, FL 32177)
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) 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
actual notice). A petition must comply with Chapter 28 -106, Florida Administrative Code.
2. If the Governing Board takes action which substantially differs from the notice of District decision, a
person whose substantial interests are or may be determined has the right to request an administrative
hearing or may choose to pursue mediation as an alternative remedy as described above. Pursuant to
District Rule 40C- 1.1007, Florida Administrative Code, the petition must be filed at the office of the
District Clerk at the address described 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) or
within fourteen (14) days of newspaper publication of the notice of its final agency action (for those
persons to whom the District does not mail actual notice). Such a petition must comply with Rule
Chapter 28 -106, Florida Administrative Code.
3. A substantially interested person 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 comply with the requirements set
forth in Rule 28- 106.201, Florida Administrative Code.
4. A substantially interested person has the right to an informal 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 comply with the requirements set forth in Rule 28- 106.301, Florida Administrative Code,
5. A petition for an administrative hearing is deemed filed upon delivery of the petition to the District Clerk
at the District Headquarters in Palatka, Florida.
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 (Section 28- 106.111, Florida Administrative Code).
7. The right to an administrative hearing and the relevant procedures to be followed are governed by
Chapter 120, Florida Statutes, and Chapter 28 -106, Florida Administrative Code, and Section 40C-
1.1007, Florida Administrative Code.
8. An applicant 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 his property, has the right to, within 30 days of
receipt of notice of the District's written decision regarding a permit application, apply for a special
master 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.
9. A timely filed request for relief under Section 70.51, Florida Statutes, tolls the time to request an
administrative hearing under paragraph no. 1 or 2 above (Paragraph 70.51(10)(b), Florida Statutes).
However, the filing of a request for an administrative hearing under paragraph no. 1 or 2 above waives
the right to a special master 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 master proceeding (Subsection 70.51(3), Florida Statutes).
11. Any substantially affected person 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 person 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 the
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 Department of Environmental
Protection and any person named in the order within 20 days of adoption of a rule or the rendering of
the District order.
14. For appeals to the District Courts of Appeal, a District action is considered rendered 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 described in
paragraphs #11 and #12, or for Commission review as described in paragraph #13, will result in waiver
of that right to review.
CERTIFICATE OF SERVICE
I hereby certify that copy of the foregoing notice of rights has been sent by U.S. Mail to:
City of Sebastian
C/o Mr. Al Minner
1225 Main Street
Sebastian, FL 32958
at 4:00 p.m. this December 18, 2007
LJ for
Permit Data Services
Gloria Jean Lewis, Director,
St. Johns River Water Management District
Post Office Box 1429
Palatka, FL 32178 -1429
(904) 329 -4500
Permit # 18- 061 - 40429 -3
W OWater Manacrement District
Kirby B. Green IIL. Executive Director • David W. Fisk, Assistant Executive Director • Mike Slayton, Deputy Executive Director
John Juilianna. Palm Bay Service Center Director, 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
David G. Graham, CHAIRMAN Ann T Moore. SECRETARY Duane L. Ottenstroer, TREASURER Susan N. Hughes
JACKSONVILLE BUNNELL JACKSONVILLE PONTE VEDRA.
Michael Ertel Hersey "Herky" Huffman Arlen N. Jumper William W. Kerr W. Leonard Wood
OVIEDO ENTERPRISE FORT McCOY MELBOURNE BEACH FERNANDINA BEACH
4049 Reid Street - P.O. Box 1429 - Palatka, FL 32178 -1429 - (386) 329 -4500
On the Internet at www.sjrwmd.com,
Holders of General State Submerged Lands Permits
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 14 -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 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 Permit Data Services
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 I can be of further assistance, please contact Shannon Barican at (386) 329 -4266 or
Quenteria Johnson at (386) 329 - 44349.
Sincerely,
M, 1�1 W
Gloria Lewis, Director
Division of Permit Data Services
GOVERNING QCiARD
David G. Graham, CHAIRMAN Ann T. Moore, SECRETARY Duane L. Ottenstroer, TREASURER
JACKSONVILLE BUNNELL JACKSONVILLE
Michael Ertel Hersey "Herky" Huffman Arlen N, Jumper William W. Kerr
OVIEDO ENTERPRISE FORT McCOY MELBOURNE BEACH
Susan N. Hughes
PONTE VEDRA
W, Leonard Wood
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 # I . The project is located in County,
Section , Township South, Range East. The permit
authorizes A SURFACE WATER MANAGEMENT SYSTEM ON ACRES TO
SERVE
known as The receiving water body is
The file(s) 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(s)
must be filed within twenty -one (21) days of publication of this notice or within twenty -
six (26) days of the District depositing notice of this intent in the mail for those persons
to whom the District mails actual 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, F.S.,
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 August 27, 2007 2
H: /pds /data/Holders of General Permits
MEWSPAP.,ER
IDI ER _]SING
ALACHUA
The Alachua County Record
Legal Advertising
P. 0. Box 806
Gainesville, FL 32602
352 - 377- 2444/fax 352 - 338 -1986
BAKER
Baker County Press
Legal Advertising
P. 0. Box 598
Maclenny, FL 32063
904 - 259 - 2400 /fax 904 - 259 -6502
BRADFORD
Bradford County Telegraph
Legal Advertising
P. 0. Drawer A
Starke, FL 32901
904 - 964 - 6305 /fax 904 - 964 -8628
BREVARD
Florida Today, Legal Advertising
P. 0. 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 904 - 269 -6958
DUVAL
Florida Times Union
Legal Advertising
1 Riverside Avenue
Jacksonville, FL 32202
904 - 359- 4321/fax 904 - 359 -4180'
FLAGLER
Flagler Tribune, c/o News Journal
P. 0. Box 2831
Daytona Beach, FL 32120 -2831
Revised August 27, 2007
H: /pds /data/Holders of General Pennits
(386) 740 -4503 /fax (386) 736 -8972
INDIAN RIVER
Vero Beach Press Journal
Legal Advertising
P. 0. Box 1268
Vero Beach, FL 32961 -1268
772 - 978- 2214/fax 772 - 978 -2340
LAKE
Daily Commercial
Legal Advertising
P. 0. Drawer 490007
Leesburg, FL 34749
352 - 787 - 0902 /fax 352 - 365 -1951
MARION
Ocala Star Banner, Legal Advertising
2121 SW 19`h Avenue Road
Ocala, FL 34474
352 - 867 - 4010 /fax 352 - 867 -4126
NASSAU
News - Leader, Legal Advertising
P. 0. Box 766
Fernandina Beach, FL 32035
904 - 261- 3696/fax 904 - 261 -3698
OKEECHOBEE
Okeechobee News
Legal Advertising
P. 0. Box 639
Okeechobee, FL 34973 -0639
863 - 763- 3134/fax 863- 763 -5901
ORANGE
Sentinel Communications
Legal Advertising
633 N. Orange Avenue
Orlando, FL 32801
407 - 420 - 5160 /fax 407 - 420 -5011
OSCEOLA
Little Sentinel
Legal Advertising
633 N. Orange Avenue
3
Orlando, FL 32801
407 - 420 - 5160 /fax 407 - 420 -5011
POLK
Lakeland Ledger Publishing Co.
Legal Advertising
P. 0. Box 408
Lakeland, FL 33802
863 - 802- 7355/fax 863 - 802 -7814
PUTNAM
Palatka Daily News
Legal Advertising
P. 0. Box 777
Palatka, FL 32178
386 - 312 - 5200 /fax 386 - 312 -6664
ST. JOHNS
St. Augustine Record
Legal Advertising
P. 0. Box 1630
St. Augustine, FL 32085
904 - 829- 6562/fax 904 - 819 -3559
SEMINOLE
Seminole Herald
Legal Advertising
300 North French Avenue
Sanford, FL 32771
407 - 322- 2611/fax 407 - 323 -9408
VOL USIA
News Journal Corporation
Legal Advertising
P. 0. Box 2831
Daytona Beach, FL 32120 -2831
(386) 740 -4503 /fax (386) 736 -8972
MSSW /STORMWATER AS -BUILT CERTIFICATION
BY A REGISTERED PROFESSIONAL*
PERMIT
PROJECT NAME:
INSPECTION DATE(S):
FORM EN-45
40C4, F.A.C.
40C -42, F.A.C.
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 40C42, 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
DATE
(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:
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 40C- 42.021(1) 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(13) EFFECTIVE 3121/93
FORM EN-46
40C4, F.A.C.
40C41, F.A.C.
40C -40, F.A.C.
MSSW STORMWATER REGISTERED PROFESSIONAL'S*
INSPECTION REPORT
PERMIT
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 40C4, 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, 40C -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
DATE
(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 40C- 42.021(1) 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) EFFECTIVE 3/21/93
Permit Number:
Project Name: _
Control Structure(s)
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
Percent of
Completion
Benchmark Description (one per major control structure)
Surface Water
Management
. Works
Lake(s)
Ditch(es) /
Swale(s)
Exfiltration
Trench
Dry Area(s)
Berm(s)
Print Name
Permittee's or Authorized
Agent's Signature
H:1PDS\FORM S\EN -56. DOC
form 40C- 4.900(4)
Percent of
Completion
Phase:
Date of Anticipated
Completion
Phone
FORM EN - 56
Date of
Completion
Date of
Anticipated Date of
Completion 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. 40C4.900(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
Agent's
Telephone
H: \PDS \FORMS \EN -57. DOC
Form 40C- 4.900(3)
Title and Company
Address
Date