"JOINT APPLICATION FOR"
Form #: 62-343.900(1) Form Title: Joint En vironmental Resource Permit Application Eff ective Date: [Ef f ective Date] Octobe r 3, 1995 Incorporated by Ref erence in subsection 62- 343.070(2), F.A.C. JOINT APPLICATION FOR ENVIRONMENTAL RESOURCE PERMIT/ AUTHORIZATION TO USE STATE-OWNED SOVEREIGN SUBMERGED LANDS/ FEDERAL DREDGE AND FILL PERMIT FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION/ WATER MANAGEMENT DISTRICTS/ U.S. ARMY CORPS OF ENGINEERS Effective [Effective Date] Saved as \62-343\JointAppli-Fee-NGP&Exemp\Draft_Ru le&Fo rms\900-1_JointApp_update_5-14-10 INSTRUCTIONS FOR JOINT APPLICATION FOR ENVIRONMENTAL RESOURCE PERMIT / AUTHORIZATION TO US E STATE OWNED SUB MERGED LANDS / FEDERAL DREDGE AND FILL PERMIT INTRODUCTION This form is to apply for: Attached is a joint application for: 1) An environmental resource permit (ERP) permit activities regulated under Part IV of Chapter 373, F.S.,; to construct, alter, operate, , maintain or repair (excluding routine, custodial maintenance), abandon, or remove a surface water management system; 2) An authorization to activities which require authorization to use state-owned submerged lands, for activities located on such lands; and 3) A activities which require federal dredge and fill permit under Section 404 of the Clean Water Act and Section 10 of the Rivers and Harbors Act of 1899. Certain activities may qualify for an exemption. If an activity qualifies for an exemption, an application is not required, although the use of this application form is the most expeditious way for the agencies to make the determination that the activity qualifies for an exemption. Attachment 2 lists various regulated activities and the type of permit required for each activity. If you have any questions, please contact the staff of the nearest office of either the Florida Department of Environmental Protection (DEP) or a Water Management District (WMD). PROCESSING AGENCY/DISTRICT S ERVICE CENTERS The Department of Environmental Protection ("Department" or " DEP") regulates some types of activities, and the Water Management Districts ("WMDs") regulate others. In addition, some local governments have been delegated the authority to review and take agency action on the Environmental Resource Permit (ERP) permit on behalf of the DEP or WMD. Attachment 1, DEP/WMD Permitting Responsibilities, specifies which activities are regulated by each agency. ERP Environmental Resource Permit Applications shall be made to the appropriate DEP or WMD District/Department office serving the area in which the activity is proposed. Attachment 4 designates Tthe appropriate agency office for each geographic area is shown in Attachment 4. COPIES/APPLICATION FEES If you are submitting a paper version of the application, s Submit one an original signed application form plus four copies of the form, and five complete sets of all the requested drawings and other information to the appropriate DEP or WMD office. Submit the appropriate fee with your application. Application fees are listed in Attachment 3. Several agencies now allow this application form to be submitted electronically on the Internet; in those cases, follow the on-line submittal requirements of that agency. DO NOT submit the application form directly to the Corps (see below). DISTRIBUTION TO U.S. ARMY CORPS OF ENGINEERS Do not submit the application to the U.S. Army Corps of Engineers (ACOE). Some agencies have an electronic portal that allows the U.S. Army Corps of Engineers (ACOE) to retrieve application information when it is submitted to the DEP, WMD, or delegated local government. When a paper copy of an ERP application is submitted to the DEP, WMD, or delegated local government that involves activities are proposed in, on, or over wetlands or other surface waters, a portion of the application (Sections A and Section C of the application, together with the applicable associated drawings) will be forwarded to the ACOE Army Corps of Engineers (ACE) by the reviewing agency. The ACOE will advise you of any additional information that may be required to complete your federal dredge and fill permit application. It is not necessary for the applicant to submit a separate application to the ACOE. The information requested in this application form may be more than required to make a complete application to the ACOE. However, it is useful and may be essential for subsequent evaluation. Reducing unnecessary paperwork and delays is a continuing goal of the agencies ACOE. DISTRIBUTION TO THE DEP FOR STATE LAND APPROVAL If activity is located on, or has the potential to be located on the applicant checks the box to request authorization to use state-owned sovereign submerged lands, the DEP Department or WMD will begin processing the request for state-owned sovereign submerged lands approval. Additionally, if at any time during the processing of the application, it appears that the proposed activities may take place on state-owned submerged lands, the Department will initiate a review for the authorization to use such lands. See Attachment 5 fFor an explanation of state-owned sovereign submerged lands approval see Attachment 5. EXEMPTIONS Certain activities may qualify for an exemption under statute or rule, and others fall below thresholds for needing a permit. You do not need to submit an application for most exempt activities. However, if you need written verification as to whether you qualify to conduct an exempt activity, do not use this form. Instead, you have four options: Form 62-343.900(1), Joint Application, [effective date] Introduction Page 2 1) Complete and submit Form 62-343.900(11) — “Exemption Verification Request,” to the applicable agency. 2) In lieu of the above form, you may submit a letter requesting verification of an exemption. 3) Some WMDs have provisions for submitting notices for verification of exemptions electronically on the Internet . 4) Certain activities may qualify for use of the DEP on-line self-certification portal at http://portal.dep.state.fl.us. All exemption verification requests must contain a location map of sufficient detail to allow someone who is unfamiliar with the site to travel to and locate the specific site of the activity; two sets of construction plans, drawings, and other supporting documents that clearly and legibly depict and describe the proposed activities in a detail to demonstrate compliance with the terms, conditions, and limitations of the exemption; the processing fee of $100; permission from the landowner for staff to enter and inspect the property site subject to the exemption; and identification (by number and name, if known) to the rule or statutory exemption sought **BE ADVIS ED** Authorization from the Department for the proposed project does not preclude the need to obtain all other required authorizations and permits required by other state, local, and federal agencies. Documents and drawings submitted by persons other than the owner for purposes other than the private use of the owner are subject to the signing and sealing requirements of a registered professional. NOTE: The information listed in Sections B, D, E, and F of this application package is not intended to be all- inclusive. Additional information may be requested by the reviewing agency in order to complete your application. Form 62-343.900(1), Joint Application, [effective date] Introduction Page 2 TABLE OF CONTENTS FOR ERP APPLICATION FORM PACKAGE HEADING: SUBJECT: Section A Basic application form Section B Information for noticed general environmental resource permits Section C Notice of receipt of application Section D Information required for standard general and individual environmental resource permit applications related to a single-family dwelling unit Section E Information requested for standard general, individual a nd conceptual environmental resource permit applications not related to a single-family dwelling unit Table 1 Project impact summary Table 2 On-site mitigation summary Table 3 Off-site mitigation summary Table 4 Docking facility summary Table 5 Shoreline stabilization summary Section F Information for mitigation banks Section G Application for authorization to use state-owned sovereign submerged lands Attachment 1 DEP and WMD permitting responsibilities Attachment 2 Summary of Exemptions, Noticed General Permits, and Other Types of Activities Typically Authorized by Each Permits Type Attachment 3 Permit application processing fees Attachment 4 Mailing instructions for submitting ERP applications to DEP , with map showing the DEP district boundaries and addresses Attachment 5 Proprietary and verses regulatory authorizations Attachment 6 Which Department Offices Process Which Types of Applications? Where permit applications are processed within DEP (division/district split) Form 62-343.900(1), Joint Application, [effective date] Introduction Page 3 “What Sections of the Application Must I Fill Out?” Section: Noticed Individual General Permits Permits Single-Family Others Mitigation Residences Banks Section A Yes Yes Yes Yes Section B Yes Section C Yes Yes Yes Section D Yes Section E Yes Section F Yes Section G As Needed As Needed As Needed As Needed If you are seeking verification that the proposed activity qualifies for an exemption, DO NOT use this application —use Form 62-343.900(11), “Request for Verification of an Exemption,” incorporated by reference in subsection 62-343.070(13), F.A.C. [Effective Date]. Form 62-343.900(1), Joint Application, [effective date] Introduction Page 4 SECTION A FOR AGENCY USE ONLY ACOE Application # DEP/WMD Application # Date Application Received Date Application Received Proposed Project Lat. Fee Received $ Proposed Project Long. Fee Receipt # PART 1 Are any of the activities described in this application proposed to involve dredging, filling, or construction occur in, on, or over wetlands or other surface waters? yes no (See Chapter 62-340, F.A.C., for information on delineating wetlands and other surface waters for the state of Florida) If “yes,” please provide, as applicable (please provide metric equivalents for federally-funded projects): 1. Total area of work (dredging, filling, construction, alteration, or removal) in, on, or over wetlands or other surface waters: sq. ft.; ac. [ m2; ha.] 2. Total volume of material to be dredged: cubic yards [ m3] 3. Number of new boat slips proposed: wet slips; (also, if applicable: new dry slips in uplands) 4. Number of existing boat slips to be altered: wet slips Name of waterbody(ies) (if applicable & if known) in which work will occur? Have you previously filled out an online U.S. Army Corps of Engineers (ACOE) E-application for this project? Is this application being filed by or on behalf of a government entity or drainage district? yes no (If “yes,” do not fill out a separate ACOE Data Entry Form.) APPLICANT AND ASSOCIATED PARTIES INFORMATION: A. APPLICANT ( ENTITY TO REC EIVE P ERMIT) Name: Last: First: Middle: Title: Company: Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: B. CO -APPLICANT Name: Last: First: Middle: Title: Company: Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: C. OPERATIO N AND MAINTENANC E ENTITY Name: Last: First: Middle: Title: Company: Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: D. LAND O WNER(S) CHECK H ERE IF LAND O WNER IS ALSO A CO-APPLICANT Name: Last: First: Middle: Title: Company: Address: Form 62-343.900(1), Joint Application, [effective date] Section A Page 1 of 8 City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: E. CO NSULTANT (IF DIFFERENT FRO M AG ENT) Name: Last: First: Middle: Title: Company: Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: F. E. AG ENT AUTHO RIZED TO SECURE P ERMIT Name: Last: First: Middle: Title: Company: Address: City: State: Zip: Home Telephone: Work Telephone: Cell Phone: Fax: E-mail Address: Form 62-343.900(1), Joint Application, [effective date] Section A Page 2 of 8 PART 2: NAME, LOCATION, AND DESCRIPTION OF PROJECT OR ACTIVITY A. Name of Project, including phase if applicable: B. Is this application for part of a multi-phase project? Yes No If you answered “yes” to question B, please provide permit numbers for other authorized phases below: Agency Date No.\Application Type C. Project/Activity Street/Road Address or other location (if applicable): City: County(ies) Zip: [Note: For utility, road, or ditch/canal activities, provide a starting and ending point using street names and nearest house numbers or provide length of project in miles along named streets or highways.] D. Project location (use additional sheets if needed): Section(s): Township: Range: Section(s): Township: Range: Section(s): Township: Range: E. Land Grant name, if applicable: F. Tax Parcel Identification Number: [If project is on one parcel of land. Number may be obtained from property tax bill or from the county property appraiser’s office; if on multiple parcels, provide multiple Tax Parcel Identification Numbers] G. Directions to Site (from major roads; include distances and landmarks as applicable): H: Describe in general terms the nature of the proposed project, system, or activity , and its purpose): I. Total area owned or controlled by the applicant contiguous to the project: ac. J. Project area or phase: ac. K. Impervious area excluding wetlands and other surface waters (if applicable): ac. L. Volume of water the system is capable of impounding (if applicable): ac. ft. ’ ’ Latitude (DMS) o ” Longitude (DMS) o ” Datum (Taken from Central Location) Explain source for obtaining latitude and longitude: (i.e. U.S.G.S. Quadrangle Map) Horizontal Datum (NAD 1927 or 1983) (T aken from Central Location) PART 32: A. Type of Environmental Resource Permit Requested (check at least one). See Attachment 2 for thresholds and descriptions. Noticed General — Identify Rule No.: 62-341. , F.A.C. (see Attachment 2) and - include information requested in Section B. Individual — Construction and Operation (see Rule 62-343.050, F.A.C.); includes all standard general, standard, and general permit identified in the rules of the water management districts incorporated by reference in Chapter 62-330, F.A.C.), and below for additional information to include. Individual — Conceptual Approval (see Rule 62-343.050, F.A.C., and include information requested in Sections C and E.) Mitigation Bank — include information requested in Sections C and F. Form 62-343.900(1), Joint Application, [effective date] Section A Page 3 of 8 Note: Do NOT use this application to request verification of qualification to use an exemption. Instead, use Form 62-343.900(11), “Request for Verification of an Exemption.” B. Type of activity for which you are applying (check at least one) Standard General (Individual Single Family Dwelling (not part of a larger plan of common development proposed by the applicant) — include information requested in Sections C and D. Standard General (Aall other Standard General projects, other than for a solid waste faility) — include information requested in Sections C and E. Construction of a new solid waste facility — include information requested in Sections C and E. Expansion or modification of an existing solid waste facility — include information requested in Sections C and E. Individual (Single Family Dwelling) - include information requested in Sections C and D. Individual (all other Individual projects) - include information requested in Sections C and E. Conceptual - include information requested in Sections C and E. Mitigation Bank Permit (construction) - include information requested in Sections C and F. (If the proposed mitigation bank involves the construction of a surface water management system requiring another permit defined above, check the appropriate box and submit the information requested by the applicable section.) Mitigation Bank (conceptual) - include information requested in Sections C and F. B. Type of activity for which you are applying (check at least one) C. Is this for (check all that apply): Construction or operation of a new system?, other than a solid waste facility, including dredging or filling in, on or over wetlands and other surface waters. Operation of an existing system? Please provide existing Department or WMD permit #, if known: Alteration of an existing system? Please provide existing Department or WMD permit #, if known: Maintenance or repair of a system previously permitted by the Department or WMD? Please provide existing permit #, if known: Abandonment of a system? Please provide existing Department or WMD permit #, if known: Construction of additional phases of a system? Please provide the existing Department or WMD permit #, if known: Removal of a system? Please provide existing Department or WMD permit #, if known: Retrofit of a system? Please provide existing Department or WMD permit #, if known: Modification of a permit? Please provide existing Department or WMD permit #: Major — see Rule 62-343.100, F.A.C. Minor — see Rule 62-343.100, F.A.C. Extension of permit duration — see subsection 62-343.100(1)(a) and Rule 62-343.120, F.A.C. Transfer : Of ownership or permit while in construction phase — see rule 62-343.100, F.A.C. Of ownership or permit while in operation phase — see Rule 62-343.130, F.A.C. Deadhead Logging. Construction, expansion or modification of a solid waste facility. Alteration or operation of an existing system which was not previously permitted by a WMD or DEP. Modification of a system previously permitted by a WMD or DEP. Provide previous permit numbers: Alteration of a system Extension of permit duration Abandonment of a system Construction of additional phases of a Removal of a system system DC. Are you requesting authorization to use state-owned Sovereign Submerged Lands? yes no (See Section G and Attachment 5 for more information before answering this question.) ED. For activities in, on, or over wetlands or other surface waters, check type of federal dredge and fill permit requested (if known): Individual Programmatic General permit #: SAJ General Nationwide permit #:NWP Not Applicable E. Are you claiming to qualify for an exemption? yes no If yes, provide rule number if known. PART 3: A. OWNER(S) OF LAND B. ENTIT Y T O RECEIV E PERMIT (IF OT HER T HAN OWNER) Form 62-343.900(1), Joint Application, [effective date] Section A Page 4 of 8 Name Name Title and Company Title and Company Address Address City, State, Zip City, State, Zip Home Telephone: Work Telephone Home Telephone: and Fax Work Telephone Cell Telephone: Fax Telephone: Cell Telephone: Fax Telephone: E- mail Address: (optional) E- mail Address: (optional) C. AGENT AUT HORIZ ED T O SECURE PERMIT D. CONSULTANT (IF DIFFERENT FROM AGENT) Name Name Title and Company Title and Company Address Address City, State, Zip City, State, Zip Home Telephone: and Fax Work Telephone Home Telephone: and Fax Work Telephone Cell Telephone: Fax Telephone: Cell Telephone: Fax Telephone: E- mail Address: (optional) E- mail Address: (optional) PART 4: (Please provide metric equivalent for federally funded projects): A. Name of Project, including phase if applicable: _________________________________________ B. Is this application for part of a multi-phase project? Yes No C. Total applicant-owned area contiguous to the project? __________ ac.; __________ ha. D. Total area served by the system: __________ ac.; __________ ha. E. Impervious area for which a permit is sought: __________ ac.; __________ ha. F. Volume of water that the system is capable of impounding: __________ ac. ft.; __________ m 3 G. What is the total area of work in, on, or over wetlands or other surface waters? __________ ac.; __________ ha.; __________ sq. ft.; __________ sq. m. H. Total volume of material to be dredged: __________ yd3; _________ m3 I. Number of new boat slips proposed: ____ wet slips; ____ dry slips PART 5: PROJECT LOCATION Project location (use additional sheets if needed): County(ies) Section(s) Township Range Section(s) Township Range Section(s) Township Range ’ ’ Latitude (DMS) o ” Longitude (DMS) o ” Explain source for obtaining latitude and longitude: Form 62-343.900(1), Joint Application, [effective date] Section A Page 5 of 8 Land Grant name, if applicable: Tax Parcel Identification Number(s): Street Address, Road or other location: City, Zip Code, if applicable: PART 5 6: PROJ ECT DES CRIPTION Describe in general terms the proposed project, system, or activity. Note: In this section, please describe in general terms the project and activity. Use additional pages if necessary. General explanation of work: Treatment type proposed: Current site conditions and land uses: Proposed Land Use: Description of sediment and erosion Best Management Practices (BMPs) to be used: Names and classifications of all receiving waters (if available): PART 6: S ITE PERMIT HIS TORY A. If there have been any pre-application meetings, including on-site meetings, with regulatory staff, please list the date(s), location(s), and names of key staff and project representatives as well a brief summary of any meetings: Name Agency Date Location Summary B. Please identify by number any ERP/MSSW/Wetland Resource/62-25 F.A.C./USACE permits pending, issued or denied for projects at the location, and any related enforcement actions: Agency Date No.\Application Type Action Taken Form 62-343.900(1), Joint Application, [effective date] Section A Page 6 of 8 C. Please attach a copy of each permit issued for this project or explain why copies are not available. PART 7: A. If there have been any pre-application meetings, including on-site meetings, with regulatory staff, please list the date(s), location(s), and names of key staff and project representatives. B. Please identify by number any MSSW/Wetland Resource/ERP/ACOE Permits pending, issued or denied for projects at the location, and any related enforcement actions. Agency Date No.\Type of Action Taken Application C. Note: The following information is required ONLY for projects proposed to occur in, on or over wetlands that need an ACOE Permit federal dredge and fill permit or an authorization to use state owned submerged lands. Please provide the names, addresses and zip codes of property owners whose property directly adjoins the project (excluding application) and/or (for proprietary authorizations) is located within a 500 ft. radius of the applicant's land. Please attach a plan view showing the owner's names and adjoining property lines. Attach additional sheets if necessary. 1. 2. 3. 4. 5. 6. 7. 8. PART 8: A. By signing this application form, I am applying, or I am applying on behalf of the applicant, fo r the permit and any proprietary authorizat ions identified above, according to the supporting data and other incidental informat ion filed with this applicat ion. I am familiar with the info rmation contained in this application and represent that such information is true, co mp lete and accurate. I understand this is an application and not a permit, and that work prior to approval is a v iolation. I understand that this application and any permit issued or proprietary authorization issued pursuant thereto, does not relieve relive me of any obligation fo r obtaining any other required federal, state, water management district or local permit prior to commencement of construction. I agree, or I agree on behalf of the applicant, to operate and maintain the permitted system unless the permitting agency authorizes transfer of the permit to a d ifferent responsible operation and maintenance entity. I understand that knowingly making any false statement or representation in this application is a violat ion of Sect ion 373.430, F.S. and 18 U.S.C. Section 1001. Typed/Printed Name of Applicant (If no Agent is used) or Agent (If one is so authorized below) ________________________________________________ _________ Signature of Applicant/Agent Date (Corporate Title if applicable) AN AGENT MAY S IGN ABOVE ONLY IF THE APPLICANT COMPLET ES THE FOLLOWING: Form 62-343.900(1), Joint Application, [effective date] Section A Page 7 of 8 B. I hereby designate and authorize the agent listed above to act on my behalf, or on behalf o f my corporation, as the agent in the processing of this application for the permit and/or proprietary authorization indicated above; and to furnish, on request, supplemental in formation in support of the application. In addition, I authorize the above-listed agent to bind me, or my corporation, to perform any requirements which may be necessary to procure the permit o r authorization indicated above. I understand that knowingly making any false statement or representation in this application is a vio lation of Section 373.430, F.S. and 18 U.S.C. Sect ion 1001. Typed/Printed Name of Applicant Signature of Applicant Date (Corporate Title if applicable) The applicant's original signature (not a copy) is required above. PERSON W ITH AUTHORITY TO AUTHORIZE AUTHORIZING ACCESS TO THE PROPERTY M UST A LSO COMPLETE THE FOLLOWING: C. I certify that I (check one of the following): 1. Possess sufficient real property interest in or control over the land upon which the activities described in this application are proposed. Interests in real property are typically evidenced by an instrument such as: a warranty deed; lease (subject to the limitations below); easement; contract for sale and purchase, assignment, option agreement, judgment of the court, cert ificate of tit le issued by a clerk of the court; or condomin iu m, ho meowners documents that demonstrate that the person or entity has sufficient interest in or control over the property to authorize the activit ies proposed to be permitted. Entit ies with the power of eminent domain and condemnation authority are considered capable of demonstrating that they will have sufficient real property interest or control prior to construction. Note—the above documents do NOT have to be submited at this time , but must be made available if requested by the Department. Persons requesting activities on state-owned submerged land must also submit satisfactory evidence of sufficient upland int erest in accordance with paragraph 18-21.004(3)(b ), F.A.C. When the real property interest is a lease, the applicat ion must either: a. Include the fee simple o wner as a co-applicant; b. Include documentation that a governmental entity agrees to accept the transfer of the permit, including co mpleting construction in accordance with the permit if needed, and operation and maintenance of the system upon its comp letion; c. Include documentation that the lease over the land and system extends for the expected life of the system; or d. Include documentation that the operation and maintenance of the system will be turned over to a new lessee or the landowner upon revocation, termination, or exp irat ion of the lease. If the lease does not designate an entity to complete construction of the system in the event the construction is not completed by the lessee, or does not specify operation and maintenance requirements for the system, including designating an operation and maintenance entity, a separate binding document also will be required establishing that the landowner is liable for co mp leting construction or alteration of the system and for operating and maintaining the system in accordance with the permit. 2. Have granted permission, below, for staff of the Depart ment of Environmental Protection and the U.S. Army Corps of Engineers to access and conduct necessary site visits for the review, inspection, and sampling of the lands and waters on the property that are the subject of the application and, as a condition of any permit issued, to provide entry to such lands for such staff to monitor and inspect permitted work. Note: this permission does not have to be completed when the applicati on is submitted by an entity havi ng the power of emi nent domai n and condemnation authority, but such entity shall make appropri ate arrangements to enable the above staff to access and inspect the property as needed. Do NOT have sufficient real property interest (as described above) in the land upon which the activities described in this application are proposed. Attached is: 1. A certification fro m the owner or easement holder of such lands, acknowledging that they have knowledge of this application and that they have voluntarily granted the permission, below, for st aff of the Depart ment Form 62-343.900(1), Joint Application, [effective date] Section A Page 8 of 8 of Environ mental Protection, the Water Management District, and the U.S. Army Co rps of Engineers to access and conduct necessary site visits for the review, inspection, and sampling of the lands and waters on the property that are the subject of the application and, as a condition of any permit issued, to provide entry to such lands for such staff to monitor and inspect permitted work; and 2. Documentation fro m the fee simp le owner, easement holder, governmental entity, o r other entity , that they agree to accept responsibility for operation and maintenance of the system after co mp letion of construction, and for comp leting any construction and performing other terms and conditions as required by the permit. I either o wn the property described in this application or I have legal authority to allow access to the property, and I consent, after receiv ing prior notification, to any site visit on the property by agents or personnel fro m the Depart ment of Environ mental Protection, the Water Management District and the U.S. Army Corps of Engineers necessary for the review and inspection of the proposed project specified in this application. I authorize these agents or personnel to enter the property as many times as may be necessary to make suc h review and inspection. Further, I agree to provide entry to the project site for such agents or personnel to monitor permitted work if a permit is granted. Typed/Printed Name of Applicant Signature of Applicant Date (Corporate Title if applicable) Form 62-343.900(1), Joint Application, [effective date] Section A Page 9 of 8 SECTION B INFORMATION FOR NOTICED GENERAL ENVIRONMENT AL RESOURCE PERMITS INSTRUCTIONS: To qualify for a Noticed General Permit (NGP) for specific activities, the project must strictly comply with all of the terms, conditions, requirements, limitations and restrictions applicable to the desired NGP. A summary of the types of NGP's available is contained in Attachment 2. Carefully review the rule section of the NGP for which you are applying to ensure that your project meets the requirements of that NGP. Please complete Section A and submit it along with the information required in this Section (on 81/2" x 11" paper). 1. Indicate the project boundaries on a USGS quad map, reduced or enlarged as necessary to legibly show the entire project. If not apparent from the quad map, provide a location map (in sufficient detail to allow a person unfamiliar with the site to find it), containing a north arrow and a graphic scale and showing the boundary of the proposed activity and Section(s), Township(s), and Range(s). 2. A legible site plan showing the following features: a) property boundaries and dimensions b) name and location of any adjoining public streets or roads c) location and dimens ions of all existing structures d) label all impervious and pervious area and indicate their size (area) e) the direction of drainage relative to the proposed improvements (using arrows) f) locations of all proposed works g) permanent and temporary erosion, sedimentation and turbidity controls h) boundaries of wetlands and other surface waters, identifying open water areas i) boundary area and volume of all temporary and permanent earthwork, including pre and post construction grades 3. Description of wetland or aquatic habitat . 4. Construction methods and schedule. 5. Additional information that would show that you qualify for the general permit, addressing all the parameters, thresholds and conditions required in the general permit. Errors and omissions will be identified within 30 days by the processing agency. 6. Provide the rule section number of the NGP for which you are applying. 7. The construction plans and supporting calculations must be signed, sealed, and dated by an appropriate registered professional as required by the relevant statutory provisions when the design of the system requires the services of an appropriate registered professional. Form 62-343.900(1), Joint Application, [effective date] Section B Page 1 of 1 SECTION C Environmental Resource Permit Notice of Receipt of Application Note: this form does not need to be submitted for noticed general permits. This information is required in addition to that required in other sections of the application. Please submit five copies of this notice of receipt of application and all attachments with the other required information. Please submit all information on 8 1/2" x 11" paper. Project Name County Owner Applicant: Applicant's Address: 1. Indicate the project boundaries on a USGS quadrangle map. Attach a location map showing the boundary of the proposed activity. The map should also contain a north arrow and a graphic scale; show Section(s), Township(s), and Range(s); and must be of sufficient detail to allow a person unfamiliar with the site to find it. 2. Provide the names of all wetlands, or other surface waters that would be dredged, filled, impounded, diverted, drained, or would receive discharge (either directly or indirectly), or would otherwise be impacted by the proposed activity, and specify if they are in an Outstanding Florida Water or Aquatic Preserve: 3. Attach a depiction (plan and section views), which clearly shows the works or other facilities proposed to be constructed. Use multiple sheets, if necessary. Use a scale sufficient to show the location and type of works. 4. Briefly describe the proposed project (such as "construct dock with boat shelter", "replace two existing culverts", "construct surface water management system to serve a 150-acre residential development"): 5. Specify the acreage of wetlands or other s urface waters, if any, that are proposed to be filled, excavated, or otherwise disturbed or impacted by the proposed activity: filled ac.; excavated ac.; other impacts ac. 6. Provide a brief statement describing any proposed mitigation for impacts to wetlands and other surface waters (attach additional sheets if necessary): FOR AGENCY USE ONLY Application Name: Application Number: Office where the application can be inspected: Note to Notice recipient: The information in this notice has been submitted by the applicant, and has not been veri fied by the agency. It may be incorrect or, incomplete, and is or may be subject to change. Form 62-343.900(1), Joint Application, [effective date] Section C Page 1 of 1 SECTION D INFORMATION REQUIRED FOR AN STANDARD GENERA L OR INDIVIDUA L ENVIRONM ENTA L RESOURCE PERM IT APPLICATIONS RELATED TO AN INDIVIDUA L SINGLE FAMILY DW ELLING UNIT, DUPLEX, TRIPLEX, OR QUADRUPLEX THAT IS NOT PA RT OF A LARGER PLAN OF COMMON DEVELOPM ENT PROPOSED BY THE APPLICA NT Co mplete this Section only if your project does not qualify for an exemption or noticed general permit. The informat ion requested below is only fo r projects related to an individual, single family dwelling unit, duplex, triplex, or quadruplex wh ich is not part of a larger co mmon plan of develop ment proposed by the applicant. Please contact the local office of the DEP or WMD if you are unsure whether your project would fit th is description. PLEAS E S UB MIT ALL INFORMATION ON 8 1/2" by 11" PAPER A. SITE INFORMATION 1. Directions: Provide written directions to the property. 2. Specify how the location of the proposed work is marked on site: for examp le, the center line of the road is flagged, string running between stakes identifies bulkhead location, etc. B. DRAWINGS Drawings should be of sufficient detail to clearly show the existing physical cond itions of the site, and the extent, type, and location of the proposed activities. The drawings should clearly show waters/wetlands to be impacted, either temporarily or permanently. Any water/wet land areas proposed to be created, enhanced, restored, preserved, or which will remain undisturbed should be clearly identified and labeled. The fo llo wing drawings are required: 1. PLAN VIEW (TOP VIEW ) This shows the work as viewed fro m above. A survey of the project site is very useful as a starting point for preparing plan views of the project. Include the following: a. Applicant name, p roperty line, north arrow and graphic scale or dimensions of proposed work on each drawing sheet. b. Representative land elevations (spot elevations or contour lines) referred to National Geodetic Vert ical Datum (NGVD), as is used on the USGS contour maps. c. The limits of wetlands and other surface waters and the limits of open water areas in the vicinity of the proposed work. Describe how the wetland limits were determined. If there has ever been a jurisdictional declaratory statement, a fo rmal wetland determination, a formal determination, validated informal determination, o r a revalidated jurisdictional determination, provide the identifying number. d. All proposed work, including dredging, filling or structures. Where possible, differentiate between work in open water, marshes, swamps, or tidal flats and uplands. e. Show selected water depths in and adjacent to the project site. For dock pro jects, show wate r depths at all mooring sites. These depths should be determined at appro ximate mean low water (M LW) or seasonal low water. Include the approximate tidal range (the difference between approximate mean high water (MHW) elevation and approximate M LW elevation) if the project is in a t idal waterbody. f. Label all existing structures in wetlands or other surface waters at or adjacent to the proposed activity, such as docks, bulkheads, riprap, or buildings. g. If dredging or dewatering is involved, show the location of proposed disposal or containment sites. Include any levees, control structures or other methods for retaining or detaining return water. Also include locations of discharge sites where appropriate. (Note that a consumptive or water use permit may be required for dewatering.) Form 62-343.900(1), Joint Application, [effective date] Section D Page 1 of 2 h. For piling supported structures over wetlands or other surface waters, show the entire structure. Indicate the location of any aquatic vegetation in the vicinity of the proposed structure. i. Show distance between the most waterward point of the proposed facility and the nearest edge of any navigation channel, where appropriate. If the project is on a waterway that has a federally maintained channel, a survey may be required to establish the distance from the waterward points of the structure to the near edge of the federal channel. Also indicate the width of the waterway. j. Clearly show the locations of all corresponding cross -sectional or profile views on the plan view drawings. 2. CROSS-SECTIONA L AND PROFILE VIEWS The cross-sectional view should show a "cut-away" end or middle v iew o f the project, while the profile view should show a side view as if cut length-wise. All drawings should include: a. Applicant name and graphic horizontal and vertical scales or dimensions of the proposed work on each drawing sheet. b. Show appro ximate mean or seasonal (high and low) water line elevations referenced to NGVD. C. PROJECT DETAILS Provide a detailed description of the proposed project, including the following: 1. The type of activity that is proposed, how the activity will be conducted, construction techniques and sequencing, including equipment to be used, and methods for moving the equip ment to and from the site. For projects that involve any dredging or excavation, describe the method of excavation, the type of material to be excavated, and the disposal location for the excavated material. State whether dredged material is to be placed (either temporarily or permanently) in a wet land or other surface water. Indicate the time period any temporary structures will be in place. 2. The acreage (or square footage) of excavation and fill and differentiate between temporary and permanent work. 3. Methods for controlling turbidity (muddy water caused by eros ion or work in the water). 4. Methods for stabilizing any slopes that will be created or disturbed during construction, including times expected to elapse before stabilization is performed. Describe both temporary and permanent stabilization methods, such as staked hay bales, temporary grass seed, and permanent sod. 5. If p ilings or a seawall are to be installed state whether pilings and seawall slabs are to be installed by jetting or driving. 6. For fill projects, describe the source and type of fill material to be used. For act ivities that involve the installation of riprap , describe the source, type and size of the rocks, concrete, or other material to be used for the riprap, and how these materials are to be placed. State whether the rocks will be underlain with filter cloth. Form 62-343.900(1), Joint Application, [effective date] Section D Page 2 of 2 SECTION E INFORMATION REQUESTED FOR AN APPLICATION FOR AN STANDARD GENERA L, INDIVIDUA L AND CONCEPTUAL ENVIRONM ENTAL RESOURCE PERMIT APPLICATIONS NOT RELATED TO A SINGLE FAMILY DW ELLING UNIT Please provide the informat ion requested below if the proposed project requires either an standard general, individual, or (including conceptual approval) environ mental resource permit that and is not related to an individual, single family d welling unit, duplex o r quadruplex. The info rmation listed below represents the level of informat ion that is usually required to evaluate an applicat ion. The level of information required for a specific p roject will vary depending on the nature and location of the site and the activity proposed. Conceptual approvals generally do not require the same level of detail as a construction permit. However, providing a greater level of detail will reduce the need to submit additional information at a later date. If an item does not apply to your project , proceed to the next item. Please submit all information that is required by the Depart ment on either 8 1/2 in. X 11 in. paper or 11 in. X 17 in. paper. Larger drawings may be submitted to supplement but not replace these smaller drawings. I. Site Information A. Provide a map(s) o f the project area and vicinity delineating USDA/SCS soil types. B. Provide recent aerials, legib le for photo interpretation with a scale of 1" = 400 ft, or mo re detailed, with pro ject boundaries delineated on the aerial. C. Identify the seasonal high water or mean h igh tide elevation and normal pool or mean low tide elevation for each on site wetland or surface water, including receiv ing waters into which runoff will be discharged. Include dates, datum, and methods used to determine these elevations. D. Identify the wet seasonal high ground water tables at the locations representative of the entire project area site. Include dates, datum, and methods used to determine these elevations. II. Environmental Considerati ons A. Provide results of any wildlife surveys that have been conducted on the site, and provide any comments pertaining to the project fro m the Florida Game and Fresh Water Fish Co mmission and the U.S. Fish and Wildlife Service. B. Provide a description of how water quantity, quality, hydroperiod, and habitat will be maintained in on-site wetlands and other surface waters that will be preserved or will remain undisturbed. C. Provide a narrative description of any proposed mitigation plans, including purpose, maintenance, monitoring, and construction sequence and techniques, and estimated costs. D. Describe how boundaries of wetlands or other surface waters were determined. If there has ever been a jurisdictional declaratory statement, a formal wetland determination, a formal determination, a validated in formal determination, or a revalidated jurisdictional determination, provide the identifying nu mber. E. Impact Su mmary Tables: 1. For all projects, comp lete Tables 1, 2 and 3 as applicable. 2. For docking facilities or other structures constructed over wetlands or other surface waters, provide the informat ion requested in Table 4. 3. For shoreline stabilization projects, provide the informat ion requested in Table 5. Form 62-343.900(1), Joint Application, [effective date] Section E Page 1 of 5 III. Plans Provide clea r, detailed plans for the system including specifications, plan (overhead) views, cross sections (with the locations of the cross sections shown on the corresponding plan view), and profile (longitudinal) v iews of the proposed project. The plans must be s igned and sealed by a an appropriate registered professional as required by law. Plans must include a scale and a north arrow. These plans should show the follo wing: A. Project area boundary and total land area, including distances and orientation fro m roads or other land marks; B. Existing land use and land cover (acreage and percentages), and on -site natural co mmunit ies, including wetlands and other surface waters, aquatic commun ities, and uplands. Use the Florida Land Use Cover & Classification System (FLUCCS)(Level 3) for pro jects proposed in the South Florida Water Management District, the St. Johns River Water Management District, and the Suwannee River Water Management District and use the National Wetlands Inventory (NWI) for projects proposed in the Southwest Florida Water Management District. Also identify each commun ity with a unique identification number wh ich must be consistent in all exh ibits. C. The existing topography extending at least 100 feet off the project area, and includ ing ad jacent wetlands and other surface waters. All topography shall include the location and a description of known benchmarks, referenced to NGVD. Fo r systems waterward of the mean h igh water (MHW) or seasonal high water lines, show water depths, referenced to mean low water (M LW) in t idal areas or seasonal low water in non -tidal areas, and list the range between MHW and MLW. For docking facilities, indicate the distance to, location of, and depths of the nearest navigational channel and access routes to the channel. D. If the project is in the known flood plain of a stream or other water course, identify the following: 1) the flood plain boundary and approximate flooding elevations; and 2) the 100-year flood elevation and floodplain boundary of any lake, stream or other watercourse located on or adjacent to the site; E. The boundaries of wetlands and other surface waters within the project area. Distinguish those wetlands and other surface waters that have been delineated by any binding jurisdictional determination; F. Proposed land use, land cover and natural communit ies (acreage and percentages), including wetlands and other surface waters, undisturbed uplands, aquatic communit ies, impervious surfaces, and water management areas. Use the same classificat ion system and commun ity identification number used in III (B) above. G. Proposed impacts to wetlands and other surface waters, and any proposed connections/outfalls to other surface waters or wetlands; H. Proposed buffer zones; I. Pre- and post-development drainage patterns and basin boundaries showing the direction of flo ws, including any off-site runoff being routed through or around the system; and connections between wetlands and other surface waters; J. Location of all water management areas with details of size, side slopes, and designed water depths; K. Location and details of all water control structures, control elevations, any seasonal water level regulation schedules; and the location and description of benchmarks (minimu m of one benchmark per structure); L. Location, dimensions and elevations of all proposed structures, including docks, seawalls, utility lines, roads, and buildings; M. Location, size, and design capacity of the internal water management facilities; N. Rights-of-way and easements for the system, including all on-site and off-site areas to be reserved for water management purposes, and rights -of-way and easements for the existing drainage system, if any; Form 62-343.900(1), Joint Application, [effective date] Section E Page 2 of 5 O. Receiv ing waters or surface water management systems into which runoff fro m the developed site will be discharged; P. Location and details of the erosion, sediment and turbidity control measures to be implemented during each phase of construction and all permanent control measures to be implemented in po st-development conditions; Q. Location, grading, design water levels, and planting details of all mit igation areas; R. Site grading details, including perimeter site grading; S. Disposal site for any excavated material, including temporary and perman ent disposal sites; T. Dewatering plan details; U. For marina facilities, locations of any sewage pumpout facilit ies, fueling facilit ies, boat repair and maintenance facilit ies, and fish cleaning stations; V. Location and description of any nearby existing offsite features which might be affected by the proposed construction or development such as stormwater management ponds, buildings or other structures, wetlands or other surface waters. W. For phased projects, provide a master development plan. IV. Construction Schedule and Techni ques Provide a construction schedule, and a description of construction techniques, sequencing and equipment. This informat ion should specifically include the following: A. Method for installing any pilings or seawall slabs; B. Schedule of imp lementation of temporary or permanent erosion and turbidity control measures; C. For projects that involve dredging or excavation in wetlands or other surface waters, describe the method of excavation, and the type of material to be excavated; D. For projects that involve fill in wet lands or other surface waters, describe the source and type of fill material to be used. For shoreline stabilization projects that involve the installation of riprap, state how these materials are to be placed, (i.e., indiv idually or with heavy equipment) and whether the rocks will be underlain with filter cloth; E. If dewatering is required, detail the dewatering proposal including the methods that are proposed to contain the discharge, methods of isolating dewatering areas, and indicate the period dewatering structures will be in place (Note: a consumptive use or water use permit may by required); F. Methods for transporting equipment and materials to and from the work site. If barges are required for access, provide the low water depths and draft of the fully loaded barge; G. Demolition plan for any existing structures to be removed; and H. Identify the schedule and party responsible for comp leting monitoring, record drawings, and a s-built certifications for the project when co mpleted. V. Drainage Information A. Provide pre-develop ment and post-development drainage calculations, signed and sealed by an appropriate registered professional, as follows: 1. Runoff characteristics, including area, runoff curve nu mber o r runoff coefficient, and time of concentration for each drainage basin; Form 62-343.900(1), Joint Application, [effective date] Section E Page 3 of 5 2. Water table elevations (normal and seasonal high) including aerial extent and magnitude of any proposed water table draw down; 3. Receiv ing water elevations (normal, wet season, design storm); 4. Design storms used including rainfall depth, duration, frequency, and distribution; 5. Runoff hydrograph(s) for each drainage basin, for all required design storm event(s); 6. Stage-storage computations for any area such as a reservoir, close basin, detention area, or channel, used in storage routing; 7. Stage-discharge computations for any storage areas at a selected control point, such as control structure or natural restrict ion; 8. Flood routings through on-site conveyance and storage areas; 9. Water surface profiles in the primary drainage system for each required design storm event(s); 10. Runoff peak rates and volumes discharged from the system for each required design storm event(s); 11. Tail water history and justification (t ime and elevation); and 12. Pump specifications and operating curves for range of possible operating conditions (if used in system). B. Provide the results of any percolation tests, where appropriate, and soil borings that are representative of the actual site conditions; C. Provide the acreage, and percentages of the total project, of the following: 1. Impervious surfaces, excluding wetlands; 2. Pervious surfaces (green areas, not including wetlands); 3. Lakes, canals, retention areas, other open water areas; and 4. Wetlands. D. Provide an engineering analysis of floodplain storage and conveyance (if applicab le), including: 1. Hydraulic calcu lations for all proposed traversing works; 2. Backwater water surface profiles showing upstream impact of traversing wo rks; 3. Location and volume of encroach ment within regulated floodplain(s); and 4. Plan fo r co mpensating floodplain storage, if necessary, and calculations required for dete rmining minimu m building and road flood elevations. E. Provide an analysis of the water quality treat ment system including: 1. A description of the proposed stormwater treat ment methodology that addresses the type of treatment, pollution abatement volu mes, and recovery analysis; and 2. Construction plans and calculations that address stage-storage and design elevations, which demonstrate compliance with the appropriate water quality treat ment criteria. F. Provide a description of the engineering methodology, assumptions and references for the parameters listed above, and a copy of all such computations, engineering plans, and specifications used to analyze the system. Form 62-343.900(1), Joint Application, [effective date] Section E Page 4 of 5 If a co mputer program is used for the analysis, provide the name of the program, a description of the program, input and output data, two diskette copies, if availab le, and justification for model selection. VI. Operation and Maintenance and Legal Documentation A. Describe the overall maintenance and operation schedule for the propo sed system. B. Identify the entity that will be responsible for operating and maintaining the system in perpetuity if different than the permittee, a d raft document enu merating the enforceable affirmat ive obligations on the entity to properly operate and maintain the system for its expected life, and documentation of the entity's financial responsibility fo r long-term maintenance. If the proposed operation and maintenance entity is not a property owner's association, provide proof of the existence of an entity, or the future acceptance of the system by an entity which will operate and maintain the system. If a property owner's association is the proposed operation and maintenance entity, provide copies of the articles of incorporation for the association and copies of the declaration, restrictive covenants, deed restrictions, or other operational documents that assign responsibility for the operation and maintenance of the system. Provide information ensuring the continued adequate access to the system for maintenance purposes. Befo re transfer of the system to the operating entity will be approved, the permittee must document that the transferee will be bound by all terms and conditions of the permit. C. Provide copies of all proposed conservation easements, storm water management system easements, property owner's association documents, and plats for the property containing the proposed system. D. Provide indication of how water and waste water service will be supplied. Letters of commit ment fro m off-site suppliers must be included. E. Provide a copy of the boundary survey and/or legal description and acreage of the total land area of contiguous property owned/controlled by the applicant. VII. Water Use A. Will the surface water system be used for water supply, including landscape irrigation, or recreation. B. If a Consumptive Use or Water Use permit has been issued for the project, state the permit number. C. If no Consumptive Use or Water Use permit has been issued for the project, indicate if such a permit will be required and when the application for a permit will be submitted. D. Indicate how any existing wells located with in the project site will be ut ilized or abandoned. Form 62-343.900(1), Joint Application, [effective date] Section E Page 5 of 5 TABLE 1 Project Impact Summary WL & SW WL & SW WL & SW SIZE WL & SW PERMANENT TEMPORARY MITIGATION ID ID TYPE (ac.) ON SITE ACRES NOT IMPACTS TO IMPACTS TO IMPACTED WL & SW WL & SW IMPACT SIZE IMPACT IMPACT SIZE IMPACT (acres) CODE (acres) CODE WL = Wetland; SW = Surface water; ID = Identification number, letter, etc. We tland Type : Use an established wetland classification system and, in the comments section below, indicate which classification system is being used. Impact Code (T ype): D = dredge; F = fill; H = change hydrology; S = shading; C = clearing; O = other. Indicate the final impact if more than one impact type is proposed in a given area. For example, show F only for an area that will first be demucked and then backfilled. Note : Multiple entries per cell are not allowed, except in the "Mitigation ID" column. Any given acreage of wetland should be l isted in one row only, such that the total of all rows equals the project total for a given category (column). For example, if Wetland No. 1 includes m ultiple wetland types and multiple impact codes are proposed in each type, then each proposed impact in each wetland type should be sho wn on a separate row, while the size of each wetland type found in Wetland No. 1 should be listed in only one row. Comments: Form 62-343.900(1), Joint Application, [effective date] Section E Table 1, Page 1 TABLE 2 ON-SITE MITIGATION SUMMARY MITIGATION CREATION RESTORATION ENHANCEMENT WETLAND UPLAND OTHER ID PRESERVE PRESERVE AREA TARGET AREA TARGET AREA TARGET AREA TARGET AREA TARGET AREA TARGET TYPE TYPE TYPE TYPE TYPE TYPE PROJECT TOTALS: CODES (multiple entries per cell not allowed): Target Type or Type = target or existing habitat type from an established wetland classification system or land use classification for non-wetland mitigation COMMENTS: Form 62-343.900(1), Joint Application, [effective date] Section E Table 2, Page 1 TABLE 3 OFF-SITE MITIGATION SUMMARY MITIGATION CREATION RESTORATION ENHANCEMENT WETLAND UPLAND OTHER ID PRESERVE PRESERVE AREA TARGET AREA TARGET AREA TARGET AREA TARGET AREA TARGET AREA TARGET TYPE TYPE TYPE TYPE TYPE TYPE PROJECT TOTALS: CODES (multiple entries per cell not allowed): Target Type = target or existing habitat type from an established wetland classification system or land use classification for non -wetland mitigation Form 62-343.900(1), Joint Application, [effective date] Section E Table 3, Page 1 TABLE 4 DOCKING FACILITY SUMMARY Type of Type of Number of Length Width Height Total square Number of Structure* Work** Identical Docks (feet) (feet) (feet) feet over slips water TOTALS: Existing Proposed * Dock, Pier, Finger Pier, or other structure (please specify Number of Slips what type) ** New, Replaced, Existing (unaltered), Removed, or Square Feet over Altered/Modified the water Use of Structure: Will the docking facility provide: Live-aboard Slips? If yes, Nu mber: Fueling Facilit ies: If yes, Nu mber Sewage Pu mp-out Facilit ies? If yes, Nu mber: Other Supplies or Serv ices Required for Boating (excluding refreshments, bait and tackle) Yes No Type of Materials for Decking and Pilings (i.e., CCA, pressure treated wood, plas tic, or concrete) Pilings Decking Proposed Dock-Plan k Spacing (if applicable) Proposed Size (length and draft), Type, and Nu mber of Boats Expected to Use or Proposed to be Mooring at the facility) Form 62-343.900(1), Joint Application, [effective date] Section E Table 4, Page 1 Table 5: SHORELINE STABILIZATION IF YOU ARE CONSTRUCTING A SHORELINE STABILIZATION PROJECT, PLEASE PROVIDE THE FOLLOWING: Type of Stabilization Length (in Length (in Length (in Length (in Slope: Width of Being Done feet) of feet) of feet) of feet) of H:V: the Toe (in New Replaced Repaired Removed feet) Vertical Seawall Seawall plus Rip- Rap Rip-Rap Rip-Rap plus Vegetation Other Type of Stabilization Being Done: Size of the Rip Rap: Type of Rip Rap: COMMENTS: Form 62-343.900(1), Joint Application, [effective date] Section E Table 5, Page 1 SECTION F Information fo r M itigation Ban ks Please provide the informat ion requested below if you are apply ing for a mit igation bank permit or a mitigation bank conceptual approval. A. General Site Conditions. Provide the following: 1. A map, at regional scale, of the mit igation bank in relat ion to the regional watershed and proposed mitigation service area. 2. A vicinity map showing the mitigation bank in relation to adjacent lands and off-site areas of ecological or hydrologic significance which could affect the long term viab ility or ecological value of the bank; 3. A recent aerial photo of the mitigation bank (no photocopies) identifying boundaries of the project area , and one showing the proposed assessment areas; 4. One or more historic aerial photos of the mit igation bank (no photocopies) identifying boundaries of the project area and the proposed assessment areas; 5. GIS shapefiles (in Albers projection) o f the geo-referenced aerials, boundary and assessment area data layers.; 6.4. A highway map showing points of access to the mit igation bank for site inspection; 7.5. A legal description of the proposed mit igation bank; 8.6. A description and assessment of current site conditions including: (a) a soils map of the mitigation bank site; (b) a topographic map of the mitigation bank site and adjacent hydrologic contributing and receiving areas; (c) a hydrologic features map of the mit igation bank and adjacent hydrologic contributing and receiving areas; (d) current hydrologic conditions in the mitigation bank site; (e) a vegetation commun ity map of the mitigation bank site, and site-specific descriptions of each significantly different aerial signature or assessment area, including a list of the dominant canopy and groundcover species, its general diversity and structure relative to reference condition, hydrologic conditions, and historic impacts ; (f) ecological benefits currently provided to the regional watershed by the mit igation bank site; (g) adjacent lands, including existing land uses and conditions, projected land uses according to comprehensive plans adopted pursuant to Chapter 163, F.S., by local govern ments having jurisdiction, and any special designations or classifications associated with adjacent lands or waters; (h) a disclosure statement of any material fact wh ich may affect the contemplated use of the property; and (i) a Phase I environ mental audit of the property (not required for a Conceptual Approval). B. Mitigation Bank Informat ion 1. A description of the ecological significance of the proposed mitigation bank to the regional watershed in which it is located. 2. A mitigation p lan describing the actions proposed to establish, construct, operate, manage and maintain the mitigation bank including : (a) construction-level drawings detailing proposed topographic alterations and all structural co mponents associated with proposed activities (not required for a Conceptual Approval); (b) proposed construction activities, including a detailed schedule for implementation (not required for a Conceptual Approval); Form 62-343.900(1), Joint Application, [effective date] Section F, Page 1 of 2 (c) the proposed vegetation enhancement planting or seeding schemes and detailed schedule for implementation; (d) measures to be implemented during and after construction to avoid adverse impacts related to proposed activities; (e) a detailed implementation and long-term management plan co mprising all aspects of operation and maintenance, including water management practices, vegetation establishment, exotic and nuisance species control, fire management, and control of access , inspection and implementation schedule of each activity, and adaptive management alternatives ; and (f) a proposed monitoring plan to demonstrate mitigation success. 3. An assessment of imp rovement or changes in ecological value anticipated as a result of proposed mit igation actions including: (a) a description of anticipated site conditions in the mit igation bank after the mit igation plan is successfully imp lemented, including quantitative and qualitative success criteria; (b) a comparison of current fish and wild life habitat and utilization functions to those expected habitat after the mit igation plan is successfully imp lemented; and (c) a description of the specific expected ecological functions to be added or enhanced, benefits to the regional watershed; and the timeframe to achieve these benefits . 4. Ev idence of sufficient legal or equitable interest in the property which is to become the mitigation bank to meet the requirements of the Applicant's Handbook / Basis of Review (not required for a Conceptual Approval). 5. Draft docu mentation of financial responsibility meeting the requirements of the Applicant's Handbook / Basis of Review (not required for a Conceptual Approval). 6. Any engineering calculations and/or computer modeling (such as hydrograph or stag ing) needed to assess the effects of the project on the hydrologic characteristics of the mit igation bank site and upstream and downstream areas. Form 62-343.900(1), Joint Application, [effective date] Section F, Page 2 of 2 SECTION G Application for Authorization to Use State-owned Sovereign Submerged Lands Part 1: State-owned Sovereign Sub merged Lands title information (see Attachment 5 for an exp lanation). Please read and answer the applicable questions listed below: A. I have a state-owned sovereign submerged lands title determination fro m the Division of State Lands which indicates that the proposed project is NOT ON state-owned sovereign submerged lands (Please attach a copy of the title determination to the application). Yes No If you answered Yes to Question A and you have attached a copy of the Division of State Lands Title Determination to this application, you do not have to answer any other questions under Part I or II o f Section G. B. I have a state-owned sovereign submerged lands title determination fro m the Division of State Lan ds which indicates that the proposed project is ON state-owned sovereign submerged lands (Please attach a copy of the title determination to the application). Yes No If you answered yes to question B please provide the informat ion requested in Part II. Your application will be deemed inco mplete until the requested informat ion is submitted. C. I am not sure if the proposed project is on state-owned sovereign submerged lands (please check here). If you have checked this box depart ment staff will request that the Division of State Lands conduct a title determination. If the tit le determination indicates that the proposed project or portions of the project are located on state-owned sovereign submerged lands you will be required to submit the informat ion requested in Part II of this application. The applicat ion will be deemed incomp lete until the requested informat ion is submitted. D. I am not sure if the proposed project is on state-owned sovereign submerged lands and I DO NOT WISH to contest the Department's findings (please check here). If you have checked this box refer to Part II of this application and provide the requested information. The application will be deemed inco mplete until the requested informat ion is submitted. E. It is my position that the proposed project is NOT on state-owned sovereign submerged lands (please check here) If you have evidence that indicates that the proposed project is not on state-owned sovereign submerged lands please attach the documentation to the application. If the Div ision of State Lands title determination indicates that your proposed project or portion of your proposed project are on state-owned sovereign submerged lands you will be required to provide the informat ion requested in Part II of this application. F. If you wish to contest the findings of the title determination conducted by the Division of State Lands please contact the Department of Environ mental Protection's Office of General Counsel. Your p roposed project will be deemed incomp lete until either the information requested in Part II is submitted or a legal ruling indicates that the proposed project is not on state-owned sovereign submerged lands. Part II: If you were referred to this section by Part I, p lease provide this additional information. Please note that if your proposed project is on state-owned sovereign submerged lands and the below requested information is not provided, your application will be considered incomplete. A. Provide evidence of tit le to the subject riparian upland property in the form of a recorded deed, tit le insurance, legal opin ion of tit le, or a long-term lease which specifically includes riparian rights. Evidence submitted mu st demonstrate that the application has sufficient tit le interest in the riparian upland property. B. Provide a detailed statement describing the existing and proposed upland uses and activities. For co mmercial uses, indicate the specific type of activity, such as marina, ship repair, dry storage (including the number of storage Form 62-343.900(1), Joint Application, [effective date] Section G, Page 1 of 4 spaces), commercial fishing/seafood processing, fish camp, hotel, motel resort restaurant, office co mplex, manufacturing operation, etc. For rental operations, such as trailer or recreat ional vehicle parks and apartment comp lexes, indicate the number of wet slip units/spaces available fo r rent or lease and describe operational details (e.g., are spaces rented on a month-to-month basis or through annual leases). For mu lti-family residential developments, such as condomin iu ms, townhomes, or subdivisions, provide the number of living units/lots and indicate whether or not the common property (including the riparian upland property) is or will be under the control of a ho meowners as sociation. For projects sponsored by a local government, indicate whether or not the facilit ies will be open to the general public. Provide a b reakdown of any fees that will be assessed, and indicate whether or not such fees will generate revenue or will simp ly cover costs associates with maintain ing the facilities. C. Provide a detailed statement describing the existing and proposed activities located on or over the state- owned sovereign submerged lands at the project site. This statement must include a description of docks and piers, types of vessels (e.g., commercial fishing, liveaboards, cruise ships, tour boats), length and draft of vessels, sewage pumped facilities, fueling facilit ies, boat hoists, boat ramps, travel lifts, railways, and any other structure or activities existing or proposed to be located waterward of the mean/ordinary high water line. If slips are existing and/or proposed, please indicate the number of powerboat slips and sailboat slips and the percentage of those slips available to the general public on a "first come, first served" basis. This statement must include a description of channels, borrow sites, bridges, groins, jetties, pipelines, or other utility crossings, and any other structures or activities existing or proposed to be located waterward of the mean/ordinary high water line. For shoreline stabilization activit ies, this statement must include a description of seawalls, bulkheads, riprap, filling activities, and any other structure or activities existing or proposed to be located along the shoreline. D. Provide the linear footage of shoreline at the mean/ordinary high water line o wned by the application which borders state-owned sovereign submerged lands. E. Provide a recent aerial photo of the area. A scale of 1"=200' is preferred. Photos are generally available at minimal cost fro m your local government property appraiser's office or fro m d istrict Depart ment of Transportation offices. Indicate on the photo the specific location of your property/project site. Form 62-343.900(1), Joint Application, [effective date] Section G, Page 2 of 4 PROPRIETARY PROJECT DESCRIPTIONS Please check the most applicable activity which applies to your project(s): Leases Commercial marinas (renting wet slips) including condos, etc., if 50% or more of their wet slips are available to the general public Public/Local governments Yacht Clubs/Country Clubs (when a membership is required) Condominiums (requires upland ownership) Commercial Uplands Activity (temporary docking and/or fishing pier associated with upland revenue generating activities, i.e., restaurants, hotels, motels) for use of the customer at no not charge Miscellaneous Commercial Upland Enterprises where there is a charge associated with the use of overwater structure (Charter Boats, Tour Boats, Fishing Piers) Ship Building/Boat Repair Service Facilities Commercial Fishing Related (Offloading, Seafood Processing) Multi-Family Dock In-lieu of Individual Single-Family Docks Multi-Family Dock in Aquatic Preserves Private Single-family Residential Docking Facilities; Townhome Docking Facilities; Subdivision Docking Facilities (upland lots privately owned) Public Easements and Use Agreements Miscellaneous Public Easements and Use Agreements Bridge Right-of-way (DOT, local government) Breakwater of groin Subaqueous Utility Cable (TV, telephone, electrical) Subaqueous Outfall or Intake Subaqueous Utility Water/Sewer Overhead Utility w/Support Structure on State-owned sovereign Submerged Lands Disposal Site for Dredged Material Pipeline (gas) Borrow Site Private Easements Miscellaneous Private Easements Bridge Right-of-way Breakwater Groin Subaqueous Utility Cable (TV, telephone, electrical) Subaqueous Outfall or Intake Subaqueous Utility Water/Sewer Overhead Utility Crossing Disposal Site for Dredged Material Pipeline (gas) Form 62-343.900(1), Joint Application, [effective date] Section G, Page 3 of 4 Letters of Consents of Use /Consent by Rule Aerial Utility Crossing w/no Ssupport Sstructures on State-owned sovereign Ssubmerged Llands Private Dock Public Dock Multi-family Dock Fishing Pier (private or Multi-family) Private Boat Ramp Sea Wall Dredge Maintenance Dredge Navigation Aids/Markers Artificial Reef Riprap Public Boat Ramp Public Fishing Pier Repair/Replace Existing Public Fishing Pier Repair/Replace Existing Private Dock Repair/Replace Existing Public Dock Repair/Replace Existing Multi-family Dock Repair/Replace Existing Fishing Pier (Private or Multi-family) Repair/Replace Existing Private Boat Ramp Repair/Replace Existing Sea Wall, Revetments, or Bulkheads Repair/Replace/Modify structures/activities within an existing exiting lease, easement, management agreement or use agreement area or repair/replace existing grandfathered structures Repair/Replace Existing Public Boat Ramp Public Channel under subparagraph18-21.005(1)(c)10 Public Swimming Area under subparagraph 18-21.005(1)(c)10 Miscellaneous Biscayne Bay Letters of Consistency/Inconsistency w/258.397, F.S. Management Agreements - Submerged Lands Reclamation Purchase of Filled, Formerly Submerged Lands Purchase of Reclaimed Lake Bottom Treasure Salvage Insect Control Structures/Swales Miscellaneous projects which do not fall within the activity codes listed above Exception for County Water or Sewer Project per 153.04, F.S. Form 62-343.900(1), Joint Application, [effective date] Section G, Page 4 of 4 FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION ATTACHMENTS TO FORM 62-343.900(1): JOINT APPLICATION FOR ENVIRONMENTAL RESOURCE PERMIT / AUTHORIZATION TO USE STATE-OWNED SOVEREIGN SUBMERGED LANDS / FEDERAL DREDGE AND FILL PERMIT (These attachments are not incorporated by reference in Chapter 62-343, F.A.C., and are therefore subject to change) Attachment Title Effective Date No. 1 DEP and WMD Permitting Responsibilities October 3, 1995 2 Summary of Activities Typically Authorized by October 3, 1995 Each Permit Type 3 Permit Application Processing Fees October 3, 1995 4 Mailing instructions for submitting ERP March 26, 2004 applications to DEP, with Map Showing the DEP District Boundaries and Addresses 5 Proprietary and v. Regulatory Authorizations [Effective Date] October 3, 1995 1 Form 62-343.900(1), Joint Application, [effective date] Attachment Intro, Page 1 Attachment 1 to Instructi ons for Joint Application Summary of DEP and WMD Permitting Res ponsibilities The Depart ment of Environ mental Protection ("Depart ment" or "DEP") is responsible for issuing (or denying) permits for some types of activities. The Water Management Districts ("WMDs") issue (or deny) the remain ing types. You must submit your permit application to the agency which is responsible for permitting your proposed activities. Th is summary covers typical cases; applicants with non-typical situations or who need further clarification should contact the nearest DEP or WMD office. THE DEPA RTM ENT is responsible for reviewing and taking agency action on the follo wing activ ities (including compliance and enforcement): Systems serving or consisting of up to three contiguous parcels of land under single ownership, where each parcel contains or is proposed to contain designed to accommodate only one single-family dwelling unit, duplex, triplex, o r quadruplex (dwelling unit), except where the dwelling unit is only an incidental part of a parcel that is otherwise used for agricultural activ ities for wh ich a permit under Part IV of Chapter 373, F.S., has been issued or is required, or where the dwelling unit is located within the Wekiva River Protection Area described in Section 369.301(9), F.S. on a contiguous ownership of property of five acres or less, provided the single-family dwelling unit, duplex, t rip lex, or quadruplex is not part of a larger common plan of development or sale proposed by the applicant. The term "system" means a stormwater management system, dam, impoundment, reservoir, appurtenant work or works, or any comb ination thereof, including dredged or filled areas. This term includes the construction of docks, seawalls , structures, and all other types of dredging or filling in surface waters and wetlands. Projects that also need a waste treatment or management permit fro m DEP: - Solid waste (except certain act ivities that qualify for general permits) - Hazardous waste (except where the storage of hazardous waste is an incidental part of the facility) - Do mestic or industrial wastewater , including facilities and activities located at the domestic or industrial wastewater treat ment facility; all reuse site permitted under Parts II or IV of Chapter 62-610; land application sites permitted under Part VI of Chapter 62-610; and wet lands crated using reclaimed water. Ho wever, the WMD is responsible for the review and agency action on applications for: Water reuse sites permitted under Part III of Chapter 62-610, F.A.C.(except for certain applications); Activities involving the application of reclaimed water to rehydrate wet lands or to provide artificial recharge to reduce or mitigate drawdowns fro m well withdrawal; Facilit ies subject to requirements of WMD ru les through a system or activ ity that is not fully contained on the domestic or industrial wastewater site, but which is part of a larger p roject for which the WMD has permitting responsibility; Facilit ies Industrial wastewater (except certain activ ities that qualify for general permits under Rules 62-660.801, 62-660.802, 62-660.803, or 62-660.805, o r 62-621.300(2), F.A.C.; Facilit ies in which the industrial wastewater co mponent is merely a heating, ventilat ion or air conditioning cooling tower discharge, or other industrial wastewater treat ment facility wh ich is merely an incidental co mponent of a project for wh ich the WMD has permitting responsibility. - Potable water facilities, including drin king water treat ment plants and distribution mains, except for distribution lines fully contained with in systems for which the WMD has permitting responsibility All min ing projects, (excluding mines (borrow p its) for sand, shell, or clay) that do not involve processing other than use of a scalping screen to remove large rocks, wood, and debris . Power p lants and electrical d istribution and transmission lines, including associated facilities related to the production, transmission, and distribution of electricity, except for electrical distribution lines fully contained within a larger p lan of develop ment for which the WMD has permitt ing responsibility. Co mmunicat ion cables and lines except for co mmun ication cables and lines fully contained within a larger plan of development fo r which the WMD has permitting responsibility. Form 62-343.900(1), Joint Application, [effective date] Attachment 1, Page 1 of 3 Natural gas or petroleu m explorat ion activities and facilities, and product pipelines , except for natural gass distribution lines fully contained with in a larger p lan of develop ment for which the WMD has permitting responsibility. Docking facilities, boardwalks, shore protection structures, and piers, involving the creation of 10 or mo re new boat slips, including adjacent docking-and boating related development and associated navigational dredging, except where the docking facility and associated navigational dredging is part of a larger p lan of other commercial or residential develop ment that has received or requires a permit under Part IV of Chapter 373, F.S. The term "adjacent docking-related development" includes parking areas for the docking facility, d ry storage facilities, boat sales and supply facilit ies, maintenance and repair facilities, associated seafood loading and processing facilities, restaurants, and harbor master and marina ad min istration facilit ies; residential development and other commercial development are not considered docking or boating related. The WMD will review and act on applications for docking facilit ies, boardwalks, shore protection, or piers serving a dwelling unit associated with an activity for wh ich the WMD has permitting responsibility. Activities proposed in whole or in part seaward of the coastal construction control line. Navigational dredging conducted by governmental entities except where associated with a larger pro ject for which the WMD has permitting responsibility. Seaports and adjacent seaport-related development where the applicant or property owner is a port authority. The following activities in wetlands and other surface waters when such activities are not part of a larger plan of development: boat ramps, ski ju mps, ski slalo m courses, aids to navigation, mooring buoys and fields, piling supported structures which are not physically connected to uplands, estuarine and marine aquaculture facilities, fish attractors, artificial reefs, treasure salvage, and archaeological research or exploration and removal or organic detrital material. Temporary systems for co mmercial film productions. High speed rail facilit ies. Aquaculture activities not exempt under Subsection 373.406(8), F.S.. Projects constructed, operated, or maintained by the U.S. A rmy Corps of Engineers . Formal determinations of the landward extent of wetlands and other surface waters when requested by entities regarding properties for proposed activities in which the DEP would have permitting responsibility. Magnetic levitation demonstration projects. Mitigation banks proposed on WMD-owned lands, and banks proposed by governmental entities solely to offset impacts of single-family d welling unit activit ies for which the DEP has permitting responsibility primarily fo r: mining or power production; governmental solid waste facilities; governmental do mestic wastewater facilities; industrial waste facilit ies; communication cables and lines; natural gas or petrole u m exploration activ ities and facilities; and product pipelines; navigational dredging projects conducted by governmental entities; seaports; and modifications of permits previously issued by the Department . Modification of permits issued by the Department. If the permit has been modified, the agency that issued the last modification to the permit shall process the modification. Modifications to Management and Storage of Surface Waters (MSSW) Permits shall be processed by the appropriate Water Management District, except that the Department shall process modifications of MSSW permits for solid waste facilit ies , and mining projects, and seaports and seaport-related development. All applications for wetland resource permits within the territory of the Nort hwest Florida Water Management District. Form 62-343.900(1), Joint Application, [effective date] Attachment 1, Page 2 of 3 THE SOUTH FLORIDA, SOUTHW EST FLORIDA, ST. JOHNS RIVER, AND SUWANNEE RIVER WATER MANAGEM ENT DISTRICTS are responsible for rev iewing and taking agency action (includ ing comp liance and enforcement) on all other Environ mental Resource Permit aApplicat ions that are not the responsibility of the DEP. Separate rules and a separate Operating Agreement is in effect within the THE NORTHWEST FLORIDA WATER MANAGEM ENT DISTRICT is responsible for reviewing and taking agency action (including comp liance and enforcement) for agriculture and silviculture act ivities . Form 62-343.900(1), Joint Application, [effective date] Attachment 1, Page 3 of 3 Attachme nt 2 to Instructions for Joint Application Summary of Exemptions, Noticed General Permits, and Other Types of Activities Typically Authorized by Each Permits Type The following is a list of exemptions and noticed general permits that may apply to your project, as well as a summary of the types of individually-processed permits.These summary lists will assist an applicant in determining what type of permit their project will normally require. These lists are only a brief summary of the various exemptions or permit types and do not contain all of the requirements for each exemption or permit. Applicants unfamiliar with the details of all the requirements which apply to the various exemptions or permit types, or uncertain of how the conditions would apply to a specific situation, should review Chapter 62-343, F.A.C., and the rules of the water management district applicable to the location of the activity. Applicants are further encouraged to discuss their project with staff of the appropriate reviewing agency before submitting an application. EXEMPTIONS Before conducting an activity, you should first carefully review the actual language of the exemptions contained in the following Florida Statutes and rules of the Department and water management district to determine if the activity may qualify for an exemption: Where Statute/Rule1 Statewide Sections 373.406 and 403.813(1),F.S. Within the Suwannee River Water Management District Rules 40B-4.1070 and 40B-400.051, F.A.C. Within the St. Johns River Water Management District 40C-4.051, F.A.C. Within the Southwest Florida Water Management District 40D-4.051, F.A.C. Within the South Florida Water Management District 40E-4.051, F.A.C. You do not normally need to apply for a permit for these activities, and most do not require you to submit a notice to request verification of qualification for the exemption. However, many local governments will want to see such verification before they will issue a local authorization, and some exemptions [such as certain maintenance dredging in s. 403.813(1)(f), F.S., dirt road paving by local governments in s. 403.813(1)(t), F.S., and organic detrital removal in s. 403.813(1)(u), F.S., does require notice of intent to use an exemption to be provided to the Department). In such cases, the Department has adopted Form 62- 343.900(11) to facilitate requesting verification of qualification to use an exemption. The Department also has an Internet-based Self Certification for certain exemptions, which may be accessed at: http://portal.dep.state.fl.us/portal/page/portal/myFDEP. If you are uncertain if your specific project meets the conditions for an eExemption, contact the agency with jurisdiction in the location where the activity is proposed. The repair or replacement of existing functional pipes or culverts, the purpose of which is the discharge or conveyance of stormwater The performance of maintenance dredging of existing manmade canals, channels, basins, berths, and intake and discharge structures The maintenance of functioning insect control structures, and the maintenance of functioning dikes and functioning irrigation and drainage ditches, including roadway drainage ditches The maintenance of previously-permitted minor silviculture surface water management systems The restoration of less than 100 feet in length of existing insect control impoundment dikes and the connection of such impoundments to tidally-influenced waters The installation, replacement or repair of mooring pilings and dolphins associated with private docking facilities and the installation of private docks or piers, and piers and recreational docking facilities of local governmental entities, of 1,000 square feet or less of surface area over wetlands 1 As these rules are adopted by reference in Chapter 62-330, F.A.C. Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 1 of 7 or other surface waters that are not located within Outstanding Florida Waters, or 500 square feet or less of surface area over wetlands or other surface waters for docks which are located in Outstanding Florida Waters Construction of private docks of 1000 square feet or less of surface area over wetlands or other surface waters in artificially-created waterways where construction will not violate water quality standards, impede navigation, or adversely affect flood control The replacement or repair of existing docks and mooring piles within their existing location The installation and maintenance to design specifications of boat ramps on artificial bodies of water, or the installation and maintenance to design specifications of certain boat ramps open to the public in any wetlands or other surface waters Construction of seawalls or riprap in artificially-created waterways The restoration of a seawall or riprap at its previous location or within one foot waterward of its previous location The construction of private vertical seawalls in wetlands or other surface waters and the construction of riprap revetments, where such construction adjoins at both ends existing seawalls or riprap, follows a continuous and uniform construction line with the existing seawalls or riprap, is no more than 150 feet in length The installation of overhead transmission lines with support structures that are not located in wetlands or other surface waters The installation of subaqueous transmission and distribution lines laid on, or embedded in, the bottoms of wetlands or other surface waters The replacement or repair of subaqueous transmission and distribution lines laid on, or embedded in, the bottoms of wetlands or other surface waters Activities necessary to preserve, restore, repair, remove, or replace an existing communication or power pole or line Installation, removal, and replacement of utility poles that support telephone or communication cable lines, or electric distribution lines of 35 kV or less The replacement or repair of existing open-trestle foot bridges and vehicular bridges that are 100 feet or less in length and two lanes or less in width The repair, stabilization, or paving of certain existing county-maintained roads and repair or replacement of bridges that are part of the roadway Construction or maintenance of culverted driveways or roadway crossings and bridges of artificial waterways The installation of aids to navigation The use of rotenone, by Florida Game and Fresh Water Fish Commission Construction of fresh water fish attractions by Florida Fish and Wildlife Conservation Game and Fresh Water Fish Commission, U.S. Forest Service, and county and municipal governments Installation of piling support structures associated with water quality testing or monitoring equipment by the Department or the Water Management Districts The removal of aquatic plants and associated removal of organic detrital material in accordance with a permit or exemption under Sections 369.20 or 369.25, F.S. Certain removal by a residential property owner of organic detrital material from freshwater rivers or lakes for environmental enhancement The construction, installation, operation, and maintenance of certain floating vessel platforms or floating boat lifts NOTICED GENERAL ENVIRONMENTAL RESOURCE PERMIT Listed below are activities which may qualify for a Noticed General Permit. Applicants who believe their projects might qualify are encouraged to should discuss the proposed project with the agency with jurisdiction in the location where the activity is proposed, and should carefully review; obtain a copy of Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 2 of 7 the applicable rule section(s) where the detailed terms, conditions, limitat ions and restrictions are listed; and then file an application. A notice to use these general permits [in the Joint Application in Form 62- 343.900(1)], must be submitted to the Department at least 30 days prior to doing any work authorized by a Noticed General Permit, and some require that work does not commence until qualification to use the Noticed General Permit is verified by the Department. General Permit for the construction installation, alteration, operation, and or maintenance of boat ramps facilities and associated accessory docks (Section 62-341.417, F.A.C.) General Permit for certain piers and associated structures (Section 62-341.427, F.A.C.) General Permit for installation of riprap (Section 62-341.431, F.A.C.) General Permit for installation of fences (Section 62-341.437, F.A.C.) General Permit for the construction or maintenance of culverted driveway or roadway crossings and bridges of artificial waterways (Section 62-341.439, F.A.C.) General Permit to the Florida Department of Transportation, counties and municipalities, for minor bridge alteration, replacement, maintenance and operation (Section 62-341.443, F.A.C.) General Permit to the Florida Department of Transportation, counties and municipalities for minor activities within existing rights-of-way or easements (Section 62-341.447, F.A.C.) General Permit for installation, maintenance, repair, and removal of underground cable, conduit, or pipeline (Section 62-341.453, F.A.C.) General Permit for the construction of aerial pipeline, cable, and conduit crossings of certain waters (Section 62-341.455, F.A.C.) General Permit for subaqueous utility crossings of artificial waterways (Section 62-341.457, F.A.C.) General Permit for the construction and operation of culverts and associated water control structures in mosquito control impoundments by governmental mosquito control agencies (Section 62-341.463, F.A.C.) General Permit for breaching mosquito control impoundments by governmental mosquito control agencies (Section 62-341.467, F.A.C.) General Permit for minor activities (Section 62-341.475, F.A.C.) General Permit to the Water Management Districts to Conduct Minor Activities (Rule 62- 341.483, F.A.C.). General Permit to Water Management Districts for Environmental Restoration and Enhancement (Rule 62-341.485, F.A.C.). General Permit to U.S. Army Corps of Engineers for Environmental Restoration or Enhancement Activities (Rule 62-341.486, F.A.C.). General Permit to Water Management Districts to Change Operating Schedules for Department Water Control Structures (Rule 62-341.487, F.A.C.). Noticed General Permit for Raising the Height of Existing Earthen Embankments for Impoundments at Facilities for Mining Sand and Limestone (Rule 62-341.491, F.A.C.). Noticed General Permit for Prospecting (Rule 62-341.492, F.A.C.). General Permit for the U.S. Forest Service for minor works within National Forests (Section 62- 341.495, F.A.C.) General Permit for Construction, Operation, Maintenance Alteration, Abandonment or Removal of Minor Silvicultural Surface Water Management Systems (Rule 62-341.500, F.A.C.). General Permit for the construction of artificial reefs (Section 62-341.600, F.A.C.) General Permit for clam and oyster culture on sovereignty submerged lands aquaculture leases (Section 62-341.601, F.A.C.) General Permit for installation and maintenance of intake and discharge pipes associated with marine bivalve facilities (Section 62-341.602, F.A.C.) General Permit for non-nursery cultivation and wild collection of aquatic plants (Section 62- 341.603, F.A.C.) Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 3 of 7 General Permit to perform prospecting activities for phosphate minerals (Section 62-341.610, F.A.C.) General Permit for temporary dragline crossings of waters (Section 62-341.611, F.A.C.) General Permit for low water crossings (Section 62-341.612, F.A.C.) General Permit for the construction and maintenance of electric powerlines by electric utilities (Section 62-341.620, F.A.C.) General Permit for relocation of aerial electric and communication lines associated with road improvement projects (Section 62-341.621, F.A.C.). TYPES OF INDIVIDUALLY-PROCESSED STANDARD GENERAL ENVIRONMENTAL RESOURCE PERMIT Construction, alteration, operation, maintenance or repair (other than routine custodial maintenance), abandonment, or removal of activities regulated under Part IV of Chapter 373, F.S., that which do not qualify for an exemption, a no-notice general permit, or a noticed general permit must authorized through an individual permit. For purposes of the Department’s implementation of the environmental resource permit program under Part IV of Chapter 373, F.S., the term “individual permit” includes all types of individually-processed permits, including standard, standard general, and general permits as those permit types are described in the rules of the water management districts adopted by reference by the Department in Chapter 62-330, F.A.C., conceptual approval permits, and mitigation bank permits, may qualify for a Standard General Permit, if those activities meet all (except as noted) the criteria listed below. Applicants who are uncertain, especially with regard to "incidental site activities", should contact the appropriate reviewing agency. Applicants must file a permit application for any project which meets the criteria for a Standard General Permit. System must not be capable of impounding a volume of water more than 120 acre-feet, and Construction or alteration involving less than one acre of wetlands, and Project size is less than 100 acres, and The number of boat slips is less than ten. or Is limited to incidental site activities (not applicable in St. Johns River WMD and Southwest Florida WMD). INDIVIDUAL, AND CONCEPTUAL, ENVIRONMENTAL RESOURCE PERMIT Any project or activity involving the construction, alteration, operation, maintenance, repair, or abandonment of any surface water or stormwater management system, dam, impoundment, reservoir, appurtenant work or works - including dredging and filling, and establishment and maintenance of a mitigation bank - must receive an Individual, or a Conceptual, Environmental Resource Permit, unless the project qualifies for an exemption or some type of general permit. Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 4 of 7 U.S. A RM Y CORPS OF ENGINEERS GENERA L PERMITS REGIONAL AND STATEWIDE PERMITS AS OF JANUARY 19, 2010 Permit Geographic Issue Expiratio # Activity Locale Date n Date Maintenance Dredging of SAJ-5 Residential Canals All FL 11/6/2006 11/7/2011 SAJ-12 Single-Family Boat Ramp All FL 11/6/2006 11/7/2011 SAJ-13 Aerial Transmission Lines All FL 11/6/2006 11/7/2011 SAJ-14 Subaqueous Transmiss ion All FL 11/6/2006 11/7/2011 SAJ-17 Minor Structures All Fl 11/6/2006 11/7/2011 SAJ-18 Boat Slips in Upland Cuts All FL 11/6/2006 11/7/2011 SAJ-20 Private Single-Family Piers All FL 5/1/2007 5/1/2012 SAJ-33 Private Multi-Family Piers All FL 5/1/2007 5/1/2012 SAJ-34 Commercial Piers All FL 11/6/2006 11/7/2011 Currently being Miami-Dade processed for SAJ-42 Various Activities County 5/1/2002 5/1/2007 reauthorization Bulkheads & Backfill in Residential SAJ-46 Canals All FL 11/6/2006 11/7/2011 SAJ-67 Minor Activities in Okeechobee CESAJ-CO 2/7/2007 2/7/2012 All FL EEZ via SAJ-71 Live Rock Aquaculture NMFS 8/12/2005 8/12/2010 SAJ-72 Residential Docks Citrus County Citrus County 11/6/2006 11/7/2011 Miami-Dade Will not be SAJ-74 Fill/Bird Drive Basin County 5/31/2005 5/31/2010 reauthorized Royal Palm SAJ-75 Royal Palm Beach Subdivision Beach SD 5/1/2009 5/1/2014 Jupiter Farms SAJ-77 Fill/Jupiter Farms SD via DEP 6/19/2007 6/19/2012 PB Country SAJ-78 Fill/Palm Beach Country Estates Estates SD 6/19/2007 6/19/2012 Miccosukee Tribe of Indians of Miccosukee SAJ-80 Florida Lands 12/28/2006 12/28/2011 Variety of Acti vities in the Florida Florida Keys SAJ-82 Keys only 4/26/2007 4/26/2012 Seminole Tribal SAJ-83 Seminole Tribe - Big Cypress Lands 2/19/2008 2/19/2013 St. Joe’s - Bay SAJ-86 St. Joe's & Walton only 6/30/2004 6/30/2009 SAJ-87 Plantation Acres Plantation only 5/10/2005 5/10/2010 SAJ-90 Fill in NE FL NE FL only 2/10/2006 2/10/2011 SAJ-91 GP for Cape Coral Cape Coral only 10/12/2007 10/12/2012 FDOT & FTE SAJ-92 Fill for FDOT and FTE in N/C FL only 8/25/2008 8/25/2013 Under SAJ-93 Maintenance Dredging by FIND -- -- -- consideration SAJ-95 Subdivision Phasing to SWFWMD SWFWMD only 3/24/2008 3/24/2013 Pinellas County SF Docks & Pinellas County SAJ-96 Shoreline only 7/13/2007 7/13/2012 SPGP Variety of acti vities to DEP 7/24/2006 7/24/2011 Notes: ALL GENERA L PERMITS A RE SUBJECT TO GENERA L CONDITIONS. As of March 1, 1994, all general permits for single-family p iers that have been revoked are now replaced by SAJ-20. Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 5 of 7 U. S. A RM Y CORPS OF ENGINEERS NATIONWIDE PERMITS NATIONWIDE PERMITS EFFECTIVE MARCH 12, 2007 Nationwide Perm it Number & Water Quality Coastal Zone Pre-Construction Notification Description Certification Consistency Requirements 1: Aids to Navigation N/A Concurrence Granted None 2: Structures in Artific ial Canals N/A Concurrence Granted None 3: Maintenance Issued Concurrence Granted All except repair, replacement, or rehabilitation; Regional conditions #6, #7, #8, #9 and #10; GC #19. 4: Fish & Wildlife Harvesting, Issued Concurrence Granted Regional Condition #3 Enhancement and Attraction Devices and Activities 5: Scientific Measurement Devices Issued Concurrence Granted None 6: Survey Activities Issued Concurrence Granted Regional Condition #7 7: Outfall Structures Issued Concurrence Granted All Activities 8: Oil and Gas Structures N/A Concurrence Denied All activities 9: Structures in Fleeting and Anchorage N/A Concurrence Granted None Areas 10: Mooring Buoys N/A Concurrence Granted Regional Condition #4; GC #19 11: Temporary Recreational Structures N/A Concurrence Granted Regional Condition #2 12: Utility Line Activities Issued Concurrence Granted 1/10 acre; Section 10; Regional Conditions #2, #4, #6, and #8. 13: Bank Stabilization Issued Concurrence Granted 500 ft length; 1cy/ft below OHWM; Project located in a special aquatic site; Regional Conditions #4, #5, and #9; GC #19. 14: Linear Transportation Projects Issued Concurrence Granted 1/10 acre; Discharges into special aquatic sites; Regional Conditions #6, #7, and #8. 15: USCG Approved Bridges Issued Concurrence Granted Regional Condition #3; GC #19 16: Return Water from Upland Contained Issued Concurrence Granted None Disposal Facility 17: Hydropower Projects Issued Concurrence Granted All Activities 18: Minor Discharges Issued Concurrence Granted 10 cy below OHWM or high tide line; Any fill in special aquatic site; Regional Conditions #2, #5 and #6; GC #19. 19: Minor Dredging Issued Concurrence Granted Regional Conditions #4 and #5; GC #19 20: Oil-Spill Cleanup Issued Concurrence Granted None 22: Removal of Vessels Issued Concurrence Granted Vessels listed/eligible for National Register of Historic Places; GC #19 23: Approved Categorical Exclusions Issued Concurrence Granted Those stipulated by the CatExs themselves; GC #19 25: Structural Discharges Issued Concurrence Granted GC #19 27: Aquatic Habitat Restoration, Issued Concurrence Granted All Activities Establishment, and Enhancement Activities 28: Modification of Existing Marinas N/A Concurrence Granted Regional Condition #2; GC #19 Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 6 of 7 Nationwide Perm it Number & Water Quality Coastal Zone Pre-Construction Notification Description Certification Consistency Requirements 29. Residential Developments Issued Concurrence Granted All Activities 30. Moist Soil Management Issued Concurrence Granted GC #19 31. Maintenance of Existing Flood Issued Concurrence Granted All Activities Control Facilities 32: Completed Enforcement Actions Issued Concurrence Granted N/A 33: Temporary Construction and Access Issued Concurrence Granted All Activities and Dew atering 35: Maintenance Dredging of Existing N/A Concurrence Granted Regional Conditions #4 and #5 Basins 36: Boat Ramps Issued Concurrence Granted > 50 cy; or > 20 ft width; Regional Conditions #4 and #5; GC#19 37: Emergency Watershed Protection & Issued Concurrence Granted All Activities Rehabilitation 38: Cleanup of Hazardous and Toxic Issued Concurrence Granted All Activities Waste 39.Commercial and Institutional Issued Concurrence Granted All Activities Developments 40: Agricultural Activ ities Issued Concurrence Granted All Activities 41: Reshaping Existing Drainage Ditches Issued Concurrence Granted Reshaping >500 linear ft; Regional Condition #4, #5, and #6. 42: Recreational Facilities Issued Concurrence Granted All Activities 43: Stormw ater Management Facilities Issued Concurrence Granted All new construction or expansion but not maintenance; Regional Conditions #3 and #8. 44: Mining Activities Issued Concurrence Granted All Activities 45: Repair of Uplands Damaged by Issued Concurrence Granted All activities; Regional Conditions Discrete Events #6, #7, #8, and #9 46: Discharges in Ditches Issued Concurrence Granted Regional conditions #4, #5, and #6 47. Pipeline Safety Program Designated Issued Concurrence Granted None Time Sensitive Inspections and Repairs 48: Existing Commercial Shellfish Issued Concurrence Granted If cover of SAV 25% or greater Aquaculture Activities Notes: Further explanations of lis ted activities can be found at 33 CFR Part 330 Appendix B. All NWPs are subject to federal limitations and conditions —see http://www.usace.army.mil/cw/cecwo/reg/nationwide_permits.htm. Also see http://www.dep.state.fl.us/water/wetlands/erp/nwp.htm for regional conditions that are applicable in the State of Florida. IF YOU HAVE QUESTIONS REGARDING ANY OF THE FEDERAL REGIONAL, STATEWIDE, OR NATIONWIDE PERMITS, PLEASE CONTACT THE LOCAL OR JACKSONVILLE OFFICE OF THE U.S. ARMY CORPS OF ENGINEERS . Form 62-343.900(1), Joint Application, [effective date] Attachment 2, Page 7 of 7 Attachment 3 to Instructions for Joint Application Permit Application Processing Fees for DEP (Note - fees are may be different for if applications is processed by a WMD) Environmental Resource Permits For individual, conceptual approval or standard general permit applications that involve a c ombination of the fee categories listed in Paragraphs A and B below, the highest fee in these paragraphs that applies to the project in question shall be the correct application fee. A. Individual and Conceptual Approval Permits (those systems that involve > 1 acre of construction or alteration in, on or over wetlands or other surface waters, involve > 10 new boat slips, are capable of impounding > 120 acre feet, serve a total land area > 100 acres, or provide for the placement of > 12 acres of impervious surface): 1. For a system that involves < 1 acre of construction of alteration in, on or over wetlands or other surface waters and involves < 10 new boat slips but reaches any of the following three thresholds: a. is capable of impounding > 120 acre feet; b. serves a total land area > 100 acres; or c. provides for the placement of > 12 acres of impervious surface: $3,510 2. For a system involving the following total acreage of construction or alteration in, on or over wetlands or other surface w aters: a. > 100 acres $14,020 b. > 50 acres up to < 100 acres $11,220 c. > 10 acres up to < 50 acres $9,120 d. > 5 acres up to < 10 acres $7,710 e. > 2 acres up to < 5 acres $5,610 f. > 1 acre up to < 2 acres $4,210 3. For a system involving 10 or more new boat slips and either capable of impounding > 40 acre feet, serving a total land area > 40 acres, providing for the placement of > 12 acres of impervious surface, or involving construction or alteration (other than new boat slips) in, on or over wetlands or other surface waters, with the following number of new slips: a. 50 or more $9,120 b. 30 - 49 $7,710 c. 10 - 29 $5,610 4. For a system involving 10 or more new boat slips and capable of impounding < 40 acre feet, serving a total land area < 40 acres, providing for the placement of < 12 acres of impervious surface, and not involving construction or alteration (other than new boat slips) in, on or over wetlands or other surface waters, with the following number of new slips : a. 50 or more $5,610 b. 30 - 49 $4,210 c. 10 - 29 $2,110 5. For a system involving a new Class I solid waste disposal facility $10,520 6. For a system involving an existing Class I solid waste disposal facility $11,920 7. Systems solely for environmental restoration or enhancement $250 activities, provided such activities are not associated with a mitigation Form 62-343.900(1), Joint Application, [effective date] Attachment 3, Page 1 of 4 bank and are not being implemented as mitigation for other activities that require a permit under Part IV of Chapter 373, F.S. B. Standard General Permits (those systems below the thresholds listed in Paragraph A, above): 1. For a system serving a project with a total land area > 40 up to < 100 acres, with the following additional activities : a. Both the construction of 1 - 9 new boat slips and the construction $2,110 or alteration (other than new boat slips) in, on or over a total area of wetlands or other surface waters < 1 acre and > 0 acre b. Either the construction of 1 - 9 new boat slips or the construction $1,410 or alteration (other than new boat slips) in, on or over a total area of wetlands or other surface waters < 1 acre and > 0 acre c. No construction or alteration in, on or over wetlands or other $1,340 surface waters 2. For a system serving a project with a total land area < 40 acres and > 1 acre, with the following additional activities: a. 3 - 9 new boat slips $990 b. 1 - 2 new boat slips $850 c. Construction or alteration (other than new boat slips) in, on or over $850 a total area of wetlands or other surface waters < 1 acre and > 0 acres 3. For a system serving a project with a total land area < 1 acre, with the following additional activities: a. 3 - 9 new boat slips $850 b. 1 - 2 new boat slips $430 c. Construction or alteration (other than new boat slips) in, on or over $710 a total area of wetlands or other surface waters < 1 acre and > 0 acres d. Systems solely for environmental restoration or enhancement $250 activities, provided such activities are not associated with a mitigation bank and are not being implemented as mitigation for other activities that require a permit under Part IV of Chapter 373, F.S. C. Environmental Resource “Stormwater” Permit for a system serving a project with a total land area < 40 acres and: 1. Involving no construction or alteration in, on or over wetlands or $420 other surface waters; or 2. That is solely for environmental restoration or enhancement activities, $250 provided such activities are not associated with a mitigation bank and are not being implemented as mitigation for other activities that require a permit under Part IV of Chapter 373, F.S. D. Verification of qualification to use a Noticed General Permit, except $250 1. Paving of existing county or municipally owned roads under Rule 62- $0 341.448, F.A.C. 2. Environmental enhancement and restoration activities conducted by $0 the U.S. Army Corps of Engineers under Rule 62-341.486, F.A.C. E. Modifications: 1. Major modifications of Individual (including Conceptual Approval) Same fee as for and Standard General Permits, as defined in paragraph 62- a new 343.100(1)(b), F.A.C., and mitigation bank permits under Chapter 62- application for 342, F.A.C., that increase the project area or involve four or more of the activity the components listed in sub-sub paragraph 62-4.050(4)(h)3.e., F.A.C., other than for Class I solid waste disposal facilities or as otherwise specified above Form 62-343.900(1), Joint Application, [effective date] Attachment 3, Page 2 of 4 2. Minor modifications of Standard Form and Short Form Permits, including mitigation banks, where the modification will not require substantial technical evaluation by the Department, will not lead to substantially different environmental impacts or will lessen the impacts of the original permit, and as further determined by Rule 62- 312.100, F.A.C., other than for Class I solid waste disposal facilities or as otherwise specified above: a. To correct minor errors or typographical mistakes and that do not $0 involve technical review b. To incorporate changes requested by the Department or required $0 through permits issued by other regulatory agencies, and to change due dates for reporting or performance deadlines when such changes in the due date do not involve any new work, any new work locations, or any new activities, and will not alter, replace, or otherwise eliminate the requirements for otherwise performing the work required by the permit c. That consist of transfers of permits or time extensions except $80 transfer of ownership or control when the permit is in the operation and maintenance phase. d. That consist of a transfer of an individual permit due to a change $0 of ownership or control when the permit is in the operation and maintenance phase. e. That consist of minor technical changes which involve new work, $250 new work locations, new activities, or any other change which alters, replaces, or otherwise eliminates the work authorized by the permit when the original permit fee of the issued permit is less than $300, except for modifications to permits issued pursuant to Section 403.816, F.S. f. That consist of minor technical changes which involve new work, $420 new work locations, new activities, or any other change which alters, replaces, or otherwise eliminates the work authorized by the permit when the original permit fee of the issued permit is more than or equal to $300, except for permits issued pursuant to Section 403.816, F.S. g. For minor modifications for Class I solid waste disposal facilities $2,110 Mitigation Bank A. Mitigation Bank Permit, other than Conceptual Approval $6,050 B. Credit Release (credit available for sale) $330 C. Credit Withdrawal (actual use of credit) $0 D. Mitigation Bank Conceptual Approval Permit $6,050 E. Major modifications involving changes to one or more of the following components: service area; credit assessment; success or release criteria; hydrologic structures or alterations; construction, or mitigation design that does not increase the project area; elimination of lands; or monitoring or management plans; 1. Affecting one of the above components $1,340 2. Affecting two of the above components $2,680 3. Affecting three of the above components $4,020 Variances A. Under Section 373.414(17)/403.201, F.S. 1. From the prohibition of work in Class II $170 Waters, approved for shellfish harvesting 2. Other variances $830 Form 62-343.900(1), Joint Application, [effective date] Attachment 3, Page 3 of 4 B. Under Section 120.542, F.S. $0 Exemptions Verification of an exemption under Section 403.813(1), F.S., or $100 Rule 62-346.051, F.A.C. Formal Determinations of Wetlands and Other Surface Waters A. Petitions for Formal Determinations 1.Petition application fees shall be based on the acreage of the entire property for which the petition is filed, according to the following schedule: a. > 0 acres and < 1 acre $350 b. > 1 acre and < 10 acres $780 c. > 10 acres and < 40 acres $1,060 d. > 40 acres and < 100 acres $2,110 e. For property greater than 100 acres in size, the fee will be $2,110 plus an additional $290 for each additional 100 acres (or portion thereof) that exceeds the first 100 acres. f. For a new formal determination for single-family residences of $300 less than or equal to five acres within the territory of the South Florida District Office of the Department, under subsection 62- 343.040(3), F.A.C. 2. For a new formal determination that covers property on which a $350 valid formal determination exists, provided that the petition for the new formal determination is filed within 60 days of the date of expiration of the existing formal determination and the physical conditions on the property have not changed, other than changes authorized by a permit, so as to alter the boundaries of surface waters or wetlands, and provided the methodology for determining the extent of surface waters and wetlands authorized by Sections 373.421 and 373.4211, F.S., has not been amended since the previous formal determination B. Requests for Informal Determinations $100 Form 62-343.900(1), Joint Application, [effective date] Attachment 3, Page 4 of 4 Form 62-343.900(1), Joint Application, [effective date] Attachment 4, Page 1 of 2 US Army Corps of Engineers, Jacksonville District PLEASE SUBMIT YOUR ORIGINAL APPLICATION TO THE DEPARTMENT OR THE APPROPRIATE WATER MANAGEMENT DISTRICT, NOT TO ONE OF THE ADDRESSES SHOWN ABOVE. (4/8/2008) 2 Form 62-343.900(1), Joint Application, [effective date] Attachment 4, Page 2 of 2 Attachment 5 to Instructi ons for Joint Application Differences Between “Proprietary” and “Reg ulatory” Programs The following summarizes the proprietary and regulatory functions of the Department of Environmental Protection’s (DEP's) Submerged Lands and Environmental Resources program. The word “regulatory” refers to a type of authority that allows an entity of the government, such as DEP, to limit certain activities on private property, as well as on publicly-owned lands, to some specific degree for the greater public good. DEP, in its regulatory capacity, is required by acts of the Florida Legislature, to protect the natural resources of the state, such as air, water and wildlife, to einsure that these resources will be healthy and abundant for present and future generations. DEP's Submerged Lands and Environmental Resources regulatory program reviews applications for proposed works in wetlands and other surface waters, as well as in uplands, that can affect water quality and quantity, to ensure compliance with the Florida Administrative Code and Florida Statutes. Over a century ago, the Governor and Cabinet, as the State of Florida Board of Trustees of the Internal Improvement Trust Fund (Trustees), were designated by the state legislature as the Trustees of sovereign submerged lands. All tidally influenced waters to the mean high water line and navigable fresh water bodies to the ordinary high water line in existence when Florida became a state in 1845 are considered sovereign. In accordance with the Constitution of the State of Florida, these lands are held in trust by the state for all the people. As the Trustees, the Governor and Cabinet have proprietary (ownership) authority over sovereign submerged lands and their uses and are responsible for einsuring that these lands and the associated aquatic resources remain healthy and in abundance for present and future generations. The DEP, in addition to its regulatory capacity, acts as the staff to the Trustees in the review of proposed uses of state-owned sovereign submerged lands. If you are proposing to conduct an activity in waters that are not sovereign submerged lands, you will only be required to meet regulatory standards. If your proposed activity is located on state-owned sovereign submerged lands, you will be required to meet both regulatory and proprietary requirements of the Florida Statutes and Florida Administrative Code. Form 62-343.900(1), Joint Application, [effective date] Attachment 5, Page 1 of 1 Attachment 6 to Instructions for Joint Application Summary of DEP’ s Divi sion/Di strict Split Which Department Office s Proce ss Which Type s of Applications? Among those projects (systems) that will be regulated by DEP (see Attachment 1), applications will be reviewed either by the Division of Environment al Resource Permitting (division) or the DEP district office (district) that corresponds to the system’s location (see Attachment 4). This division/ district split is based on the size and type of system proposed, as indicat ed below. ERP applications for most activities that are the responsibility of the Department (see the Operating Agreement summary in Attachment 1) should be submitted to the appropriate DEP district office (see Attachment 4). However, DEP offices in Tallahassee process and take agency action on cert ain types of applications. Please submit applications for the following types of activities to the appropriate DEP DIS TRICT office identified below (see also Rule 62-343.080 for additional information) for the following: ACTIVITY DEP OFFICE Mitigation banks (regardless of the size of Office of Submerged Lands and Environmental the area) Resources Mines Bureau of Mining and Mineral Regulation Coastal construction work or activity: 1. Likely to have a material physical effect Bureau of Beaches and Coastal Systems on existing coastal conditions or (BBCS) (processed as a Joint Coastal Permit natural shore and inlet processes, application) involving projects, as defined in 1 Section 161. 041, F.S. 2. Located waterward of the Coastal Applicable District office of the Department Construction Control Line (CCCL) but (Any concurrently-required CCCL permit under landward of mean high water Chapter 161, F.S., for such project will be processed by the BBCS) Ports: 1. Dredging of channels, turning basins, or BBCS berths wit hin a deepwat er port listed in Section 403. 021(9)(b), F.S. 2. Other port activities, such as bulkheads, District or branch office having geographical docks, or upland development, jurisdiction over the location where the activity is to occur Federal dredging projects in marine waters BBCS Activities required to develop applications for Siting Certification Program certification under the Siting Acts in Chapters 341 and 403, F.S. Note: Addresses for the above offices are provided in Attachment 4. Systems not involving work in wetlands or other surface waters; Systems involving less than five acres of any combination of construction or alteration (excluding mitigation acreage) in, on or over wetlands or other surface waters, or the creation of wetlands or other surface waters (not required as mitigation); Form 62-343.900(1), Joint Application, [effective date] Attachment 6, Page 1 of 2 Systems involving docking facilities with less than 30 new wet or dry boat slips, except for the expansion of docking facilities that were previously permitted by the division; New riprap revetments or vertical seawalls of any length; The installation of mooring buoys which provide mooring for less than 30 slips; The installation of aids to navigation, signs, fences, boat ramps, ski jumps, or ski slalom courses; Piling supported structures which are not physically connected to uplands; Estuarine and marine aquaculture facilities; The construction of artificial reefs, regardless of size; The installation of fish attractors by the Florida Game and Fresh Water Fish Commission; Treasure salvage activities; Archaeological research and exploration activities; Dredging and filling associated with bridge demolition activities not previously authorized by a Department permit; The installation of transmission and distribution lines, not subject to the Transmission Line Siting Act, Sections 403.52-4035.365, F.S., which do not cross DEP district boundaries; Activities, regardless of size, that also require a solid waste management permit under chapters 62-701, F.A.C.; or Activities more appropriately reviewed by a district office of the Department, as determined by the Secretary or the Secretary'’ designee. Please submit applications to the DEP DIVISION office for the following: Activities that exceed the criteria listed above; Mitigation banks. Regardless of size; Activities conducted by the U.S. Army Corps of Engineers, regardless of size; The construction or installation of transmission or distribution lines and pipelines that cross DEP district boundaries; The expansion of an activity that was previously permitted by the Division of Environmental Resource Permitting; Activities at ports, regardless of size or the number of slips proposed; Activities required to develop applications for certification under the Siting Acts contained in Chapters 341 and 403, F.S.; Activities which also require a coastal construction permit pursuant to Section 161.041, F.S.; or Activities more appropriately reviewed by the Division, as determined by the Secretary or the Secretary’s designee. 161.041 Permits required.-- (1) If any person, firm, corporation, county, municipality, township, special district, or any public agency desires to make any coastal construction or reconstruction or change of existing structures, or any construction or physical activity undertaken specifically for shore protection purposes, or other structures and physical activity including groins, jetties, moles, breakwaters, seawalls, revetments, artificial nourishment, inlet sediment bypassing, excavation or maintenance dredging of inlet channels, or other deposition or removal of beach material, or construction of other structures if of a solid or highly impermeable design, upon sovereignty lands of Florida, below the mean high-water line of any tidal water of the state, a coastal construction permit must be obtained from the department prior to the commencement of such work. The department may exempt interior tidal waters of the state from the permit requirements of this section. No such development shall interfere, except during construction, with the use by the public of any area of a beach seaward of the mean high-water line unless the department determines such interference is unavoidable for purposes of protecting the beach or any endangered upland structure. The department may require, as a condition to granting permits under this section, the provision of alternative access when interference with public access along the beach is unavoidable. The width of such alternate access may not be required to exceed the width of the access that will be obstructed as a result of the permit being granted. Application for coastal construction permits as defined above shall be made to the department upon such terms and conditions as set forth by rule of the department. Except for the deepwater ports identified in s. 403.021(9)(b), the department shall not issue any permit for the construction of a coastal inlet jetty or the excavation or maintenance of such an inlet if the activity authorized by the permit will have a significant adverse impact on the sandy beaches of this state without a mitigation program approved by the department. In evaluating the mitigation program, the department shall take into consideration the benefits of the long-term sand management plan of the permittee and the overall public benefits of the inlet activity. Form 62-343.900(1), Joint Application, [effective date] Attachment 6, Page 2 of 2