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1083-Downtown Redevelop Master.. St. J q ns River Water Management District Kirby B. Green III, Executive Director - David W. Fisk, Assistant Executive Director 4049 Reid Street • P.O. Box 1429 • Palatka, FL 32178.1429 • (386) 329 -4500 On the Internet at wwwsjrwmd.com. February 4, 2005 City of Sanford PO Box 2808 Sanford, FL 32772 SUBJECT: Permit Number 40- 117 - 22310 -2 Sanford Downtown Redevelopment Master Planning Dear Sir /Madam: Enclosed is your general permit as authorized by the staff of the St. Johns River Water Management District on February 4, 2005. This permit is a legal document and should be kept with your other important documents. The attached MSSW /Stormwater As -Built Certification Form should be filled in and returned to the Palatka office within thirty days after the work is completed. By so doing, you will enable us to schedule a prompt inspection of the permitted activity. In addition to the MSSW /Stormwater As -Built Certification Form, your permit also contains conditions which require submittal of additional information. All information submitted as compliance to permit conditions must be submitted to the Palatka office address. Permit issuance does not relieve you from the responsibility of obtaining permits from any federal, state and /or local agencies asserting concurrent jurisdiction for this work. Please be advised that the District has not published a notice in the newspaper advising the public that it is issuing a permit for this proposed project. Publication, using the District form, notifies members of the public (third parties) of their rights to challenge the issuance of the general permit. If proper notice is given by publication, third parties have a 21 -day time limit on the time they have to file a petition opposing the issuance of the permit. If you do not publish, a party's right to challenge the issuance of the general permit extends for an indefinite period of time. If you wish to have certainty that the period for filing such a challenge is closed, then you may publish, at your own expense, such a notice in a newspaper of general circulation. A copy of the form of the notice and a list of newspapers of general circulation is attached for your use. In the event you sell your property, the permit will be transferred to the new owner, if we are notified by you within thirty days of the sale and if you provide the information required by 40C- 1.612, F.A.C. Please assist us in this matter so as to maintain a valid permit for the new property owner. 'n r a `.. f GOVERNING Dmetrlas D. Long, CHAIRMAN David G. Graham, VICE CHAIRMAN APOPKA JACKSONVILLE BOARD _ R. Clay Albright, SECRETARY Duane DIteBBVOBr, TREASURER OCALA JACKSONVILLE �C II ex: rx D ... I I. kt W. Michael Branch John G. Sowinski William Kerr Ann T. Moore Susan N. Hughes FERNANDINA BEACH ORLANDO MELBOURNE BEACH BUNNELL JACKSONVILLE Thank you for your cooperation, and if this office can be of any further assistance to you, please do not hesitate to contact us. Sincerely, Eliseo Miranda Data Management Specialist II Division of Permit Data Services Enclosures: Permit with As -built Certification Form Notice of Rights List of Newspapers for Publication cc: District Permit File Consultant: CPH Engineers Inc PO Box 2808 Sanford, FL 32772 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Post Office Box 1429 Palatka, Florida 321 78 -1 42 9 PERMIT NO. 40- 117 - 22310 -2 DATE ISSUED: February 4, 2005 PROJECT NAME: Sanford Downtown Redevelopment Master Planning A PERMIT AUTHORIZING: The future construction of a maximum of 41 acres of redevelopment known as the Sanford Downtown Redevelopment Master Plan utilizing on -site structural best management practices and off -site compensating treatment. LOCATION: Section(s): 30 Township(s): 19S Range(s): 31 E Seminole County City of Sanford PO Box 2808 Sanford, FL 32772 Permittee agrees to hold and save the St. Johns River Water Management District and its successors harmless from any and all damages, claims, or liabilities which may arise from permit issuance. Said application, including all plans and specifications attached thereto, is by reference made a part hereof. This permit does not convey to permittee any property rights nor any rights or privileges other than those specified therein, nor relieve the permittee from complying with any law, regulation or requirement affecting the rights of other bodies or agencies. All structures and works installed by permittee hereunder shall remain the property of the permittee. This permit may be revoked, modified or transferred at any time pursuant to the appropriate provisions of Chapter 373, Florida Statutes: PERMIT IS CONDITIONED UPON: See cons ions on attached "Exhibit A ", dated February 4, 2005 AUTH RIZED BY: St. Jo s of Water Management District Depart en of Resource Management 1` By: (S� ice enter Dir or me Sp � gs) David Dewey "EXHIBIT A" CONDITIONS FOR ISSUANCE OF PERMIT NUMBER 40- 117 - 22310 -2 CITY OF SANFORD DATED FEBRUARY 4, 2005 1. All activities shall be implemented as set forth in the plans, specifications and performance criteria as approved by this permit. Any deviation from the permitted activity and the conditions for undertaking that activity shall constitute a violation of this permit. 2. This permit or a copy thereof, complete with all conditions, attachments, exhibits, and modifications, shall be kept at the work site of the permitted activity. The complete permit shall be available for review at the work site upon request by District staff. The permittee shall require the contractor to review the complete permit prior to commencement of the activity authorized by this permit. 3. Activities approved by this permit shall be conducted in a manner which do not cause violations of state water quality standards. 4. Prior to and during construction, the permittee shall implement and maintain all erosion and sediment control measures (best management practices) required to retain sediment on -site and to prevent violations of state water quality standards. All practices must be in accordance with the guidelines and specifications in chapter 6 of the Florida Land Development Manual: A Guide to Sound Land and Water Management (Florida Department of Environmental Regulation 1988), which are incorporated by reference, unless a project specific erosion and sediment control plan is approved as part of the permit, in which case the practices must be in accordance with the plan. If site specific conditions require additional measures during any phase of construction or operation to prevent erosion or control sediment, beyond those specified in the erosion and sediment control plan, the permittee shall implement additional best management practices as necessary, in accordance with the specifications in chapter 6 of the Florida Land Development Manual: A Guide to Sound Land and Water Management (Florida Department of Environmental Regulation 1988). The permittee shall correct any erosion or shoaling that causes adverse impacts to the water resources. 5. Stabilization measures shall be initiated for erosion and sediment control on disturbed areas as soon as practicable in portions of the site where construction activities have temporarily or permanently ceased, but in no case more than 7 days after the construction activity in that portion of the site has temporarily or permanently ceased. 6. At least 48 hours prior to commencement of activity authorized by this permit, the permittee shall submit to the District a Construction Commencement Notice Form No. 40C- 4.900(3) indicating the actual start date and the expected completion date. 7. When the duration of construction will exceed one year, the permittee shall submit construction status reports to the District on an annual basis utilizing an Annual Status Report Form No. 40C- 4.900(4). These forms shall be submitted during June of each year. 8. For those systems which will be operated or maintained by an entity which will require an easement or deed restriction in order to provide that entity with the authority necessary to operate or maintain the system, such easement or deed restriction, together with any other final operation or maintenance documents as are required by subsections 7. 1.1 through 7.1.4 of the Applicant's Handbook: Management and Storage of Surface Waters, must be submitted to the District for approval. Documents meeting the requirements set forth in these subsections of the Applicant's Handbook will be approved. Deed restrictions, easements and other operation and maintenance documents which require recordation either with the Secretary of State or the Clerk of the Circuit Court must be so recorded prior to lot or unit sales within the project served by the system, or upon completion of construction of the system, whichever occurs first. For those systems which are proposed to be maintained by county or municipal entities, final operation and maintenance documents must be received by the District when maintenance and operation of the system is accepted by the local governmental entity. Failure to submit the appropriate final documents referenced in this paragraph will result in the permittee remaining liable for carrying out maintenance and operation of the permitted system. 9. Each phase or independent portion of the permitted system must be completed in accordance with the permitted plans and permit conditions prior to the initiation of the permitted use of site infrastructure located within the area served by the portion or phase of the system. Each phase or independent portion of the system must be completed in accordance with the permitted plans and permit conditions prior to transfer of responsibility for operation and maintenance of that phase or portion of the system to local government or other responsible entity. 10. Within 30 days after completion of construction of the permitted system, or independent portion of the system, the permittee shall submit a written statement of completion and certification by a registered professional engineer or other appropriate individual as authorized by law, utilizing As Built Certification Form 40C- 1.181(13) or 40C- 1.181(14) supplied with this permit. When the completed system differs substantially from the permitted plans, any substantial deviations shall be noted and explained and two copies of as -built drawings submitted to the District. Submittal of the completed from shall serve to notify the District that the system is ready for inspection. The statement of completion and certification shall be based on on -site observation of construction (conducted by the registered professional engineer, or other appropriate individual as authorized by law, or under his or her direct supervision) or review of as -built drawings for the purpose of determining if the work was completed in compliance with approved plans and specifications. As -built drawings shall be the permitted drawings revised to reflect any changes made during construction. Both the original and any revised specifications must be clearly shown. The plans must be clearly labeled as "as- built' or "record" drawing. All surveyed dimensions and elevations shall be certified by a registered surveyor. The following information, at a minimum, shall be verified on the as -built drawings: a. Dimensions and elevations of all discharge structures including all weirs, slots, gates, pumps, pipes, and oil and grease skimmers; b. Locations, dimensions, and elevations of all filter, exfiltration, or underdrain systems including cleanouts, pipes, connections to control structures, and points of discharge to the receiving waters; c. Dimensions, elevations, contours, or cross - sections of all treatment storage areas sufficient to determine state - storage relationships of the storage area and the permanent pool depth and volume below the control elevation for normally wet systems, when appropriate; d. Dimensions, elevations, contours, final grades, or cross - sections of the system to determine flow directions and conveyance of runoff to the treatment system; e. Dimensions, elevations, contours, final grades, or cross - sections of all conveyance systems utilized to convey off -site runoff around the system; f. Existing water elevation(s) and the date determined; and Elevation and location of benchmark(s) for the survey. 11. The operation phase of this permit shall not become effective until the permittee has complied with the requirements of general condition 9 above, the District determines the system to be in compliance with the permitted plans, and the entity approved by the District in accordance with subsections 7.1.1 through 7.1.4 of the Applicant's Handbook: Management and Storage of Surface Waters, accepts responsibility for operation and maintenance of the system. The permit may not be transferred to such an approved operation and maintenance entity until the operation phase of the permit becomes effective. Following inspection and approval of the permitted system by the District, the permittee shall request transfer of the permit to the responsible approved operation and maintenance entity, if different from the permittee. Until the permit is transferred pursuant to section 7.1 of the Applicant's Handbook: Management and Storage of Surface Waters, the permittee shall be liable for compliance with the terms of the permit. 12. Should any other regulatory agency require changes to the permitted system, the permittee shall provide written notification to the District of the changes prior implementation so that a determination can be made whether a permit modification is required. 13. This permit does not eliminate the necessity to obtain any required federal, state, local and special district authorizations prior to the start of any activity approved by this permit. This permit does not convey to the permittee or create in the permittee any property right, or any interest in real property, nor does it authorize any entrance upon or activities on property which is not owned or controlled by the permittee, or convey any rights or privileges other than those specified in the permit and chapter 40C -4 or chapter 40C -40, F.A.C. 14. The permittee shall hold and save the District harmless from any and all damages, claims, or liabilities which may arise by reason of the activities authorized by the permit or any use of the permitted system. 15. Any delineation of the extent of a wetland or other surface water submitted as part of the permit application, including plans or other supporting documentation, shall not be considered specifically approved unless a specific condition of this permit or a formal determination under, section 373.421(2), F.S., provides otherwise. 16. The permittee shall notify the District in writing within 30 days of any sale, conveyance, or other transfer of ownership or control of the permitted system or the real property at which the permitted system is located. All transfers of ownership or transfers of a permit are subject to the requirements of section 40C- 1.612, F.A.C. The permittee transferring the permit shall remain liable for any corrective actions that may be required as a result of any permit violations prior to such sale, conveyance or other transfer. 17. Upon reasonable notice to the permittee, District authorized staff with proper identification shall have permission to enter, inspect, sample and test the system to insure conformity with the plans and specifications approved by the permit. 18. If historical or archaeological artifacts are discovered at any time on the project site, the permittee shall immediately notify the District. 19. The permittee shall immediately notify the District in writing of any previously submitted information that is later discovered to be inaccurate. 20. This permit for construction will expire five years from the date of issuance. 21. All wetland areas or water bodies that are outside the specific limits of construction authorized by this permit must be protected from erosion, siltation, scouring or excess turbidity, and dewatering. 22. Prior to construction, the permittee must clearly designate the limits of construction on -site. The permittee must advise the contractor that any work outside the limits of construction, including clearing, may be a violation of this permit. 23. The surface water management system is approved pursuant to the information received by the District on July 16, 2004, August 31, 2004, November 24, 2004 and November 29, 2004. 24. Prior to any demolition, reconstruction /construction within each parcel, a Standard Environmental Resource permit must be obtained from the District for development of that parcel. 25. During the initial development phase, no more than 20.0 acres total area, or 18.0 acres of impervious area, can be redeveloped within the DRA utilizing the compensatory treatment established under this permit. 26. For a minimum of three years prior to the expansion of the area allowed to be re- developed utilizing the compensatory water quality treatment approved by this permit from the initial 20 acres (18 acres impervious surfaces) to 41 acres (36.9 acres impervious surfaces), the permittee shall monitor total phosphorous, total nitrogen and total suspended solids within Mill Creek and the Mill Creek Stormwater Pond No. 1 (also known as Mill Creek Year 3B Pond), located south of 18` Street and west of Country Club Circle in Sanford. These parameters are to be measured on a quarterly basis continuously for the three -year period at Mill Creek immediately upstream of the pond and at the Pond No. 1 outflow structure (quadruple grate inlet structure at the northeast corner). All samples shall be collected within 3 days of a rainfall event. All monitoring shall be conducted by a certified laboratory designated by the permittee. Copies of the results shall be submitted to the District annually on or before January 31 for monitoring conducted during the previous calendar year. 27. If the District determines that the water quality monitoring demonstrates that the removal efficiencies utilized in the pollutant loading analysis have not been achieved by the system, then the initial 20.0 -acre development phase shall not be expanded to the full 41.00 acres. 28. If the District determines that the water quality monitoring demonstrates that the removal efficiencies utilized in the pollutant loading analysis have been achieved by the system, then the permittee may cease monitoring, and the re- development area that is able to utilize the compensatory treatment approved by this permit will be expanded to the full 41.0 acres of total area or 36.9 acres of impervious area. The redevelopment area shall not be expanded until the permittee receives written approval from the District. 29. The redevelopment of parcels within the DRA proposing to utilize the compensatory water quality treatment approved by this permit shall conform to the following requirements: - Prior to construction, each parcel applicant shall be required to obtain a Standard Environmental Resource permit from the District. - The application submittal shall demonstrate that total project area and impervious area, when considered with all projects previously permitted to utilize the compensatory water quality treatment approved by this permit and which have a valid permit, are below the limits approved by this permit. - The application shall also include a pre -post pollutant loading analysis for the three identified pollutants which demonstrates that sufficient compensatory treatment is available to provide treatment equivalent to retention and ensure a net reduction in the identified pollutants. This analysis shall consider all projects that were previously permitted to utilize the compensatory water quality treatment approved by this permit and which have a valid permit. - The proposed development must be located within the DRA defined by this permit. The percent impervious of a development shall not exceed 90.0 %. - Each parcel applicant will be required to provide appropriate documentation and a development map from the City of Sanford to the District acknowledging use of the compensatory water quality treatment approved by this permit. The map shall demonstrate that the proposed project is located within the DRA established by this permit - Each parcel applicant will be required to install baffle boxes, Stormceptors or other best management practice with equivalent water quality treatment efficiencies at each discharge point of connection to the City's system to provide a measure of water quality treatment for the improvements. Where feasible, pervious areas shall be graded to retain stormwater through the creation of depressional areas, installation of swale checks, etc. and the use of best management practices. 30. The permittee shall submit annually to the District on or before January 31 s `, an overall development map clarifying the location of developed parcels, total acreage developed, total impervious area developed for the previous calendar year. This reporting shall continue until the permit expires or all of the compensatory water quality treatment has been utilized. 31. This permit does not authorize any work in wetlands or other surface waters. Notice Of Rights A person whose substantial interests are or may be determined has the right to request an administrative hearing by filing a written petition with the St. Johns River Water Management District (District), or may choose to pursue mediation as an alternative remedy under Sections 120.569 and 120.573, Florida Statutes, before the deadline for filing a petition. Choosing mediation will not adversely affect the rights to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth in Sections120.569 and 120.57, Florida Statutes, and Rules 28- 106.111 and 28- 106.401 -.405, Florida Administrative Code. Pursuant to Chapter 28 -106 and Rule 40C- 1.1007, Florida Administrative Code, the petition must be filed at the office of the District Clerk at District Headquarters, P. O. Box 1429, Palatka, Florida 32178 -1429 (4049 Reid St., Palatka, FL 32177) within twenty -six (26) days of the District depositing notice of District decision in the mail (for those persons to whom the District mails actual notice) or within twenty -one (21) days of newspaper publication of the notice of District decision (for those persons to whom the District does not mail actual notice). A petition must comply with Chapter 28 -106, Florida Administrative Code. 2. If the Governing Board takes action which substantially differs from the notice of District decision, a person whose substantial interests are or may be determined has the right to request an administrative hearing or may choose to pursue mediation as an alternative remedy as described above. Pursuant to District Rule 40C- 1.1007, Florida Administrative Code, the petition must be filed at the office of the District Clerk at the address described above, within twenty -six (26) days of the District depositing notice of final District decision in the mail (for those persons to whom the District mails actual notice) or within twenty -one (21) days of newspaper publication of the notice of its final agency action (for those persons to whom the District does not mail actual notice). Such a petition must comply with Rule Chapter 28 -106, Florida Administrative Code. 3. A substantially interested person has the right to a formal administrative hearing pursuant to Section 120.569 and 120.57(1), Florida Statutes, where there is a dispute between the District and the party regarding an issue of material fact. A petition for formal must comply with the requirements set forth in Rule 28- 106.201, Florida Administrative Code. 4. A substantially interested person has the right to an informal hearing pursuant to Sections 120.569 and 120.57(2), Florida Statutes, where no material facts are in dispute. A petition for an informal hearing must comply with the requirements set forth in Rule 28- 106.301, Florida Administrative Code. 5. A petition for an administrative hearing is deemed filed upon delivery of the petition to the District Clerk at the District headquarters in Palatka, Florida. 6. Failure to file a petition for an administrative hearing, within the requisite time frame shall constitute a waiver of the right to an administrative hearing (Section 28- 106.111, Florida Administrative Code). 7. The right to an administrative hearing and the relevant procedures to be followed are governed by Chapter 120, Florida Statutes, and Chapter 28 -106, Florida Administrative Code and Section 40C- 1.1007, Florida Administrative Code. Notice Of Rights 8. An applicant with a legal or equitable interest in real property who believes that a District permitting action is unreasonable or will unfairly burden the use of his property, has the right to, within 30 days of receipt of notice of the District's written decision regarding a permit application, apply for a special master proceeding under Section 70.51, Florida Statutes, by filing a written request for relief at the office of the District Clerk located at District headquarters, P. O. Box 1429, Palatka, FL 32178 -1429 (4049 Reid St., Palatka, Florida 32177). A request for relief must contain the information listed in Subsection 70.51(6), Florida Statutes. 9. A timely filed request for relief under Section 70.51, Florida Statutes, tolls the time to request an administrative hearing under paragraph no. 1 or 2 above (Paragraph 70.51 (1 0)(b), Florida Statutes). However, the filing of a request for an administrative hearing under paragraph no. 1 or 2 above waives the right to a special master proceeding (Subsection 70.51 (1 0)(b), Florida Statutes). 10. Failure to file a request for relief within the requisite time frame shall constitute a waiver of the right to a special master proceeding (Subsection 70.51(3), Florida Statutes). 11. Any substantially affected person who claims that final action of the District constitutes an unconstitutional taking of property without just compensation may seek review of the action in circuit court pursuant to Section 373.617, Florida Statutes, and the Florida Rules of Civil Procedures, by filing an action in circuit court within 90 days of the rendering of the final District action, (Section 373.617, Florida Statutes). 12. Pursuant to Section 120.68, Florida Statutes, a person who is adversely affected by final District action may seek review of the action in the District Court of Appeal by filing a notice of appeal pursuant to the Florida Rules of Appellate Procedure within 30 days of the rendering of the final District action. 13. A party to the proceeding before the District who claims that a District order is inconsistent with the provisions and purposes of Chapter 373, Florida Statutes, may seek review of the order pursuant to Section 373.114, Florida Statutes, by the Florida Land and Water Adjudicatory Commission, by filing a request for review with the Commission and serving a copy on the Department of Environmental Protection and any person named in the order within 20 days of adoption of a rule or the rendering of the District order. 14. For appeals to the District Court of Appeal, a District action is considered rendered after it is signed on behalf of the District, and is filed by the District Clerk. 15. Failure to observe the relevant time frames for filing a petition for judicial review described in paragraphs #11 and #12, or for Commission review as described in paragraph #13, will result in waiver of that right to review. Notice Of Rights Certificate of Service I HEREBY CERTIFY that a copy of the foregoing Notice of Rights has been sent by U.S. Mail to: City of Sanford PO Box 2808 Sanford, FL 32772 At 4:00 p.m. this 4th day of February, 2005. Di vii 'on of rmit Data Services �jti GI ' L is, Director St. Johns River Water Management District Post Office Box 1429 Palatka, FL 32178 -1429 (386) 329 -4152 Permit Number: 40- 117 - 22310 -2 St. J ohns River Water Management District Kirby B. Green III, Executive DireM • Do* W Fisk, AssistaM Executive Director 4049 Reid Street • P.O. Box 1429 • Palatka, FL 32178.1429 a (386) 329 -4500 On the Internet at www.sjrwmd.com. Holders of General Permits Dear Permittee: Please be advised that the District has not published a notice in the newspaper advising the public that it is issuing a permit for this proposed project. Publication, using the District form, notifies members of the public (third parties) of their rights to challenge the issuance of the permit. If proper notice is given by publication, third parties have a 21-day time limit on the time they have to file a petition opposing the issuance of the permit. If you do not publish, a party's right to challenge the issuance of the general permit extends for an indefinite period of time. If you wish to have certainty that the period for filing such a challenge is closed, then you may publish, at your own expense, such a notice in a newspaper of general circulation within the affected area. A copy of the forth of the notice and a list of newspapers of general circulation, usually used by the District, is attached for your use, however, you do not have to use only those newspapers listed. This publication need only occur once. Once the notice is published, the newspaper will return to you an affidavit as proof of publication. To complete your file with the District, submit this original affidavit of publication to: Gloria Lewis, Director Division of Permit Data Services P. O. Box 1429 Palatka, FL 32178 -1429 Enclosed is a sample package used for newspaper noticing by the District. The package includes: 'Page 2 - A copy of an example notice that District staff uses is included to provide guidance on the language to be used in the notice. This language satisfies the legal requirements for noticing. 'Page 3 - A copy of a sample notice to be published is also included. Complete this form with your permit information and submit to a newspaper of general circulation. 'Page 4 - The name, address, telephone number and facsimile for newspapers of general circulation are provided. This is the newspaper typically used by the District to advertise permits that are issued by the Governing Board. If I can be of further assistance, please contact me at (386) 329 -4235 or Mary McKinney at (386) 329 -4400. Sincer ly, Glona Lewi , Irect�or Division of Permit Data Services i RNrNO BOARD Omethas D. Long, CMIA rr DOW G. Graham, vlcs cmiF R. Clay Albright, ssce OMS ON21180 r, TIEASMM AR JACM9 WM 0MA JACKWWILLE W. Mioheel Branch Jahn G. Sminski WA am Kerr Am T. Moore Susan N. Hughes EEANMAweEA 0P wo MELRON 8WH fte PoHfEVEDRA - EXAMPLE FORM - NOTICE OF AGENCY ACTION TAKEN BY THE ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Notice is given that the following permit was issued on 11/27/95: ACME HOMES CO., INC., 1201 W. 15"' Street, Palatka, FL 32177, permit # 42 -107- 0001. The project is located in Putnam County Section 23, Township 07 South, Range 34 East. The permit authorizes A SURFACE MANAGEMENT SYSTEM ON 20 ACRES TO SERVE A SINGLE - FAMILY RESIDENTIAL SUBDIVISION known as Blue Meadows. The receiving waterbody is ST. JOHNS RIVER. The file(s) containing the application for the above listed permit is available for inspection Monday through Friday except for legal holidays, 8:00 a.m. to 5:00 p.m. at the St. Johns River Water Management District (District) Headquarters, 4049 Reid Street, Palatka, FL 32178 -1429. A person whose substantial interests are affected by the District permitting decision may petition for an administrative hearing in accordance with sections 120.569 and 120.57, Florida Statutes, or may choose to pursue mediation as an alternative remedy under section 120.573, Florida Statutes, before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth in section 120.573, Florida Statutes, and rules 28- 106.111 and 28- 106.401 -.404 Florida Administrative Code. Petitions must comply with the requirements of Florida Administrative Code Chapter 28 -106 and be filed with (received by) the District Clerk located at District Headquarters, Highway 100 West, Palatka, FL 32177. Petitions for administrative hearing on the above application(s) must be filed within twenty -one (21) days of publication of this notice or within twenty - six (26) days of the District depositing notice of this intent in the mail for those petsons to whom the District mails actual notice. Failure to file a petition within this time period shall constitute a waiver of any right(s) such person(s) may have to request an administrative determination (hearing) under sections 120.569 and 120.57, F.S., concerning the subject permit. Petitions that are not filed in accordance with the above provisions are subject to dismissal. Because the administrative hearing process is designed to formulate final agency action, the filing of a petition means that the District's final action may be different from the position taken by it in this notice of intent. Persons whose substantial interests will be affected by any such final decision of the District on the applicant have the right to petition to become a party to the proceeding, in accordance with the requirements set forth above. Revised September 8. 2000 M/pds/dntn/Holders ofGeneml Permits NOTICE OF AGENCY ACTION TAKEN BY THE ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Notice is given that the following permit was issued on (Name and address of applicant) permit # . The project is located in County, Section , Township South, Range East. The permit authorizes A SURFACE WATER MANAGEMENT SYSTEM ON ACRES TO SERVE known as The receiving water body is The file(s) containing the application for the above listed permit is available for inspection Monday through Friday except for legal holidays, 8:00 a.m. to 5:00 p.m. at the St. Johns River Water Management District (District) Headquarters, 4049 Reid Street, Palatka, FL 32178 -1429. A person whose substantial interests are affected by the District permitting decision may petition for an administrative hearing in accordance with sections 120.569 and 120.57, Florida Statutes, or may choose to pursue mediation as an alternative remedy under section 120.573, Florida Statutes, before the deadline for filing a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The procedures for pursuing mediation are set forth in section 120.573, Florida Statutes, and rules 28- 106.111 and 28- 106.401 -.404 Florida Administrative Code. Petitions must comply with the requirements of Florida Administrative Code Chapter 28 -106 and be filed with (received by) the District Clerk located at District Headquarters, Highway 100 West, Palatka, FL 32177. Petitions for administrative hearing on the above application(s) must be filed within twenty -one (21) days of publication of this notice or within twenty - six (26) days of the District depositing notice of this intent in the mail for those persons to whom the District mails actual notice. Failure to file a petition within this time period shall constitute a waiver of any right(s) such person(s) may have to request an administrative determination (hearing) under sections 120.569 and 120.57, F.S., concerning the subject permit. Petitions that are not filed in accordance with the above provisions are subject to dismissal. Because the administrative hearing process is designed to formulate final agency action, the filing of a petition means that the District's final action may be different from the position taken by it in this notice of intent. Persons whose substantial interests will be affected by any such final decision of the District on the applicant have the right to petition to become a party to the proceeding, in accordance with the requirements set forth above. Revised Sep[emba 8, 2000 W /pds/daWHoldm of General Permits Legal Advertising P. O. Box 806 Gainesville, FL 32602 352. 377- 2444Aax 352 -338 -1986 BAKER Baker County Press Legal Advertising P. O. Box 598 Maclenny, FL 32063 904.259.24004ax 904. 259.6502 BRADFORD Bradford County Telegraph Legal Advertising P. O: Drawer A Starke, FL 32901 904- 964- 8305/fax 904 - 964 -8628 BAEVARD Florida Today, Legal Advertising P. O. Box 419000 Melbourne, FL 32941 -9000 321.2423500/fax 321- 242 -6618 CLAY Clay Today, Legal Advertising 1560 IeJnsley Ave., Suite 1 Orange Park, FL 32073 904- 2643200/fax 904.269 -6958 DUVAL Florida Times Union Legal Advertising i Riverside Avenue Jacksonville, FL 32202 904- 359- 4321Aax 904 - 359.4180 FLAGLER Flagler Tribune, Go News Journal Revised September 8, 2000 HJpds/dam/Holden of General Permits P. O. Box 2831 Daytona Beach, FL 32120.2831 386- 252 -1511 /tax 386 -252 -6735 INDIAN RIVER Vero Beach Press Journal Legal Advertising P. O. Box 1268 Vero Beach, FL 32961 -1268 772. 978- 22141lax 772- 978 -2340 LAKE Daily Canmercial Legal Advertising P. O. Drawer 490007 Leesburg, FL 34749 352. 787.0902 /fax 352-M-1 951 MARION Ocala Star Banner, Legal Advertising 2121 SW 19 Avenue Road Ocala, FL 34474 352. 867.4010 /fax 352 - 867.4126 NASSAU News - Leader, Legal Advertising P. O. Box 766 Fernandina Beach, FL 32035 904- 261.3696/lax 904 -261 -3698 OKEECHOSEE Okeechobee News Legal Advertising P. O. Box 639 Okeechobee, FL 34973.0639 863- 763- 3134/fax 863 -763 -5901 ORANGE Sentinel Communications Legal Advertising 633 N. Orange Avenue Orlando, FL 32801 407- 420- 5160/fax 407-420 -5011 4 OSCEOLA Little Sentinel Legal Advertising 633 N. Orange Avenue Orlando, FL 32801 407- 420- 5160/fax 407.420 -5011 POLK Lakeland Ledger Publishing Go. Legal Advertising P. O. Box 408 Lakeland, FL 33802 863802.7355/fax 883 -802 -7814 PUTNAM Palatka Dally News Legal Advertising P. O. Box 777 Palatka, FL 32178 386312- 5200/tax 386312 -6664 5 JOHNS I. Augustine Record Legal Advertising P. O. Box 1630 St. Augustine, FL 32085 904- 829.6562 /fax 904 - 819 -3559 SEMINOLE Seminole Herald Legal Advertising 300 North French Avenue Sanford, FL 32771 407322- 2611/fax 407.323.9408 VOLUSIA News Journal Corporation Legal Advertising P. O. Box 2831 Daytona Beach, FL 32120.2831 386. 252.1511 /fax 386- 255 -6735 ALACHUA The Alachua County Record Legal Advertising P. O. Box 806 Gainesville, FL 32602 352. 377- 2444Aax 352 -338 -1986 BAKER Baker County Press Legal Advertising P. O. Box 598 Maclenny, FL 32063 904.259.24004ax 904. 259.6502 BRADFORD Bradford County Telegraph Legal Advertising P. O: Drawer A Starke, FL 32901 904- 964- 8305/fax 904 - 964 -8628 BAEVARD Florida Today, Legal Advertising P. O. Box 419000 Melbourne, FL 32941 -9000 321.2423500/fax 321- 242 -6618 CLAY Clay Today, Legal Advertising 1560 IeJnsley Ave., Suite 1 Orange Park, FL 32073 904- 2643200/fax 904.269 -6958 DUVAL Florida Times Union Legal Advertising i Riverside Avenue Jacksonville, FL 32202 904- 359- 4321Aax 904 - 359.4180 FLAGLER Flagler Tribune, Go News Journal Revised September 8, 2000 HJpds/dam/Holden of General Permits P. O. Box 2831 Daytona Beach, FL 32120.2831 386- 252 -1511 /tax 386 -252 -6735 INDIAN RIVER Vero Beach Press Journal Legal Advertising P. O. Box 1268 Vero Beach, FL 32961 -1268 772. 978- 22141lax 772- 978 -2340 LAKE Daily Canmercial Legal Advertising P. O. Drawer 490007 Leesburg, FL 34749 352. 787.0902 /fax 352-M-1 951 MARION Ocala Star Banner, Legal Advertising 2121 SW 19 Avenue Road Ocala, FL 34474 352. 867.4010 /fax 352 - 867.4126 NASSAU News - Leader, Legal Advertising P. O. Box 766 Fernandina Beach, FL 32035 904- 261.3696/lax 904 -261 -3698 OKEECHOSEE Okeechobee News Legal Advertising P. O. Box 639 Okeechobee, FL 34973.0639 863- 763- 3134/fax 863 -763 -5901 ORANGE Sentinel Communications Legal Advertising 633 N. Orange Avenue Orlando, FL 32801 407- 420- 5160/fax 407-420 -5011 4 OSCEOLA Little Sentinel Legal Advertising 633 N. Orange Avenue Orlando, FL 32801 407- 420- 5160/fax 407.420 -5011 POLK Lakeland Ledger Publishing Go. Legal Advertising P. O. Box 408 Lakeland, FL 33802 863802.7355/fax 883 -802 -7814 PUTNAM Palatka Dally News Legal Advertising P. O. Box 777 Palatka, FL 32178 386312- 5200/tax 386312 -6664 5 JOHNS I. Augustine Record Legal Advertising P. O. Box 1630 St. Augustine, FL 32085 904- 829.6562 /fax 904 - 819 -3559 SEMINOLE Seminole Herald Legal Advertising 300 North French Avenue Sanford, FL 32771 407322- 2611/fax 407.323.9408 VOLUSIA News Journal Corporation Legal Advertising P. O. Box 2831 Daytona Beach, FL 32120.2831 386. 252.1511 /fax 386- 255 -6735 FORM EN - 44 40C -42, F.A.C. AS -BUILT CERTIFICATION PERMIT NUMBER: PROJECT NAME: I HEREBY CERTIFY THAT ALL COMPONENTS OF THIS STORMWATER MANAGEMENT SYSTEM HAVE BEEN BUILT SUBSTANTIALLY IN ACCORDANCE WITH THE PERMITTED PLANS AND SPECIFICATIONS. THESE DETERMINATIONS HAVE BEEN BASED UPON ON -SITE OBSERVATION OF THE SYSTEM CONDUCTED BY ME OR BY MY AUTHORIZED AGENT. SIGNATURE NAME (Please Print) TITLE DATE COMPANY /AGENCY COMPANY /AGENCY ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER WITHIN 30 DAYS OF COMPLETION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO: DIVISION OF PERMIT DATA SERVICES ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 PALATKA, FL 32178 -1429 FORM 40C- 1.191(14) EFFECnVE 321193 FORM EN-45 4OC -4, F.A.C. 4OC -42, FA.C. MSSW /STORMWATER AS -BUILT CERTIFICATION BY A REGISTERED PROFESSIONAL* PERMIT PROJECT NAME: INSPECTION DATE(S): I HEREBY CERTIFY THAT ALL COMPONENTS OF THIS STORMWATER MANAGEMENT SYSTEM HAVE BEEN BUILT SUBSTANTIALLY IN ACCORDANCE WITH THE APPROVED PLANS AND SPECIFICATIONS AND IS READY FOR INSPECTION. ANY SUBSTANTIAL DEVIATIONS (NOTED BELOW) FROM THE APPROVED PLANS AND SPECIFICATIONS WELL NOT PREVENT THE SYSTEM FROM FUNCTIONING IN COMPLIANCE WITH THE REQUIREMENTS OF CHAPTERS 40C4, 40C -41, OR 4OC -42, F.A.C. (AS APPLICABLE), WHEN PROPERLY MAINTAINED AND OPERATED. THESE DETERMINATIONS HAVE BEEN BASED UPON ON-SITE OBSERVATION OF THE SYSTEM CONDUCTED BY ME OR BY MY DESIGNEE UNDER MY DIRECT SUPERVISION AND /OR MY REVIEW OF AS -BUILT PLANS CERTIFIED BY A REGISTERED PROFESSIONAL OR LAND SURVEYOR LICENSED IN THE STATE OF FLORIDA. NAME (please print) COMPANY NAME COMPANY ADDRESS CITY, STATE, ZIP CODE SIGNATURE OF PROFESSIONAL FLORIDA REGISTRATION NUMBER DATE TELEPHONE NUMBER (Affix Seal) SUBSTANTIAL DEVIATIONS FROM THE APPROVED PLANS AND SPECIFICATIONS: (NOTE: ATTACH TWO COPIES OF AS -BUILT PLANS WHEN THERE ARE SUBSTANTIAL DEVIATIONS) WITHIN 30 DAYS OF INSPECTION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO: DIVISION OF PERMIT DATA SERVICES ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 PALATKA, FL 32178 -1429 * A REGISTERED PROFESSIONAL IS DEFINED IN SUBSECTION 40C- 42.021(1) AS "A PROFESSIONAL REGISTERED IN FLORIDA WITH THE NECESSARY EXPERTISE IN THE FIELDS OR HYDROLOGY, DRAINAGE, FLOOD CONTROL, EROSION AND SEDIMENT CONTROL, AND STORMWATER POLLUTION CONTROL TO DESIGN AND CERTIFY STORMWATER MANAGEMENT SYSTEMS ". EXAMPLES OF REGISTERED PROFESSIONALS MAY INCLUDE PROFESSIONAL ENGINEERS LICENSED UNDER CHAPTER 471, F.S., PROFESSIONAL LANDSCAPE ARCHITECTS LICENSED UNDER CHAPTER 481, F.S., AND PROFESSIONAL GEOLOGISTS LICENSED UNDER CHAPTER 492, F.S., WHO HAVE THE REFERENCED SKILLS. FORM 40C- 1.181(13) EFFECTIVE 3/21193 FORM EN-46 4OC4, F.A.C. 40C41, F.A.C. 40C40, F.A.C. PERMIT NUMBER: PROJECT NAME: INSPECTION DATE(S): INSPECTION RESULTS: (CHECKONE) I HEREBY VERIFY THAT 1 OR MY DESIGNEE UNDER MY DIRECT SUPERVISION HAVE INSPECTED THE SYSTEM AT THE ABOVE REFERENCED PROJECT AND THAT THE SYSTEM APPEARS TO BE FUNCTIONING IN ACCORDANCE WITH THE REQUIREMENTS OF THE PERMIT AND CHAPTERS 40C-4,40C-41, OR 4OC 42, F.A.C., (AS APPLICABLE). THE FOLLOWING NECESSARY MAINTENANCE WAS CONDUCTED: I HEREBY CERTIFY THAT 1 OR MY DESIGNEE UNDER MY DIRECT SUPERVISION HAVE INSPECTED THE SYSTEM AT THE ABOVE REFERENCED PROJECT AND THAT THE SYSTEM DOES NOT APPEAR TO BE FUNCTIONING IN ACCORDANCE WITH THE REQUIREMENTS OF THE PERMIT AND CHAPTERS 4012-4, 40C -41, OR 40C -42, F.A.C., (AS APPLICABLE). I HAVE INFORMED THE OPERATION AND MAINTENANCE ENTITY OF THE FOLLOWING: (A) THAT THE SYSTEM DOES NOT APPEAR TO BE FUNCTIONING PROPERLY, (B) THAT MAINTENANCE IS REQUIRED TO BRING THE SYSTEM INTO COMPLIANCE, AND (C) IF MAINTENANCE MEASURES ARE NOT ADEQUATE TO BRING THE SYSTEM INTO COMPLIANCE, THE SYSTEM MAY HAVE TO BE REPLACED OR AN ALTERNATIVE DESIGN CONSTRUCTED SUBSEQUENT TO DISTRICTS' APPROVAL. NAME (please print) COMPANY NAME COMPANY ADDRESS CITY, STATE, ZIP CODE TELEPHONE NUMBER SIGNATURE OF PROFESSIONAL FLORIDA REGISTRATION NUMBER DATE (Affix Seal) WITHIN 30 DAYS OF COMPLETION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO: DEPARTMENT OF RESOURCE MANAGEMENT DIVISION OF PERMIT DATA SERVICES ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 PALATKA, FL 32178 -1429 * A REGISTERED PROFESSIONAL IS DEFINED IN SUBSECTION 40C- 42.021(l) AS "A PROFESSIONAL REGISTERED IN FLORIDA WITH THE NECESSARY EXPERTISE IN THE FIELDS OR HYDROLOGY, DRAINAGE, FLOOD CONTROL, EROSION AND SEDIMENT CONTROL, AND STORMWATER POLLUTION CONTROL TO DESIGN AND CERTIFY STORMWATER MANAGEMENT SYSTEMS ". EXAMPLES OF REGISTERED PROFESSIONALS MAY INCLUDE PROFESSIONAL ENGINEERS LICENSED UNDER CHAPTER 471, F.S., PROFESSIONAL LANDSCAPE ARCHITECTS LICENSED UNDER CHAPTER 481, F.S., AND PROFESSIONAL GEOLOGISTS LICENSED UNDER CHAPTER 492, F.S., WHO HAVE THE REFERENCED SKILLS. MSSW STORMWATER REGISTERED PROFESSIONAL'S* INSPECTION REPORT FORM 40C- 1.181(15) EFFECTIVE 3121/93 FORM ENA7 40C -02 F.A.C. STATEMENT OF INSPECTION REPORT PERMIT NUMBER: PROJECT NAME: INSPECTION DATE(S): STORMWATER MANAGEMENT SYSTEM INSPECTION RESULTS: (CHECK ONE) I HEREBY VERIFY THAT 1 OR MY AUTHORIZED AGENT HAVE INSPECTED THE SYSTEM AT THE ABOVE REFERENCED PROJECT AND THAT IT APPEARS TO BE FUNCTIONING ACCORDING TO THE REQUIREMENTS OF THE PERMIT AND CHAPTER 40C -42, F.A.C. THE FOLLOWING NECESSARY MAINTENANCE WAS CONDUCTED: _ I HEREBY CERTIFY THAT I OR MY AUTHORIZED AGENT HAVE INSPECTED THE SYSTEM AT THE ABOVE REFERENCED PROJECT AND THAT THE SYSTEM DOES NOT APPEAR TO BE FUNCTIONING IN COMPLIANCE WITH THE REQUIREMENTS OF THE PERMIT AND CHAPTER 40C -42, F.A.C. I UNDERSTAND THE FOLLOWING: (A) THAT MAINTENANCE IS REQUIRED TO BRING THE SYSTEM INTO COMPLIANCE, AND (B) IF MAINTENANCE MEASURES ARE NOT ADEQUATE TO BRING THE SYSTEM INTO COMPLIANCE, THE SYSTEM MAY HAVE TO BE REPLACED OR AN ALTERNATIVE DESIGN CONSTRUCTED SUBSEQUENT TO DISTRICT APPROVAL. I WILL CONDUCT THE FOLLOWING MAINTENANCE WITHIN 15 DAYS: SIGNATURE NAME (please print) COMPANY /AGENCY NAME WITHIN 30 DAYS OF INSPECTION OF THE SYSTEM, SUBMIT TWO COPIES OF THIS FORM TO: DIVISION OF PERMIT DATA SERVICES ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 PALATKA, FL 32178 -1429 DATE PHONE FORM 40C- 1.181(16) EFFECTIVE 3/21193 a ST. JOHNS RIVER WATER MANAGEMENT DISTRICT CONSTRUCTION COMMENCEMENT NOTICE ST. JOHNS RIVER WATER MANAGEMENT DISTRICT POST OFFICE BOX 1429 PALATKA, FL 32178 -1429 PROJECT: I hereby notify the St. Johns River Water Management District that the construction of the surface water management system authorized by Environmental Resource Permit No. has commenced/is expected to commence on 20 , and will require a duration of approximately _ months weeks days to complete. It is understood that should the construction term extend beyond one year, I am obligated to submit the Annual Status Report for Surface Water Management System Construction form no. 40C- 4.900(4). PHASE: PLEASE NOTE: If the actual construction commencement date is not known, District staff should be so notified in writing in order to satisfy permit conditions. Permittee's or Authorized Agent's Signature Title and Company Date Phone Form No. 40C4.900(3) Address EXCEPTIONS REPORT FOR STORMWATER MANAGEMENT SYSTEMS OUT OF COMPLIANCE Project Name: Permit Number: Inspection Date(s): Item(s) Not In Compliance: Proposed Corrective Action(s) to Bring the System Into Compliance: Contact Person: Phone: Signature: Date: Address: Within 14 days of inspection of the system, submit two copies of this form to a local SJRWMD Service Center or: Department of Permit Data Services St. Johns River Water Management District PO Box 1429 Palatka, FL 32178 -1429 District Form No. 40C- 42.900(6)