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Okaloosa County BOCC — May 6, 2014 — FORM_62-346_900-11ERP applicationLongwood Park — reading text

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2006), from the NWFWMD. If required, the following information will need to be provided to the NWFWMD: A. If a Consumptive Use or Water Use permit has been issued for the project, provide the permit number. B. 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. C. Indicate how any existing wells located within the project site will be utilized or abandoned and the number proposed. D. Provide stormwater reuse plans if appropriate. Form #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida, Section D, Page 6 of 11 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 WL IMPACTS TO WL IMPACTED & SW & SW IMPACT SIZE IMPACT IMPACT SIZE IMPACT (acres) CODE (acres) CODE Boggy Submerged, .008 0 .008 F Bayou intertidal WL = Wetland; SW = Surface water; ID = Identification number, letter, etc. Wetland Type: Use an established wetland classification system and, in the comments section below, indicate which classification system is being used. Impact Code (Type): 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 listed 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 multiple wetland types and multiple impact codes are proposed in each type, then each proposed impact in each wetland type should be shown 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 #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida Section D, Page 7 of 11; Table 1, Page 1 of 1 TABLE 2 ON-SITE MITIGATION SUMMARY MITIGATION ID CREATION RESTORATION ENHANCEMENT WETLAND UPLAND OTHER 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 #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida Section D, Page 8 of 11; Table 2, Page 1 of 1 TABLE 3 OFF-SITE MITIGATION SUMMARY MITIGATION ID CREATION RESTORATION ENHANCEMENT WETLAND UPLAND OTHER 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 #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida Section D, Page 9 of 11; Table 3, Page 1 of 1 TABLE 4 DOCKING FACILITY SUMMARY Type of Structure* Type of Number of Length Width (feet) Height Total square Number of Work** Identical Docks (feet) (feet) feet over slips water TOTALS: Existing Proposed *Dock, Pier, Finger Pier, or other structure (please specify what Number of Slips type) **New, Replaced, Existing (unaltered), Removed, or Square Feet over the Altered/Modified water Use of Structure: Will the docking facility provide: Live-aboard Slips? If yes, Number: Fueling Facilities: If yes, Number: Sewage Pump-out Facilities? If yes, Number: Other Supplies or Services Required for Boating (excluding refreshments, bait and tackle) Yes No Type of Materials for Decking and Pilings (i.e., CCA, pressure treated wood, plastic, or concrete) Pilings Decking Proposed Dock-Plank Spacing (if applicable) Proposed Size (length and draft), Type, and Number of Boats Expected to Use or Proposed to be Mooring at the facility) Form #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida -- Section D, Page 10 of 11; Table 4, Page 1 of 1 Table 5: SHORELINE STABILIZATION IF YOU ARE CONSTRUCTING A SHORELINE STABILIZATION PROJECT, PLEASE PROVIDE THE FOLLOWING: Type of Length (in Length (in Length (in Length (in Slope: Width of the Stabilization feet) of New feet) of feet) of feet) of H: Toe (in feet) Being Done Replaced Repaired Removed V: 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 #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida--Section D, Page 11 of 11; Table 5, Page 1 of 1 SECTION F Application for Authorization to Use State-owned Submerged Lands Part 1: State-owned submerged lands title information (see Page 5 of 5 of this section for an explanation). Please read and answer the applicable questions listed below: A. I have a state-owned submerged lands title determination from the Division of State Lands which indicates that the proposed project is NOT ON state-owned 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 of Section G. B. I have a state-owned submerged lands title determination from the Division of State Lands which indicates that the proposed project is ON state-owned 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 information requested in Part II. Your application will be deemed incomplete until the requested information is submitted. C. I am not sure if the proposed project is on state-owned submerged lands (please check here).  If you have checked this box department staff will request that the Division of State Lands conduct a title determination. If the title determination indicates that the proposed project or portions of the project are located on state-owned submerged lands you will be required to submit the information requested in Part II of this application. The application will be deemed incomplete until the requested information is submitted. D. I am not sure if the proposed project is on state-owned submerged lands and I DO NOT WISH to contest the Department's findings (please check here). X  If you have checked this box refer to Part II of this application and provide the requested information. The application will be deemed incomplete until the requested information is submitted. E. It is my position that the proposed project is NOT on state-owned submerged lands (please check here).  If you have evidence that indicates that the proposed project is not on state-owned submerged lands please attach the documentation to the application. If the Division of State Lands title determination indicates that your proposed project or portion of your proposed project are on state-owned submerged lands you will be required to provide the information 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 Environmental Protection's Office of General Counsel. Your proposed project will be deemed incomplete until either the information requested in Part II is submitted or a legal ruling indicates that the proposed project is not on state-owned submerged lands. Part II: If you were referred to this section by Part I, please provide this additional information. Please note that if your proposed project is on state-owned submerged lands and the below requested information is not provided, your application will be considered incomplete. A. Provide evidence of title to the subject riparian upland property in the

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