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Okaloosa County BOCC — May 6, 2014 — reading text
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entity to properly operate and
maintain the system in perpetuity, and documentation of the entity's financial responsibility for 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 that 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
Form #62-346.900(1) – Joint Application for ERP/SSL Authorization/Federal D&F Permit in Northwest Florida, Section D, Page 5 of 11
Packet Pg. 195
adequate access to the system for maintenance purposes. Before 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.
B. 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.
VII. Water Use
If the stormwater management system will be used for water supply, including landscape irrigation, provide the reuse plans as set
forth in sSection 12 of Applicant’s Handbook Volume II.
Be advised that if you are proposing any consumptive uses of water, you may need applicable permits under Chapter 40A-2, F.A.C.
(March 27, 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
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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
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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
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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
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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
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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
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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
