HomeMy WebLinkAboutEnvironmental resource permitPart 2: Acknowledgement
I understand this form is being provided solely to seek verification of qualification to use one or more
Environmental Resource Permit (ERP) exemption(s), and that I am NOT requesting the Agency to
process this form as an application for a permit.
I understand that the Agency will make a reasonable effort to determine, within 30 days of receipt of this
form, whether the proposed activities qualify for an exemption. If they do not, the Agency will provide its
determination that the requested activity does not meet the terms and conditions of an ERP exemption, at
which time I may provide a new form with additional or modified information, or I may submit an
application for an ERP. In either case, denial of qualification to use an exemption will be made without
prejudice, pending submittal of clarification of any errors or omissions contained in this form or other
information that demonstrates compliance with the terms and nditio of the exem/lion.
Typed/Printed Name: Alex Parnell Signature: „-�Date:
Certification of Sufficient Real Property Interest and Authorization for Staff to Access to the
Property:
1 certify that:
1, or the person I represent, hereby certify that I, or that person, possess sufficient real property interest in
or control, as defined in Section 4.2.3(d) of Applicant's Handbook Volume I, over the land upon which
the activities described in this form are proposed, and that I have, or that landowner has given me, legal
authority to grant permission for staff of the Agency to access, inspect, and sample the lands and waters
of the property as necessary for the review of the proposed activities specified in this form. If such
sufficient real property interest is based on an entity having the power of eminent domain and
condemnation authority, Itwe shall make appropriate arrangements to enable staff of the Agency to
access, inspect, and sample the property as described above.
Typed/Printed Name: Alex Parnell Signature: Date: 6 a26),20
(Corporate Title if applicable)
Part 3: Submittal and Fees
This form and the appropriate fee should be submitted to the agency having regulatory authority for the activity.
Operating Agreements between the Department and the water management districts spell out which agency
will process any given application. For more information go to https://floridadep.gov/vwater/submerged-lands-
environ mental-resources-coordination/content/submitting-erp.
This form may be submitted online; to do so, follow the online submittal requirements of the agency:
• Florida Department of Environmental Protection:
http://www.fldepportal.com/go/
• Northwest Florida Water Management District:
https://permitting.sjrwmd.con/nwepermittingrjsp/start.jsp
• Suwannee River Water Management District:
https://permitting.sjrwmd.com/srepennittingrjsp/start.jsp
• St. Johns River Water Management District:
hops://permitting.sjrwmd.com/epermittingrjsplAccountOverview.do?command=init
• Southwest Florida Water Management District:
http://www.swfwmd.state.fl.us/permits/epermitting/
• South Florida Water Management District:
http://my.sfWrnd.gov/ePennitting/MainPage.do
Form 62-330.050(1) — Request for Verification of Exemption Under Rule 62-330.051, F.A.C.
Incorporated by reference in subsection 62-330.050(2), F.A.C. (June 1, 2018) Page 5 of 6