HomeMy WebLinkAboutNPDES Generic Permit For Stormwater 5-13-21_ noPnr
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NOT CE OF INTENT Few
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TO USE
` t i P� '° NPDES GENERIC PERMIT FOR YSTORUWATM'
IS'CI-ARGE FRQIVY. LARGE Al D SMALL
en r
'� `° •` �: CQNSTRUCTION ACTIVITIES
Youj�usr submit this compleceil Notice. ofIntenfn(Ndn.form to.tle Department fo get coverage under the;fieneric Permttfor
Storinwater Discharge .from Large an& mall Construction Activittes.provided in sub5ecf:on 62-621 300(4), fiA C Tlie
.
Generic Permit document [DEP Doeum'ent b2 621300(4)(a)] tells you what coast uctiow,aetivity;guahfiesfor coverage, holy
you obtairY and terminate coverage, w q ,,you must do tantimmize pollution from your con struotion site,�and; what conditions
apply;to your project to use the genenc permit;, Yoa mast submit the pppropr�ate generic permit tee, as specified' in :
paragraph 62=4 O50(4)(d),::F;A C, ivith this,NOI For,.m kp abtaAn .permat�coverage You Xnusf read and ursderstand,tlie• • _
requirements of the,generic,permit document aril the;attached instructions :liefore•' ictmg this` 1VQI form Please print ; , . .
ar;type informa tl'on<ia tlie'appropriafe areas below.
For construction actrv.iHcs aiso regmrmg an;Indiv� iial I';iivtronmetital ResourcePermit;(ERP), under -hapter 62
330>i:A C.:
Ityo6i! TOnstMetIQA r(WIt►es:;are already authorized.by a'.valid IndividualER'P`.issued.by.;;the Deliartmen4t.Wafer
ManagementD�str�cf or a Delegated:Loeal'Government, you mayalso elect to 'use this':NQI form to',provIde the
.
required notice of commencement of; construction,'in lieu of Form 62 330,350(1},( Consiruction;`Commencemenf`
Not�ce'� ..
Bo you wish* _to also provide notace of commencement of construction actIvffles aatlior►zed under an :Individual ERP
perinpt through the use of this ioi Yes Q✓ No ..., :
L . IDENTIFICATION:NUMBER:.
,A. Facility ID (ifrenewmgcouerage) :
B. E0 Penmt Number* jif applicable)
C ERP;Permithng Ageney (ifapplicable):
*[f the ERP permit authonzes'phased cotstruetion, please.also indicate wh:chphase'. ; "
sm
II STORMWATER POLLUTION PREVENTION PLAN ($WPPP).DEVELQPED AND,READY TO BE
li1VIPI,EMENTED• ✓_ Yes . No "
*Tf No, you ma :not submit your,NOI at this time. .
III. ::1#PPL' ICANT I[YFORMATION: .
A OperatorNametMichael R Jimenez
* ERP Per ihtee dame (if different than `Operator"), if applicable Operator Status
B
C. Aaaress :74I A 8W 48th Street.
D C�tY'�lalY11 i; State:F Flip Code $
G ResponsibleAutlioiity IUJ chael :R .)Imenez:
Page l of 6 FLORIgA DEPARTMENT pF
:. DEP Form 62 C2X..300(4 6): „.ENVIRONI<'fElt}M PRO7EC7xE7PV
N TCE CENTER'...
A Cdiacte tghe e acresofland :Fee$40�eContu
-e- - hctioProetwill disturb:5 ormor
-P os 0
nRoa-
Cods uc oil ectc and �� 5ma11 Construdibn, (Pio�ect will disturb. brrtween 1 and:4.09 acres; ofaand, Fee $250)
B. Approximate fotaisarea of land disturbance from' commencement tugh;completion of coristnzction : �. 52 acres
'S1PPon
Address in-Part:M.above Address n:Part IV above
. '.
Otfier address; (specs below
fY.. -J
Dc�SWPPp:Address: ..
�:
.E. City E..State ; G Zip Code• '
1 4Cons ueE o ;P�e ` .StAA� ate JUIy 2021 Completion Date ,July 2022 .
VI..:-D���ATE�tI1�lG INFORIVEATION., .: ..
V. IL °DI$dlARGE.INFORIVI ITION:
A: A4S40eratorName if a hrable ,
p. ( PP ! )•.
13.ReceiVing..tV .Name _SFWMD G-25 Ganal
VIII.CERTIFICATIGIV' 6
T certify under penalty oflaw that this document and alhttachments were prepared un, er;my dtrectlon.or!supervision ..
accordance with a system designed to;assurethat qualified personnel properly:gather and eyaluke the fnfortnatlon __ __ " _
. subliiitted—Based on-m 1n ui othe erson or ersons,:who manage "the -system; or those persons directly responsible for. '
�p
gatWing the information, the tnformation submitted ls,;:to they est ofmy knowledge and.behef;:true, accurate and . .
complete. I am aware that there.:are slgnificant;penaltres-for subr itting:falseinfotanatfon,iricludinglhe.;possibility.offine
::and;imprlsonment for;knowing violations: . .....
Tf pravidtng notice of commencement of;constructton Fls required by an XndlvidutilEnvironmental;Resource,:Permit;l also:
certify thatl;aim.authoi•izeiibythe,P6rmittee (identt�ied.in PartMi A., atiove); to coinfience:cobstruetion activities.
'authorized byatiellRPPermft(identtfiedi:m Part'I:B.;:above)s.' ' . ... ' ' .. .. '
ILK
.... ,� ��, r��„�P�;,.` � ' � 1�&_� h,g.=.. rrµ—'�-'.�'�',,,�.�'r'''�1�.•�,���r ��� '��, '�`''+`�g- ��'��r��.,^xw.?�i •`�n x�y''-�r';:y�`7.�'"�"�Fni�'
SjiOnstble 1017ix Name, �ffiClal�i a (iiytle Orlfllt): d3 �Y s r to s155x r ry 4 an d
• r-�,�'?� ''a-ar. ...T ,;�F:� +cr"v-..�r-t -ro.,.�- .� �s s . `J � �'� 'K s r ,.•; �+r "6
Mich Jimenez Manager "
4 20` 2021
Responsible Atithq ity' Signatu Qate Sighed..
' Signatory requirements are contained in Ride 62-620.* j'F.A.C::.
.Page 3 of 6
R t
:. "1✓L4RIDA pEPA 7 q[zN7 4p ..
DEP;Fdrm.62 62t 3b(1(4)(6) ENVIROh1MENTALPR[)TI.Cn061
�ti�ctive'13afei02/2013 .: '
N Ay
NPDO STORMW T ER
... _ . .. .. :. .: NOTLGES-EENTit
Saral :Krishna,
•From:: no-reply@dep state:fl:us.
Sent: Uesday,.J�ne 8,, 2021 11:08 AM
r _ _...__.... _ .... ...
__...,-:�:_ ...._.._ .. __. mike@ex celconst�uctionik:com,
:....:.
Cc: ; mike@excelconstructionllc.com; Baral, Krishna
`Subject: Payment receipt;for.an,Application to;t40 FDEP-
Attachments...: .; ATT00001.bin
oEPARry M
^..O:
Ron e"Santis
C
a :
.. �.
Enaironmental ProteciOno
'b
Governor
I
.. :.
Jeanette Nunez i
Bob Martinez Center.
Lt. -Governor
.� �� 2600 Blair Stone''Road ..
o Tallahassee, Florida 32399-2400
MAN -AL.QR
j
Shawn. Hamilton 1
.:
:.Interim Secretary.:::
RecelptforPayment
_ ..
,June.08, 2021:... ....
Thank yo. u'for paying the outstanding balance-foryouur previously submitted application
i
-You have: paid $250 00. This represents payment,for,the' following Application
ARP iicatiori Details: .:'
I
Application:....
FLR20EN51001
I
t
'ID:
I
. Project;.., .
PROJECT NAME:
.Name:
Applicant
Uchael`Jlmenez
i
Name:
#
; Per mit'Type Construction Generic Dewatering:Small
:.
:.:.
Facili Site Details: iy/ • -
...
,
= ;
:Name:Project: Name:'. . _
Address: Address;on file
City, State :.
Fort PierceJL 34945
Zip::
Payment -.Details
1
?
.Remittance,
1452377
ID:
NOTICEOF RIGHTS,
This" action is final and effective on the date filed:with-the Clerk ofIhe D artm'p
ent.unless a etition,for
eP
an adm'imstrative hearing is°tim(,-ly fled under Sections,120 569 and 120:57, F S, before the;deadline for
filing a'petitio'n On, the fhng+of a timely and sufficient petition, this action will'not be final and" effective
until further order of the Deparhnent'Becai se the'administrative fiearmg proce'ss'is des"igned aoFforinulate
fnah'agency,. action, the hearing'process may result in a'modification'of,the agency',action,or-given, denial
of the application
Petitiom, orAdministrative,Heariria
A person whose %substantial interests are ;affected by�!the% Department's action maypetition. for ,an
adminikrative�proceeding :'(hearing) under: Sections :120.569-�and 12057, F:S-Pursuant to Rules'28-
106:201 andr,28 106 301, .F A C:,; a''petihonfovan administrative.'hearing must contain".ihe,,fol owing
information
(a) ; The name and address of each . agency affected and each agency's .file or': identif cation
number; if known ;
)`
The.;naime;. address, and, -telephone number of ,the°,petitioner the'•';name;, address, and
telephone riuinber' of he petitioner's representative, if.:ariy,which shallbe.tleaddressfor
service purposes during the:. course of .'the proceeding, Nand,,-. ;; explanation- of -how -the
petitioner's substantial `interests are' ;or wilfbe affected�by;the agency detemiiiiation;
(c) =;A,statement"of,when and h'ow the petitioner received "notice of;the agency decision;
:(d)'. A:statement;of all.`di'sputed�issues',of material fact: Ifah'ere are none ',tha petition' must so
indicate; .
'(e) ;,A concise 'statement.. of the ultimate 'facts 'Al16gdd,t,4hcludm the specific facts, that, the
petitionerAcontends warrant reversal or modification of the age1?ncy's roposed action;
-statement'of"the specific-rdles`or:''statutes •that"the.petitioner contends require reversal or
modification of,the'.'agency.'.s.proposed%action; includirig'an"expianation,of how:tl e-alleged '
fadis,'r6lat6 tojh&specifc rules,or statutes;,:and,",
(g) A statement' of the relief" sought. by'the' .petitioner;; stating; precisely.,, the, action :,that, the
petitioner wishes the; agency'to.take-w tl ,respect to theragency's:proposed action.
The petition must;be filed "(received by :'fhe ' Clerk) in'the "'Office of'`General' Counsel ' of 'the
Department at3900 Commonwealthtoulevard, M-, ail -Station 35,- Tallahassee;"F.londa;32;399=3000
or via;electroriic,.c`orf"espondence at:Agency_"Clerk@dep state:fl:us :Also, a,copy of:the;'petition
shall be mailed to the.a ' hcant at the address indicated`,'above;atahe time:;of.filing
pp
Tune `Penod:for<Filing. a .Petition;
In,'accordance'.'with Rule,-.62410:106(3),, FA C.,. petitions fort Aa administrative hearing .by, the,
applicant and,persons._entitled to written notice under Section 120:60(3) ,:F S must,h6.filed within
14 days of receipt "of this written notice Petitions f ledby any persons `other tlian;the applicant; and
other; than those entitled to written:notice`und6k ,Section ,20i60(3), F S ; must be' filed within 14
days of publication of the notiee or:within l4.days'of receipt'of the written riotice,,,.whichcver occurs
first The failure to file apetition w- fi, the;appropriate time perio constitute a- waiver
:of that
d shall'
ii
120 57 s F.Sht'or to intervener thnisspro eeding and atarficihat �as aura er Sections -;120:569. •:and
p p p rty to`it. Any :subsequent
" ° intervention,""„(in a• °,proceeding uiitiated •by: another. party) will be only; at, the: discretion of `"the
presiding officeriuporithe filing,of a;motionin compliance witli'Rule28-S06.205 ,F.A.C.
,Extension'of'Tim'e
Under':Rule:'262 110.106(4);.';F.A.G., " a ,person whose:: substantial,: -'interests, are. affected by the
Department':s;.actionrnay also request, an,extension''of.time�tofile a:petition for' an'adiriiriistrative