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Environmental Protection Commission of Hillsborough County
Roger P. Stewart Center
3629 Queen Palm Drive · Tampa, FL 33619
Ph: (813) 627-2600 · Fax: (813) 627-2630
E-DOCUMENT SUBMITTAL REQUEST
WASTE DIVISION
1. Applicant (Project Manager) Information
First Name
*
Last Name
*
Company Name (if applicable)
Telephone Number
*
Email Address
*
2. Professional Engineer Information
First Name
*
Last Name
*
Company Name (if applicable)
Telephone Number
*
Email Address
*
3. Project Information
Project Name or FACID#
*
EPHC Project Manager (Optional)
*
4. Department
Department (Please Check One)
*
Storage Tanks
Solid/Hazardous Waste Or Activity Permit
Petroleum Clean up
Small Quantities Generator
Brownfields
Other
Other
Department Other
*
🛈
Storage Tanks
Wastewater Facility Or Activity Permit – Domestic Wastewater
Waste Cleanup (PRP and Non-program)
Small Quantities Generator
Brownfields
Above and Underground Storage Tanks (AST & UST)
*
Installation Application - $170
Tank Closure - No Fee
Terms of Agreement
Statement of Understanding
*
I certify that all of the information submitted is true and accurate. I further certify that I possess the authority to undertake the proposed activity.
After you've completed this Document Submittal Form, you will be sent an email with a submittal reference # and the applicable email address to send your document(s).