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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
WATER DIVISION
1. Applicant Information
First Name
*
Last Name
*
Company Name (if applicable)
Street Address
*
City
*
State
*
Zip Code
*
Telephone Number
*
Email Address
*
2. Professional Engineer Information
First Name
Last Name
Company Name (if applicable)
Street Address
City
State
Zip Code
Telephone Number
Email Address
3. Project Information
Project Name
*
Project Location (Nearest Cross Streets)
*
Project/Permit Number
Project Description
*
4. Application Type
Water Type
*
🛈
Domestic Wastewater
Industrial Wastewater
Application/Payment Type
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Notification/Application for Constructing a Domestic Wastewater Collection/Transmission System
Wastewater Facility Or Activity Permit – Domestic Wastewater
Request For Approval To Place a Domestic Wastewater Collection/Transmission System Into Operation
Notification of Completion of Construction For Wastewater Facilities Or Activities
Other
Other
Notification/Application for Construction Fee (Choose one only)
*
Individual Permit <3500 gpd - $300
Individual Permit >=3500 gpd - $500
General Permit - $250
Permit Modification - $250
EPC Collection Systems Certification Review Fee
*
Certification Review Fee - $340
Domestic Wastewater Facility Type
*
Wastewater Treatment Plant - Delegated
Wastewater Treatment Plant - Non-Delegated
Residuals/Septage Management Facility - Delegated
Wastewater Facility – New Permit with Preliminary Design Report (Choose one only)
Type I (0.5 MGD and Greater) - $10,000
Type II (0.1 MGD – <0.5 MGD) - $6,750
Type III (0.01 MGD – <0.1 MGD) - $2,200
Type IV (2,000 GPD – <10,000 GPD) - $1,800
Wastewater Facility – Renewal or New Permit w/o Preliminary Design Report (Choose one only)
Type I (0.5 MGD and Greater) - $5,000
Type II (0.1 MGD – <0.5 MGD) - $3,000
Type III (0.01 MGD – <0.1 MGD) - $1,000
Type IV (2,000 GPD – <10,000 GPD) - $600
Substantial Revision With Increase in Permitted Capacity (Choose one only)
Type I (0.5 MGD and Greater) - $5,000
Type II (0.1 MGD – <0.5 MGD) - $3,750
Type III (0.01 MGD – <0.1 MGD) - $1,200
Type IV (2,000 GPD – <10,000 GPD) - $1,200
Substantial Revision Without Increase in Permitted Capacity (Choose one only)
Type I (0.5 MGD and Greater) - $2,500
Type II (0.1 MGD – <0.5 MGD) - $1,875
Type III (0.01 MGD – <0.1 MGD) - $600
Type IV (2,000 GPD – <10,000 GPD) - $600
Minor Revision (Choose one only)
Type I (0.5 MGD and Greater) - $500
Type II (0.1 MGD – <0.5 MGD) - $300
Type III (0.01 MGD – <0.1 MGD) - $100
Type IV (2,000 GPD – <10,000 GPD) - $100
Change Improvement Schedule - $0
Type I Residuals/Septage Management Facility Application (greater than 1653 dry tons per year) (Choose one only)
New Permit with Preliminary Design Report - $15,000
Permit Renewal or New Permit w/o Preliminary Design Report - $7,500
Substantial Revision w/ Increased Capacity - $7,500
Substantial Revision w/o Increased Capacity - $3,750
Minor Revision - $1,500
Type II Residuals/Septage Management Facility Application (320 to 1653 dry tons per year) (Choose one only)
New Permit with Preliminary Design Report - $8,000
Permit Renewal or New Permit w/o Preliminary Design Report - $4,000
Substantial Revision w/ Increased Capacity - $4,000
Substantial Revision w/o Increased Capacity - $2,000
Minor Revision - $800
Type III Residuals/Septage Management Facility Application (less than 320 dry tons per year) (Choose one only)
New Permit with Preliminary Design Report - $2,200
Permit Renewal or New Permit w/o Preliminary Design Report - $1,000
Substantial Revision w/ Increased Capacity - $1,200
Substantial Revision w/o Increased Capacity - $600
Minor Revision - $200
Permitted Capacity
Type I (0.5 MGD and Greater)
Type II (0.1 MGD – <0.5 MGD)
Type III (0.01 MGD – <0.1 MGD)
Domestic Wastewater Facility Application (Type I Facility) (Choose one only)
Preliminary Design Report Review - $3,600
Permit Renewal - $3,800
Substantial Modification - $2,200
Minor Modification Involving Construction Activity - $1,000
Domestic Wastewater Facility Application (Type II Facility) (Choose one only)
Preliminary Design Report Review - $3,600
Permit Renewal - $3,800
Substantial Modification - $2,200
Minor Modification Involving Construction Activity - $1,000
Domestic Wastewater Facility Application (Type III Facility) (Choose one only)
Preliminary Design Report Review - $3,600
Permit Renewal - $2,600
Substantial Modification - $2,200
Minor Modification Involving Construction Activity - $1,000
Transfer of a Wastewater Facility or Activity Permit
Transfer - $50
Application Type
*
Wastewater Facility Or Activity Permit – Industrial Wastewater
Notification of Completion of Construction For Wastewater Facilities Or Activities
Other
Other
Permit Number
*
🛈
Industrial Facility Type
*
Delegated
Non-Delegated
Application to Discharge Process Wastewater from New or Existing Industrial Wastewater Facilities to Ground Water – Form 2CG (Permits for Group 2 Industrial Wastewater Facilities ) (Choose one only)
New Facility Permit - $8,000
Permit Renewal - $4,000
Substantial Revision w/ Increased Capacity - $4,000
Substantial Revision w/o Increased Capacity - $2,000
Minor Revision - $800
Application to Discharge Process Wastewater from New or Existing Industrial Wastewater Facilities to Ground Water – Form 2CG (Permits for Group 3 Industrial Wastewater Facilities ) (Choose one only)
New Facility Permit - $4,000
Permit Renewal - $2,000
Substantial Revision w/ Increased Capacity - $2,000
Substantial Revision w/o Increased Capacity - $1,000
Minor Revision - $400
Permit Renewal for Industrial Wastewater Treatment Facilities not listed in Industry Categories not specified in Groups 1 through 3 with non-surface water discharge (Choose one only)
Design daily flow of greater than 500,000 gpd - $4,000
Design daily flow of greater than 100,000 gpd up to 500,000 gpd - $2,500
Design daily flow of greater than 50,000 gpd up to 100,000 gpd - $1,500
Design daily flow of 50,000 gpd or less - $750
Application for Permit to Operate a Non-Discharge/Closed Loop Recycle System - Form 2CR (Recycling Facilities) (Choose one only)
Facilities recycling greater than 10,000 gpd
Facilities recycling 10,000 gpd or less
Application Type (Recycling Facilities, Group 9a) (Choose one only)
New Facility Permit - $1,000
Permit Renewal - $500
Substantial Revision w/ Increased Capacity - $500
Substantial Revision w/o Increased Capacity - $250
Minor Revision - $250
Application Type (Recycling Facilities, Group 9b) (Choose one only)
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New Facility Permit - $200
Permit Renewal - $100
Substantial Revision w/ Increased Capacity - $100
Substantial Revision w/o Increased Capacity - $50
Minor Revision - $50
Application for a Minor Revision to a Wastewater Facility or Activity Permit (Choose one only)
Facilities which do not discharge (Recycling Facilities) - $100
All other Facilities - $250
Application for Transfer of a Wastewater Facility or Activity Report
Transfer - $50
Non-Delegated Facility Type
*
Major Facilities
Minor Facilites
Notification/Application (Major Facilities) (Choose one only)
*
Preliminary Design Report (New Facility) - $4,500
Permit Renewal - $4,400
Substantial Modification - $2,100
Minor Modification - $1,300
General Permits - $530
Notification/Application (Minor Facilities) (Choose one only)
*
New Facility Permit - $1,750
Permit Renewal - $1,750
Substantial Modification - $2,100
Minor Modification - $1,300
General Permits - $350
** Additional fees may be required. Please contact EPC for all non-delegated and/or other wastewater facility fee amounts not listed above.
*Starting July 1, 2018, application fees for all Notification/Application for Constructing a Domestic Wastewater Collection/Transmission System applications
MUST
include an additional certification review fee of $340 per EPC Rule 1-6.04A.2(c).
*Online completion of applications cannot be made using this application submittal site. To
obtain copies of application forms and other permitting documents for use in completing
electronic and/or digital PDF submittals to EPC, please use the link provided below:
https://floridadep.gov/water/domestic-wastewater/content/domestic-wastewater-forms
https://floridadep.gov/water/industrial-wastewater/content/industrial-wastewater-forms-list
If you need someone from permitting to contact you, please select the reason below:
I'm not sure which application/option I should pick.
I don't believe the calculated fees are correct.
The application and/or fee I need to submit is not available on this form.
Other:
Other:
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 SUBMIT this request form, you will receive an email with a submittal reference #, applicable payment instructions and the email address to send your document(s).