MTP55 - Application for Mangrove Trimming Permit

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

www.epchc.org

MTP55 - Application for Mangrove Trimming Permit

This Environmental Protection Commission application is for proposed trimming pursuant to section 1-14.06 or section 1-14.07, Rules of the EPC.

Staff can provide assistance if you are unsure about what to trim or what options are available to you under EPC's mangrove rule. A mangrove trimming brochure is also available online at www.epchc.org and look for "Homeowner Guidelines for Trimming Mangroves" under "Publications" or by calling our office. Please contact us at (813) 627-2600 if you have any questions.

The fee for this application is $400. Please be advised, there may also be a possible compliance fee of $220 for each staged trim event. Incomplete applications, including the fee, will not be processed until all missing information is provided.

* Indicates a required field.

1. Property Owner Information

First Name *

Last Name *

Corporation, Association, or Agency Name (if applicable)

Mailing Address *

City *

State *

Zip Code *

Telephone Number(s) *

Email Address *

2. Project Site Information

Site Type: *

Single-family home

Multi-family residential

Commercial

Folio Numbers(s) *

Parcel ID: *

	Required
Section	Required
Township	Required
Range	Required

Address *

City *

3. Professional Mangrove Trimmer Information

As a Professional Mangrove Trimmer registered in Hillsborough County, I state that the work proposed in this application will be performed in compliance with Chapte 1-14, Rules of the Environmental Protection Commission of Hillsborough County, Mangrove Trimming and Preservation, and in accordance with the conditions set forth in the permit.

First Name *

Last Name *

Company Name

Mailing Address *

City *

State *

Zip Code *

Telephone Number(s) *

Email Address *

4. Agent Information (if different from above)

If an agent is applying on behalf of the property owner, an owner's authorization form must be signed by the property owner and submitted with this application. You can download the Owner's Authorization Form from EPC's website and then upload the form at the end of this application.

Are you using an Agent? *

Yes

Yes, agent is the above Professional Mangrove Trimmer.

No, I'm the property owner.

First Name *

Last Name *

Company Name

Mailing Address *

City *

State *

Zip Code *

Telephone Number(s)

Email Address *

5. Type of Trimming Proposed

Please indicate: *

Trimming pursuant to section 1-14.06, Rules of the EPC. The proposed trimming must be consistent with this section. - $400

Trimming pursuant to section 1-14.07, Rules of the EPC. Proposed trimming which exceeds the criteria provided within section 1-14.06. Must not be contrary to the public interest as provided in section 1-14.07, including cumulative impacts, and will require compensation pursuant to Chapter 1-11.08, Wetlands, Rules of the EPC.

Trimming/Alteration Review Type *

Single Family - $690

Commercial/Subdivision - $2,500

Note: Proposed alteration of mangroves will be reviewed pursuant to chapters 1-11, Wetlands, and 1-14, Mangrove Trimming and Preservation, Rules of the EPC, under a separate review process.

Email address to send invoice to: *

6. Project Description

A. Property Survey
Provide a property survey (in ONE FILE) clearly indicating the property boundaries and delineating the area to be trimmed. The property survey must include the extent of mangroves on the property, and the dimensions and location of the proposed trimming on the property (referenced to permanent structures on site if possible). Please include a north arrow. * 🛈

B. Aerial Photograph
Provide a true scaled aerial photograph clearly indicating the property boundaries and delineating the area to be trimmed. Please include a north arrow. (May be included within the ONE FILE submitted for A.) 🛈

C. How will the mangroves be trimmed? (Check one.)

Reduced in height, in feet:

from

Maintain upper canopy and create a "window," in feet, between:

from

If creating a "window," please include a scaled cross-section. 🛈

Other:

Describe

D. Provide any other information or documentation that you feel would be helpful to staff in evaluating your application. 🛈

E. Has a conservation easement or any other restriction been place on the property? *

Yes

Explain, if Yes:

F. Has a mangrove trimming, dock, or dredge and fill permit been previously issued for this property? *

Yes

Previous permits:

7. Terms of Agreement

OWNER / APPLICANT ACKNOWLEDGEMENT *

I am the property owner and applicant.

I am an agent filling out the application on behalf of the owner.

Instructions: Owner/Applicant must complete this authorization form. For multiple properties, please provide a separate form for each property. For business organizations (e.g. LLC, corporations, partnerships), this form must be signed by a person authorized to bind the organization. A business organization or person who has sufficient real property interest is required to authorize access to the property.

A. OWNER/APPLICANT ACKNOWLEDGEMENT

By signing below, I or the business organization, am applying for a permit(s)¹ to conduct the activity(ies) described in the application. I am familiar with the information contained in the application and represent that it is true, complete and accurate. I understand this is an application and not a permit, and that work prior to approval may be a violation. I understand that this application and any permit issued thereto, does not relieve me of any obligation for obtaining any other required federal, state, water management district or local permit prior to commencement of activities. I agree to operate and maintain the proposed activity in compliance with permits and laws, unless the EPC authorizes transfer of the permit to a different responsible entity. I understand that my application will not be processed if there is any missing, insufficient, or invalid information or insufficient fees. I understand I may have to provide any additional information/data that may be necessary to provide reasonable assurance of evidence to show that the proposed project will comply with applicable environmental standards/laws. I agree that upon written concurrence, the EPC may make changes to the application based on revised drawings and/or additional information provided by agent or applicant. I further agree EPC can unilaterally change non-substantive typographical errors. I understand that knowingly making any false statement or representation in this application is a violation of EPC Act and rules and may result in, among other things, revocation of the permit or denial of the application.

B. CERTIFICATION OF SUFFICIENT REAL PROPERTY INTEREST AND AUTHORIZATION FOR STAFF TO ACCESS THE PROPERTY *

By signing below, I certify that I, or the business organization, possess sufficient real property interest in or control over the land upon which the activities described in this application are proposed and that I have legal authority to grant permission to access those lands. I hereby grant permission, evidenced by my signature below, for staff of the EPC to access, inspect, and sample the lands and waters of the property as necessary for the review of the proposed works and other activities specified in this application. I authorize EPC, its agents, and assigns to enter the property as many times as may be necessary to make such review, inspection, and/ or sampling. Further, I agree to provide entry to the project site for such agents or personnel to monitor and inspect permitted work if a permit is granted.

C. DESIGNATION OF AUTHORIZED REPRESENTATIVE (IF APPLICABLE) *

By signing below, I authorize the representative listed below to act on my behalf, or on behalf of the organization, to process the application; to negotiate revisions; to accept or agree to conditions or stipulations; and to furnish, upon request, supplemental information in support of the application. In addition, I authorize the representative listed below to bind me, or the organization, to perform any requirements that may be necessary to procure the permit or authorization.

¹ The term “permit” is used generally herein to mean a permit, an authorization, a wetland delineation, etc. For a wetland delineation request, it is understood that this is not an application to impact wetlands or conduct activities in wetlands other surface waters

Authorized Representative Name *

Authorized Representative's Telephone *

Owner/Applicant Signature *

clear

Printed Name of Signature: *

Date (MM-DD-YYYY) * +

Business Organization (if applicable)

Title

Please download, complete and sign the Owner's Authorization Form. Then upload the signed authorization document here: *