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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
WEA10: WETLAND NOTICED EXEMPT ACTIVITIES FORM

Submit this form to the EPC to provide notice of the exempt activities you intend to conduct as required in Section 1-11.11(1)(b), Wetlands, and/or Section 1-14.05(a), Mangrove Trimming and Preservation, Rules of the EPC.  If you would like a response confirming qualification for the exemption, a service fee of $100 is required.  If no response is requested, there is no service fee for this notice.

Request Written Response *

In order to facilitate the EPC verification review, please provide any drawings/site plan that show parcel boundaries, existing shoreline, wetland/other surface water boundary (ditch or pond) and/or location of proposed activities.

Please be advised an exemption allowed under EPC Rules does not release you from obtaining all proper permits or complying with regulations of other federal, state or local agencies.

Activities exempt from Chapter 1-11, Rules of the EPC, may require other permits such as a Florida Department of Environmental Protection (FDEP) Environmental Resource Permit (ERP).  The EPC has limited delegation from the FDEP to issue certain permits such as single-family ERP permits if the project is not associated with a larger plan of common development, a surface water management system or three or more contiguous parcels of land under single ownership where each parcel contains or is proposed to contain one or more dwelling units.

* Required Field

1.  CONTACT INFORMATION

APPLICANT

The Applicant must have real property interest over the land upon which the activities subject to this notice will be conducted. An applicant may be the property owner, the holder of a recorded easement, a buyer with a contract to purchase or an entity that possesses other equitable property interest that allows for modifications to the land and authorizes the Agency staff or its agents to access and inspect the property. Documentation that explains the type of property interest must be included with this notice.

Select Property Interest: *
Select Applicant Type: *
Applicant

PROPERTY OWNER

Property Owner

AUTHORIZED REPRESENTATIVE
e.g. Agent, Consultant, Contractor, Attorney, etc

Are you using an Authorized Representative? *

If a representative is submitting this notice on behalf of the Applicant, the Owner/Applicant Authorization form, which is located at the end of this notice (see Section 6), must be signed by the Applicant listed above.

Authorized Representative

2.  SITE INFORMATION

3.  PROPOSED NOTICED EXEMPTION PURSUANT TO CHAPTER 1-11,
RULES OF THE EPC (Wetlands)
(skip to Section 4 if Mangrove Trimming)

Thirty (30) calendar days after verified receipt by the Executive Director of written notice of the proposed activity, and upon no agency denial being issued, the following activities in wetlands and other surface waters shall be exempt from the application of Chapter 1-11 provided the activity is reviewed and approved by other appropriated agencies as necessary.

Select the exemption(s) you intend to utilize. Please refer to Section 1-11.11(1)(b) to ensure compliance with all conditions and limitations that apply:
* Section 1-11.11(2)(a-h): Conditions and limitations applicable to all of the above exempt activities:
  1. These exemptions do not apply to wetlands or other surface waters that serve as significant habitat, such as roosting, nesting or denning areas, for state listed threatened or endangered species.
  1. These exemptions do not apply to any filling activity using anything other than clean fill as defined in 62-701.200(32) or (15), 62.701.730(15), F.A.C.
  1. Development under these exemptions shall not cause offsite adverse impacts, including flooding, or otherwise affect the local hydrology so as to adversely affect other wetlands.
  1. These exemptions do not apply to wetlands created, enhanced or restored as mitigation for wetlands or other surface water impacts under a permit issued by the Executive Director, DEP, SWFWMD, or United States Army Corps of Engineers.
  1. Development under these exemptions shall include best management practices for erosion, turbidity and other pollution control to prevent violations of state or Commission water quality standards.
  1. These exemptions shall not apply to those artificial wetlands or surface waters which were constructed pursuant to a permit under Part IV, Chapter 373, F.S.
  1. These exemptions do not apply to activities reviewed under the Mangrove Trimming and Reservation Rule, Chapter 1-14.
  1. The above exemptions do not imply exemption from obtaining all proper permits or complying with regulations of other federal, state or local agencies

4.  PROPOSED MANGROVE TRIMMING NOTICED EXEMPTION PURSUANT TO CHAPTER 1-14, RULES OF THE EPC (Mangrove Trimming and Preservation)

Upon at least 10 days and no more than 30 days prior written notice being provide to the Executive Director the following activities are exempt from the permitting requirements of the Executive Director and any other provisions of law if no herbicide or other chemical is used to remove mangrove foliage.

Select the exemption(s) you intend to utilize. Please refer to Section 1-14.05(a) to ensure compliance with all conditions and limitations that apply.  If selecting option (3) or (4), documentation is required and must be submitted with this notification form. In most circumstances trimming mangroves below 6 feet in height will not be allowed.  A Professional Mangrove Trimmer (PMT) may be required.
Additional information for trimming mangroves

A. Has a conservation easement or any other restriction been placed on the property? *
B. Has a mangrove trimming, dock or dredge and fill permit been previously issued for this property? *

5. PLEASE PROVIDE A GENERAL DESCRIPTION OF THE WORK TO BE PERFORMED, INCLUDING COMMENTS.

Submit Necessary Documents


 


6.  OWNER/APPLICANT ACKNOWLEDGEMENT, AUTHORIZATION TO ACCESS PROPERTY, AND DESIGNATION OF AUTHORIZED REPRESENTATIVE

OWNER/APPLICANT ACKNOWLEDGEMENT *

Instructions: Owner/Applicant intending to use exemption must complete this section. For multiple persons submitting notice, please provide a separate notification form for each person. For business organizations (e.g. LLC, corporations, partnerships), the notification 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 notifying the EPC of my intent to use an exemption. I am familiar with the information contained in this form and represent that such information is true, complete and accurate. I understand this is a notice and not an application for a permit, and that work prior to EPC verification or beyond the scope of the exemption may be a violation. I understand that this form and any exemption verification 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 the law. I understand that my notice will not be processed if there is any missing, insufficient, or invalid information. I understand that knowingly making any false statement or representation in this form is a violation of the EPC Act and rules and may result in denial of the exemption.

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 notice 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 exempt activity specified in this notice. I authorize EPC, its agents, and assigns to enter the property as needed 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 the noticed exemption activity.

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 business organization, in the processing of this notification form; to provide supplemental information in support of the notice. In addition, I authorize the representative listed below to bind me, or the organization, to perform any requirements which may be necessary to qualify for the noticed exemption.



Owner/Applicant Signature * 🛈
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