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

WNV15 - Application for Nuisance Vegetation
Removal in Wetlands

This application is for removing Nuisance/Exotic Vegetation in Wetlands as provided in Section 1-11.10(1)(b), Wetlands, Rules of the Environmental Protection Commission (EPC). A fee for this review is not required. Incomplete applications, including omission of required site plan drawings, will not be processed until all missing information is provided. Please attach drawings and other required documents. Drawings must show 1) parcel boundaries, 2) existing shoreline, 3) wetland boundary, and 4) location of proposed activities. Return completed notice to EPC, Attn: Wetlands Division, 3629 Queen Palm Drive, Tampa, FL 33619.

1. Owner Information

Owner

Request to be present at site inspection

First Name *

Last Name *

Company Name (if applicable)

Street Address *

City *

State *

Zip Code *

Owner Phone *

Fax

Email Address *

2. Agent Information (if applicable)

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

Agent

Request to be present at site inspection

First Name *

Last Name *

Company Name (if applicable)

Street Address *

City *

State *

Zip Code *

Phone *

Fax

Email Address *

3. Site Information

a. Folio Number of Site (if more than one Folio Number, seperate by comma): (xxxxxx.xxxx) *

b. Section/Township/Range (STR) of Site: *

c. Water Body Name (if applicable):

4. Nuisance Vegetation Information

a. Please provide a general location for the proposed activities. *

b. List the appropriate information including Plant Name, Control Method, and Herbicide name. Refer to EPC’s List of Nuisance Plants in Wetlands of Hillsborough County. For Control Method, please list the type of control method requested (Hand Removal, Herbicide, Mechanical).

	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools
-	Plant Name	Control Method	Herbicide or Tools

5. Comments

Please list any comments you may have in the area below.

Submit Document

Please submit a copy of your drawings. Drawings must show 1) parcel boundaries, 2) existing shoreline, 3) wetland boundary, and 4) location of proposed activities. Drawings are required and this application will be considered incomplete if drawings are not included. * 🛈

Terms of Agreement

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: *