Environmental Protection and Growth Management Department

Environmental Licensing and Building Permitting Division

1 North University Drive, Suite 201-A • Plantation, Florida 33324 • 954-519-1483 • FAX 954-519-1412

APPLICATION TO CONSTRUCT/MODIFY

A WASTEWATER TREATMENT PLANT

All items MUST be completed in full, and typed or printed in ink. All Signatures MUST be original.

Project Information

Project Name File No

Street Address of WWTP

City Zip Code

Section Township Range

Will this construction/modification increase the capacity of an existing plant? Yes No

If new, what is the expected WWTP capacity? MGD

If an expansion, what is the increase in the capacity of the plant?

What will be the overall capacity of the plant? MGD AADF or TMADF

What is the estimated date of initiation of construction/modification?

What is the expected date of completion?

Applicant Information

Applicant Name

Title Owner Officer Agent-needs authorization letter

Telephone No. e-mail

Agency Name

Agency Address Suite

City State Zip Code

Engineer of Record / Project Engineer

Telephone No. e-mail

Submittal Requirements

  • An 8 ½" X 11" sketch(s) which clearly delineates the specific site location. Define anything of an environmental nature (I.E., wetlands, wellfields, contamination, etc.) on or adjacent to the construction site.
  • One (1) set of engineering drawings, 11” x 17” drawings preferred; as prepared by a Florida Registered Professional Engineer.
  • Basis of Design calculations and documents, as prepared by a Florida Registered Professional Engineer.
  • A Brief synopsis of plant construction/modification.
  • Appropriate fee. Submit a check payable to the Broward County Board of County Commissioners.

NOTE: Please contact the Florida Department of Environmental Protection for the State construction permit.

WWTP Construction License Fees

(Per Broward County Code, Chapter 40.23, effective 10/01/07)

For Section 27-201(a)(5), Wastewater Treatment Plants Fee

(a)Proposed Wastewater Treatment Plants Construction Phase License Fee:

(1)Per gallon of design capacity...... $0.05

(2)Minimum fee shall not be less than...... $500.00

(3)Maximum fee no more than...... $8,200.00

(b)Proposed Modifications License Fee:

(1)Proposed modification or revision that does not change design capacity...... $900.00

(2)Modification to Advanced Wastewater Treatment or Spray Irrigation

a)Per gallon of design capacity (17 mills)...... $0.017

b)This fee shall not be less than...... $165.00

c)Nor more than...... $3,280.00

Submit a check payable to the BROWARD COUNTY BOARD OF COUNTY COMMISSIONERS

Signatures of Project Principals

The undersigned agree to comply with Chapter 27 of the Broward County Code of Ordinances. Construction/modification of a domestic wastewater treatment plant without a valid Broward County License is a violation of County Rules and Regulations, and may be subject to enforcement action resulting in civil penalties and/or fines.

A.Applicant Name/Title

Signature Date

B.Waste Water Treatment Plant Authority/Title

Signature Date

C. PROFESSIONAL ENGINEER REGISTERED IN FLORIDA:

I hereby certify that the engineering features of this wastewater treatment system have been designed by me in accordance with Chapter 27 of the Broward County Code of Ordinances and Chapter 62-600 of the Florida Administrative Code.

Name (please type)Florida Registration No.

Signature of EngineerCompany Name

DateCompany Address

(Affix Seal)

CityZip

Page 1 of 2

Form WWTP con/mod --- March 2014