13-14. Appendix A General Permit TEM22057.pdf

ENVIRONMENTAL

MANAGEMENT PERMIT

PERMIT EXHIBITS: A Approved Site Plans

_____ Special Conditions that Apply to this Permit

_____ Other: ___________________________________________________

REQUIREMENTS: _____ Pre-Construction Conference _____ Conservation Easements

_____ Notice of Intent Form _____ Drainage Easements

_____ Stormwater Control Officer Form _____ NPDES/CGP

_____ Stormwater Facility Operating Permit _____ State ERP

_____ Compliance Report & Record Drawings

The application for this permit has been examined and approved as consistent with the City of Tallahassee

Land Development Code. This permit is issued upon the condition that the applicant will procure and comply with all other necessary Federal, State, and Local permits as well as all conditions listed on the back of this placard. Failure to comply with this condition shall be a violation of the Land Development

Code. Failure to conform to the terms and conditions of this permit shall constitute a violation punishable according to law.

Failure to post this permit in a conspicuous place on-site or failure to have the approved plans available on-site may result in the immediate issuance of a stop-work order. Permits may be extended beyond, or expire prior to the above indicated expiration date. The actual expiration date shall be determined in

Permit #:

Parcel Tax ID#(s):Project Name:

Location:

Permittee Name:

Agent:

Date Issued:

Expiration:

Extended Date:

Extension No.:

Inspector:

Phone #:

Phone #:

PERMIT INCLUDES THE FOLLOWING COMPONENTS:

Stormwater: Tree Protection & Removal: Landscape:GEN NN

2136401870010

TEM220057

COT UUPI Water & Sewer & COT Gas Utility General Permit

GEMINI ASSOCIATES LTD

07/12/2022

07/12/2025

Tim Culbreth

(850) 891-7167

Erosion & Sediment Control: N

Cell #:

Email:

(850) 661-3142

Tim.Culberth@talgov.com moodyb Text Box

APPENDIX A

CONDITIONS OF THE PERMIT

This permit is subject to conditions as set forth in the Tallahassee Land Development Code and includes, without limit, the following:

1. This permit shall be posted in a conspicuous place on-site and remain in place at all times during the development activity. It should be protected from the elements, including rainfall and remain visible.

2. A copy of the approved plans shall be available on the site at all times during the development activity.

3. A notice of intent to proceed shall be filed with the Land Use and Environmental Services Division of the Growth

Management Department at least 24 hours (see special conditions if more than 24 hours is required) prior to initiation of development activity. Notice shall be in writing. Notices received on Fridays will be for activity started on the following

Monday or Tuesday if Monday is a legal holiday.

4. A list of the names of the individuals who are in responsible charge of the ongoing work shall be prepared and one or more of the persons listed shall be on-site whenever work is occurring. The list shall be maintained current, protected from the elements, and posted next to the permit and be easily read.

5. Erosion prevention and sediment control measures more extensive than shown on these plan(s) may become necessary for this project during construction.

6. For all projects, unless otherwise indicated as special conditions, the following conditions apply:

a. The Stormwater Officer Form which includes the name and local telephone number of the stormwater management control officer for the development activity shall be provided to the Environmental Inspector at the

Pre-Construction Conference and be posted next to the permit, maintained current, protected from the elements, and be easily read.

b. A pre-construction conference is required prior to start of any development activity. This conference must be scheduled at least 48 hours in advance and prior to filing the Notice of Intent to Proceed.

c. A vegetation control inspection and an inspection of the erosion and sediment controls in place are required.

Schedule this inspection at least 24 hours in advance. Inspections are made Monday through Friday, excluding holidays.

7. If prehistoric or historic artifacts, such as pottery or ceramics, stone tools, metal implements, dugout canoes or any other physical remains that could be associated with the Native American Cultures or early colonial or American

Settlement are encountered at any time within the project site area, the permitted project shall cease all activities involving subsurface disturbance in the immediate vicinity of such discoveries. The permittee or designated representative shall contact the Florida Department of State, Division of Historical Resources, review and Compliance Section, At (850)

245-6333 or (800) 847-7278, as well as [as appropriate] Leon County Environmental Services/the City of Tallahassee

Growth Management Department. Project activities should not resume without a written authorization from the Division of

Historical Resources. In the event that unmarked human remains are encountered during permitted activities, all work shall stop immediately, and the proposed authorities notified in accordance with Section 872.05, Florida Statutes.

If the property owner feels that this order is unreasonable or unfairly burdens the use of his/her land, he/she may apply to the City of Tallahassee within 30 days of the receipt of this order under Sec. 70.51, Florida Statutes, the Florida Land Use and Environmental Dispute Resolution Act. The request for relief should be filed with the City Attorney, 300 S. Adams St., Tallahassee, FL, pursuant to City Commission Policy 414CP, which is available online at talgov.com under the Treasurer-Clerk’s website, or by calling the City Attorney’s Office at (850) 891-8554

Submittal Requirement Guidelines For

Requesting The Final Environmental

Inspection

Submit the following information to the City of Tallahassee, Environmental Inspector for review approximately TWO WEEKS prior to requesting the Final Environmental

Inspection.

NOTE: The project must receive approval of the final environmental inspection prior to release of a certificate of occupancy.

• As-builts/Record Drawings - (two sets) including the following information (as applicable):

• Finished Floor Elevations - All buildings

• Detail of the pond control structure - (structure type, size and invert of all pipe, orifices, and weirs, invert of connection at off-site conveyance system, grates and skimmers)

• Sand filter construction details - (show inverts and sizes of under drain pipe at each cleanout)

• Pond construction details - (Show topography, top of berm/wall and bottom elevations, sand filter location)

• Show entire stormwater conveyance system (size, type and invert of all pipes, channels, roof drain systems, structures, curbing, and spot shot elevations in vehicle use areas)

• Show all sidewalks and vehicle use areas

• Post Development site data table - impervious area, urban forest area, green space area, number of parking spaces, etc

• Post construction tree survey (show location, size, species of all urban forest and replant trees, and irrigation systems)

• Delineate conservation and drainage easement boundaries and label with the OR book and

Page number

• Compliance Report - Prepared based on the Record Drawings and Certified by the Engineer of

Record

• Engineer’s statement that project is consistent with permit as required in LDC 5-62(4)

• Discuss reason and nature of all permit non-compliance or deviations

• Address protected tree removal not authorized by the permit

• Identify any modifications required to bring project into compliance with approved plan

• Provide Arborist or Landscape architect report on tree mitigation if applicable.

• Provide a post construction tree preservation and replant credit schedule

• Report as-built Pond Storage and Treatment volumes

• Retention Ponds - Report the following:

• Design infiltration rate _______

• Actual infiltration rate _______ (Provide certified supporting test data)

• Easements - Provide copies of all executed and recorded conservation, and drainage easements

• Stormwater Management Facility Operating Permit - For Projects that utilize an existing master

SWMF, an updated capacity accounting record is required with the compliance report. Projects with new or modified stormwater ponds require a new Operating Permit. Provide the operating permit number in the Compliance Report.

To Whom It May Concern:

The City of Tallahassee pursuant to Chapter 556, Florida Statutes

(2003), the “Underground Facility Damage Prevention and Safety

Act,” will continue to locate only the City’s utilities in response to a location request received from Sunshine State One-Call of Florida, Inc.

Specifically, this means that you, the excavator digging in the City’s right-of-way, are responsible for locating and avoiding all private utility laterals in that right-of-way. The City does not locate private lines or any utility lines belonging to any other member-operator, as Chapter

556, F.S. defines those entities. The location of private utility laterals is your responsibility.

Should your excavation efforts result in the cutting or breaking of any private utility lateral, you are responsible for repairing that lateral or reimbursing the private owner for any reasonable repair costs incurred in repairing any cut utility lines caused by your excavation efforts. In instances of clear fault, your failure to promptly address these matters may impact your later ability to secure a permit for future excavation in the City’s right-of-way.

The City of Tallahassee appreciates your efforts to use reasonable care in digging in the City’s right-of-way.

STORMWATER, EROSION AND SEDIMENT

CONTROL OFFICER

DESIGNATION FORM

Prior to commencement of construction, the property owner (permittee) shall designate an Erosion and Sediment Control Officer (Control Officer) for the duration of the project. The Control Officer shall be qualified through the Florida Department of Environmental Protection Stormwater Erosion and

Sediment Control Inspector Training Program. The Control Officer shall have adequate authority within the project administration to ensure that erosion and perimeter sediment controls are properly installed and maintained in a manner that will manage stormwater runoff, control erosion, and contain sediment on-site.

The permittee and the control officer shall be thoroughly familiar with the Florida Stormwater Erosion and Sediment Control Inspector Manual, the Sediment and Erosion Control Standards presented in

Section 5-88 of the Tallahassee, Land Development Code, and City Commission Policy 417 -

Stormwater, Sediment and Erosion Controls.

Changes in ownership or control officer must be provided in writing to the City of Tallahassee

Environmental Inspector on a new Designation Form within 24 hours or change. Failure to notify

Growth Management Could result in a "Stop Work Order".

Owner hereby designates the following individual as the Erosion and Sediment Control Officer.

Project Name:

Property Owner (Permittee):

Property Owner E-Mail Address:

Property Owner 24-Hour Telphone Number:

Control Officer Name:

FDEP Inspector Number:

E-Mail Address:

24-Hour Telephone Number:

TEM Number:

I acknowledge the requirements within this document and accept the responsiblities required.

Signature of Property Owner: Date:

Signature of Control Officer: Date:

LAND USE AND ENVIRONMENTAL

SERVICES DIVISION

WE INTEND TO START DEVELOPMENT ACTIVITY

ON _________________ AT _______:_______ am/pm

� We understand an Environmental Resource Permit (ERP) must be secured from the Northwest Florida

Water Management District or FDEP, as applicable. This project is covered under ERP or Exemption #

� We understand a NPDES - Construction General Permit (CGP) must be secured for construction site that disturbs one acre or more. Is this project one acre or larger _________(yes/no)? If yes, coverage has been secured and is provided under the CGP, NOI #___________________

� Note; Failure to provide the above permit numbers will delay start of development activity.

� We understand a pre-construction conference with the City Growth Management Inspector is required prior to beginning development activity. This conference must be scheduled at least 48 hours in advance and prior to filing this Notice of Intent to proceed form.

� We understand that perimeter sediment controls and tree protection barricades must be installed as presented on the approved plans and inspected by the City Growth Management Inspector before proceeding with other clearing or development activities. A maximum of a 10-foot-wide strip may be cleared for placement of control measures.

Signature of Owner or Duly Authorized Agent Date

(Provide Owners Affidavit For Agent)

NOTICE OF INTENT TO PROCEED

Date: __________________

Owner Info: _______________________________________________

ATTN: Tim Culbreth, Environmental Inspector

Project Name:

Location:

Permit Number: TEM220057

COT UUPI Water & Sewer & COT Gas Utility General Permit