HomeMy WebLinkAboutInv# 0000025702 - EMPOWER GENERATORS INC - 05/13/2021 Effective 7/31/2014
Water Use Permits
Individual Permit, except Mining/Dewatering
• Max Month Allocation <= 3 MGM ........................................................................................ $ 350
• Max Month Allocation > 3 MGM <= 15 MGM ..................................................................... $ 1,000
Individual Irrigation < 20 years
• Max Month Allocation > 15 MGM ....................................................................................... $ 1,000
Individual Irrigation >= 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 1,600
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 3,400
• Max Month Allocation > 300 MGM ...................................................................................... $ 5,600
Individual Public Water Supply < 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 2,700
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 5,500
• Max Month Allocation > 300 MGM ...................................................................................... $ 7,000
Individual Public Water Supply >= 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 4,200
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 8,500
• Max Month Allocation > 300 MGM ..................................................................................... $11,500
Individual Mining/Dewatering
• Standard Individual Permit <= 1 year ..................................................................................... $ 500
• Standard Individual Permit > 1 year ...................................................................................... $ 1,800
• Master Individual Permit ...................................................................................................... $ 4,000
Individual Industrial < 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 1,400
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 2,750
• Max Month Allocation > 300 MGM ...................................................................................... $ 3,500
Individual Industrial >= 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 2,000
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 3,650
• Max Month Allocation > 300 MGM ...................................................................................... $ 5,600
Individual Diversion/Impoundment < 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 1,400
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 2,750
• Max Month Allocation > 300 MGM ...................................................................................... $ 3,500
Individual Diversion/Impoundment >= 20 years
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 2,000
Effective 7/31/2014
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 3,950
• Max Month Allocation > 300 MGM ...................................................................................... $ 6,200
Independent Secondary User Diversion/Impoundment
• Max Month Allocation > 15 MGM <= 30 MGM .................................................................... $ 1,000
• Max Month Allocation > 30 MGM <= 300 MGM .................................................................. $ 2,000
• Max Month Allocation > 300 MGM ...................................................................................... $ 3,200
Noticed General Water Use Permit
• Application filed electronically via ePermitting (www.sfwmd.gov/ePermitting) ................... $ 100
• Application filed by other means ............................................................................................ $ 350
Permit Transfer of Ownership ............................................................................................................ $ 300
General Permit by Rule ...................................................................................................................... No Fee
Letter Modification ............................................................................................................................ No Fee
Aquifer Storage and Recovery (cost added to applicable use type listed above) ............................. $ 1,000
Water Well Construction ................................................................................................................... $ 100
Water Well Abandonment ................................................................................................................. No Fee
Page 1 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
WATER USE PERMIT # (if application is for renewal or modification): ____________________________
If necessary, attach additional sheets if there are multiple applicants, owners, agents, etc.
1. APPLICANT (Complete legal name in which permit should be issued)
NAME:__________________________________________________________________________
If applicant is a business, provide a contact person:____________________________________
ADDRESS: ______________________________________________________________________
CITY, STATE, ZIP: ________________________________________________________________
PHONE: (________) __________________ CELL PHONE: (________) ____________________
EMAIL ADDRESS: __________________________________________________
Applicant is: Owner Lessee* Other (explain)______________________________ *Attach copy of current lease, or written authorization from property owner
2. OWNER (If different than applicant)
NAME:__________________________________________________________________________
ADDRESS: ______________________________________________________________________
CITY, STATE, ZIP: ________________________________________________________________
PHONE: (________) __________________ CELL PHONE: (________) ____________________
EMAIL ADDRESS: _______________________________________________________________
3. AGENT OR CONSULTANT
NAME:_________________________COMPANY NAME (if applicable): ______________________
ADDRESS: ______________________________________________________________________
CITY, STATE, ZIP: ________________________________________________________________
PHONE: (________) __________________ CELL PHONE: (________) ____________________
EMAIL ADDRESS: _______________________________________________________________
4. COMPLIANCE CONTACT (Person responsible for sending compliance reports to the District)
NAME:__________________________________________________________________________
ADDRESS: ______________________________________________________________________
CITY, STATE, ZIP: ________________________________________________________________
PHONE: (________) __________________ CELL PHONE: (________) ____________________
EMAIL ADDRESS: _______________________________________________________________
SECTION I – CONTACT INFORMATION
WATER USE PERMIT APPLICATION
South Florida Water Management District
P.O. Box 24680, West Palm Beach, Florida 33416-4680
(561) 686-8800 www.sfwmd.gov/ePermitting
Page 2 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
SECTION II – APPLICATION INFORMATION
Refer to the Applicant’s Handbook for permit application guidance, located online at www.sfwmd.gov. If any
fields are not applicable for the proposed use, write N/A in the field.
1. TYPE OF APPLICATION: New Modification Renewal
If this application is for a modification, please describe the modification request and the reason the
modification is necessary. _____________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________________
2. REQUESTED PERMIT DURATION: 20 years ____ years (up to 20 years)
I qualify for a duration greater than 20 years, per Florida Statute 373.236
3. PROJECT NAME: __________________________ COUNTY: _________________________
PHYSICAL ADDRESS: _____________________________________________________________
4. RELATED PERMITS (for projects other than Public Supply)
ENVIRONMENTAL RESOURCE PERMIT (ERP) PERMIT/APPLICATION NO(S):______________________________
RIGHT OF W AY (ROW ) Permit/Application No(s): _______________________________________________
DIVERSION AND IMPOUNDMENT (D&I) Permit/Application No(s): ____________________________________
SECTION III – USE CATEGORY
Please check all applicable water use categories associated with this permit application and complete the
associated supplemental form(s) indicated. Refer to District rules 40E-21.651for water use type definitions.
Water Use Category Supplemental
Form
Agricultural (e.g., crops, livestock, nursery, aquaculture, pasture) Form A
Commercial / Industrial (e.g., service business, food and beverage production, cooling and
heating, commercial attraction, manufacturing, chemical processing, power generation, aquifer
remediation, mining)
Form B
Landscape / Recreation (e.g., irrigation of parks, cemeteries, landscaped areas, golf
courses, athletic fields, playgrounds) Form C
Dewatering (e.g., water use or removal associated with construction or excavation) Form D
Public Supply (e.g., public or privately owned water utility) Form E
Diversion and Impoundment (diversion or extraction of water). Independent Secondary
users should use the applicable supplemental form based on type of water use. Form F
Page 3 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
SECTION IV – SOURCES OF WATER
SUMMARY OF GROUNDWATER (WELL) FACILITIES
Well Name or Number
Map Designation
Existing or Proposed
Date of Proposed
Construction
Date Installed if
Existing
Diameter (in)
Total Depth (ft)
Cased Depth (ft)
Screened Interval (ft)
Pumped or Flowing
Pump Type
(see Instructions)
Pump Intake Depth (ft bls)
Pump or Flow Capacity
(GPM)
Working Valve if Artesian
(yes, no or not applicable)
Status (see Instructions)
Purpose
(see Instructions)
Elevation of the Wellhead
(ft NGVD - see
Instructions)
Water Use Accounting
Method
(see Instructions)
Date Last Calibrated
(ATTACH calibration
report)
Planar Coordinates
(if known - see
instructions)
Section / Township /
Range
Page 4 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
Instruction for Completing Groundwater (Wells) Section
Well Name or Number: The Applicant’s designation of the well. How do you refer to it?
Map Designation: This is how the well is labeled on the map submitted with the application. This may be the
same as Well Name or Number, but does not necessarily have to be.
Existing or Proposed: If the well is proposed, enter the date of expected operation. If it is an existing well,
enter the date it was installed if you know it.
Diameter: Outside diameter of the well casing.
Total Depth: Total length in feet between the land surface and the bottom of the well.
Cased Depth: The length in feet from the land surface to the bottom of the well casing.
Screened Interval: The distance in feet below land surface to the top and bottom of the well screen, if the well
is so equipped.
Pumped or Flowing: Does the well produce water as a result of natural artesian flow, or is it pumped?
Pump Type: This is the type of pump that has been installed for the well (typical choices are as follows):
Centrifugal Diesel turbine Axial flow Windmill
Submersible Jet Suction Other (specify)
Electric turbine Hydraulic Portable
Pump Intake Depth: Location of the pump depth in feet below land surface. The pump may be on the
surface or down inside the well.
Pump or Flow Capacity: The amount of water the pump can produce in gallons per minute (GPM).
Working Valve: If the well is artesian, does it have a working valve to control the flow?
Status: Primary
Secondary (i.e. a production well that is rotated)
Standby (i.e. used for freeze protection or emergency)
Monitor
Injection (i.e. A/C, pool heat exchange, etc.; sometimes used only periodically)
Recharge (i.e. same as above)
Purpose: What will the water be used for (typical choices are as follows):
Dairy Irrigation Air Conditioning Swimming Pool Heating
Monitor Aquaculture Freeze Protection Irrigation/Lake Recharge
Livestock Bottled Water Mining/Dewatering Aquifer Storage and Recovery
Industrial Other (specify) Public Water Supply Aquifer Remediation and Recovery
Elevation of the Wellhead: This is the elevation of the top of the finished well at the ground surface.
Planar coordinates: The Florida State Plane System (Planar Coordinates) should be submitted if you have a
land survey which identifies the location of the well in terms of those measurements. If you do not know what
these are, it is not necessary to include them.
Section / Township / Range: The section, township and range in which the pump is located.
Page 5 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
SUMMARY OF SURFACE WATER (PUMP) FACILITIES
Pump Name or Number
Map Designation
Surface Water Source
Local Drainage District
(if applicable)
Existing or Proposed
Date of Proposed
Installation
Date Installed if
Existing
Pump type
(for list see Instructions)
Pump Capacity (GPM)
Pump Horsepower
Pump Diameter (inches)
Pump Intake Elevation
(feet NGVD)
Status (see Instructions)
Purpose (see Instructions)
Two way pump?
(yes / no)
Water Use Accounting Method
(see Instructions)
Date Last Calibrated
(ATTACH calibration report)
Planar Coordinates
(if known - see instructions)
Section / Township / Range
ProposedProposed
2020 2020
DaniaBeach DaniaBeach
GroundWater GroundWater
1200 1200
Dewatering Dewatering
Primary Standby
No No
Gauge Gauge
10 10
70 70
Disel Disel
-10 -10
36/50/41 36/50/41
Page 6 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
Instructions for Completing Surface Water (Pumps) Section
Pump Name or Number: The Applicant’s designation of the pump. How do you would refer to it?
Map Designation: This is how the pump is labeled on the map submitted with the application. This may be
the same as Pump Name or Number, but does not necessarily have to be.
Surface Water Source: This is the name of the water body from which the pump withdraws water (e.g.
SFWMD C-51, Lake Worth Drainage District Canal E-3, Un-named canal, onsite lake).
Local Drainage District: If the project is located in a local drainage or “298” district, such as Lake Worth
Drainage District, Indian Trails Water Control District, etc., please identify it.
Existing or Proposed: If the pump is proposed enter the date of expected operation. If it is an existing
pump, enter the date it was installed if you know it.
Pump Type: Typical choices are:
Centrifugal Diesel Turbine Axial Flow Submersible
Suction Electric turbine Hydraulic Other (specify)
Pump Capacity: The amount of water the pump can produce in gallons per minute (GPM).
Pump Horsepower: Horsepower rating of the pump.
Pump Diameter: Size of the intake opening of the pump, in inches.
Pump Intake Elevation: The elevation from which the pump can produce water without cavitating.
Status: Primary
Secondary (i.e. a production pump that is rotated)
Standby (i.e. used for freeze protection or emergency)
Purpose: What will the water be used for (typical choices are as follows):
Dairy Irrigation Air Conditioning Swimming Pool Heating
Aquaculture Freeze Protection Irrigation/Lake Recharge Mining/Dewatering
Livestock Industrial Aquifer Storage and Recovery
Aquifer Remediation and Recovery Other (specify)
Two way pump: Can the pump be used for both intake of irrigation water and discharge of storm water?
Flow Measurement Method: Describe how the amount of water produced by the pump will be measured as
per Section 4.1.1. of the Applicant’s Handbook.
Date Last Calibrated: When was the flow measurement method last calibrated? ATTACH the calibration
report.
Planar coordinates: The Florida State Plane System (Planar Coordinates) should be submitted if you have a
land survey which identifies the location of the pump in terms of those measurements. If you do not know what
these are, it is not necessary to include them.
Section / Township / Range: The section, township and range in which the pump is located.
Page 7 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
SUMMARY OF SURFACE WATER (CULVERT) FACILITIES
Culvert Name or Number
Map Designation
Surface Water Source
Local Drainage District
(if applicable)
Existing or Proposed
Date of Proposed Construction
Date installed if Existing
Culvert type
(for list see Instructions)
Culvert length (Feet)
Culvert Cross-section
Culvert Diameter (inches)
Culvert Height (inches)
Culvert Width (inches)
Invert Elevation (Feet NGVD)
Type of Control Device
(for list see Instructions)
Status
(see Instructions)
Purpose (see Instructions)
Two way culvert?
(yes / no)
Water Use Accounting Method
(see Instructions)
Date Last Calibrated (if known)
Planar Coordinates
(if known - see instructions)
Section / Township / Range
Page 8 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
Instructions for Completing Surface Water (Culverts) Section
Culvert Name or Number: The Applicant’s designation of the culvert. How do you refer to it?
Map Designation: This is how the culvert is labeled on the map submitted with the application. This may be
the same as Culvert Name or Number, but does not necessarily have to be.
Surface Water Source: This is the name of the water body from which the culvert withdraws water (e.g.
SFWMD C-51, Lake Worth Drainage District Canal E-3, Un-named canal, onsite lake).
Local Drainage District: If the project is located in a local drainage or “298” district, such as Lake Worth
Drainage District, Indian Trails Water Control District, etc., please identify it.
Existing or Proposed: If the culvert is proposed enter the date of expected operation. If existing, enter the
date it was installed (if known).
Culvert Type: Corrugated; Metal pipe; Reinforced concrete pipe; Steel pipe
Culvert Length: Distance between the ends of the culvert in feet.
Culvert Cross-section: Is the culvert round, elliptical, rectangular, or other?
Culvert Diameter: If the culvert is round, the inside diameter of the culvert, in inches.
Culvert Height: If the culvert is not round, the inside height of the culvert, in inches.
Culvert Width: If the culvert is not round, the inside width of the culvert, in inches.
Invert Elevation: The lowest elevation, referenced to NGVD, at which water will flow through the culvert.
Type of Control Device: What controls the flow of water through the culvert (typical choices are):
Control gate; Flap gate; Flashboard riser; Gated riser; Screw gate; Slide gate; Valve; Other (specify)
Status: Primary; Secondary (i.e. a production pump that is rotated); Standby (i.e. used for freeze protection/
emergency)
Purpose: What will the water be used for (typical choices are as follows):
Dairy Irrigation Aquaculture Freeze Protection Mining/Dewatering
Livestock Industrial Irrigation/Lake Recharge Other (specify)
Two way culvert: Can the culvert be used for both intake of irrigation water and discharge of storm water?
Flow Measurement Method: Describe how the amount of water produced by the pump will be measured as
per Section 4.1.1. of the Applicant’s Handbook.
Date Last Calibrated: When was the flow measurement method last calibrated? ATTACH the calibration
report.
Planar coordinates: The Florida State Plane System (Planar Coordinates) should be submitted if you have a
land survey which identifies the location of the culvert in terms of those measurements. If you do not know what
these are, it is not necessary to include them.
Section / Township / Range: The section, township and range in which the culvert is located.
Page 9 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
SECTION V – EVALUATION OF RECLAIMED WATER FEASIBILITY
The applicant is required to evaluate the feasibility of utilizing reclaimed water. The feasibility analysis must
be completed as outlined in the Applicant’s Handbook, subsection 2.2.4.
Feasibility analysis attached
Not applicable (i.e. no lines in area, crop type restriction, already using reclaimed)
Explanation:_____________________________________________________________________
SECTION VI – SUMMARY OF REQUESTED WATER USE
Total the requested water use from each supplemental form (Agricultural, Irrigation, Commercial /
Industrial, Public Water Supply, etc.) in the table below. If the multiple sources add up to more than 100%,
please attach an operating plan with a detailed explanation.
Requested Amounts and Source(s) of Water
Source 1 Name1
________________
(MGY2/MGM3)
Source 2 Name
________________
(MGY2/MGM3)
Source 3 Name
________________
(MGY2/MGM3)
Source 4 Name
________________
(MGY2/MGM3)
Total Requested
Water Use
(MGY2/MGM3)
/ / / / /
1 Provide the name of the water source. Examples include the Upper Floridan aquifer and the Biscayne aquifer.
2 MGY = Million gallons per year of water to be withdrawn over a 12-month time period under a 1-in-10 year drought condition
(i.e. 1,500,000 gallons each day/1,000,000 = 1.5 x 365 = 547.5). 3 MGM = Maximum million gallons per month of water to be withdrawn in any single month under the 1 -in-10 year drought condition.
SECTION VII – AQUIFER STORAGE AND RECOVERY (complete if applicable)
1 Aquifer Name, surface water body, water treatment plant name.
Please describe any projected increases or decreases (from historical average) in the amounts stored or
recovered.
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
ASR Facility Name
Source of
Stored Water1
Storage Aquifer
Name
Recovery
Water
Destination
Estimated Demand
Average/Maximum
(MGD)
Estimated Injected
Average/Maximum
(MGD)
/ /
/ /
/ /
/ /
Page 10 of 10
Incorporated by reference in rule 40E-2.101 (F.A.C.)
Form 1379 (2014-07)
When determining whether the permit applicant has provided reasonable assurances that the conditions
for issuance are met, the District will consider the projected impact of the proposed withdrawal, along with
impacts from any existing legal uses and other pending applications for a water use permit. To provide
these assurances, studies and/or impact evaluations may be required. Please refer to the Applicant’s
Handbook (subsection 3.3) for criteria regarding impact evaluations and attach your analysis, if applicable.
Impact evaluation attached Not applicable
SECTION IX – APPLICANT CERTIFICATION
I certify that to the best of my knowledge and belief that all of the information provided on this form and in any
attachment to it is correct. I understand that any permit issued shall be subject to review and modification,
enforcement action, or revocation, in whole or in part, for any material false statement in an application to
continue, initiate, or modify a use, or for any material false statement in any report or statement of fact required
of the permittee [Section 373.243(1), Florida Statutes]. With advance notice, I agree to provide District staff
with proper identification entry to the project site for the purpose of performing analyses of the site for
determining whether the conditions for issuance will be met. Further, if a permit is granted, I agree that, with
advance notice, District staff with proper identification shall have permission to enter, inspect, observe, collect
samples, and take measurements of permitted facilities to determine compliance with the permit conditions
and permitted plans and specifications.
If applicable) I authorize _____________________________________________ to act as my agent for permit
application coordination.
__________________________ ______________________________ ______________
APPLICANT’S NAME APPLICANT’S SIGNATURE DATE
(print or type)
__________________________ _______________________________ ______________
AUTHORIZED AGENT’S NAME AUTHORIZED AGENT’S SIGNATURE DATE
(print or type)
Please make sure to include the following with the permit application submittal:
Proof of Property Control (i.e. Deed, Lease) as per the Applicant’s Handbook, subsection 2.1.1
(may be obtained via the applicable county Property Appraiser’s website)
Application Fee (www.sfwmd.gov)
Location/Site Map (refer to supplemental application forms for specific requirements)
Supplemental Form(s) and associated supporting information (i.e. maps, calculations)
Water Conservation Plan (if applicable)
Diversion and Impoundment (D&I) Independent Secondary User – Letter from the D&I that demonstrates
legal access, and that the use will not cause the D&I to exceed its permit allocation.
SECTION VIII – IMPACT EVALUATION
SECTION X – APPLICANT CHECKLIST
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