HomeMy WebLinkAboutInv# LIFTSTATION NO.4 - BOARD OF COUNTY COMMISSIONERS - 03/24/2022 (4)Environmental Protection and Growth Management Department
Environmental Engineering and Permitting Division
Domestic Wastewater Licensing Program
1 North University Drive, Mailbox #201 • Plantation, Florida 33324
954-519-1483 • FAX 954-519-1412 • broward.org/environment
Application to Construct a Wastewater Collection/Transmission System
Pump Station in project o Yes o No
Utility Maintenance Provided for Project by o Public o Private
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 Project: ___________________________________________WWTP: ________________________
Project Boundaries (if applicable): ____________________________________________________________________
City: __________________________________________________________Zip Code: ________________________
Section: _______________Township: _______________Range: _________Folio Number: _______________________
Applicant Information
Applicant Name: ________________________________________________________________________________
Title: _____________________________________________o Owner o Officer o Agent-needs authorization letter
Agency/Corporation: ______________________________________________________________________________
Agency/Corporate Address: ___________________________________________________Suite: _________________
City: ___________________________________________________State: __________Zip Code: _________________
Telephone No.: _________________________________________E-mail: ___________________________________
Engineer of Record
Engineer of Record (EOR): ________________________________________________________________________
EOR Address: _____________________________________________________________Suite: _________________
City: ___________________________________________________State: __________Zip Code: _________________
EOR Telephone No.: _____________________________________E-mail: ___________________________________
Flow Calculations
Use standard descriptions and flows from Broward County Code of Ordinances, Chapter 27, Section 27-201.
o Single Family Home o Multi Family o Mobile Home o Other
Other Standard Description: ________________________________________________________________________
Show Standard Calculation: ____________________________________________________________________GPD
Attach a required 8.5” x 11” sketch(s) which clearly delineates all boundaries to be serviced and the specific
site location. Define anything of an environmental nature (I.E., wetlands, well fields, contamination, etc.) on or
adjacent to the construction site. This information must be kept current with the Environmental Engineering and
Permitting Division (EEPD). Attach additional sheets as required.
Page 1 of 4 Rev. 07/2017
Checklist for Project Submission
A. o General Permit:
For publicly maintained sanitary sewer systems, and when designed to all applicable standards, one (1)
copy of this application and one (1) copy of the Florida DEP Form #62-604.300(8)(a) Notification/Application
for Constructing a Domestic Wastewater Collection/Transmission System. Check the General Permit box
on Page 1 of 11.
o Individual Permit:
For privately maintained sanitary sewer systems, projects requiring a Request for Information (RFI)
for further staff review, a plant moratorium, dry line, designs other than standard, etc., one (1) copy of
this application and the Florida DEP Form #62-604.300(8)(a) Notification/Application for Constructing A
Domestic Wastewater Collection/Transmission System. Check Individual box on page 1 of 11.
o Reuse Water:
One (1) copy of the application along with the fee (see Page 3, Line 5) payable to the Broward County
Board of County Commissioners. FDEP requires a separate state application sent directly to the WPB office
with correlating FDEP fees.
o The appropriate fee is required, as calculated on Page 3, Line 7, payable to the: Broward County Board of
County Commissioners.
B. o One (1) set of standard sized engineering drawings no larger than 24” x 36” (folded to 9” x 12” maximum size),
along with any other specifications the Engineer deems necessary to show the scope of the project.
Note: Minimum design information requirements:
1) Gravity sewers using anything greater than an 8” pipe or any other non-standard design criteria requires
justification in writing.
2) A sewage pump station requires design calculations which consider superimposed pump curves, floatation
caics, and pipe sizes. Each lift station requires a new application package.
3) Any new project generating 10,000 GPD or larger flows into existing sanitary systems will require a study to
assure adequate system capacities through to the WWTP.
4) Existing sewage pump stations which have been in service for more than five years, or are approaching a
built-out condition, will require an operational assessment prior to new construction licensing.
5) Signage is required in a conspicuous location at the lift station. The print should be a minimum 1” black
block letter size and set indelibly to a flat contrasting color surface. It shall read (with appropriate phone
numbers inserted) as follows:
FOR EMERGENCIES CALL... (***)***-****
FOR PUMP OUT CALL...(***)***-****
FOR MAINTENANCE CALL...(***)***-****
TO REPORT POLLUTION, CALL Broward County (954)-519-1499
Final certification requires a picture of the signage. Private maintenance also requires a contract between
the Applicant and Sanitary Sewage Maintenance Contractor. This contract requires a termination clause.
Page 2 of 4 Rev. 07/2017
Wastewater Collection System Construction License Fee Calculation
(Per Broward County Code, Chapter 40.23, effective 10/01/07)
1. Calculate the total length of all sanitary sewer piping (8” and larger), plus any size force main and reuse main piping
(Do riot include any lengths of the lateral piping, 6” and smaller). If various sizes and/or materials have been used, list
these assorted sizes, materials, and lengths on an attachment page 4A.
Total lineal feet of gravity sewer ________
Total lineal feet of force main ________
Total lineal feet of reuse main ________
Total lineal feet of pipe ________ X $0.30 = $ ___________
Rounded off to the nearest dollar = $ ___________ (1)
2. Determine number of sanitary manholes plus the number of sanitary conflict manholes.
Total manholes ________ X $50.00 = $ ___________(2)
3. New wetwell (Do not include those being refurbished).
New wetwell fee = $170.00 = $ ___________(3)
4. Determine the total horsepower per wet well by adding up all individual pump horsepower in the wetwell. See
chart below for applicable fee. Multiple lift stations must complete a separate application package for each station.
Operating condition _______________GPM @ ____________Ft. TDH
Total Wetwell Pump Horsepower ___________ Total HP Fee(s) = $ ___________(4)
TOTAL HORSEPOWER FEE
> 0 BUT < 5 = $ 140.00
> 5 BUT < 15 = $ 260.00
> 15 BUT < 45 = $ 420.00
> 45 BUT < 65 = $ 530.00
> 65 BUT < 125 = $ 700.00
> 125 BUT < 200 = $ 800.00
> 200 PLUS = $1,060.00
5. BC-ELBPD Fee Total* 1,2, 3, & 4 (*lf total is less than $210, fee is = to $210) = $ ___________(5)
6. Florida DEP Fee (See Below for appropriate fee) = $ ___________(6)
Florida DEP Form #62-604.300(8)(a) Notice of Intent to Use General Permit = $250
Florida DEP Form #62-604.300(8)(a) Individual Permit for a Domestic Wastewater
Collection/Transmission System serving less than 10 EDUs = $300
Florida DEP Form #62-604.300(8)(a) Individual Permit for a Domestic Wastewater
Collection/Transmission System serving 10 EDUs or more = $500
Reuse Systems submit FDEP fee directly to the state and no state fee to EEPD
7. Total FDEP/BC-ELBP Fee* (Total 5 & 6) = $ ___________(7)
* Submit a check payable to the BROWARD COUNTY BOARD OF COUNTY COMMISSIONERS
Page 3 of 4 Rev. 07/2017
Signatures of Project Principals
The undersigned agree to comply with Chapter 27 of the Broward County Code of Ordinances and all statements on
the attached Florida DEP Forms. Construction of a sanitary sewer system without a valid Broward County License for
Installation of Wastewater Collection/Transmission System 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. Maintenance
Will any portion of this project be privately maintained? o Yes o No
If yes define limit: ______________________________________________________________________________
NOTE: A Private Maintenance Contract is required at time of certification, as prepared and signed by the Applicant, Public
Utility Representative, and Contractor. The Private to Public maintenance boundaries must be defined, along with the
connection point. A termination clause is required, notifying the Public Utility Representative and Environmental Engineering
and Permitting Division (f.k.a PER/WRD) at 954-519-1483, of contract changes. In addition, the Applicant must present a
maintenance plan with emergency procedures and appropriate contacts for staff approval.
C. Collection/Transmission System Utility Representative/Title: ____________________________________________
Signature: _______________________________________________________Date: _______________________
Telephone No.: ______________________________________E-mail: ___________________________________
Will any portion of this project be maintained by your public utility? o Yes o No
If yes define limit: ___________________________________________________________________________
Waste Water Treatment Plant Authority/Title: ___________________________________________________________
Signature: __________________________________________________________Date: _______________________
Telephone No.: _________________________________________E-mail: ___________________________________
E. PROFESSIONAL ENGINEER REGISTERED IN FLORIDA:
I hereby certify that the engineering features of this wastewater collection/transmission system have been designed
by me in accordance with Chapter 27 of the Broward County Code of Ordinances and Chapter 62-604 of the Florida
Administrative Code.
_________________________________________________
Name (please type) Florida Registration No.
_________________________________________________ ________________________________________________
Signature of Engineer Company Name
_________________________________________________ ________________________________________________
Date Company Address
(Affix Seal) ________________________________________________
City Zip
Please submit all application packages to:
Environmental Licensing and Building Permitting Division
Domestic Wastewater Licensing Program
1 North University Drive, Mailbox 201 • Plantation, Florida 33324
954-519-1483 • FAX 954-519-1412
Page 4 of 4 Rev. 07/2017