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r � • ' INSTRUCTIONS—DEP FORM 62-621.300(4)(b) NOTICE OF INTENT(NOI)TO USE GENERIC PERMIT FOR STORMWATER DISCHARGE FROM LARGE AND SMALL CONSTRUCTION ACTNITIES Who Must File an NOI: You must file the NOI and obtain coverage under the Construction Generic Permit if you discharge stormwater associated with large or small construction activities to surface waters of the State,including through a Municipal Separate Storm Sewer System(MS4),http://www.dep.state.fl.us/water/stormwater/npdes/docs/all_ms4_by_county.pdf. Where to File NOI: The Department encourages the electronic submission of NOIs using the Deparhnent's Interactive Notice of Intent(iNOI) available at http://www.fldepportal.com/go/. NOIs also may be submitted by paper copy to the following address: NPDES Stormwater Notices Center,MS#3585 Florida Department of Environmental Protection 2600 Blair Stone Road Tallahassee,Florida 32399-2400 Permit Fee: Permit fees for large and small construction activities to be covered under the generic permit are specified in paragraph 62- 4.050(4)(d),F.A.C.and available on our http://www.dep.state.fl.us/water/stormwater/npdes/fees.htm. You must submit the appropriate generic permit fee(either for large 5+acres$400 or small 1-4.99 acres$250 construction activities)with the completed NOI to obtain coverage under the generic permit. Generic permit coverage will not be granted without payment of the appropriate permit fee. If the NOI is submitted electronically,the permit fee must be paid on-line by credit card or check. If the NOI is submitted using a paper copy,the permit fee must be paid by either check or money order made payable to. "Florida Department of Environmental Protection". Part I—Identification Number: If you are renewing coverage,please enter the project's DEP identification number(generic permit coverage number)if known. If this is a new project without an ID number then leave this item blank.If you know your ERP Permit Number or ERP Permitting Agency(if applicable)please identify it here,if not then leave these items blank. Part II—Stormwater Pollution Prevention Plan(SWPPP)Completed: Check the box to indicate whether you have completed your Stormwater Pollution Prevention Plan. You must complete your SWPPP and be ready to implement it before submitting your NOI. Part III—Applicant Information: Item A.: Provide the legal name of the person,firm,contractor,public organization or other legal entity that owns or operates the construction activity described in this NOI. The operator is the legal entity that has authority to control those activities at the project necessary to ensure compliance with the terms and conditions of the generic permit. Item B.: Enter the appropriate one letter code from the list below to indicate the legal status of the operator: F=Federal;S=State;P=Private;M=Public(other than federal or state);O=Other Items C.—F.: Provide the complete mailing address of the operator,including city,state and zip code. Page 4 of 6 DEP Form 62-621300(4)(b) Effective Date: 02/10/2015 �