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. , <br /> _� , • <br /> H.Responsible Authority's Phone No.: (813)927-2006 � <br /> I_Responsible Authority's Fax No.: <br /> J.Responsible Authority's E-mail Address: seeger@thekeameycompanies.com <br /> N. PROJECTISTTE LOCATION INFORMATION: <br /> A.Project Name: Sitverado Ranch Subdivision Phases 2,3&4 <br /> � <br /> B.Project Address/Location: Eiland Blvd&Silverado Ranch Blvd <br /> C.City: Zephyrhills D.State: FL E.Zip Code: 33541 <br /> F.County: Pasco G.Latitude: 28 � 14 ' 56 " Longitude: -8 ° 13 ' 7 " <br /> H.Is the site located on Indian Country Lands? ❑Yes �No I.Water Management District: SWFWMD <br /> J.Project Contact:Brian Seeger <br /> K.Project ContacYs Phone No.: (813)379-3830 <br /> L.Project Contact's Fax No.: (813)421-6022 <br /> M.Project Contact's E-mail Address: seeger@thekeameycompanies.corn <br /> N.Additional E-mail correspondence,optional: SSpurlock@thekearneycompanies.com <br /> V. PROJECT/SITE ACTIVITY INFORMATION: <br /> A.indicate whether the ■ <br /> ❑Large Construction(Project wilI disturb 5 or more acres of land,Fee$400) <br /> project�is Large or Small ' <br /> Construction(check only �SmaIl Construction(Project wiIl disturb between 1 and 4.99 acres of land,Fee$250) <br /> one): <br /> B Approximate total area of land disturbance from commencement through completion of construction: �•28 acres <br /> C.SWPPP Location: ❑Address in Part III above �Address in Part N above ❑Other address(specify below) <br /> D.SW�'PP Address: <br /> E.City: F.State: G.Zip Code: <br /> H.ConstructionPeriod: I StartDate: 04/27/2o1s CompletionDate: 10/31/2016 <br /> VI. DEWATERING INFORMATION: <br /> A. Will dewatering operations be performed as part of the construction activities? ❑ No ❑ Yes - <br /> If es,com lete below.If no,ski this art and o to Part VII. <br /> B. Is the project site currently identifted as contaminated,or is there a site within 500 feet of the <br /> dewatering project identified as contaminated by a DEP or EPA cleanup/restoration program?You <br /> may use the Quick Link to DEP's Contaminafion Locator Map(CLiVn and DEP's InstiturionaI <br /> ' Controls Registry(ICR)Web Viewer to determine cleanup restoration status.You may access the <br /> CLM at:h J/weba s.de .state.fl.us/De Clnu /welcome.do or <br /> Page 2 of 6 <br />� DEP Form 62-621300(4)(b) <br /> EffecNve Date: 02/10l2015 <br />