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, i � ,f � ,. � � � i _ a Items G.—J.: Provid'e the name,telephone and fax number(including area code)and E-mail address of the person � i authorized to submit this NOI on behaIf of the operator(e.g.,Jane Smith,President of Smith Construction Company on behalf of the operator,Smith Construction Company;John Doe,Public Works Director on behalf of the operator,City of Townsville;etc.). This should be the same person as indicated in the certificarion in Part VI. ' Part IV—ProjecUSite Location Information: I Items A.—E.: Enter the official or legal name and complete street address,including city,state and zip code of the project. � Do not provide a P.O.Box number as the street address. If it lacks a street address,describe the project site location(e.g., ' intersection of State Road 1 and Smith Street). Item F.: Enter the county in which the project is located. � I I , Item G.: Enter the latitude and longitude,in degrees-minutes-seconds format,of the approximate center of the project. � � Item H.: Indicate whether the project is located on Indian Country Lands. If the project is located on Indian Lands you � � may not use this generic pecmit. Instead,you must apply to the http:J/cfpub.epa.gov/npdes/stormwater/const.cfin(EPA)for � coverage. � Item I.: Enter the appropriate five or six letter code from the list below to indicate the http://www.dep.state.fl.us/secretary/watman/default.htm in which yoar project is located: i NWFWIVID=Northwest FIorida Water Management District I SRWMD =Suwannee River Water Management District SFWMD =South Florida Water Management District , � SWFWMD=Southwest Florida Water Management District ' SJRWMD =5�John's River Water Management District I, Items J.—M.: Bnter the name,telephone and fax number(including area code)and E-mail address of the project contact � person. The project contact is the person who is thoroughly familiar with the project,the facts reported in this NOI and who can be contacted by the Department if necessary. � Item N.:Enter additional E-mail correspondence as needed to receive perniit reIated documentation.(Optional) i i Part V—ProjecdSite Activity Information: ' Item A.:Check the appropriate box to indicate whether the project involves large construction activity or small construction I acrivity. Check one box only. i � "Large Construction Activity"means construction acrivity resulting in the disturbance of five(5)or more acres of total]and i area. Large construction activity also ineludes the disturbance of less than five aeres of total land area that is part of a , larger common plan of deveIopment or sale such as a subdivision that will ultimately disturb five acres or more. i "Small Construction Activity"means construction activity resulting in the distvrbance of equal to or greater than one(1) acre and Iess than five(5)acres of total land azea. Small construction acrivity also includes the disturbance of less than one � acre oftotal land azea that is part of a lazger common plan of development or sale that will ultimately disturb equal to or ; greater than one acre and less than five acres. Item B.:Provide the approximate total area of land disturbance,in acres,that the project wilI invoIve from commencement � of construction through completion: � i Items C.-G.: Indicate the location where the Stormwater Pollution Prevenrion Plan(SWPPP)can be viewed. Provide the j address where the SWPPP can be viewed if other than as provided in Parts II or III of the NOI. Note that to be eligible for � coverage under the generic permit,the SWPPP must have been prepared prior to filing this NOL � Item H.: Enter the estimated construction start and completion dates in the MM/DD/YY format. Page 5 of 6 DEP Fonn 62-621,300(4)(b) Effective Date: 02/10J2015