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- :x;w SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT � --,' ENVIRONMENTAL RESOURCE PERMIT (ERP) MODIFICATION SHORT FORM SUBMIT AN ORIGINAL AND TWO COPIES OF THIS FORM AND OTHER RELATED INFORMATION TO ONE OF THE DISTRICT OFFICES LISTED BELOW. NO FEE REQUIRED. PLEASE PRINT OR TYPE ALL TEXT.To qualify for a modification using this modification short form,the permittee must submit sufficient information with this application so that a request for additional information is not required to verify compliance with the permit rules and threshold qualifications for modification,and a separate Statement of Completion and As-built is not required to verify compliance with the permit. 10/27/2020 Date Bartow Regulation Brooksville Regulation Tampa Regulation Sarasota Regulation 170 Century Blvd. 2379 Broad St. 7601 US Hwy 301 6750 Fruitville Rd. Bartow,FL 33830-7700 Brooksville,FL 34604-6899 Tampa,FL 33637-6759 Sarasota,FL 34240-9711 Subject: Request for Modification of ERP No. 4432080 001 (rev#) Project Name: Zephyr Commons Outparcel 7 County/City: Pasco County /City of Zephyrhills Total Acreage/Project Acreage: 0.87 /0.87 Sec(s)/Twp(s)/Rge(s): 35 /25 South /21 East To Whom It May Concern: This is a request to modify the above-referenced District approved ERP construction permit pursuant to Section 40D-4.331(2)(b)1.-6.,Florida Administrative Code(F.A.C.). The requested modification does not:(1)expand or substantially alter the permit authorization(substantially alter means a change to the project that affects either the system design,construction or operation,which is reasonably expected to lead to substantially different water resource or environmental impacts and requires detailed permitting review and evaluation),(2)increase the authorized off site discharge,(3)impact the environmental features of the project,(4)decrease the required retention/detention,(5)decrease the required flood control elevations for roads or buildings,or(6),decrease pollution removal efficiency.Attached is documentation(plans,drawings, calculations,etc.)which addresses these requirements and supports the request for a modification.The undersigned Engineer certifies that the engineering features of this surface water management system have been: designed by me or under my responsible charge, (check one) _reviewed by me or under my responsible charge, and in my profe ion t ' s tem conforms with sound engineering principles and all applicable rules and specifications. Charlie Potter, P.E. 84516 Signature of Own Applicant) Engineer's Name FL Reg.No. or Authorized Agent` SF Zephyr Commons Outparcels, LP Affix Seal Owner/Permittee(Applicant)Company Name/Title(if applicable) 400 Clematis St., Ste 201,West Palm Beach, FL 33401 Owner/Permittee(Applicant)Address,City,State Zip (561 )578-8700 Owner/Permittee(Applicant)Phone No. Engineer Signature Date Jeffrey W. Preston, Manager (561 )578-8700 Avid Group Contact Name(for owner)and Phone No. Engineer Company Name SF Zephyr Commons Outparcels, LP 2300 Curlew Rd.,Ste 201 Palm Harbor,FL 34683 Operation&Maintenance(O&M)Entity Engineer Company Address,City,State Zip Jeffrey W. Preston (561 )578-8700 (727 )789-9500 O&M Contact Name and Phone No. Engineer Company Phone No. "Attach a signed letter of authorization from the owner,except for corporate officers. Form LEG-R.013.02(08/11) Page 1 of 1 Rule 40D-4.331(2)(b),F.A.C.