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<br />4. <br /> <br />By: <br /> <br />3. <br /> <br />N01:JFlCATION OF COMPLETION: The District Is hereby notified that constnlction of the surface <br />water manageJ!lent system Is completed, and the Permittee requests that the surface water <br />management permit be transferred to the ,legal entity (Individual owner or corporate) responsible fo' <br />operation and maintenance (O&M) as named in Section 4. An authorized agent must submit a lett.. <br />of authorization from the permittee authorizing him or her to execute this Notification. <br /> <br /> <br />[ L"P? <br />a~ ~ L <br />Signature of Permittee <br />or Authorized Agent <br />Lf3 13 ')..(~ . 0 I <br />Permit Number <br /> <br />By: <br /> <br />A rt.TijU~ T POLLArLl? (A~-T) <br />Name and TItle (p/etlse type) <br />5ffLfrv'- E" N&t/l\/tt~f~". {we <br />Company Name <br />SO/ 'I V~ <br />Company Address <br /> <br />HOLlPAT 'FL <br />City, State, Zip <br /> <br />Hwr <br /> <br />/9 <br /> <br />J Lf cCrt <br /> <br />AGREEMENT FOR SYSTEM OPERAnoN AND MAINTENANCE RESPONSIBILRY: The below-named <br />legal entity responsible for O&M agrees to operate and maintain the surface water management <br />system In compliance with all pennlt conditions and the provisions of Chapter 400-4, and 400-40 or <br />400-45, Florida Administrative Code (F .A.C.). An authorized agent must submit a letter of <br />authorization from the owner or other legal entity authorizing him or her to execute this agreement. <br /> <br /> <br />~~~L.LL. <br /> <br />O&M Entity or Authorized Agent <br /> <br />A rL T t+VfL T tb L..L 14fl.-Y? (Au-or) <br />- Name and TItle (p!lHIse type) <br />43/32.&9'-01 <br />Permit Number <br /> <br />C I r'f of 2 f.f'U ~H IU S <br /> <br />Name of Owner or Other Acceptable <br />legal Entity for O&M <br /> <br />53] ~ z',-"Uru ST' <br /> <br />Address <br /> <br />~f'H71f-I-l{t.c..S ' <br /> <br />City, State, Zip <br /> <br />(ffl3) 7 gg - "r; 1/ <br /> <br />Phone <br /> <br />FL <br /> <br />3J>~o <br /> <br />~11>/9' <br />Date <br /> <br />RESPONSIBilITY FOR OPERATION AND MAINTENANCE MAY BE TRANSFERRED TO ANOTHER ENTITY <br />ONLY UPON WRITTEN NOTICE AND APPROVAL BY THE DISTRICT IN ACCORDANCE WITH RULE 400-4.351, <br />F .A.C. <br /> <br /> <br />AGENCY,USEONLY <br />" ": .- ~T" , -... '. <br /> <br />OPERATION AUTHORIZATION: .'aa.d'uponthe certIIIcIdIon'by'theEngl.-.of:'RKordln.SectIon2.andthenotlce fJI <br />completion In SectIon 3., the .-ponsIblllty,for operation, and....nIeI..lC8ofthe 'sysWnlstra........... to the",1 entity <br />named In sectlon 4., and on phase or this' pennIt'lserrectlveon the dIIbt'lndlcatedbelow. <br />SO A. P-AULDESMARAIS, P.E.. DjRECTOR <br />BROOK.SVILLE REGULATION DEPARTMENT <br /> <br /> <br /> <br />JUN 1 41996 <br /> <br />Pennft:NwnlW;~32~ <br /> <br />Date <br /> <br /> <br />FORM 547.271SOC(8-94) <br />Rule 400-1.659, FA.C. <br /> <br />~\ <br />