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<br />3. NOllF1CAll0N OF COMPLE110N: The District is hereby notified that construction of the surface water <br />management system is completed, and the Permittee requests that the surface water management permit <br />be transferred to the legal entity (individual owner or corporate) responsible for operation and maintenance <br />(O&M) as named in Section 4. An authorized agent must submit a letter of authorization from the permittee <br />authorizing him or her to execute this Notification. <br /> <br />By: <br /> <br />Name and Title (please type) <br /> <br />Signature of Permittee <br />or Authorized Agent <br /> <br />Company Name <br /> <br />Permit Number <br /> <br />Company Address <br /> <br />City, State, Zip <br /> <br />4. AGREEMENT FOR SYSTEM OPERAll0N AND MAINTENANCE RESPONSIBIUTY: The below-named legal <br />entity responsible for O&M agrees to operate and maintain the surface water management system in <br />compliance with all permit conditions and the provisions of Chapter 400-4, and 400-40 or 400-45, Florida <br />Administrative Code (F.A.C.). An authorized agent must submit a letter of authorization from the owner <br />or other legal entity authorizing him or her to execute this agreement. <br /> <br />By: <br /> <br />Name of Owner or Other Acceptable <br />legal Entity for O&M <br /> <br />Signature of Representative of Acceptable <br />O&M Entity or Authorized Agent <br /> <br />Address <br /> <br />Name and Title (please type) <br /> <br />Permit Number <br /> <br />City, State, Zip <br /> <br />Phone <br /> <br />Date <br /> <br />RESPONSIBiliTY FOR OPERATION AND MAINTENANCE MAY BE TRANSFERRED TO ANOTHER ENTITY ONLY <br />UPON WRITTEN NOTICE AND APPROVAL BY THE DISTRICT IN ACCORDANCE WITH RULE 400-4.351, F.A.C. <br /> <br />AGENCY USE ONLY <br /> <br />. OPERATION AUTHORIZATION: .... Based upon the certification. by the Engineerof RecordinSediC)n2.andt~notie$C)fc:omp~i()nin <br />Section 3., theresponsibiljty .. for operation and maintenance of the system istransferred.tothelegalerti!;y named ill iSeCltkll'l4.. andtM <br />operation phase of this permit is effective on the date indicated below. .. <br /> <br />SOUTHWEST FLORIDAWATERMANAGEMENT DISTRICT <br /> <br />AuthorIZed Dlstnct Representative <br /> <br />Name and Title <br /> <br />Date <br /> <br />PermitNumber <br /> <br />FORM 547.27/S0C(8-94) <br />Rule 40D-1.659, FAC. <br /> <br />PAGE 2 OF 2 <br />