40D-1.659. Forms and Instructions

The following forms and instructions have been approved by the Governing Board and are incorporated by reference into this chapter or into a specific District rule as indicated. Copies of these forms may be obtained from the District offices or the District’s website at www.WaterMatters.org. (1) Ground Water: (a) Application For a Water Well Contractor’s License, Form No. LEG-R.003.01 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03728), incorporated by reference in subsection 40D-3.037(5), F.A.C. (b) Application For Renewal of a Water Well Contractor’s License, Form No. LEG-R.004.02 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03729), incorporated by reference in subsection 40D-3.037(5), F.A.C. (c) Proposed Well Construction Location and Design Form, Form No. LEG-R.006.01 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03730), incorporated by reference in paragraph 40D-2.101(5)(a), F.A.C. (d) State of Florida Permit Application to Construct, Repair, Modify, or Abandon a Well, Form No. LEG-R.040.01 (6/10), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03731), incorporated by reference in subsection 40D-3.101(1), F.A.C. (e) State of Florida Well Completion Report, Form No. LEG-R.005.02 (6/10), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03732), incorporated by reference in paragraph 40D-3.411(1)(a), F.A.C. (f) Well Grouting/Abandonment Form, Form No. LEG-R-041.00 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03733), incorporated by reference in subsection 40D-3.531(5), F.A.C. (g) Well Verification for all Non-Domestic Use Wells Located in the Most Impacted Area of the Southern Water Use Caution Areas, Form No. LEG-R.016.01 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03734), incorporated by reference in subsection 40D-3.101(1), F.A.C. (h) Water Use Permit Application Form No. LEG-R.100.00 (5/14) (http://www.flrules.org/Gateway/reference.asp?No=Ref-03711), incorporated by reference in subsection 40D-2.101(1), F.A.C. (i) Water Use Permit Application Agricultural Use ‒ Supplemental Form A, Form No. LEG-R.030.02 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03712), incorporated by reference in subsection 40D-2.101(1), F.A.C. (j) Water Use Permit Application – Industrial/Commercial Use – Supplemental Form B, Form No. LEG-R.031.01 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03741), incorporated by reference in subsection 40D-2.101(1), F.A.C. (k) Water Use Application – Landscape/Recreation Use – Supplemental Form C, Form No. LEG-R.034.01 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03742), incorporated by reference in subsection 40D-2.101(1), F.A.C. (l) Water Use Permit Application – Mining/Dewatering Use – Supplemental Form D, Form No. LEG-R.112.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03743), incorporated by reference in subsection 40D-2.101(1), F.A.C. (m) Water Use Permit Application – Public Supple Use – Supplemental Form E, Form No. LEG-R.033.02 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03744), incorporated by reference in subsection 40D-2.101(1), F.A.C. (n) Water Use Permit Application – Other Use – Supplemental Form F, Form No. LEG-R.109.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03745), incorporated by reference in subsection 40D-2.101(1), F.A.C. (o) Water Use Permit Application – Institutional Use – Supplemental Form G, Form No. 110.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03746), incorporated by reference in subsection 40D-2.101(1), F.A.C. (p) Modification Short Form Application Form No. LEG-R.035.02 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03747), incorporated by reference in subsection 40D-2.331(2), F.A.C. (q) Annual Crop Summary Report, Form No. LEG-R.102.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03758), incorporated by reference in subsection 40D-2.091(2), F.A.C. (r) Agricultural Water Allotment Form, Form No. LEG-R.042.00 (4/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03845), incorporated by reference in paragraph 40D-2.101(5)(b), F.A.C. (s) Application to Transfer a Water Use Permit, Form No. LEG-R.002.05 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03759), incorporated by reference in subsection 40D-2.351(1), F.A.C. (t) Supplemental Form – Southern Water Use Caution Area, Form No. LEG-R.007.03 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03660), incorporated by reference in subsection 40D-2.101(6), F.A.C. (u) Net Benefit Supplemental Form – Southern Water Use Caution Area, Form No. LEG-R.010.02 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03964), incorporated by reference in paragraph 40D-2.101(6)(b), F.A.C. (v) Southern Water Use Caution Area Ground Water Replacement Credit Application, Form No. LEG-R.011.03 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03661), incorporated by reference in paragraph 40D-2.101(6)(b), F.A.C. (w) Public Supply Well Information and Classification Form, Form No. LEG-R.015.02 (08/11), (http://www.flrules.org/Gateway/reference.asp?No=Ref-00740), incorporated by reference in paragraph 40D-3.101(2)(b), F.A.C. (x) Irrigation Water Use Form – Annual Crops, Southern Water Use Caution Area, Form No. LEG-R.017.01 (9/12), (http://www.flrules.org/Gateway/reference.asp?No=Ref-01676), incorporated by reference in paragraph 40D-2.091(2)(b), F.A.C. (y) Irrigation Water Use Form – Annual Landscape/Recreation, Southern Water Use Caution Area, Form No. LEG-R.018.02 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03666), incorporated by reference in paragraph 40D-2.091(2)(c), F.A.C. (z) Irrigation Water Use Form – Summer/Fall Seasonal, Southern Water Use Caution Area, Form No. LEG-R.019.01 (9/12), (http://www.flrules.org/Gateway/reference.asp?No=Ref-01679), incorporated by reference in paragraph 40D-2.091(2)(d), F.A.C. (aa) Irrigation Water Use Form – Winter/Spring Seasonal, Southern Water Use Caution Area, Form No. LEG-R.020.01 (9/12), (http://www.flrules.org/Gateway/reference.asp?No=Ref-01680), incorporated by reference in paragraph 40D-2.091(2)(e), F.A.C. (bb) Public Supply Annual Report for Individual Permits over 100,000 GPD Annual Average Quantities, Form No. LEG-R.103.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03662), incorporated by reference in paragraph 40D-2.091(2)(h), F.A.C. (cc) SWFWMD Annual Reclaimed Water Supplier Report, Form No. LEG-R.026.00 (09/09), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03841), incorporated by reference in paragraph 40D-2.091(2)(i), F.A.C. (dd) Dover/Plant City Water Use Caution Area Supplemental Form – Form No. LEG-R.050.02 (05/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03965), incorporated by reference in subsection 40D-2.101(7), F.A.C. (ee) Net Benefit Supplemental Form Dover/Plant City Water Use Caution Area – Form No. LEG-R.051.01 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03966), incorporated by reference in subsection 40D-2.101(7), F.A.C. (ff) University of Florida’s Institute of Food and Agricultural Science’s Department of Fisheries and Aquatic Sciences Publication “Regulations Pertaining to Non-Native Fish in Florida Aquaculture” (FA-121) (August 2013) (http://www.flrules.org/Gateway/reference.asp?No=Ref-03844), referenced in Section 2.4.3.3.3. of the Water Use Permit Applicant’s Handbook Part B. (gg) Flow Meter Pre-Installation Information Work Sheet, Form No. LEG-R.052.00 (9/12), (http://www.flrules.org/Gateway/reference.asp?No=Ref-02198), referenced in Section 3.9.4.4. of the Water Use Permit Applicant’s Handbook Part B. (hh) Flow Meter Post-Installation Information Reimbursement Form, Form No. LEG-R.053.00 (9/12), (http://www.flrules.org/Gateway/reference.asp?No=Ref-02199), referenced in Section 3.9.4.4. of the Water Use Permit Applicant’s Handbook Part B. (ii) Flow Meter Accuracy Report Form, Form No. LEG-R.101.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03835), incorporated by reference in subsection 40D-2.091(2), F.A.C. (jj) Crop Protection Report Form, Form No. LEG-R.104.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03836), incorporated by reference in subsection 40D-2.091(2), F.A.C. (kk) Water Use/Pumpage Report Form, Form No. LEG-R.105.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03837), incorporated by reference in subsection 40D-2.091(2), F.A.C. (ll) Water Quality Report Form, Form No. LEG-R.106.00 (5/14), (http://www.flrules.org/Gateway/reference.asp?No=Ref-03838), incorporated by reference in subsection 40D-2.091(2), F.A.C. (2) Surface Water. The following forms are for use with grandfathered surface water or environmental resource permit applications or permits. Activities authorized pursuant to Chapter 62-330, F.A.C., shall use the forms incorporated therein. (a) Joint Application For: Environmental Resource Permit/Authorization to Use State Owned Submerged Lands/Federal Dredge and Fill Permit, Form No. 547.27/ERP (08/11), incorporated by reference in paragraph 40D-4.101(1)(b), F.A.C. (b) Statement of Completion and Request for Transfer to Operation Entity, Form No. 547.27/SOC (4/09), incorporated by reference in subparagraph 40D-4.351(2)(a)1., F.A.C. (c) Mitigation Bank Performance Bond to Demonstrate Construction and Implementation Financial Assurance, Form No. MB/PB (4/09), incorporated by reference in paragraph 40D-4.091(6)(a), F.A.C. (d) Mitigation Bank Irrevocable Letter of Credit to Demonstrate Construction and Implementation Financial Assurance, Form No. MB/ILC (4/09), incorporated by reference in paragraph 40D-4.091(6)(b), F.A.C. (e) Mitigation Bank Trust Fund Agreement to Demonstrate Construction and Implementation Financial Assurance, Form No. MB/CIFA (4/09), incorporated by reference in paragraph 40D-4.091(6)(c), F.A.C. (f) Mitigation Bank Trust Fund Agreement to Demonstrate Perpetual Management Financial Responsibility, Form No. MB/PMFA (4/09), incorporated by reference in paragraph 40D-4.091(6)(d), F.A.C. (g) Notification and Request For Transfer of Environmental Resource Permit, Form No. LEG-R.043.01 (9/11), incorporated by reference in paragraph 40D-4.351(1)(a), F.A.C. (h) Statement of Inspection For Proper Operation and Maintenance, Form No. LEG-R.044.00 (4/09), incorporated by reference in subsection 40D-4.351(3), F.A.C. (i) Environmental Resource Permit Modification Short Form, Form No. LEG-R.013.02 (08/11), incorporated by reference in paragraph 40D-4.331(2)(b), F.A.C. (3) Other: (a) Electronic Transaction Agreement, Form No. LEG-R.014.00 (4/08) (b) Facilitating Agricultural Resource Management Systems (FARMS) Program Funding Application Form, Form No. LEG-R.22.02 (8/10), incorporated by reference in subsection 40D-26.201(2), F.A.C. (c) Flow Meter Accuracy Verification Form, Form No. LEG-R.021.01 (4/09), incorporated by reference in paragraph 40D-2.091(2)(a), F.A.C. (d) Applicant transmittal Form, Form No. LEG-R.046.01 (08/11), incorporated by referenced in paragraph 40D-1.6051(1)(a), F.A.C. (e) Petition For Variance or Waiver, Form No. LEG-R.42.00-058 (11/15), http://www.flrules.org/Gateway/reference.asp?No=Ref-06054, incorporated by reference in subsection 40D-1.1002(1) and Rule 40D-22.303, F.A.C. (f) Flow Meter Pre-Installation Information Work Sheet, Form No. LEG-R.052.00 (9/12), incorporated by reference in paragraph 40D-2.091(2)(n), F.A.C. http://www.flrules.org/Gateway/reference.asp?No=Ref-02270. (g) Flow Meter Post-Installation Reimbursement Form, Form No. LEG-R.053.00 (9/12), incorporated by reference in paragraph 40D-2.091(2)(o), F.A.C. http://www.flrules.org/Gateway/reference.asp?No=Ref-02271.