Stormwater Utility Mitigation Credit Application

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Questions? Call (813) 274-8386

Section A - Owner Information

Property Owner Name

Address

City

State

ZIP Code

Phone

Fax

Email Address

Section B - Applicant's Engineer's Name - if applicable:

Name

Address

City

State

ZIP Code

Phone

Fax

Email Address

Section C - Property Information

Folio

Name of Property (i.e. Development, Subdivision or Folio):

Site Address

Section D - What Mitigation are you applying for?

Condition 1 - 100% Mitigation

Eligibility:

Private stormwater management facility

Parcel discharges to eligible non-City system

Parcel with unique drainage features

Note: For parcels discharging to eligible non-City Stormwater System; The survey or site plan must depict the area of the parcel directly discharging to eligible waters and shall also display any additional area that is discharging to the City's system or other receiving water bodies.

Condition 2 - 40% Mitigation

Eligibility:

Parcel Owner owns, operates and maintains a private stormwater management facility that provides attenuation and treatment equal to that necessary for a 50 year storm event.

Condition 3 - 10% Mitigation

Eligibility:

Property owner contributes to maintenance of private system. (Note: Requires support documentation such as HOA or CDD contribution. Does not require Section F.)

Condition 4 - 10% Mitigation

Eligibility:

Property contains properly functioning on-site treatment and attenuation.

Section E - Application Check List

Completed applications must be submitted after receiving the Certificate of Occupancy. The subject stormwater management system must be in compliance with all applicable site plans and permits. Adequate documentation must be submitted to evaluate the parcel and demonstrate its eligibility per the City's Code Section 21-123 and Mitigation Policy. Please note that the City reserves the right to request additional information if necessary. Incomplete applications will not be considered; however, we will hold your application for up to 6 months to allow adequate time to submit all required forms and documentation.

Please check one or combination of documents you are including with this application:

Site survey or site plan depicting stormwater retention or detention (As-Built)

Survey depicting the area of the parcel directly discharging to eligible waters, or private system

Drainage survey plan

Stormwater pond permit (SWFWMD, Florida DEP Resource Permit or City of Tampa)

Subdivision Plat

Topographic elevation survey

Hillsborough County Property Appraisers parcel detail

Other

If "Other" Please State:

Section F- Certification Statements

Sign below certifying that you have read the following statements and understand each one:

The information in this application is truthful and accurate.
The credited stormwater management system will stay in compliance with its site plan and permit requirements.
I hereby grant the City of Tampa staff access to the property referenced in this document to inspect the facility or facilities proposed for a mitigation credit. The City shall provide at least twenty-four (24) hour notice to property owner.
I will notify the City of Tampa should any destruction or damage occur to the facility referenced in this mitigation credit application that prevents it from performing as credited.

If approved, all non-residential properties are required to submit to the City a recertification application and supporting documentation every 5th year after receiving a mitigation credit; attesting the on-site stormwater infrastructure which qualified the property to be eligible for the mitigation credit continues to exist and is maintained to be functioning as designed. I understand if the mitigation is granted, the deadline for the next recertification will be on the approval letter and it is my responsibility to adhere to it. I understand there is no other notification.

Owner/Representative's Signature:

Signature Date

For multiple owners, representative responsible for management may sign

Section G - Engineer of Record Signature

Engineer's Signature

P.E. License Number

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