Florida Regulations 40E-1.659: Forms and Instructions
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The following forms and instructions are incorporated by reference throughout the District’s rules as specified below and are listed herein for convenience. Hyperlinks are provided in the rules in which the forms and instructions are referenced and copies can be obtained without cost by contacting the South Florida Water Management District Clerk’s Office, 3301 Gun Club Road, West Palm Beach, FL 33406, (800)432-2045, ext. 2729, or (561)682-2729:
Form No.
Date
Title
0186
09-12
Application for a State of Florida Water Well Contractor’s License, incorporated by reference in
subsection 40E-3.038(1), F.A.C.
0483
10-13
Request for Surface Water Management, Water Use or Wetland Resource Permit Transfer,
incorporated by reference in subsection 40E-1.6107(1), F.A.C.
0779
01-01
Application for a Works of the District Permit, incorporated by reference in subsection
40E-63.091(9), F.A.C.
0889
12-11
Certification of Waiver of Permit Application Processing Fee, incorporated by reference in
Paragraph 40E-1.607(6)(b), F.A.C.
1045
11-10
Application for a C-139 Basin Works of the District Permit, incorporated by reference in subsection
40E- 63.430(2), F.A.C.
1376
7-14
Report of Planting and Harvest of Seasonal Crops Form, incorporated by reference in paragraph
40E-2.091(2)(a), F.A.C.
1377
7-14
Water Quality Report Form, incorporated by reference in Fl. Admin. Code R. 40E-2.091(2)(b)
1378
7-14
Water Use Pumpage Report Form, incorporated by reference in Fl. Admin. Code R. 40E-2.091(2)(c)
1379
7-14
Water Use Permit Application, incorporated by reference in subsection 40E-2.101(3), F.A.C.
1380
7-14
Water Use Permit Application Supplemental Form A – Agricultural Use, incorporated by reference
in Fl. Admin. Code R. 40E-2.101(3)(a)
1381
7-14
Water Use Permit Application Supplemental Form B – Commercial/Industrial Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(b)
1382
7-14
Water Use Permit Application Supplemental Form C – Landscape/Recreation Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(c)
1383
7-14
Water Use Permit Application Supplemental Form D – Dewatering Use, incorporated by reference
in Fl. Admin. Code R. 40E-2.101(3)(d)
1384
7-14
Water Use Permit Application Supplemental Form E – Public Supply Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(e)
1386
7-14
Water Use Permit Application Supplemental Form F – Diversion and Impoundment Use,
incorporated by reference in Fl. Admin. Code R. 40E-2.101(3)(f)
1387
7-14
Flow Meter Accuracy Calibration Report Form, incorporated by reference in paragraph
40E-2.091(2)(d), F.A.C.
1388
7-14
Alternative Method Calibration Report Form, incorporated by reference in paragraph
40E-2.091(2)(e), F.A.C.
1389
7-14
Crop (Freeze) Protection Form, incorporated by reference in pargraph 40E-2.091(2)(f), F.A.C.
1391
7-14
Notice of Intent to Use a Water Use Noticed General Permit, incorporated by reference in
subsection 40E-2.101(4), F.A.C.
Subsection
62-532.900(1), F.A.C.
10-10
State of Florida Permit Application to Construct, Repair, Modify or Abandon a Well, incorporated
by reference in subsection 40E-3.101(1), F.A.C.
Subsection
62-532.900(2), F.A.C.
10-10
State of Florida Well Completion Report, incorporated by reference in subsection 40E-3.411(1),
F.A.C.
DEP Form 3
6-14
Application for Continuing Education Coursework Approval, Florida Water Well Contractor
Continuing Education Program.
DEP Form 4
6-14
Application for Continuing Education Course Provider, Florida Water Well Contractor Continuing
Education Program.
Rulemaking Authority 218.075, 373.044, 373.113, 373.171, 373.4136, 373.416, 695.03, 704.06 FS. Law Implemented 218.075, 373.113, 373.4135, 373.4136, 373.416, 704.06 FS. History-New 9-3-81, Amended 12-1-82, 3-9-83, Formerly 16K-1.90, Amended 7-26-87, 11-21-89, 1-4-93, Formerly 40E-1.901, Amended 5-11-93, 4-20-94, 10-3-95, 6-26-02, 8-14-02, 8-31-03, 9-16-03, 9-20-04, 2-12-06, 1-23-07, 8-7-07, 7-4-10, 12-15-11, 5-20-12, 10-23-12, 10-1-13, 7-14-14, 9-7-15, 8-7-16.
Form No.
Date
Title
0186
09-12
Application for a State of Florida Water Well Contractor’s License, incorporated by reference in
subsection 40E-3.038(1), F.A.C.
0483
10-13
Request for Surface Water Management, Water Use or Wetland Resource Permit Transfer,
incorporated by reference in subsection 40E-1.6107(1), F.A.C.
0779
01-01
Application for a Works of the District Permit, incorporated by reference in subsection
40E-63.091(9), F.A.C.
0889
12-11
Certification of Waiver of Permit Application Processing Fee, incorporated by reference in
Paragraph 40E-1.607(6)(b), F.A.C.
1045
11-10
Application for a C-139 Basin Works of the District Permit, incorporated by reference in subsection
40E- 63.430(2), F.A.C.
1376
7-14
Report of Planting and Harvest of Seasonal Crops Form, incorporated by reference in paragraph
40E-2.091(2)(a), F.A.C.
1377
7-14
Water Quality Report Form, incorporated by reference in Fl. Admin. Code R. 40E-2.091(2)(b)
1378
7-14
Water Use Pumpage Report Form, incorporated by reference in Fl. Admin. Code R. 40E-2.091(2)(c)
1379
7-14
Water Use Permit Application, incorporated by reference in subsection 40E-2.101(3), F.A.C.
1380
7-14
Water Use Permit Application Supplemental Form A – Agricultural Use, incorporated by reference
in Fl. Admin. Code R. 40E-2.101(3)(a)
1381
7-14
Water Use Permit Application Supplemental Form B – Commercial/Industrial Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(b)
1382
7-14
Water Use Permit Application Supplemental Form C – Landscape/Recreation Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(c)
1383
7-14
Water Use Permit Application Supplemental Form D – Dewatering Use, incorporated by reference
in Fl. Admin. Code R. 40E-2.101(3)(d)
1384
7-14
Water Use Permit Application Supplemental Form E – Public Supply Use, incorporated by
reference in Fl. Admin. Code R. 40E-2.101(3)(e)
1386
7-14
Water Use Permit Application Supplemental Form F – Diversion and Impoundment Use,
incorporated by reference in Fl. Admin. Code R. 40E-2.101(3)(f)
1387
7-14
Flow Meter Accuracy Calibration Report Form, incorporated by reference in paragraph
40E-2.091(2)(d), F.A.C.
1388
7-14
Alternative Method Calibration Report Form, incorporated by reference in paragraph
40E-2.091(2)(e), F.A.C.
1389
7-14
Crop (Freeze) Protection Form, incorporated by reference in pargraph 40E-2.091(2)(f), F.A.C.
1391
7-14
Notice of Intent to Use a Water Use Noticed General Permit, incorporated by reference in
subsection 40E-2.101(4), F.A.C.
Subsection
62-532.900(1), F.A.C.
10-10
State of Florida Permit Application to Construct, Repair, Modify or Abandon a Well, incorporated
by reference in subsection 40E-3.101(1), F.A.C.
Subsection
62-532.900(2), F.A.C.
10-10
State of Florida Well Completion Report, incorporated by reference in subsection 40E-3.411(1),
F.A.C.
DEP Form 3
6-14
Application for Continuing Education Coursework Approval, Florida Water Well Contractor
Continuing Education Program.
DEP Form 4
6-14
Application for Continuing Education Course Provider, Florida Water Well Contractor Continuing
Education Program.
Rulemaking Authority 218.075, 373.044, 373.113, 373.171, 373.4136, 373.416, 695.03, 704.06 FS. Law Implemented 218.075, 373.113, 373.4135, 373.4136, 373.416, 704.06 FS. History-New 9-3-81, Amended 12-1-82, 3-9-83, Formerly 16K-1.90, Amended 7-26-87, 11-21-89, 1-4-93, Formerly 40E-1.901, Amended 5-11-93, 4-20-94, 10-3-95, 6-26-02, 8-14-02, 8-31-03, 9-16-03, 9-20-04, 2-12-06, 1-23-07, 8-7-07, 7-4-10, 12-15-11, 5-20-12, 10-23-12, 10-1-13, 7-14-14, 9-7-15, 8-7-16.