Florida Administrative Code › 40 - WATER MANAGEMENT DISTRICTS › 40D - Southwest Florida Water Management District › Chapter 40D-1 - PROCEDURAL › Part VI - PERMITTING › Section 40D-1.659 - Forms and Instructions

Current through Reg. 50, No. 138; July 16, 2024
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.