Environmental Protection and Growth Management Department
Environmental Licensing and Building Permitting Division
1 North University Drive, Suite 201-A • Plantation, Florida 33324 • 954-519-1483 • FAX 954-519-1412
APPLICATION TO CONSTRUCT/ MODIFY
A WASTEWATER TREATMENT PLANT
All items MUST be completed in full, and typed or printed in ink. All Signatures MUST be original.
Project Information
Project Name
File No
Street Address of WWTP
City
Zip Code
Section
Township
Range
Will this construction/modification increase the capacity of an existing plant?
Yes
No
If new, what is the expected WWTP capacity?
MGD
If an expansion, what is the increase in the capacity of the plant?
What will be the overall capacity of the plant?
MGD
AADF or
TMADF
What is the estimated date of initiation of construction/modification?
What is the expected date of completion?
Applicant Information
Applicant Name
Title
Owner
Telephone No.
Officer
Agent-needs authorization letter
e-mail
Agency Name
Agency Address
City
Suite
State
Zip Code
Engineer of Record / Project Engineer
Telephone No.
e-mail
Submittal Requirements
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An 8 ½" X 11" sketch(s) which clearly delineates the specific site location. Define anything of an environmental
nature (I.E., wetlands, wellfields, contamination, etc.) on or adjacent to the construction site.
One (1) set of engineering drawings, 11” x 17” drawings preferred; as prepared by a Florida Registered
Professional Engineer.
Basis of Design calculations and documents, as prepared by a Florida Registered Professional Engineer.
A Brief synopsis of plant construction/modification.
Appropriate fee. Submit a check payable to the Broward County Board of County Commissioners.
NOTE: Please contact the Florida Department of Environmental Protection for the State construction permit.
Page 1 of 2
Form WWTP con/mod --- March 2014
WWTP Construction License Fees
(Per Broward County Code, Chapter 40.23, effective 10/01/07)
For Section 27-201(a)(5), Wastewater Treatment Plants Fee
(a)
Proposed Wastewater Treatment Plants Construction Phase License Fee:
(1)
(2)
(3)
(b)
Per gallon of design capacity.................................. $0.05
Minimum fee shall not be less than .................... $500.00
Maximum fee no more than ............................. $8,200.00
Proposed Modifications License Fee:
(1) Proposed modification or revision that does not change design capacity ...............$900.00
(2) Modification to Advanced Wastewater Treatment or Spray Irrigation
a) Per gallon of design capacity (17 mills) ...............................................................$0.017
b) This fee shall not be less than ...........................................................................$165.00
c) Nor more than ................................................................................................ $3,280.00
Submit a check payable to the BROWARD COUNTY BOARD OF COUNTY COMMISSIONERS
Signatures of Project Principals
The undersigned agree to comply with Chapter 27 of the Broward County Code of Ordinances. Construction/modification
of a domestic wastewater treatment plant without a valid Broward County License is a violation of County Rules and
Regulations, and may be subject to enforcement action resulting in civil penalties and/or fines.
A. Applicant Name/Title
Signature
Date
B. Waste Water Treatment Plant Authority/Title
Signature
Date
C. PROFESSIONAL ENGINEER REGISTERED IN FLORIDA:
I hereby certify that the engineering features of this wastewater treatment system have been designed by me in
accordance with Chapter 27 of the Broward County Code of Ordinances and Chapter 62-600 of the Florida Administrative
Code.
Name (please type)
Florida Registration No.
Signature of Engineer
Company Name
Date
Company Address
(Affix Seal)
City
Page 2 of 2
Form WWTP con/mod --- March 2014
Zip