Environmental Protection Commission of Hillsborough County

EPC AGENCY FORMS AND APPLICATIONS

Online Submittal Forms (new) - You can fill out the following forms/applications either electronically through our website or on the computer using Adobe Reader. All applications that require a review fee must be submitted to EPC via fax at 813-627-2630, mail or hand delivery at 3629 Queen Palm Dr., Tampa, FL 33619. If you have any questions or comments, please contact our office at 813-627-2600.

Please note: Data typed into these forms cannot be saved using free PDF-reader software. Please print your completed form if you would like a copy for your records. In order to save the form and data, additional software must be purchased.

AGENCYWIDE

View the EPC Permitting Guide
A revised agency-wide manual which explains the basics of the permitting programs and other regulatory programs at the EPC.

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Permit Application Notice Sign
Using the sign provided in this link, please fill out the remaining information and post this pursuant to Sec. 1-2.051(a) within 15 days of submitting an application for any of the following initial permits or initial authorizations:

- wastewater permits in excess of 100,000 gallons discharge per day
- authorizations issued under section 1-7.202(1)(c) or (d), Rules of the EPC
- authorizations issued under section 1-10.05B, Rules of the EPC
- air construction permits issued under Chapter 1-3, Rules of the EPC**

The EPC recommends you weatherproof the sign prior to posting, as it must be maintained for at least 30 days. If you have applied for one of the above listed authorizations/permits, you must comply with all applicable notice requirements in sec. 1-2.051. **Please note Chapter 1-3 may require a larger sign that meets the requirements of sec. 1-2.051.

.pdf

WETLANDS MANAGEMENT
Delineation of Wetlands and Other Surface Waters Pursuant to Chapter 1-11.04
WDR30-Wetland Delineation Request Application (updated 05/2008) This application applies to formal and information delineations	.pdf
Application for EPC Approval of SWFWMD Wetland Survey This application applies to formal delineations performed by Southwest Florida Water Management (SWFWMD) staff	.pdf
Review of Development Within Wetlands and Other Surface Waters Pursuant to Chapter 1-11.06, 1-11.07 & 1-11.08
Guideline For Wetland Impact And Mitigation Proposal	.pdf
Mitigation Agreement - Individual or Corporation	.pdf
Assignment of Responsibility	.pdf
Conservation Easement	.pdf
Escrow Agreement	.pdf
Performance Bond	.pdf
Letter of Credit - Example Form	.pdf
Other links - Florida Uniform Mitigation Assessment Method (UMAM)
Miscellaneous Activities In Wetlands Pursuant to Chapter 1-11.10
EPC’s List of Nuisance Plants Proposed removal of only plants included in this listing may be permitted through the WNV15 application (no review fee). For all other activities refer to the MAIW20 application (review fee required).	.pdf
WNV15-Application for Nuisance Vegetation Removal in Wetlands This application is for removing Nuisance Vegetation in Wetlands as provided in Section 1-11.10(1)(b), Wetlands, Rules of the EPC.	.pdf or Online Submittal
MAIW20-Application To Perform Miscellaneous Activities In Wetlands	.pdf
TPA - EPC Delegation: EPC Minor Work Permit Application This application is for marine construction projects located within the Tampa Port Authority (TPA) -Environmental Protection Commission (EPC) delegated areas. View information on the Inter-local agreement.
Minor Work Permit (MWP) Application and Guidelines	.pdf
Noticed Exemption Activities In Wetlands Pursuant to Chapter 1-11.11(1)(b) and 1-14.05(a)
WEA10-Notice of Exempt Activities in Wetlands This form is to provide notice for exempt activities as required in Section 1-11.11(1)(b), Wetlands, and/or Section 1-14.05(a), Mangrove Trimming & Preservation, Rules of the EPC.	.pdf or Online Submittal
Review of Mangrove Exemptions, Trimming and Alteration Requests Pursuant to Chapter 1-14
For all exempt mangrove trimming requests listed within Chapter 1-14.05(a), Mangrove Trimming & Preservation Rule, refer to form WEA10* (above).*
Mangrove Trimming Application For those projects that do not qualify under the exemptions of Section 1-14.05 shall require a permit issued as provided in Section 1-14.06.	.pdf
Professional Mangrove Trimmer Registration & Renewal Form This form is required for individuals to be authorized as a professional mangrove trimmer status within Hillsborough County pursuant to Section 1-14.08 .	.pdf

WATER MANAGEMENT
Pollution Recovery Fund (PRF) Application This program is governed by Chapter 1-9, Rules of the EPC for the purpose of funding restoration projects; mitigate the effects of pollution and to otherwise enhance pollution control activities within Hillsborough county.	.pdf

WASTE MANAGEMENT
Director's Authorization This form is to provide written authorization of the Executive Director of the EPC in accordance with Chapter 1-7, Rules of the EPC Sections 1- 7.200(3) and 1-7.202(1). Pursuant to Chapter 1-2, Rules of the EPC, Section 1-2.051(a).	.pdf

Storage Tank Forms	forms

AIR MANAGEMENT (the following forms are from the Florida Department of Environmental Protection - DEP)
Annual Operating Report	www.dep.state.fl.us/Air/rules/forms/aor.htm
Statement of Compliance	www.dep.state.fl.us/Air/rules/forms/titlev.htm
Application for Air Permit Forms	62-210.900(1), (3), (4)
Acid Rain Program Forms	62-210.900(1)(a), (a)1. – (a)5.
Annual Operating Report	62-210.900(5)
Facility Relocation Notification	62-210.900(6)
Application for Air Permit Transfer	62-210.900(7)
Non-Title V Air General Permit Notification Forms	62-210.920(1) – (10)
Title V Annual Emissions Fee Form	62-213.900(1)
Title V Air General Permit Notification Forms	62-213.900(2) – (6), (9)
Title V Statement of Compliance	62-213.900(7) & (8)
Title V Responsible Official Notification	62-213.900(8)
Gasoline Tanker Leak Test Report	62-252.900(1)
Asbestos Notification	62-257.900(1)