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- EXAMPLE FORM - NOTICE OF AGENCY ACTION TAKEN BY THE ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Notice is given that the following permit was issued on 11/27/95: ACME HOMES CO., INC., 1201 W. 15" Street, Palatka, FL 32177, permit # 42=107- 0001. The project is located in Putnam County -Section 23, Township 07 South, Range 34 East. The permit authorizes A SURFACE MANAGEMENT SYSTEM ON 20 ACRES TO SERVE A SINGLE-FAMILY RESIDENTIAL SUBDIVISION known as Blue Meadows. The receiving waterbody is ST. JOHNS RIVER. The fite(s) containing* the application for the above listed permit is available for inspection Monday through Friday except for legal holidays, 8:00 a.m. to 5;00 p.m,. at the St. Johns. River Water Management District (District) Headquarters, 4049 'Reid Street, Palatka, FL 32178-1429. A person whose substantial interests are affected by the District permitting decision may petition for. an administrative hearing in accordance with sections 1'20.569 and 120.57, Florida Statutes, or may choose to pursue mediation as an alternative remedy under section 120.573, Florida Statutes, before the deadline forfiling a petition. Choosing mediation will not adversely affect the right to a hearing if mediation does not result in a settlement. The .procedures for pursuing mediation are set forth in section '120.573, Florida Statutes, and rules 28- 106.11.1 and 28-106.401-.404 Florida Administrative Code. Petitions must comply with the requirements of Florida Administrative Code Chapter 28-106 and be filed with (received by) the District Clerk located at District 'Headquarters, ,Highway 100 West, Palatka, FL 32177. Petitions for administrative .hearing on :the above application(s) must be flied within twenty-one (21) days of publication of this notice or within twenty. six (26) days of the District depositing notice of this intent in .the mail for those persons to whom the District mails actual notice. Failure to file a petition within this time period shall constitute a waiver of any right(s) such person(s) may have to request an administrative determination (hearing) under sections 120.569 and 120.57, F.S., ooncerning the subject permit. Petitions that are not filed in accordance with the above provisions are subject to dismissal. Because the administrative bearing. process is designed, to formulate final agency action, the filing of a petition means that the District's final action may be different from the position taken by it in this notice of intent. Persons whose substantial interests will be affected by any such final decision of the District on the applicant have the right to petition to become a party to the proceeding, in accordance with the requirements set forth above. Revised September 8, 20DO HIpdsldata/Holders of General Permits 2