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CONTRACTOR's AFFIDAVIT REGARDING EROSION <br /> CONTROL AND TREATMENT OF DEWATERING WATER <br /> AND STORMWATER FROM THE CONSTRUCTION SITE <br /> (TO BE MADE A PART OF THE STORMWATER POLLUTION PREVENTION PLAN) <br /> This sworn statement is submitted for Indian River County Project No. 1210 for Sandridge <br /> Golf course — Driving Range Tee Renovations. <br /> STATE OF <br /> COUNTY OF <br /> Personally before me the undersigned authority, appeared <br /> , who upon oath duly <br /> administered, stated as follows: <br /> 1. This sworn statement is submitted by the CONTRACTOR, <br /> whose business address is <br /> and (if <br /> applicable) its Federal Identification No.(FEIN) is if entity has no <br /> FEIN, include the Social Security Number of the individual signing this sworn statement: <br /> 2. My name is and my relationship to the <br /> entity named above is . <br /> 3. 1 understand and agree that in addition to the Stormwater Management System Permit <br /> issued by Indian River County, CONTRACTOR is responsible for complying with the <br /> terms and conditions of the following as applicable to the site: <br /> a. State of Florida Generic Permit for Stormwater Discharge From Large and Small <br /> Construction Activities (for projects one acre or larger), <br /> b. Stormwater Pollution Prevention Plan (regardless of project size), <br /> c. St. Johns River Water Management District permit(s) (regardless of project size), <br /> d. Florida Department of Environmental Protection permit(s) (regardless of project <br /> size), <br /> e. All other permits required for this project not specifically listed herein, and <br /> f. All Codes and ordinances of Indian River county. <br /> 4. 1 understand that"pollution"as defined by Florida Statutes Chapter 403.031(7) means: ". . . <br /> the presence in the outdoor atmosphere or waters of the state of any substances, <br /> contaminants, noise, or manmade or human-induced impairment of air or waters or <br /> alteration of the chemical, physical, biological, or radiological integrity of air or water in <br /> quantities or at levels which are or may be potentially harmful or injurious to human health <br /> or welfare, animal or plant life, or property or which unreasonably interfere with the <br /> enjoyment of life or property, including outdoor recreation unless authorized by applicable <br /> law." <br /> 5. 1 understand that in addition to the definition set forth in Item 5 above, "pollution" is also <br /> defined by paragraph 1.5 of Section 02225 of the Technical Specifications for this <br /> Project. <br /> 01025-9 Technical Specifications <br /> FAPublic works\ENG1NEERING DIVISION PROJECTS1121 O-Sand ridge Driving Range Tee RenovationlAdmimlbid <br /> documents\Technical Specifications.doc <br /> SmeadSoft Reprint Date:Monday,January 11,2016-09:22:23-OfficialDocuments:9069,Attachment Id 1,Page 169 <br />