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CONTRACTOR'S AFFIDAVIT REGARDING EROSION CONTROL AND <br />TREATMENT OF DEWATERING WATER AND STORMWATER FROM <br />CONSTRUCTION ACTIVITIES <br />This sworn statement is submitted to Indian River County for the following project (list <br />project name and site address): CR512 WESTBOUND RESURFACING (ROSELAND <br />ROAD TO US1) AND CR512 EASTBOUND RESURFACING (EASY STREET TO US1) <br />Sebastian, Florida 32958. <br />STATE OF <br />COUNTY OF <br />Personally before me the undersigned authority, appeared <br />administered, stated as follows: <br />1. This sworn statement is submitted by the CONTRACTOR, <br />, who upon oath duly <br />whose business address is <br />and (if applicable) its Federal Identification No.(FEIN) is <br />2. My name is and my relationship to the <br />entity named above is <br />3. CONTRACTOR understands and agrees that in addition to complying with the terms <br />and conditions of the Stormwater Management System Permit issued by Indian River <br />County, Permittee is responsible for complying with the terms and conditions of the <br />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 />01025-19 Technical Specifications <br />F•\Public Works\ENGINEERING DIVISION PROJECTS\1139-CR 512 Wbnd Resurfacing -Roseland Rd to US 1-SCOP\Admin\bid <br />documentsWlaster Contract Documents\Technical Specifications REVISED.doc <br />