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NOTICE OF INTENT TO USE THE GENERAL PERMIT FOR CONSTRUCTION OF WATER MAIN <br />EXTENSIONS FOR PWSs <br />LTroject Name: Oslo Road/Lateral _'J' Bridge Replacement I Permittee: Indian River Countv <br />2. Explanation for Requirements Marked "NA" in Part ILC.I Above, Including Justification, Documentation, Assurances, and/or <br />Alternatives as Required by Rule for Exceptions to Requirements in Part II.C.I: The following are the explanations as to the <br />N/A designations: (h) there are no water mains designated not capable of conveying fire flows, (o) there are no below grade <br />ARV proposed within the improvements (v) no water mains are proposed to be constructed within known aggressive soil <br />conditions (z) there are no mains that are proposed to aerially cross above surface waters, (cc) there are no service <br />connections proposed and (dd) no such items exists within the limits of the project. <br />I completed Part 11 of this notice, and the information provided in Part II and on the attachment(s) to Part II is true and accurate to the <br />best of mv knowledge and belief. <br />Signature, Seal, and Date of Professional Engineer (PE) or <br />Signature and Date of Other Person in Responsible Charge of <br />Designing Project:* <br />Name: Brian Good, P.E. <br />License Number of PE <br />or License Number or Title of <br />Other <br />Person in Responsible <br />Charge of <br />Designing <br />Project:* <br />56939 <br />Portion of Preliminary Design Report for Which Responsible: <br />100% <br />Signature, Seal, and Date of Professional Engineer (PE) or <br />Signature and Date of Other Person in Responsible Charge of <br />Designing Project:* <br />Printed/Typed Name: <br />License Number of PE or License Number or Title of Other <br />Person in Responsible Charge of Designing Project:* <br />Portion of Preliminary Design Report for Which Responsible: <br />* Except as noted in paragraphs 62-555.520(3)(a) and (b), F.A.C., projects shall be designed fouler the responsible charge of one or <br />more PEs licensed in Florida. 4'this project is being designed under the responsible charge of one or more PEs licensed in <br />Florida, Part 11 of this notice shall be completed, signed, sealed, and dated by the PE(s) in responsible charge. If this project is not <br />being designed fouler the responsible charge of one or more PEs licensed in Florida, Part II shall be completed, signed, and dated <br />by the person(s) in responsible charge of designing this project. <br />DEP Form 62-555.900(7) Page 6 <br />Effective August 28. 2003 <br />