St. Johns River Water Management District St. Johns River Water Management District St. Johns River Water Management District St. Johns River Water Management District St. Johns River Water Management District St. Johns River Water Management District
St. Johns River Water Management District - www.sjrwmd.com

www.sjrwmd.com

Permitting

Permitting forms

The forms on this page can be completed online as part of the e-permitting process. Visit the e-permitting pages for additional information.

Consumptive use permit (CUP) application and compliance forms

Form number or name
(click to download)

Applicable
rule(s)

Form name

Form 40C-2.900(1)

40C-2

Individual Consumptive Use Permit Main Application Form

Form 40C-2.900(1)(a)

40C-2

•  Form A — Agricultural

Form 40C-2.900(1)(b)

40C-2

•  Form B — Industrial/Commercial

Form 40C-2.900(1)(c)

40C-2

•  Form C — Landscape/Recreation

Form 40C-2.900(1)(d)

40C-2

•  Form D — Mining/Dewatering

Form 40C-2.900(1)(e)

40C-2

•  Form E — Public Supply

Form 40C-2.900(1)(f)

40C-2

•  Form F — Environmental/Other

Form 40C-2.900(1)(g)

40C-2

•  Form G — Institutional

Form 40C-2.900(2)

40C-2

Minor Individual Supplemental Form

Form 40C-2.900(3)

40C-2

Landscape Irrigation for One Additional Day per Week

Form 40C-2.900(4)

40C-2

Water Use/Pumpage Report Form (EN-50)

Form 40C-2.900(5)

40C-2

Flow Meter Accuracy Report Form (EN-51)

Form 40C-2.900(6)

40C-2

Annual Statement of Continuing Use

Form 40C-2.900(7)

40C-2

Water Audit

Form 40C-2.900(8)

40C-2

Alternative Method Flow Verification Report

Form 40C-2.900(9)

40C-2

Annual Crop Summary Report

Form 40C-2.900(10)

40C-2

Crop Protection Report

Form 40C-2.900(11)

40C-2

Water Quality Report Form

Form 40C-2.900(12)

40C-2

Notice of Dewatering Activity

Form 40C-2.900(13)

40C-2

Voluntary Rescission of Consumptive Use Permit

Form 40C-2.900(14)

40C-2

Consumptive Use Permit Transfer Request

Form Water Conservation Plan: Agriculture

None

Water Conservation Plan Form for Agriculture
(This form is not required, but is provided for assistance in developing a plan.)

Form Water Conservation Plan: Landscape Irrigation

None

Water Conservation Plan Form for Landscape and Non-Golf Recreation Irrigation
(This form is not required, but is provided for assistance in developing a plan.)

Form Water Conservation Plan: Golf Courses

None

Water Conservation Plan Form for Golf Courses
(This form is not required, but is provided for assistance in developing a plan.)

Environmental resource permit (ERP) application and compliance forms

Note: Please be sure to use the latest version of each form by checking modification dates listed under the “modified documents” headings on the Florida Department of State website. You may do so by following the link to the Department of State website, then clicking on the relevant “Rule No.” and then clicking the relevant form under the “References in this version” listing.

Form number or name
(click to download)

Applicable
rule(s)

Form name

Form 62-330.050(1)

62-330

Request to Verify Exemption

Form 62-330.0511(1)

62-330

Notice of Intent to Construct a Minor Silvicultural System

Form 62-330.060(1)
•  Section A
•  Section B
•  Section C
•  Section D
•  Section E
•  Section F
•  Section G
•  Section H

62-330

Joint Application for Individual And Conceptual Environmental Resource Permit/Authorization to Use State-Owned Submerged Lands/Federal Dredge and Fill Permit, Sections A through H

Form 62-330.090(1)

62-330

Recorded Notice of Environmental Resource Permit

Form 62-330.201(1)

62-330

Petition for a Formal Determination of the Landward Extent of Wetlands and Other Surface Waters

Form 62-330.301(1)

62-330

Performance Bond To Demonstrate Financial Assurance for Mitigation

Form 62-330.301(2)

62-330

Irrevocable Letter of Credit to Demonstrate Financial Assurance for Mitigation

Form 62-330.301(3)

62-330

Standby Trust Fund Agreement to Demonstrate Financial Assurance for Mitigation

Form 62-330.301(4)

62-330

Trust Fund Agreement to Demonstrate Financial Assurance for Mitigation

Form 62-330.301(5)

62-330

Escrow Agreement

Form 62-330.301(6)

62-330

Guarantee Bond to Demonstrate Financial Assurance for Mitigation

Form 62-330.301(8)

62-330

Deed of Conservation Easement — Standard

Form 62-330.301(9)

62-330

Deed of Conservation Easement — Standard, With Third Party Beneficiary

Form 62-330.301(10)

62-330

Deed of Conservation Easement — Passive Recreational Uses

Form 62-330.301(11)

62-330

Deed of Conservation Easement — Riparian Uses

Form 62-330.301(12)

62-330

Deed of Conservation Easement for Local Governments

Form 62-330.301(13)

62-330

Deed of Conservation Easement with Third Party Beneficiary Rights to the U.S. Army Corps of Engineers

Form 62-330.301(14)

62-330

Declaration of Restrictive Covenants

Form 62-330.301(15)

62-330

Declaration of Restrictive Covenants — Insert

Form 62-330.301(16)

62-330

Temporary Easement for Construction Access

Form 62-330.301(17)

62-330

Permanent Access Easement

Form 62-330.310(1)

62-330

As-Built Certification and Request for Conversion to Operation Phase

Form 62-330.310(2)

62-330

Request For Transfer of Environmental Resource Permit to the Perpetual Operation Entity

Form 62-330.310(3)

62-330

Construction Completion and Inspection Certification for Activities Associated With a Private Single-Family Dwelling Unit

Form 62-330.311(1)

62-330

Operation and Maintenance Inspection Certification

Form 62-330.311(2)

62-330

Regional Stormwater Management System Annual Report

Form 62-330.340(1)

62-330

Request to Transfer Permit

Form 62-330.350(1)

62-330

Construction Commencement Notice

Form 62-330.360(1)

62-330

Emergency Field Authorization

Form 62-330.402(1)

62-330

Notice of Intent to Use an Environmental Resource General Permit

Form 62-330.417(1)

62-330

Agreement to Maintain Public Access

Form 62-330.417(2)

62-330

Agreement to Maintain Public Access and Operate Stormwater System

Form 62-342.700(1)

62-342

Mitigation Bank Performance Bond to Demonstrate Construction and Implementation Financial Assurance
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 62-342.700(2)

62-342

Mitigation Bank Irrevocable Letter of Credit to Demonstrate Construction and Implementation Financial Assurance
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 62-342.900(3)

62-342

Mitigation Bank Standby Trust Fund Agreement to Demonstrate Construction and Implementation Financial Assurance
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 62-342.700(4)

62-342

Mitigation Bank Trust Fund Agreement to Demonstrate Construction and Implementation Financial Assurance
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 62-342.700(5)

62-342

Mitigation Bank Trust Fund Agreement to Demonstrate Perpetual Management Financial Assurance
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 62-342.900(6)

62-342

Mitigation Bank Standby Trust Fund Agreement to Demonstrate Perpetual Management
(tailored to reflect the St. Johns River Water Management District as permitting agency)

Form 40C-41.063(4)

40C-41

Local Government Notification

Form 40C-44.061(2)(d)1

40C-44

Form EN-14M

Form 40C-44.061(2)(d)2

40C-44

Form EN-52

Form 40C-44.101(2)

40C-44

Supplemental Information for Agricultural Systems

Water well construction permit application forms

Form number or name
(click to download)

Applicable
rule(s)

Form name

wellpermitapp.pdf

40C-3

State of Florida permit application to construct, repair, modify or abandon a well

wellcompform.pdf

40C-3

Well completion report

General forms

Form number or name
(click to download)

Applicable
rule(s)

Form name

Form 40C-1.603(13)

All

Request to the St. Johns River Water Management District to Reduce Permit Application Fees (for use by counties and municipalities)

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St. Johns River Water Management District
4049 Reid Street, Palatka, FL 32177
(800) 725-5922