SWIMMING POOL OR SPA WATER DISCHARGE PERMIT APPLICATION

All water discharged from a swimming pool or spa shall be kept on the same parcel as the swimming pool or spa and shall not be permitted to drain or flow onto neighboring or adjacent privately-owned property. Should you be unable to keep the swimming pool or spa water on the same parcel as the swimming pool or spa, you may apply for a permit from the Venetian Isles Community Development District to discharge the swimming pool or spa water into the District’s Stormwater System.
INSTRUCTIONS FOR SWIMMING POOL OR SPA WATER DISCHARGE PERMIT APPLICATION:
Ensure that the Venetian Isles Community Development District (the “District”) Swimming Pool Discharge Rule has been read in its entirety.
Legibly print or type all information requested on the Permit Application.

Provide proof of ownership.
Include a description of the owner’s plan for discharging the water from the swimming pool or spa into the District’s Stormwater System.
E-mail the completed application to nnguyen@sdsinc.org
Upon receipt of the completed Permit Application, the District Manager shall have thirty (30) days to review the Permit Application and either issue a permit, reject the Permit Application, or reject the Permit Application with a request for additional information or documentation.
Any action of the District Manager, taken pursuant to Section 4.B of the Swimming Pool Discharge Rule, may be appealed to the District Board of Supervisors (the “Board”), provided that a written notice of appeal, stating the reasons and justifications for the appeal, is submitted to the District Manager within thirty (30) days of the action being appealed. Such appeal shall be heard by the Board at its next available meeting, and the appellant must be present or represented for the appeal to be heard by the Board.
DATE:  	
OWNER NAME (APPLICANT NAME):  	
The   homeowner   is   the   owner   of   the   property   with   the   District   having   the   address   of
 	, Miami, Florida 33185, with a legal description of Lot , EGRET LAKE ESTATES, SECTION         PLAT, as recorded in Plat Book          , Page	of the Public Records of Miami-Dade County, Florida (Parcel ID	) (the “Homeowner’s Property”)

CONTACT PHONE #:  	 EMAIL:  		
PROPOSED DATE OF DISCHARGE:  	 NUMBER OF GALLONS TO BE DISCHARGED:  		
DESCRIPTION OF OWNER’S PLAN FOR DISCHARGING THE SWIMMING POOL OR SPA WATER:

The undersigned agrees that any such discharges are in accordance with the standards, laws, and regulations of Miami-Dade County, the State of Florida, and the United States for discharges into waterbodies, including those that are part of a residential stormwater management system, including, but not limited to, Chapter 24 of the Miami-Dade County Code of Ordinances, Chapter 373, Florida Statutes, and Chapter 62, Florida Administrative Code.

APPLICANT SIGNATURE:	_

DATE:  	

APPLICANT SIGNATURE:	_

DATE:  	

(FOR DISTRICT USE ONLY)

Approved:

Rejected:

Rejected/Request for Additional Information:

District Manager or Assignee Signature:		DATE: