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5. Chapter 258, Part III, F.S., which requires protection of components or potential components of the national wild and <br />scenic rivers system. <br />6. Chapter 267, F.S., the "Florida Historical Resources Act" which requires identification, protection, and preservation of <br />historic properties, archaeological and anthropological sites. <br />7. Chapter 287, Part I, F.S., which prohibits parties convicted of public entity crimes or discrimination from participating <br />in State -assisted projects and which requires consideration of the utilization of Minority Business Enterprises in State - <br />assisted projects. <br />8. Chapter 372, F.S., the Florida Endangered and Threatened Species Act which prohibits the killing or wounding of an <br />endangered, threatened, or special concern species or intentionally destroying their eggs or nest. <br />9. Chapter 373, Part IV, F.S., Florida Water Resources Act of 1972, which requires that activities on surface waters or <br />wetlands avoid adversely affecting: public health, safety, welfare, or property; conservation of fish and wildlife, <br />including endangered or threatened species or their habitats; navigation or the flow of water; the fishing or recreational <br />values or marine productivity; and significant historical and archaeological resources. <br />10. Chapter 380, Part I, F.S., Florida Environmental Land and Water Management Act of 1972 as it pertains to regulation <br />of developments and implementation of land and water management policies. <br />11. Chapter 381, F.S., Public Health, as it pertains to regulation of onsite wastewater systems. <br />12. Chapter 403, Part I, F.S., Florida Air and Water Pollution Control which requires protection of all waters of the state. <br />13. Chapter 582, F.S., Soil and Water Conservation Act which requires conformance with Water Management District's <br />regulations governing the use of land and water resources. <br />14. Governor's Executive Order 95-359, which requires State Clearinghouse review of project planning documentation <br />and intergovernmental coordination. <br />I, the undersigned Authorized Representative of the Applicant, hereby certify that all information contained herein and in the <br />attached is true, correct, and complete to the best of my knowledge and belief. I further certify that I have been duly authorized <br />to file the application and to provide these assurances. <br />Signed this 9th Day of May 1 20 18 <br />Rebecca J. Bowman <br />Authorized Representative <br />(s nature) (name typed or printed) <br />Attachments <br />Form Application DW -I <br />Incorporated in 62-552.430(1)(a), F.A.C. Page 5 of 9 Effective Date July 2017 <br />