HomeMy WebLinkAboutMinutes_Regular_07/10/1979u
MINUTES OF THE MEETING OF THE COUNCIL
OF THE VILLAGE OF TEQUESTA, FLORIDA
July 10, 1979
A Meeting of the Council of the Village of Tequesta, Florida,
was held at 7:3~ P.M., immediately following a "Site Plan Review",
Tuesday, July 10, 1979 in the Village Hall, 357 Tequesta Drive,
Tequesta, Florida. Councilmembers present were Brown, Cook,
Mapes, Ryan and Yoder. Also present were Robert Harp, Village
Manager, Cyrese Colbert, Village Clerk and John C. Randolph,
Village Attorney.
The opening Prayer and Pledge of Allegiance to the Flag
was given by Councilmember Yoder.
Brown made the following announcements:
1. first shovel was turned on the Golf Course drainage
improvements today July 10, 1979
?_. South Florida Water Management District 1~leeting
• July 12, 1979 and the hearing for the drainage out
fall to the river is on the agenda.
The minutes of the June 12, 1979 Public Hearing l~Teeting
were received. The minutes of the June 12, 1979 Council Meeting
and the June 22, 1979 Special Council Meeting were received with
corrections. The minutes of the June 26, 1979 Public Hearing
(St. Jude's Church), June 26, 1979 Public Hearing (Comprehensive
Plank and the minutes of the June 26, 1979 Council Meeting were
received.
Under the item, "Village Manager's Report - June 2~.-July 7, 1979
Mapes asked the Village Manager about ~2$ - a letter sent to
Palm Beach County Property Appraiser requesting 1979 tax exemption
for Tequesta Pines, Parcels A, B and C and what were they. The
Village Manager told Mapes those were the parcels that were deeded
to the Village when Tequesta Pines Subdivision was approved and the
Village had to get them tax exempt ~'or the next tax year.
Council discussed item X61 re: Adoption bar the County of the
"Fair Share Contribution for Roads Improvements Ordinance". The
Village told Council that in his opinion the Village should stay
in the p ogram because the Village has County roads leading into
Tequesta .
,'' a r
07-10-79 -02
John Giba, Village Planning Consultant, gave the following
report:
• 1. J.T.B. Club - On .June 29, 1979 the Village Manager,
Village Attorney and Planning Consultant met to discuss
the proposed zoning. They agreed that the best way
to handle this was to prepare a Marina facility element
with a Special Exception Use in the R1 and R2 Zoning
District.
2. Annexation Committee - On July 2, 1979 he met briefly
with the new Annexation Committee. He reviewed with them
the background of the goals and objections of the Village
of Tequesta. William Blodgett will be the Chairperson
of the Committee. Brown told Giba it would be a good
idea to present the Council with the Annexation Committee.ts
Charter. Giba said he would make sure Council received
a copy of the Charter so they can rev#ew and approve
the Charter.
3. Jupiter Island - Oceanside Diamond Developement brought
before the Palm Beach County Commission their proposed
12 story, building as a Special Exception Use, in the
RH Zoning District, at a meeting held June 2$, 1979.
A motion made by Commissioner Peggy Evatt was approved
that this item be postponed or deferred for 30 days
so Palm Beach County and their builder can get together
to iron out the problems involved.
• Brown told the audience that this Council and previous Councils
have long been working on improving the Vlater distribution system
on Ju}~iter Island and now is the time to start things rolling and
getting the gears in motion.
~1r. John McKune, Gee 8c Jenson reviewed with Council the
preliminary report on the "Water Distribution System on Jupiter
Island for the Village of Tequesta'r.
The report basically states that it is necessary to either
upgrade the existing water distribution system on Jupiter Island
or to provide a separate fire protection system to adequately serve
the existing and future population on the island.
The least expensive way of providing fire protection to the
Island would be to use a separate system using the waters from the
Intracoastal 'uVaterway.
The most expensive way, but a better alterative, would be an
Intracoastal crossing which would close the loop of the water system
on the Island. Gee & Jenson feels that this crossing would be the
most beneficial because the island would be insured a continuation
of water service if one of the crossings became-impaired.
The scope of the report was to determine the adequacy of the
existing water distribution system, determine what improvements were
• needed and find the means for t'inancing the project.
07-10.-7y -03
There is presently a single 10" main which crosses the Intra-
• coastal near the SR 707 Bridge. There is a 6" main off of the
main branch that serves Jupiter Inlet Colony and an b" main that
parallels SR 707 northward to the extent of the service area.
Gee & Jenson found that the existing system was not necessarily
unsafe to transmit sufficient fire protection to the Island, but in
order to accomodate a larger fire flow for the projected increase
in population, on the Island, it is necessary to either upgrade the
existing system or provide a completely separate system for fire
protection. Mr. T~cKune said there were four possible means of
providing the necessary fire protection to the ultimate population
of the Island. He reviewed them as 1., an additional main crossing
tYie Intracoastal Waterway 2., installation of storage tank,
fire pumps and additional mains on the Island 3., an additional
main running parallel to the existing main within the SR 707 right-
of-way 4., provide a separate fire protection system utilizing the
saline surface waters from the Intracoastal. Out of the possible
four solutions to the problem Gee ~ Jenson feels that the additional
main crossing the Intracoastal Waterway would be the most beneficial
because it would enable the Island to be served by a looped system.
N1r. I~IcKune talked of the cost of each of the possibilities.
The cost of the additional main crossing in the vicinity of the
County line would be approximately ~372,725.U0.
Mapes told T~1r. McKune that there will be enough. to cover
• the cost of constructing the line from the Water Department's 197b
Construction Fund after the current project from that fund is
completed.
Yoder was concerned that the proposed line and its size
might not be adequate for the future population on the Island,
but Mr. T~IcKune reassured Council that the line size will not
affect the number of people it can serve.
Yoder also expressed his feeling that because there is a
lack in our system today for future fire protection does it
justify the Village charging just the new people for the cost
of the line? His concern was brought about by the recommendation
of Gee & Jenson to charge an additional connection charge of
X1,000. per new unit, The Village Attorney agreed with Yoder
in the fact that Gee & Jenson will have to substantiate that the
Village is having to do this because of the impact of the new
customers coming onto our water system. If the Engineers can
,justify that it will benefit the new people then the Village can
increase .its connection charge by the recommended amount. Brown
asked if Gee Rc Jenson and the Village Attorney believe they
could fight this in court and both replied they could.
The Village ifianager pointed out to Council that this project
could take up to two (2) years to complete.
U'7-1U-'79 -U1~
Ryan moved, '~to authorize Gee & Jenson to proceed with the
preparation of the plans and specifications for a water main
• crossing of the Intracoastal waterway, Route T, pursuant to
Gee & Jenson's July, 19`l9 Engineering Report and to proceed with
obtaining firm bids t'or the cost of this pro ject'T. Mapes seconded
and vote on the motion was:
Brown -for
Coop -for
NIa pe s -f o r
Ryan -for
Yoder -for
and therefore the motion was passed and adopted.
Council discussed with RrTr. TuicKune the fact that bids will have
to be received before the Village Council could change the Water
Department rate structure Ordinance to increase the connection
charge for new service on the Island by the amount needed to cover
the cost of the new service line .
Mr. Sandy Nettles, Gee & Jenson reported to Council that
bids for construction of two (2) observation wells were opened
at 2:00 P.M,., July 5, 19'79 in the Village Hall. The only bid
received was from Layne-Atlantic Company in the amount of`
~12,~1~., with a completion time of 30 days. NTr. Nettles said
he had talked to the two previous bidders who said they would
• rebid and did not. With one company it was a misunderstanding
on the bid opening date and the other was a misunderstanding of
the specs. F~Tr. Nettles believes he can have both wells installed
i'or X5,000. He recommended that Council hold off rebiding until
T~~ir. John T~IcKune's recommendation on the water situtation was
t'inalized and presented to Council. napes told. F~1r. T~IcKune that it
was his understanding the Village vvas committed to pumping a
certain amount of water from our wells, but T~~Tr. IvluKune ~s feelings
~raere it might be cheaper to purchase aaditional water from Jupiter,
I~iapes riovea, "that the bid received from Layne-Atlantic Company
in the amount of $12,$1.00 be rejected". Cook seconded and vote
on the motion was:
Brown -for
Cook -for
Mapes -for
Ryan -for
Yoder -for
ar~d therefore the motion was passed and adopted.
Mr. Koch, 12 Palmetto Way, asked if the catch basin on
Palmetto Way would be enlarged with the drainage program. Mr. John
~dise, Gee & Jenson, told Mr. Koch that in that area there would
be larger lines and bigger inlets. The whole system would be
enlarged in that area.
• Mr. Koch had a complaint about the illegal parking of
recreational vehicles in his area.
07-10-79 -05
Mr. Moore, 275 Country Club Drive, told Council he thinks
it is about time the Council estabish a uniform traffic speed
• limits.
Council instructed the Village Manager, Police Chief and
Palm Beach County to review the speed limits in the Village,
including State Road 707,
Brown told Council that he had informed both Frank Griffith,
2$7 River Drive and William T~1cComb, 2$3 River Drive that their
request for deletion of the drainage improvement at the intersection
of Fairway North and River Drive would be on the agenda toxight
but neither men came to the meeting. Brown was speaking of the
two residents because of two letters they had sent to the Village
requesting that the drainage improvements in their area be deleted
fror~: the program. Yoder asked John Wise to give Council a brief
rundown on that area and the cost of the project in that area.
TVTr. Wise told Council that on the original drainage improvement
plans dated September, 1956 it shows there is a main there but
evidently the project was never completed. There are approximately
sixteen (16) acres that drain into this area and under the new
plans the water run-off was also going to drain where the original
plans call for the drainage. The cost of that area is somewhere
between $30,000 and $40,000. ~~Tr. Wise told Council that the
Department of Environmental Regulation is familar with the letters
and both men have called the D.E.R.
• T~lapes asked Tfir. Wise if it was true that the drainage pipe
will go to the River through an easement between these two wens
property. ILZr. Ti~ise answered that it would. Mapes asked if it
doesntt mean that both men will have to tear up some of their
plants and will have to remove some of their fences. T~tr. Wise
answered that they would and this was discussed with both men
at the preconstruction meetings.
Ryan suggested that inasmuch as these men are not here
to represent their request,: he suggested that Council proceed
with the project.
Brown told Council that he has talked to both men and they
have a petition against the project, although Brown said he has
not seen the petition. When they talked to Brown they wanted
the Village to try and find an alternate route.
napes suggested that Gee & Jenson send the Village Council
a letter stating the extra~a~~t invo~v~d~wit~h ~o~ra~~rn~a~ices
~.
and other such ~.tems. ~~';n~ ~ ~ MM..
07 ~~ ~~q
Yoder suggested that a poll be taken and if the majority
of the people wanted the drainage improvement then put it in, .if
they don't then don't put it in.
T~Zr. Carlton Stoddard, 106 Golfview Drive, told Council he
• and his wife are delighted that the drainage program is being
done the way it is, like a Community. The program is not just
07-10-79 -06
for one area or another but that it benefits all areas ~f the
Village. He said he has had some corresponden
• Representative "Doc" Meyers and he has shown his ?support of
this project.
Mr. Jack Servies 7 River Drive, asked what are the drainage plans
for River Drive and Fine Tree Place, if any. Mr. Wise told
NIr. Servies there were no drainage improvements planned for this
area yet, but there is a plan to review other areas in the Village
that may need improvements to the drainage.
Tb7r. Wise told Council that he and
be in attendance at the meeting of the
District, but if there were protest by
tree permitting by SFWNID could be delay
The DER permit may be issued within 60
his company personnel will
South Florida Water Management
any resident of Tequesta,
sd until October or November.
days if there are no protests.
Brown asked I~~r. Wise to give a report on the drainage improvement
work being done on the Golf Course. NTr, ~ftise told Council that the
Contractor started work on Phase Z, on July 10, 1979. There
are 59 days remaining, not to exceed September 7, 1979. The
Contractor has ordered the inlet and the control structure, some
survey staking was done last week and some has been done this week.
Mra Wise said he believes the Contractor was a little bit
enthusiastic when he said certain things would be started at
certain times. He briefed Council on when different things were
done. Tv1r. ~~ise said that T~Tr. Bob Jones, Contractor Supervisor,
will be on the job starting July 11, 1979 and will remain there
until the job is completed. Gee & Jenson will have a schedule
at the end of the week and he would be able to give a better
progress report after he has received the contractors report.
TVSr. Larry Zielinski, 1,.30 Dover Road asked when the project
would be started on Dover Road. Mr. Wise informed T1Ir. Zielinski
that the work on the Doer Road area will probably start the
first of August.
Under item 3b. t¢Consideration of Approval or Disapproval
of Site Plan Review for St. Judets Parish Center", Mapes moved,
that the Site Plan Review far St. Judets Parish Center having
satisfactorily complied with the provisions and arrangements
set forth in Ordinance No. 266, be approved". Cook seconded
and vote on the motion was:
Brown -for
Cook -for
Mapes -for
Ryan -for
Yoder -for
and therefore the motion was passed and adopted.
The Village Attorney advised that a new Bond Resolution will
07-10-79 -07
be ready for the Councils consideration at the next Council
Meeting. A draft of a revision to the Zoning Ordinance for
• 1~'Iarina provisions, will also be ready for the next Council
Meeting.
Yoder moved, "to authorize payment of $705. from the
Vdater Department Renewal and Replacement Fund for the purchase
of a new radio for the Water Department Superintendentts carf'.
Ryan seconded and vote on the motion was:
Brovr~. -for
Gook -for
Mapes -for
Ryan -for
Yoder -for
and therefore the motion was passed and adopted.
Yoder advised that some of the bicycle paths were in
need of repair.
The meeting was adjourned at 10:07 P.~~'i.
C se Colbert
''l~ ~~
W. Harvey Mapes, r.
7. _ .
games ri. xyan
~~
o e Yoc'~. er, Jr.
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s
July 3, 1979
Village or Tequesta and
Tequesta Country Glub
Re: Tequesta Country Club Community Drainage Improvement
Gent lemer~
We understand that the Agreement between the Village of Tequesta (Village)
and Tequesta Country Club (Club) provides, among other things, for the-
termination of all work on this drainage project at the direction of the
Club. We further understand that the Club. has the right to itself notify
(at any time after 08/24/79) the Contractor to terminate work should the.
'Village fail to terminate work after being requested to do so by the Club. ,
As Contractor we agree to abide by the direction of the Club to cease
construction and proceed to finish grading at no expense to the Club, when
notified to do so by the Club.
Also, we understand that the Contractor is to consult and coordinate with
the Golf Course Superintendent as to the areas of the Club property in
which Contractor will proceed and as to other matters regarding construction.
as it relates to Golf Course property and operation. We agree to consult
and coordinate with the Golf Course Superintendent at no expense to the Club.
The Contractor shall incur no liability to the Village for ac''ting at the
.direction of_ the Club as stated above and shall incur no liability to the
Village for consulting and coordinating with the Golf Course Superintendent
as stated abewe.
W. yLackson & Sons Contruction Co.
~ j Vice ;`resident
The fore ing is acceptable and agreedf~fby the Village of Tequesta
By ~~~~
Mayor
Attest
Clerk
•
,_ o
~. ,~r
.~~~ 17r"~~ 8C ~J~1 y~Y~l7 :~.`+:~i~I~.~:I?ti-\ItCY,1~i I-:C"1~~-1'I.:~`ti\Elt~;€\C.
. ' .`~ -`7
2019 OKE'cCH08EE BOULEVARD, WEST PALM BEACH, FLORIDA... 33409...305 - &3333fl1
FREO A.GRSENE, P. E.
AICNAAO M. MILLER, P.E.
YJ4LTER O. STEPNeM1:S, JR., P.E.
WILLIAM G, WALLACE, JA„ P.L.S.
P F+1UP A. CRANNELL 1R., A.LA.
JO MN C. WISE. P.E.
Dirseio• Emnri me
h1.C. GEE, P.E.
T MEODORe 9. J9 N$C1N, P.°_.
Village of Tequesta
P.p. Box 3273
Tequesta, Florida 33458
July 3, 1979
Attention: Mr. Robert Harp, Village Manager
Re: Country Club Community Drainage Improvements - Phase I, Golf Course Portion
Gentlemen:
As engineers for the Village of Tequesta an referenced drainage project
we wish to certify the following:
1. The referenced drainage system was designed according to the Palm `
Beach County standard design criteria, to accomc~odate°rain storms
of an intensity and duration as predicted for .the Palm Beach County
area ~a three (3) year intervals according to the current Department
of Transportation (DOT) charts and data
2. The areas within the Village of Tequesta included in the drainage
computation for referenced improvements include the present golf
course area and those_ adiacent areas shown on the attached Sketch A.
3. The presently existin+~ lines xtending from the Club property to the
Loxahatchee River and~to th~f~`eas outside of the Club property, which
will ~Se used in referenced storm drainage project are, in our opinion,
in good working order or will be placed in goad working order at the
c.~o~mpi.etion of the Country Club Improvement Drainage ProjectL~x~
Very truly yours,
GEE & JENSON
Engineers,,Architects-Planners,-Inc.
t
~! ~ 2-~~.
Jo C. [Jise, P.E.
S for Vice President -
3W:cc
Attached: Sketch "A"
VILLAGE OF iEQUESTA
, nl " 400 O 400 AOO~ FEET °
. ~ N COUNTRY CLUB COMMUN{TY
i
• BAR SCALE o
~
' ~ DRAINAGE IMPROVEMENTS
COUNTRY CLUB DRIVE c
U
RESURFACING ~
i JUUE 1979
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Illliiflfflll
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LEGEND
~1------ EXISTING INLET 8~ PIPE
1l--- PROPOSED INLET 8. PIPE
- PROPOSED MANHOLE 8 PIPE
_ PROPOSED DRAINAGE EASM'T.
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ALM BEACH
FLORIDA
R4^E `
' FORM 4
. MEMORANDUM OF VOTING CONFLICT
DATE ON WHICH VOTE OCCURRED:
,19? 1
PART A
Name: ~~/~~~' ~• /y /'9ieVE~~ ~ Telephone: ~DJ ~7y(. ~ ~'~8+1
(LAST) ^ _ _ (FIRST) (MIDDLE) ~ (A/C) JNUMBER)
Address
(STREET) (CITY) (ZIP CODE) (COUNTY)
PART B
Agency is a unit of [check one] : ( 1 State of Florida; ~ /) County, City or other Political Subdivision
Name of Agency: V! L L A ~n ~ O ~ ~ ~ QJ~ C liT +Rt~ 1 ~y~G ~ ~.
Position held in Agency: ~~N~.-l.-r.~!"''~ ~~ ~E~'
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes § 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, please disclose the nature of your interest
below.
1. Description of the matter upon which you voted in your official capacity: ~a'y ?~ Ate!' ~~ ~
~/11S1 ~ ~+ G lz ~j/ ~ TEM r"c~ 2 ~ /''~Ls' !// ~. ~ ~-~¢ ~s ~' D~CJ %I~d
~~j i~m~JiL/Da D F /~"~uGrs~ ~9 ~~u~vr~ ~c. ~i~•u~
2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
t9 M A /L/ G`.r! /9 Est' A F % /y E ~.~ a /.g ~ /9,lip
~ /`'!E~l~B~',IC .~,~ Tip ~ ~o i4 ,e,v 6~ r ~~iP ~cTO ~ s
3. Person or principal to whom the special gain described above will inure:
a. ( 1 Yourself b. (~ Principal by whom you are retained: ~~Pyf`Sr/9 ~V'yTl~l~ ~i-t//g•
(NAME)
PART D
FILING INSTRUCTIONS
This memorandum must be filed within fifteen (15) days following the meeting during which the voting conflict occurred with the person
responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the meeting minutes. This form need not be
filed merely to indicate the absence of a voting conflict. Florida law permits but does not require you to abstain from voting when a conflict
of interest arises; if you vote, however, the conflict must be disclosed pursuant to the requirements described above.
PART E
/~• ~~~9
SIGNATURE OF PERSON ISCLOSI DATE SIGNED
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317 (19751, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES
GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE
OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM 4- EFF, 1/1/77
FORM 4
MEMORANDUM OF VOTING CONFLICT
.PART A
Name
ionc~• ±~lS//y~b '.S d/S'
(A/C) (NUMBER)
Addres ~'¢'~~ 'Id ~`.~C/5~
(STREET) (CITY) (ZIP CODE) (COUNTY)
PART B
Agency is a unit of [check one) : ( ) State of Flor..,,id~~a,~~~.... (,'~ County, City or other Political Subdivision
Name of Agency: ~L G .Q~fr ~ OF !!.:'~(~E.S l/~
Position held in Agency: /" ~~~~
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes § 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, p-ease disclose the nature of your interest
below.
1. Description of the matter upon which you voted in your official capacity: (,.tlt~/Tiri~/Glr ~°~'~~/P~~~
2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
.~i~ r~ ~~!r~~E.t of Jac ~~~/.c-s~ ~e~.vle~' (°~ vB
3. Person or principal to whom the special gain described above will inure:
a. ( 1 Yourself b. (Y) Principal by whom you are retained: ~~Oy ~-`S~~ ~d~Jl!/~y ~'L`iB
(NAME)
PART D
FILING INSTRUCTIONS
This memorandum must be filed within fifteen (15) days following the meeting during which the voting conflict occurred with the person
responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the meeting minutes. This form need not be
filed merely to indicate the absence of a voting conflict. Florida law permits but does not require you to abstain from voting when a conflict
of interest arises; if you vote, however, the conflict must be disclosed pursuant to the requirements described above.
PART E
SIGNA RE F PERSON DISCLOSING DATE SI
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317 (19751, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES
GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE
OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIV IL PENALTY NOT TO EXCEED $5,000.
DATE ON WHICH VOTE OCCURRED:
1~~
CE FORM 4- EFF. 1/1/77
' FORM 4
MEMORANDUM OF VOTING CONFLICT
ART A
Name
Addres
DATE ON WHICH VOTE OCCURRED:
j ,19
/'S ~~n V o S~ ~ Telephone~~G r7 O ~~
(LAST) (FIRST) '~ (MIDDLE) (ALC) (NUMBER)
y1 ~~. Ci.ta~.~ fin ~fi~vdsi3 33y~ ~ ~
~•
(STREET) (CITY) (ZIP CODE) (COUNTI~`)
PART B
Agency is a unit of [check one] : ( ) State of Florida; (I.I~ County, City or other Political Subdivision
i~
Name of Agency: ~~~~%!~--~ ~~ ~ d GL
Position held in Agency: CI (/ A/C/~ /~s.~w/
PART C
MEMORANDUM OF CONFLICT OF INTEREST IN A VOTING SITUATION [Required by Florida Statutes § 112.3143 (1975)]
If you have voted in your official capacity upon any measure in which you had a personal, private, or professional interest which inures to
your special private gain or the special private gain of any principal by whom you are retained, please disclose the nature of your interest
below, n
1. Description of the matter upon which you voted in your official capacity: ~/ ~~/'r~''~ ~~~G ~~
2. Description of the personal, private, or professional interest you have in the above matter which inures to your special private gain or
the special private gain of any principal by whom you are retained:
/% ~('ih/yOL.~
a. (~ Yourself b. ( 1 Principal by whom you are retained:
/~ 6' (NAME)
PART D
FILING INSTRUCTIONS
This memorandum must be filed within fifteen (15) days following the meeting during which the voting conflict occurred with the person
responsible for recording the minutes of the meeting, who shall incorporate the memorandum in the meeting minutes. This form need not be
filed merely to indicate the absence of a voting conflict. Florida law permits but does not require you to abstain from voting when a conflict
of interest arises; if you vote, however, the conflict must be disclosed pursuant to the requirements described above.
PART E
v ~~
GNATUR _ PERSON DISC
-~~DAT SIGNED
NOTI(~E: ,,t~UNDER P~ISIONS OF FLO~ STATUTES §112.317 (1975), A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES
GROI 11 S FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE
OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $5,000.
CE FORM 4- EFF. 1/1/77