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HomeMy WebLinkAboutPermit Application to Construct a Wellis 5t�-SF-305'-1`lq© STATE OF FLORIDi.. _ AIT,AP.PLICATION TO CONSTRUCT, REPA%MONOV, OR ABANDON A WELL MAY 15 2020 DI ST. Luo Iq 090'6Jimitting ,Owner. Legal Name ilC 2. Parcel 1014OM42d Mall Locallon-Add'fesa, a 14D7:942 D'D40.000•i Pa cellD� No. (PIN) of A 4,07 *Gealian a' Land Grant S. JafliesPaul Tyson 'water Well Contractor q: MBOX,881496 Waler.Weii Contractor's 7, •TyperrfWork: JWCoi a. 'Number of Proposed Wt perify !Headed Use(d) daV owrmurrr<L'Wirmdar&mip;nF�kfwm+.p'ertry IN, Arnrandroiinr4nathop modlyi6mrlmra11. Rivef apy al nrre f feymrd rhMhrutift&P Cmpv. of 34S 40E St Lucie 'Township 1Rangc *County 1.1352 95� 'License Number Repair ❑ ModiEurAoh❑ Abandonment Donwsbe 1 1, r arascapoungason 1 1 Agricultural organ n Boh(ed;WaterSupply ❑RectaehanArealrtlgation ❑ LlvaslaWc Pubgo,WsterSupply (Limited Use1DOHy ,Nurserylnlasdon Putrnc Water Supply (Coh m inity!or Non-CommpMrylDEPj� Commerulel4ndustrixl Class I Inlec8drj GoIlCoursa lrAgadan .Iaas V tnye�tan; ❑ Recharge ❑ CammerGaUludustAal DlaposN ❑ AquilehStor RemedlallonU Reeovery.❑'AVSparae ❑'.ether 06=* Other mow4ej• f0.'DistancefraroftlirSysternif520dR. YJ 11;FadilIVDeseriollones(aenD To-�{Z R. let Galvanized Ok 16. Secondary Casing: Telescope Casing Liner Surface Casing Diameter 17,.Secondary Casing Material: Black Steel Galvanized PVC Stainless 1a.'Met4dciCansWction;Repair, orAbandannamt Auger Cable Tool Combination (7v{o orAara 41athodsy Wand Driven (Well Point,.Salid Pointy jtorfzontal Ddllinq, PlugBad ay Approved Method Other tgerrnbst 19. Proposed Grouting interval for the -Primary, Secondary, and Addle W. From.. Ta'y SealMolerlab( 0entonile a em Other_ From To SeeFMotedal ( Bentdnito eat Cgrnent Oche _ From To Seal'¢�aterizl,( aeieonite Noel&a Lrft Other_ From. To, Seat hti(adal( Bentonite Neat Cement Other„ 20,Indicatetotalnwnherolexl6hngxui onslla, cea Ustnumberofexisting, 21•lat(ilswaRpranytkisgnaWeOorwatervAthdravrnl.onthe-owner'sconligopsrepo act pr CUPMn1P Appacaaon Ye§ No l(ves:c-rrmblafa lhe-lntlw no:�cuYp�Ar Longitude ' pPC,Mop sumv Dah •S1Cnaturo of Contradw Apptml Glodied'9y Pea Recalved 9 THIS PERMIT IS NOT VALID UNTIL: PaOPEdl PERMIT SHALE. BE AVAILABLEAT THa; W ki No. 59-30527 Unique ID Silpulatials Raqumi (903 At:aehddl Na, 'ZIP Lot Block Unit Check 1162.524t❑ Yes Q No n ddwrithehofe@att.net — E,mall'gadtess FI 34988 state 7JP' Site Investigations Monitoring Test APR 2 4 2020 Eerth•Coupled Geothermal HVACSupply HVACReturn, rut Reeovary ❑ DratnageF OH In St Lude Cot Fly 'IROWAgK 12;astimetad Start' Data - ejer. 2 in Open Hota: From'=iTa` ass Steel In, eel I Other lied �.ry spala NytlraUl(6,P.ofnt,(Direct Push)' a3 WOS w Eryiretton Dzx 0 Z4 Hydroropbt Approval - -. _ -Chock No. �bW, RATIVE OF THE %IAO.ON DELEGATED AUTHORITY, THE DEP Some 62.6a2:900t11 la=Pxeled nl eas: