Loading...
HomeMy WebLinkAboutWater Well PermitseBridge Web Viewer eBridge Web.'Viewer ;; ^y Ron Del To prelebt, promote & improve the health .'`' .... of all people In Florida lhrough'Inlegrated j�" V� 7.,-m-- state, county & community efroits. � e Q1 Scott A. Rivkeg HEALTH $laleSurgeon Vision: To be the Healthiest Stale in the Nation Florida Department of Healthy in, St. Lucie County Conditions for Issuance of Water Well Permits Effective July 24, 2017 • . Contact the Florida Department of Health in Saint Lucie County (FDOH - St. Lucie prior to. constructing or abandoning any well a. Call the FDOH - St. Lucie We'11 Line at 772-873-4936 or email SLCDOH-WELL8QFLHEALTH.GOV b: Provide the following information: i; Permit number ii. Driller name lii. Address iv. Date and time to begin construction/abandonment • A minimum of'24 hours' notice is required before constructing any public -water sup wells. Please call our main office at 772-873-4931 and speak with Environmen Health Staff or provide notification by email to SLCDO'H-WELLSaa.FLHEALTH.GO • Submit revisions to permit. and/or site map within 48, hours of well construction or abandonment. Y Florida Department of "Health+St Lucle County` Dfvision.ot'Disease Control and Health Protection Bureau of Envlronmentat Health Location: 3865 S US Highweyl, FortrPierce, FL 34982 Mailing. 6160, NW Mi_Iner Drive,.Port St. Lucie, FL 34963 Phone 772-8734931 Fax.772.595.1306 ' FCoridaHealth:gov Page 1 of 5 Page 1 of 1 RECE Xk ED JAN 2 2 2020 Permitting Department _St. Lucie County, FL Cr m tT ' Ir Accredited Health Department Public Health Accreditation Board httt)s!/%s 1.ebrid>?e.com/.ebridge/3.0/webviewer/Viewer.aspx?ref=-lcgJC4Ggx6a%2fX3v%2bSW%2fXJQD... 11/26/2019 https:Hs l.ebridge.com/ebridge/3.0//webviewerNiewer.aspx?ref--ZlpzYUM5hiF3DA1 RDENhbPKPsIBrrH... 1 /22/2020 eBridge Web Viewer Page 2 of 5 STATE, OF'FLORIDA PERMIT APPLICATION TO CONSTRUCT, a srr}Po., REPAIR,; MODIFY, OR ABANDON. A WELL �oFasle �Q ,r," r. ❑ SoUthwest PLEASE FILL OUT FIELDS ONorthwest ('Denotes RequiredFlelds.WhereAppiicable) a° f ❑St..JohnsRiver The walerwellcon(ractor,isresponsiblerorcompleting ❑South Florida loan (boarding io the �Ip this and the permit appllcatian ❑ Suwannee River appropoto delegated authority whore applicable. CIDItP ❑ Delegated Authority (If Applicable), Permit No aJ°'°uuo3 Florida Unlqus ID" Permit Stipulations, Required (See Attached) 62-524 Quad'No. Delineation No. CUPI WUP Application No. `Owner; Legal' Name if Co rR "ration 'A dress •City `State 'ZIP 'Telephone Number 2, q � `W611 Location.- ddresshRoad Name or Nu ber, Cit 3n. Q 'Parcel ID No; (PIN) orAltemate ey. Circle 0 e) .�— Lot, Block Unit Sec �orL nd.Grant' G1i�lriy�g 'Township `Range 'County'- %l3`4/3 Subdivision ChecKif62=524:,_Yes _ 72,2.-410 -7Q&, 5i ti/ -'Water Well-ontractor s. 70 S' s»soa141-i? 'License Number . `Telephone Number Ile(A e2 a E-mail Address 7: `Type of Work: 0' Construcli Pe air _Modification _Abandonment 8. 'Number of Proposed Wells 'Reason fOrRepatr, Modirication, or Abandon nn =Zsupply d:Use(s).of Welt(s):VOW V �l:andscape Irrigation. Agricultural Irrigation Site Investigation _Recreation Area Irrigation -_Livestock ______:Monitoring _Public Water Supply'(Limited.tlse/DOH) —Nursery Irrigation Test CommerciaUlndustrial Earth-Coupled,Geotherr»al NOV 2 62019 _Public Water supply (Corimunityor Non-ComnlunitylDEP) — _Golf Course Irrigation AHVAC°Supply _Class ('Injection _HVAC Return✓a Class V Injection: _Recharge _CommercialllndusUlal'Disposal _Aquifer Storage and Recovery _Drainage F H'in St Lucie Co Remed atidn: _Recovery _A r Sparge _Other'(oescribe) ENtOIMgfsAb�E -other (Describe) (Note; Not ep types of wells are permitted bya givenpermilting-authority), 10'Dislance from'SeptiaSystem if 5200 ft ; - 11. Facility Description.tam ice/ 12. Estimated Start Date 13.`Estimated Well Depth, �� ft. `Estirriated'CasingDepth 70 ft. 'Primary Casing Diameter�in. Open Hole: From To ft 1,4,.Estimated Screen Interval: From qp To *Fo fi,. ,f 15'Primary Casing, Material: Black Steel Galvanized '` PVC Stainless Steel Not Cased Other. 16, Secondary Casing: , Telescope Casing Liner Surface Casing Diameter in. 17..Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel _­,Pther 18'Niethodbf Construction, Repair, or Abandonment: Auger Cable Tool Jetted r Rotary Sonic Corribination (Two or More Methods) Hand Driven (Weil.Point,.Sand Point) Hydraulic Point (Direct Rush) Horizontal Drilllrig lugged by Approved Method: Other (Describe) 10, Proposed Grouting;inte�val for the Primary, Secondary, and Additicnal Casing P To ? O From Seal Material ( Bentonite Neat Cement` . Other ) From Tc Seal Material (_Bentonite Neat:Cement Other ) From 70 :Seal Material ( Benton.ite Neat Ce-menf Other ) From To Seal MateriaLC_Bentoriite -Neat CemenL Other ) 20. Indicate total numberof'existing wells on site List number or existing unused wells on site 21,*Is C s well or any existing wellorwater With rawai on the owners contiguous property covered under Consumptive/Wi ter Use Permit (CUPMUP) UPiWUPApplication? Yes No if yes, complete the following: CUP/WUP No. District Well ID No-- 22. Latitude Longitude 23. Data Obtained From:. GPS Map Survey Datum: N 27 NAD83 WGS,84 I harobycoNfy,lhot lwil comply Wdh the:oppllwhle mlasof7d1u40,FkWartidmlNatrat" Code,an0lhal'o MWr leanilythallbmtha vxrer ftha property, thallMhfermation proMad isacurate;and Umt lam awamofmy. use DerfKf or.oNndN roMa�ga parmb, if noedsd: has been at will be oblalncd prior to commencement of well- - responskIlitles undai ha' 'r 373, nakla Statutos, to matnteh or propody abandon W s wolf; w, I eoAtyy dwt I am mmLvden.. I Ra1h�,bii44lly Niel Nl lhermatleh a.Ndad in U6 eWLeoU,in is u rate and Uld Montt obW. the asonl for ale vim r.. I the lnfarmelkn provided is o te. and that l have, Wormed the a+mer of their, r.NC! Approval Granted By Issue:Dale li NJ Expiration Date 5f /21 HydrologistADproval InlUels Fea:Received $- Receipt,No. Check No. THIS PERMIT IS NOT'VALID UNTIL PROPERLY SIGNED BYAN AUTHORIZED.OFFICER OR REPRESENTATIVE OF THE WMD-OR DELEGATED AUTHORITY THE , �y�it PERMIT SHALE WELL SITE DURING ALLCONSTRUCTION;.REPAIR, MODIFICATION, ORABANDONMENTACTIVITIES. c�vlY DEP Form: 62-532,900(1). Incorporated in 62-532.400(t ), F.A.C. Effective Date: October 7,20'10 'Page 1 of 2. https:Hs l . ebridge.comlebridgel3.0//webviewerNiewer.aspx?ref=ZlpzYUM5hiF3 DA 1 RDENhbPKPsIBrrH... 1 /22/2020 eBridge Web Viewer 4 Page 3 of 5 https:Hs l .ebridge.comlebridgel3.0//webviewerNiewer.aspx?ref--ZlpzYUM5hiF3DA l RDENhbPKPsIBrrH... 1 /22/2020 eBridge Web Viewer r Page 4 of 5 a u§ cif_ HEALTH St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 PAYING, ON:'- #: 56-SF-2012092 BILL DOC #:56-BID-4468334" CONSTRUCTION APPLICATION it: AP1450503 :RECEIVED FROM: Marcel Rragomir AMOUNT PAID $ 77.5.00 'PAYMENT FORM: CHECK 1:377 PAYMENT DATE: 10/29/20,19 MAIL TO: Marcel Dragomif FACILITY NAME PROPERTY LOCATION: 10527 O'akbridge Ct Fort'Pierce,-FL 34951 6 Let: Block: - Property' I D: 1309'-b00=0009-000=9 EXPLANATION or DESCRIPTION: QUANTITY 'FEE 1,28 - OSTDS Construction System Inspection Research Fee 1 $ 5.00 =1 - Surcharge. (All) 1 $ 45.00 -1 ; OSTDS New Permit Surcharge 1. $ , 1;00.00 71 - OSTDS,ConstructionAppiication and Plan Review,New 1 $ 100.00 123: - OSTDS Construction Site Evaluation 1 $ 115.00 126 - OSTDS Construction. Permit (New or Mod, Amendment) 1 $ 55.00 127 - OSTDS Construction :System Inspection 1 $ 75.00: 133 - OSTDS Construction Reinspection 1 $ 50.00 -1 - Well Construction 2 $ 230.00 RECEIVED -,'BY: EvansJS AUDIT CONTROL NO. 56-PID-4210441 Note: SF-2012092, 59-30063, 59-30064 https:Hs l.ebridge.comlebridge/3.0//webviewerNiewer.aspx?ref--ZlpzYUM5hiF3DA 1 RDENhbPKPslBrrH... 1 /22/2020 eBridge Web Viewer Property Card Page 5 of 5 Page 1 of I Michelle Franklin, CFA -- Saint Lucie County. Property Appraiser — All rights reserved. Property, Identification Site Address: 10527 Parcel ID: I309-500-0009- Account 4, 173042 Secfrown/Range: Oakbridge CT 000-9 09/34S/39E Map ID:13/09N Zoning: AG-1 Count Use Type: 0000, Jurisdiction.:i Saint Lucie ownership Marcel Dragorhir 486•SW 32nd SW AVE Vero Beach, FL 32968 Current Values Jusi/Market: $46,000 Assessed: Exemptions:.. $0 Taxable: Date 02-22-2019 07-12-2007' 05-02-2003 `View: Year Built: N/A. Primary Wail: Bedrooms: 0 Full Baths: 0 Half Baths: 0 County legal Description, OA:KBRIDGE 3%D (PB 57.5) LOT 6 Historical Values 3-year $32,210 Year Just/Market Assessed Exemptions $32,210 2019 $46;000 $32,210' $0 2018 $34,000 $29,292 $0 2017 $29,000 $26,620 $0 Sale History, Book/Page Sale, Code Deed 'Grantor 4236/,,0422 0001, WD Ryan Stephen R 2854 / I043 .XX00 WD Oakbridge Development Llc 1709 /.0817 XXOP WD, Jupiterdsle of Florida Assoc Primary'Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF' Exterior Data Taxable $32,2#0. $29282 $26:620 Price $55,000 $46,900 $86,000 RoofCover: Roof Structure: Building'Type: Frame: Grade: Effective Year: N/A Story Height: No. Units: 0 Secondary Wall. - Interior Data A/C %, 0% Electric: Primary Int Wall: Heated %: NIA%o' Heat Type: Avg Hgt/Floor: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: t;�rcic3r Total Areas OF Finished/Under Air 0 (SF),. t.Il?C' vc-il� Gross Sketched Area 0 71"i � (SF). - for r:l]r17j;7) Land Size'' -(acres): 1, Land Size (SF): 43,560 Total Building Count: I Special Features and'Yard Items Type: Qty Units Year BIt All information is believed to be correct at this time, but is subject to change and Is provided without any warranty, © Copyright 2019 Saint Lucie County Property Appraiser, All rights reserved. https://Www,.paslc.org/RECard/ 1.0/18/2019 https:Hs l .ebridge.comlebridge/3.0//webviewerNiewer.aspx?ref=ZlpzYUM5hiF3DA1 RDENhbPKPsIBrrH... 1 /22/2020