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Home My WebLink AboutwellMission: To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts. Vision: To be the Healthiest State in the Nation Ron DeSantis Governor Scott A. Rivkees, MD State Sumeon General ST. Lucie County, Florida Department of Health 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 Well Line at 772-873-4936 or email SLCDOH-WELLSa,FLHEALTH.GOV b. Provide the following information: i. Permit number ii. Driller name iii. Address iv. Date and time to begin construction/abandonment • A minimum of 24 hours' notice is required before constructing any public water supply wells. Please call our main office at 772-873-4931 and speak with Environmental Health Staff or provide notification by email to SLCDOH-WELLS()FLHEALTH.GOV • Submit revisions to permit and/or site map and associated fee within 48 hours of well construction or abandonment. Florida Department of Health St. Lucie County Accredited Health Department 5150 NW Milner Drive • Port St. Lucie, FL 34983 Public Health Accreditation Board PHONE: 772/462-3800 - FAX: 772/871-5360 StLucieCountyHlealth.com ...... sa, nue4rt:KMITAPPLICATION T000NSTRUCT, REPAIR, MODIFY, OR ABANDON A WELL ❑ Southwest L7 Northwest ❑ St. Johns River PLEASE FILL OUT ALL APPLICABLE FIELDS ("Denotes Required Fields Where Applicable) ❑South Florida ❑Suwannee River The waterwellcontmcroris responsibleforcompleting tills fatal and forwarding the permitapplicatlon to fire ❑DEP appropriate delegatedauthadry where applicable. ❑ Delegated Authority (If Applicable) 1. -t..1.(,LXV1A 1r). s 2. �aeun-.aaaress, Road Name or 3._'2210- C,rht-, - P.r-.,.n Unique ID 59-31040 Stipulations Required (See Attached) Quad No. Delineation No. UP Application No. •Parcel ID No. (PIN) orglternate Key (Circle One) ,. 4. LLot Block Unit Section . Tow r' g � �..C— our!— _ �Au i, iti � � t SL ti'P Check if 62.524:❑ Yes ❑ No 5..'t'. . t_n>;R , _ Subdivision � I Water Well Contractor 'License Number 6. �- l!'1 r; �� f y%�- L n , r "Telephone Number E-mail Address Water Well Contractors Address 7. 'Type of Work:. ®. Construction ❑ Repair ❑ Modification[] Abandonment City State ZIP Pi S. "Number of Proposed Wells,,__ 9. 'Specify Intended Use(s) of Well(s): 'Reason for Repair. Mondlncagor or Abandonmen Domestic Landscape Irrigation /A\ D D iii Bottled Water Supply ® Recreation Area Irrigation ® Livestut�utral Irrigation ® Site Monitoring 4=il (�� Public Water Supply (Limited Use/DOH) [] Nursery Irrigation ❑Public Water Supply (Community or Non-Community/DEP) Commercial/Industrial Test 5E P 2 2 2020 Class I Injection Earth -Coupled Geothermal Golf Course irrigation HVAC Supply Class V Injection: Recharge ❑ q 9 HVAC Return ❑ 9 ❑ Commercial/Industrial Disposal Aquifer Storage and Recovery ❑ Drain ED H In St Lude County Remediation: ❑ Recovery[] Sparge ❑ Other (Describe) tNV ONMENTAL HEALTH ❑ Other (Describe) Official Use Only IO.`Distance from Septic System if 5 200 It, If 11. FacilityDes tion 13."Estimated Well Depth p �"�" 12. Estimated Start Date I n (7 ft. 'Estimated Casing Depth 56. Diameter ft. Primary Casing 14. Estimated Screen Interval: From cco,� To toe ft. in. Open Hole: From __To -�.s� toe 15.'Primary Casing Material: Black Steel 15(,Galvanized PVC NStainless Steel NotCased Other: 16. Secondary Casing: Telescope Casing Liner SurfaceCasing Diameter In, 17. Secondary Casing Material: Black Steel Galvanized UC PVC Stainless Steel 18.^Method of Construction, Repair, or Abandonment: Auger Other Combination (Two or More Methods r�Cabie Tool Jetted 'Rotary Sonic Hand Driven (Well Point, Sand Point) Hydraulic Point (Direct Push) Horizontal Drilling Plugged by Approved Method Other (Dasuiba) 19. Proposed Grouting Interval for the Primary, secondary, and Additional Casing: From -0_ To 15(D Seal Material From_ To ((Y—Bentonite Neat Cement Other t - Seal Material ( Bentonite Neat Cement Other From To Seal Material ( Bentonite Neat Cement Other From To Sea) Material ( Bentonite Neat Cement Other 20. Indicate total number of existing wells on sitel List number of existing unused wells on site 2'I."Is this well or any existing well or water withdrawal on the owner's contiguous prope rlyy covered under a Consumptive/Water Use Permit (CUP/INUP) or CUPANUP Application$ Yes No If yes, complete the following: C%/WUP No. 22. Latitude Longitude District Well ID No. 23. Date Obtained From: GPS Approval Granted By Fee Received B Map Survey lanae Adminlslmflo, Coale, end that a walar Iblalnod prior to Pmman..s.al of wall eaon to awnfele olid that I will sale, rppikeble. I care. to pvvld. o well :mtstrualloo, repair, nloallll.o,on, or am,..Pm est. ice Datum: ,_,__NAD 27 NAD 83 WGS 84 rabpole91,1Iltee that hashm Charts 373, Florida 6nat Meolu ee IOF-la mnhalem ur propc ded y nbrndon his so,that l.am aware r I Patty I, I am the alpeal for the owner, that Its intoarchon Modes m accost., Pa Nil I haw Insanes, Iho awner.t lhei, t"P"'hleiosPslol.d.bow. awnor..Poole la slawlne Preonnal olthlf a els sit, Amhonty access I0 ills well site during the Pmifit3l.11. repair, modiffolioryor ebentl.nmen horiz Prmll. C S Zv 'Signature of Owner or Agent -Date Issue Date_G/Jy'Zr/ Expiration Approval r�owlpl No. Check Na. InhI.Is THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE k THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, E F THE V NME R DELEGATED . Irp Fnrm- ey.erro aneH1 Inrmm�.alndnnn,nl r o n r•w.,_u.._ .._,. - _.. _ nmmmau ma.avmaw.•nevl'am vOINO-H Awnoa 3lam'ls ASSx yx a 1BWWan""'H1nog 0 dlH8NMO1bl NOU339 JO NOUHOd VNI ONIAI �1h\J'Z J Noisi ens s3uov T3MXVW`L lOi 5"g' 'v awwaw m amns OlHdtlMUM ONV AHVGNHOB pg 4 e 3 i c� g d � IC pill Fp@`�3 MIR IV, 00 " 11 a€ b a o 9 gg��g�Rig g��_� SIR, X84 yy° #N gg 8 @q@q@ s 3 4a @s $3 w� X44$p ` 2 o$SI cn.i xd�' a� .3 a s a s€ a 9 ib d NEI U y_d 21 B /Dv U p` I I ly , awx I iy I I tg �II j Ati� II C 2 I I• � L J I �• uoone� IV m a4 oa 3namM wixw v vtl xuxsxoose 's � R Z :CU J ®N: Property Card Michelle Franklin, CFA -- Saint Lucie County Property Appraiser --All rights reserved. Property Identification Site Address: SNEED RD Parcel ID: 2210-500-0002- Account #: 173848 Sec/Town/Range: 000-0 10/35S/38E Map ID: 22/09X Zoning: AG -5 Count Use Type: 6000 Jurisdiction: Saint Lucie County Ownership Legal Description David Maxwell MAXWELL ACRES S/D (PB 58-14) LOT 1 (5.00 AC) Shaunesi Lynn Maxwell 5905 Balsam DR Fort Pierce, FL 34982 Page 1 of 1 Type Special Features and Yard Items 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. C Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. hftps://www.pasIc.org/RECard/ 9/9/2020 Current Values Historical Values 3 -year Just/Market: $119,500 Assessed: $1,375 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $1,375 2020 . $119,500 $1,375 $0 $1,375 2019 $101,575 $1,375 $0 $1,375 2018 $98,940 $1,375 $0 $1,375 Sale History Date Book/Page Sale Code Deed Grantor Price 07-31-2020 4458/1238 0130 WD Maxwell Harry D $100 01-12-2000 1273/2722 XX00 WD Stalls Joseph $152,600 Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built: N/A Frame: Grade: Effective Year: N/A Primary Wall: Story Height: No. Units: 0 Secondary Wall: Interior Data Bedrooms: 0 A/C %: 0% Electric: Primary Int Wall: Full Baths: 0 Heated %: N/A% Heat Type: Avg Hgt/Floor: 0 Half Baths: 0 Sprinkled %: 0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 (SF): hZ Gross Sketched Area 0 (SF): Land Size (acres): 5 Land Size (SF): 217,800 Total Building Count: I Type Special Features and Yard Items 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. C Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved. hftps://www.pasIc.org/RECard/ 9/9/2020 Q r St. Lucie County Health Department rMo ME 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: a: BILL DOC #:56 -BID -4980980 RECEIVED FROM: J & J Leonards Well Drillinq AMOUNT PAID: $ 230.00 PAYMENT FORM: CREDIT CARD 000107 PAYMENT DATE: 09/09/2020 MAIL TO: J & J Leonards Well Drilling Okeechobee FL 34974 FACILITY NAME : J & J Leonards Well Drilling PROPERTY LOCATION: Okeechobee FL 34974 Lot: Property ID: _ -1 - Well Construction EXPLANATION or DESCRIPTION: RECEIVED BY: VanceMH _ Note: 59--31041 59-31040 Block: QUANTITY FEE 2 $ 230.00 AUDIT CONTROL NO. 56 -PID -4655358