HomeMy WebLinkAboutWater Well Permits0
A
Mission:
To protect, promote & improve the health
of all people in Florida through integrated
state, county & community efforts.
'+` f
t j
HEALTH
Vision: To be the Healthiest State in the Nation
Ron DeSantis
Governor
Scott A. Rivkees, MD
State Surgeon General
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-WELLS(&-FLHEALTH.GOV
a
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(a-)-FLHEALTH.GOV
• Submit revisions to permit and/or site map and associated fee within 48chours of well
construction or abandonment.
J
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: 7721871-5360
StLucieCountyHealth.com
i
STATE OF FLORIDA PERMIT APPLICATION -1-o coiVS•rRLIC ,
REPAIR, MODIFY, OR ABANDON A WELL,
(]�outhwest PLr7AsLFIIIOurAIL.APPLICAa1.r•FiFo..ns
I:;Northwest ('Danulas Requires d Fields Where Applicable)
St. Johns fiver
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frrls form and ronvmliGly 1ha porfnd oppliraUon to Bra
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ci bEP
0 Delegated Authority (If Applicable)
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2.
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4.
dect'ign or La Grant 'Township f�alige •Tounty
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19. ropose
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23I Dotal Obtaine
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hocoived $
i PERMIT IS I
PVC, uO.5�c-S-'I�01,-?)i(
Nil. 59-31013
,46pulation,; Royuired (Soo Atlnchod)
(.1mid No.
fUP Appllcation No--_______-_--...,
'Sinto ZIP 'Telephone Number
-�v►K� iii ,��l.ot Block Unit
"" s "�� --' ChecK V 62-524: ___ Yor 7- IVo
Subdivision
�i- ]s.,7,:R--)I AAQ�nro I I CQ twin(',; 1 n^
State
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I oslidWells IRoarrnlrnRrpalr Mopllkalinn,orAhnnAaunnnl
bd Use(s) of Wall(s): d
1
Landscape Irrigation _ Agricultural. Irrigation Site Investigation r
) Supply _ J�ecroatlon Aroa Irrigation Livestock _ __ fvioniloring �.
i5upply jUrnited Use/DOH) Nursery Irrigation -foul
[on
upply I(.nmmunity or Non ComrnunityNl �) Corrimercial/lndustrial Larih_Coupled Geothermal S E P 8 20
? Course Irrigation __,.•_ HVAC Supply I•IVA(: RWturn
• _fteohargo ,_• a onunarcialllnduslrlal Disposal ,_,._. Aqui1r, storage and Recovr:ry Drainage .
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...... __....._,_,...... _,_..... � ¢auttl. rt 'I 111 WAS onnuN D111 punnl I )d W u r un punnifllnppulhurdy� _ TH
Soplic System If 4200 ft. 11. Fitclllt DI unplicltYQ 12. Estimated Start Date
I Depth ,jF2_C) fL "Estimated Caring Depth . il. +Primary Casing Diame(e p _. _... ,In. Open hlolo: From --------- Tp_......_.._ Jl.
sell Interval: Frorn 'R)-ta-vft. '
s
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f--_,NatCesod
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'rq -8oal Malarial (____,__Benlonito —>< Gamest Other
To Seal Material eentonite Nent Comont C7ther
To : Seat Material (__8entordle•,.,.•-,- Nnv eat Coent ._ _ ..,.Olhor__
`lo�__ _i `"Seal Material (-- �-B�erntonile Neal CemenlY
umber of existing walls on sits •''��_,,_ , List numbor of existing unused wells on site _
illy existing well or water withdrawal on the owner's contiguous properly covered Under a Cons umptivelWater Use Permit (CUP/WUP)
Application? _ __Yes _ No If yes, complete the tollowing: CUP/WUP No, _. District Well ID No,
Longitude
Frorn: —GIPS _., Map ___,____Survey OPIUIn: NAC) 77 _ NAD 133 __ WGS 84 I�
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Icl eIudp wUnya A., cnnlVlullun VI uw umwhVellg4 rauuY. nn+J,liwrLUn, or IV an, wull Silo dw 111110 90alwhoa, millet, JAVUlk AlUfl. LY UWnlWrullhnt UUllmk:od rry IIII1 plvmll. 111
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- _
clefma'—.
No. "• • olpnruun: or Owner or g1 nt Date I
( i
: _.
Issu(j oato _ Expirnlion Dato 3/f``-i-lydrologistApprovul_ i
IT VALID. UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR RI:PRESrNTA1'IVI2 OE THE WMD OR DELEGATED AUTHORITY. THE
AVAILA6LF. AT THE WELL. SITE DURING ALL CONSTRUCTION, REPAIR, M01:)IFic Aftr)N, OR ABANDONMENT ACTIVITIES.
Form
D00) Oporporatod In 62-032.400('1), F.A.C. Ffferlivo Dalfi: 00tobur 7, 2010 Pads t of 2
EXISTING
WELL
89055'26'�W
480.04'M
138.9' x 21.2 23.7 x 21.4
x
23.9 f� 54.4' ti
x
COVERED co 12.0
ENTRY 8.4' O COVERED
C'7 PORCH
Lo
na 3,6 00
- PARCEL # 2310-601-0003-000-4
PROPOSED FELICIANO JURADO
4.86 1 STORY CBS JONES ESTATES
�-- RESIDENCE , LOT 3
8.9' cl MINIMUM VA
co FFE = 23.6' Cfl
41.3 ' CONCRETE.'.. N 75.0'
DRIVE • N co9.9', w 23.7.j- 22.0' 6 A/C PROPOSED
x 23.8 WELL
M
x 21,2 - co� x 20
,5
c6
CM L
�-39.0' PROPOSED
PFZO'POSED
DRAINFIELD
+-350SG FT
EXISTING
SElynOtMA
23.5
GREEN AREA
21,3 S 890'26" E
�22.8 75.0'
EXISTING
WELL
FENCE
x
FENCE / 21.3
530.84'M 530.85'P
PARCEL # 2310-601-0004-000-1
x 24.1 CHARLES HATLEY
430 N. FFA ROAD
r rYr 22.2 75.0'_
Property Card
Page 1 of 1
Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved.
Property Identification
Site Address: TBD Parcel ID: 2310-601-0003- Account #: 150598 Sec/Town/Range:
000-4 10/35S/39E
Map ID: 23/I0N Zoning: AG-1 Count Use Type: 9900 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Feliciano Esquivel Jurado JONES ESTATES (PB 42-14) LOT 3 (1.742 AC)
3215 Hibiscus AVE
Fort Pierce, FL 34947
Current Values
Historical Values 3-year
Just/Market:
$59,800 Assessed:
$59,800 Year Just/Market Assessed
Exemptions
Taxable
Exemptions:
$0 Taxable:
$59,800 2020 $59,800 $59,800
$0
$59,800
2019 $59,800 $28,616
$0
$28,616
2018 $43,900 $26,015
$0
$26,015
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
10-22-2019
4337 / 1449
0001 SP DiFrancesco Sr Anthony
$25,000
03-25-2019
4247/ 1467
0001 WD Nieves Rodney
$19,600
09-02-2004
2505 / 2314
XX01 : QC Nieves Jose
$100
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
rf: (SF):
Gross Sketched Area 0
(SF):
Land Size (acres): 1.74
Land Size (SF): 75,882
Total Building Count: 1
s
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.
Q Copyright 2020 Saint Lucie County Property Appraiser. All rights reserved.
https://www.pasle.org/RECard/ 8/31/2020
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
HEALTH
PAYING ON: #: BILL Doc #:56-BID-4932817
RECEIVED FROM: American Drillinq Services AMOUNT PAID: $ 115.00
PAYMENT FORM: CREDIT CARD 072042 PAYMENT DATE: 08/31/2020
MAIL TO: American Drilling Services
405 SW 2nd St '
Okeechobee FL 34974
FACILITY NAME: American Drilling Services
PROPERTY LOCATION:
405 SW 2nd St
Okeechobee FL 34974
Lot:
Property ID:
EXPLANATION or DESCRIPTION:
-1 - Well Construction
1
QUANTITY
FEE
$ 115.00
RECEIVED BY: MontanezNM AUDIT CONTROL NO. 56-PID-4598643
Note: 59-31013 TBD N FFA RD