HomeMy WebLinkAboutHealth Department Septic Permit ,, _ . =i _v
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, p
REPAIR,.MODIFY,OR ABANDON A WELL Permit No. 1
vpfzfre-srtT� ❑SOUthW@St Florida Unique ID
p PLEASE FILL OUT ALL APPLICABLE FIELDS
t "a 0 Northwest ('Denotes Required Fields Where Applicable) Permit Siipulalions Required(SeeAllached)
x 0 St.Johns River
r The water well contractor is responsible for completing
P 0 South Florida this Dorm and forwarding the permit application to the 621524 Quad No. Delineation No.
❑Suwannee River appropriate delegated authority where applicable.
ODEP CUPIWUP Application'No.
_. 0 Delegated Authority(If Applicable) ABOVE FOR OFFICIAL
'Owner,Legal Name if Corporation 'Address—, 'City 'State `ZIP 'Telephone Number
z. C - 2 t! 4- ri, C 7,S7 .Z 5'7 )
'Well Location-Address.Road Name or Number.City
3. 7 ZZ'-1 t ) 1 — U 0 Z - (O 0 Ca-- 1-
'Parcel7D No.(PIN)or Alternate Key(Circle One) Lot Block 'Unit
e
'Section or Land Grant 'Township 'Range 'County Subdivision Check if 62-524:_Yes_No
s. Acti dart' P �1' t l D Tj q;2-2 t s- 5 AINIaWl
`Water Well Contractor 'License Number 'Telephone Number E-mail Address
6.. P,D. b&� 5 4 Fo'A- ( i•ew cr e- Ftr
`Water Well Contractor's Address City, State ZIP
7.'Type.of ftrk: XConstruction Repair _Modification Abandonment
_� 'Reason for Repair, Modification.or Abandonment
a.'Nurnber-of Proposed Wells
9.'Specify Intended.Use(s).of Well(s):
_Domesticndscape trrigalion _Agricultural Irrigation Site Investigation4
_Bottled Water Supply _Recreation Area Irrigation _Livestock _Monitoring
I Limited Use1DOH Nursery Irrigation rTest
Public Water Supply y{ ) —Commercial/industrial Earth-Coup led Geothermal_Public Water Supply(Community or Non•Community/DEP)_Goff Course Irrigation _HVAC Supply ARR 2 t1 U 2017
Class_ . I Injection _HVAC Return
Class V Injection:!Recharge_Commercial/Industrial Disposal_Aquifer Storage and Recovery,Drainage ..wt.
�Remedialion: !Recovery Air Sparge Other(Describe) if l ehlS yn�q'Q
Other(Describe) (Note:Not aii types of weiis are permitted by a given permltbng aull!eAg
10.'Distance from Seplic:System if:;M ft. 7 S 11.Facility Description 5 Ft' 12.Estimated Start Date
13.'.Estimated Well Depth Li i o ft. 'Estimated Casing Depth ft. 'Primary Casing Diameter Z in. Open Hole: From To ft,
14.Estimated Screen Interval:From To ft.
15.'Primary Casing Material: Black Steel Galvanized TL PV.0 Stainless Steel
Not Cased Other:
16.Secondary Casing:, Telescope Casing Uner Surface Casing Diameter in.
17.Secondary Casing.Material: Black.Steel Galvanized PVC Stainless Steel Other
18.'Method of�Consttuclion,Repair,or Abandonment: Auger Cable Tool Jetted Rotary Sonic
Combinat!on(TWO or More Methods) Hand Driven(Well Point,Sand Point) Hydraulic Point(Direct Push)
Horizontal Drilling Plugged by Approved Method Other(DesMba)
19.Proposed.Grouting Intervalforlhe Primary,Secondary,and Addi6onal:Casing;
From To Seal Material L_Benlonite Neat Cement Other )
Frorn To Seai.Material(^_Bentonite Neat:Cement Other )
From To Seal Material L_Bentonite Neat Cement Other )
From To Seal Material(_Bentonite Neat Cement Other )
20.Indicate total number of existing wellson site Listnumber ofexisting unusedwells on site
21.'Is this wellor any existing well or water withdrawal on the owner's contiguous property covered undera Consumptive/Water Use Permit(CUPIWUP)
or CUPIWUP Application? Yes -2!!!�No If yes,complete the following:CUP/WUP No. District Well ID No.
22.Latitude Longitude
.23.Dala Obtained From: GPS Map Survey Datum: NAO L27 NAD 153 WGS 64
1 hweby wdffyfhal f w:0"Oamplyvv the apoasbla Mesof Tate&0jbud.Admadseauvotodo,and that aaater 1Fenay.that t am the ewnor Of fhu picppny,that the Information provided iswamllo.and lhal 1,am aware of my
use Penna.,'eRfoatreeharge aomlis J needed.-asb..Ho,sr-0 be ablabled pow fo CommanCamanl W wdO mn@nsibeiks undo,Chapter 313,FbrgaStelules.to mainlath or.propedy abandoniA s walk a,I Celtiir that l am
'ew+sWctron.IIOnhOreemythal eb ln7wmaGOn providedin llns apofiownisoeeuale and s`tal lwllebtam the agent for the.mvner.dloClbefnfahmal r,plandM is nawalo.a1 mat(nave lnfahnul,tridownae of ruv
necessary apprWaf tmm'Othei tedemt,aWla,oQoWl povernmenit,aapokable.I Met)Ip pwido a wet iosponsibrAes as slated above.Ownoreapsents to aaowmg personnel of Ws VINID or UelagaWAudwdy`access
`dom(+fe0onrepaA'te Ue.OQeRrwithift MOOS offer wmpiationultha ccnsbpdion.lopaa.moditwlkm.Or tan rmg me m.slrallar;mpda,mad'Jnyion,or0bandanmanl aulnonlcdby lhispemot.
abandonmani authanted by Ilya panne,or the oarma e"tion,whimmugr oc=irs 1741E
I�oas�
'Signatureof Contraclo_ - 'L(cense No. 'Sign a of Owner o Agent 'Oat. ,
BELOW THIS LINE-FOR OFFICIAL
Approval Granted By Issue Dale 144 ,( Expiration Dale�� f Hydrologist Approval
Inlyn
Fee Received 3 Receipt No. Check No,
THIS PERMrr.IS NOT VALID UNTIL PROPERLY'SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY, THE
PEPWIT-SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION,REPAIR,MODIFICATION,OR ABANDONMENTACTIV(TIES.
DEP Form:62-532.900(1) incorporated inb2"532.400(1),F.A.C. Effective Dale:'October 7,2010 Page 1 of 2
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SOUTH • ' ■ DISTRICT
WATER USE
`,,__ / NOTICED GENERAL PERMIT
APPLICATION NUMBER: 170404-4 PERMIT NO.: 56-03557-W
DATE ISSUED: April 5, 2017 EXPIRATION DATE: April 5, 2037
PERMITTEE: LA POTENCIA II
225 NE MIZNER BOULEVARD, SUITE 685
BOCA RATON, FL 33432
PROJECT NAME: LA POTENCIA II
PROJECT LOCATION: ST LUCIE COUNTY, S24/T36S/R38E.
This is to notify you of the South Florida Water Management District's (District) agency action
concerning your Notice of Intent to use water. This action is taken pursuant to Chapter 40E-2,
Florida Administrative .Code (F.A.C.). Based on the information provided and certified to, District
rules have been adhered to and a Water Use Noticed General Permit is in effect for this project
subject to:
1. Not receiving a filed request for a Chapter 12.0, Florida Statutes (F.S.), administrative hearing;
and
2. The attached Permit Conditions.
Should you object to the Permit Conditions, please refer to the attached "Notice of Rights" which
addresses the procedures to be followed if you desire a public hearing or other review of the
proposed agency action. Please contact this office if you have any questions concerning this
matter. If we do not hear from you prior to the time frame specified in the "Notice of Rights," we will
assume you concur with the District's recommendations.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY THAT this written notice has been mailed or electronically transmitted to the
Permittee (and the persons listed in the attached distribution list) this 5th day of April, 2017, in
accordance with Section 120.60(3), F.S. Notice was also electronically posted on this date through
a link on the home page of the District's website (my.sfwmd.gov/ePermitting).
BY:
KAW R. Madison, Section Leader,
Water Use Bureau
South Florida Water Management District
3301 Gun Club Road,West Palm Beach, Florida 33406" (561)686-8800`www.sfwmd.gov
Application Number: 170404-4 Page 1 of 7
SPECIAL PERMIT CONDITIONS
1. This permit is issued to:
La Potencia II, LLC
c/o Edward Smith
225 NE Mizner Blvd. Ste, 685
Boca Raton FL
2. This permit shall expire on April 5, 2037.
3. Use classification is:
Public Water Supply
Landscape Irrigation
Industrial Water Supply
Livestock Water Supply
4. Source classification is:
Groundwater from:
Surficial Aquifer System
5. Allocation:
Total annual allocation is 3.38 million gallons (MG). (9,260 GPD)
Total maximum monthly allocation is 0.50 million gallons (MG).
These allocations represent the amount of water required to meet the water demands as a result
of a rainfall deficit during a drought with the probability of recurring one year in ten. The Permittee
shall not exceed these allocations in hydrologic conditions less than a 1-in-10 year drought
event. Compliance with the annual allocation is based on the quantity withdrawn over a 12-
month time period. Compliance with the maximum monthly allocation is based on the greatest
quantity withdrawn in any single month. The annual allocation expressed in GPD or MGD is for
informational purposes only.
If the rainfall deficit is more severe than that expected to recur once every ten years, the
withdrawals shall not exceed that amount necessary to continue to meet the reasonable-
beneficial demands under such conditions, provided no harm to the water resources occur and:
1. All other conditions of the permit are met; and
2. The withdrawal js otherwise consistent with applicable declared Water Shortage Orders in
effect pursuant to Chapter 40E-21, F.A.C.
6. Withdrawal facilities:
Page 2 of 7
Application Number 170404-4
SPECIAL PERMIT CONDITIONS
Groundwater- Proposed:
2 -4"X 1 00' X 0 GPM Wells Cased To 80 Feet
2 -4"X 1 00'X 100 GPM Wells Cased To 80 Feet
7. The Permittee shall submit all data as required by the implementation schedule for each of the
permit conditions to: SFWMD at www.sfwmd.gov/ePermitting, or Regulatory Support, 3301 Gun
Club Road, West Palm Beach, FL 33406.
8. The Permittee must submit the appropriate application form incorporated by reference in Rule
40E-2.101, F.A.C., to the District prior to the permit expiration date in order to continue the use
of water.
9. The Permittee shall secure a well construction permit prior to construction, repair, or
abandonment of all wells, as described in Chapter 40E-3, F.A.C.
10. If at any time there is an indication that the well casing, valves, or controls leak or have become
inoperative, repairs or replacement shall be made to restore the system to an operating
condition. Failure to make such repairs shall be cause for filling and abandoning the well, in
accordance with procedures outlined in Chapter 40E-3, F.A.C.
11. The Permittee shall submit to the District an updated "Summary of Groundwater(Well) Facilities"
table ("Section IV-Sources of Water", Water Use Permit Application Form 1379)within 90 days
of completion of the proposed wells identifying the actual total and cased depths, pump
manufacturer and model numbers, pump types, intake depths and type of meters.
Page 3 of 7
Application Number 170404-4
STANDARD PERMIT CONDITIONS
1. All water uses authorized by this permit shall be implemented as conditioned by this permit,
including any documents incorporated by reference in a permit condition. The District may revoke
this permit, in whole or in part, or take enforcement action, pursuant to Section 373.136 or
373.243, F.S., unless a permit modification has been obtained to address the noncompliance.
The Permittee shall immediately notify the District in writing of any previously submitted material
information that is later discovered to be inaccurate.
2. The Permittee is advised that this permit does not relieve any person from the requirement to
obtain all necessary federal, state, local and special district authorizations.
3. The Permittee shall notify the District in writing within 30 days of any sale, transfer, or
conveyance of ownership or any other loss of permitted legal control of the Project and/or related
facilities from which the permitted consumptive use is made. Where Permittee's control of the
land subject to the permit was demonstrated through a lease, the Permittee must either submit a
new or modified lease showing that it continues to have legal control or documentation showing a
transfer in control of the permitted system/project to the new landowner or new lessee. All
transfers of ownership are subject to the requirements of Rule 40E-1.6107, F.A.C. Alternatively,
the Permittee may surrender the consumptive use permit to the District, thereby relinquishing the
right to conduct any activities under the permit.
4. Nothing in this permit should be construed to limit the authority of the District to declare a water
shortage and issue orders. pursuant to Chapter 373, F.S. In the event of a declared water
shortage, the Permittee must adhere to the water shortage restrictions, as specified by the
District. The Permittee is advised that during a water shortage, reports shall be submitted as
required by District rule or order. The Permittee is advised that during a water shortage,
pumpage, water levels, and water quality data shall be collected and submitted as required by
District orders issued pursuant to Chapter 40E-21, F.A.C.
5. This permit does not convey to the Permittee any property rights or privileges other than those
specified herein, nor relieve the permittee from complying with any applicable local government,
state, or federal law, rule, or ordinance.
6. With advance notice to the Permittee, District staff with proper identification shall have
permission to enter, inspect, observe, collect samples, and take measurements of permitted
facilities to determine compliance with the permit conditions and permitted plans and
specifications. The Permittee shall either accompany District staff onto the property or make
provision for access onto the property.
Page 4 of 7
Application Number 170404-4
7. A. The Permittee may seek modification of any term of an unexpired permit. The Permittee is
advised that Section 373.239, F.S., and Rule 40E-2.331, F.A.C., are applicable to permit
modifications.
B. The Permittee shall notify the District in writing 30 days prior to any changes to the project
that could potentially alter the reasonable demand reflected in the permitted allocation. Such
changes include, but are not limited to, change in irrigated acreage, crop type, irrigation system,
large users agreements, or water treatment method. Permittee will be required to apply for a
modification of the permit for any changes in permitted allocation.
8. If any condition of the permit is violated, the permit shall be subject to review and modification,
enforcement action, or revocation pursuant to Chapter 373, F.S.
9. The Permittee shall mitigate interference with existing legal uses that was caused in whole or in
part by the Permittee's withdrawals, consistent with the approved mitigation plan. As necessary
to offset the interference, mitigation will include pumpage reduction, replacement of the impacted
individual's equipment, relocation of wells, change in withdrawal source, or other means.
Interference to an existing legal use is defined as an impact that occurs under hydrologic
conditions equal to or less severe than a 1-in-10 year drought event that results in the:
A. Inability to withdraw water consistent with provisions of the permit, such as when remedial
structural or operational actions not materially authorized by existing permits must be taken to
address the interference; or
B. Change in the quality of water pursuant to primary State Drinking Water Standards to the
extent that the water can no longer be used for its authorized purpose, or such change is
imminent.
10.The Permittee shall mitigate harm to the natural resources caused by the Permittee's
withdrawals, as determined through reference to the conditions for permit issuance. When harm
occurs, or is imminent, the District will require the Permittee to modify withdrawal rates or
mitigate the harm. Harm, as determined through reference to the conditions for permit issuance
includes:
A. Reduction in ground or surface water levels that results in harmful lateral movement of the
fresh water/salt water interface,
B. Reduction in water levels that harm the hydroperiod of wetlands,
C. Significant reduction in water levels or hydroperiod in a naturally occurring water body such as
a lake or pond,
D. Harmful movement of contaminants in violation of state water quality standards, or
E. Harm to the natural system including damage to habitat for rare or endangered species.
Page 5 of 7
Application Number 170404-4
11. The Permittee shall mitigate harm to existing off-site land uses caused by the Permittee's
withdrawals, as determined through reference to the conditions for permit issuance. When harm
occurs, or is imminent, the District will require the Permittee to modify withdrawal rates or
mitigate the harm. Harm as determined through reference to the conditions for permit issuance,
includes:
A. Significant reduction in water levels on the property to the extent that the designed function of
the water body and related surface water management improvements are damaged, not
including aesthetic values. The designed function of a water body is identified in the original
permit or other governmental authorization issued for the construction of the water body. In
cases where a permit was not required, the designed function shall be determined based on the
purpose for the original construction of the water body (e.g. fill for construction, mining, drainage
canal, etc.)
B. Damage to agriculture, including damage resulting from reduction in soil moisture resulting
from consumptive use; or,
C. Land collapse or subsidence caused by reduction in water levels associated with consumptive
use.
Page 6 of 7
Application Number 170404-4
PERMIT INFORMATION
Application Number: 170404-4
Permit Number: 56-03557-W
• Project Name: LA POTENCIA II
Location: ST LUCIE COUNTY, S241T36S/R38E
Applicant's Name and LA POTENCIA II
Address: 225 NE MIZNER BOULEVARD SUITE 685
BOCA RATON, FL 33432
Water Use Classification: Public Water Supply
Landscape
Industrial
Livestock
Sources:
Groundwater from: Surficial Aquifer System
Authorized Allocation:
Annual Allocation: 3.38 Million Gallons (MG)
Maximum Monthly Allocation: 0.50 Million Gallons (MG)
Proposed Withdrawal Facilities -Groundwater
Source: Surficial Aquifer System
2-4"X 1 00'X 0 GPM Wells Cased to 80 Feet
2 -4"X 1 00'X 100 GPM Wells Cased to 80 Feet
Rated Capacity Source Status Code GPM MGM MGY
Surficial Aquifer System P 200 8.8 105
Totals: 200 8.8 105
Purpose:
The purpose of this application is to obtain a Water Use Permit for landscape irrigation of 3 acres of
turf(grass near the barn/horse area) using a sprinkler irrigation system; livestock water supply for 8
horses; public water supply for restrooms serving approximately 2 persons, and industrial water
supply to supply water for dust control for a one (1.0) acre riding ring and to supply water for animal
care. Withdrawals are from the surficial aquifer system via four proposed withdrawal facilities (2 wells
exempt for residence). Prior to drilling the proposed well, it will be necessary for you to obtain well
construction permits from the St Lucie County Health Department.
Page 7 of 7
Application Number 170404-4
NOTICE OF RIGHTS
As required by Sections 120.569 and 120.60(3), Fla. Stat., the following is notice of the opportunities which
may be available for administrative hearing or judicial review when the substantial interests of a party are
determined by an agency. Please note that this Notice of Rights is not intended to provide legal advice. Not
all of the legal proceedings detailed below may be an applicable or appropriate remedy. You may wish to
consult an attorney regarding your legal rights.
RIGHT TO REQUEST ADMINISTRATIVE HEARING
A person whose substantial interests are or may be affected by the South Florida Water Management District's
(SFWMD or District) action has the right to request an administrative hearing on that action pursuant to
Sections 120.569 and 120.57, Fla. Stat. Persons seeking a hearing on a SFWMD decision which affects or
may affect their substantial interests shall file a petition for hearing with the Office of the District Clerk of the
SFWMD, in accordance with the filing instructions set forth herein, within 21 days of receipt of written notice of
the decision, unless one of the following shorter time periods apply: (1) within 14 days of the notice of
consolidated intent to grant or deny concurrently reviewed applications for environmental resource permits and
use of sovereign submerged lands pursuant to Section 373.427, Fla. Stat.; or(2) within 14 days of service of
an Administrative Order pursuant to Section 373.119(1), Fla. Stat. "Receipt of written notice of agency
decision" means receipt of written notice through mail, electronic mail, or posting that the SFWMD has or
intends to take final agency action, or publication of notice that the SFWMD has or intends to take final agency
action. Any person who receives written notice of a SFWMD decision and fails to file a written request for
hearing within the timeframe described above waives the right to request a hearing on that decision.
If the District takes final agency action which materially differs from the noticed intended agency decision,
persons who may be substantially affected shall, unless otherwise provided by law, have an additional Rule
28-106.111, Fla. Admin. Code, point of entry.
Any person to whom an emergency order is directed pursuant to Section 373.119(2), Fla. Stat., shall comply
therewith immediately, but on petition to the board shall be afforded a hearing as soon as possible.
A person may file a request for an extension of time for filing a petition. The SFWMD may, for good cause,
grant the request. Requests for extension of time must be filed with the SFWMD prior to the deadline for filing
a petition for hearing. Such requests for extension shall contain a certificate that the moving party has
consulted with all other parties concerning the extension and that the SFWMD and any other parties agree to
or oppose the extension. A timely request for an extension of time shall toll the running of the time period for
filing a petition until the request is acted upon.
FILING INSTRUCTIONS
A petition for administrative hearing must be filed with the Office of the District Clerk of the SFWMD. Filings
with the Office of the District Clerk may be made by mail, hand-delivery, or e-mail. Filings by facsimile will not
be accepted. A petition for administrative hearing or other document is deemed filed upon receipt during
normal business hours by the Office of the District Clerk at SFWMD headquarters in West Palm Beach,
Florida. The District's normal business hours are 8:00 a.m. — 5:00 p.m., excluding weekends and District
holidays. Any document received by the Office of the District Clerk after 5:00 p.m. shall be deemed filed as of
8:00 a.m. on the next regular business day. Additional filing instructions are as follows:
• Filings by mail must be addressed to the Office of the District Clerk, 3301 Gun Club Road, West Palm
Beach, Florida 33406.
Rev. 11/08/16 1
• Filings by hand-delivery must be delivered to the Office of the District Clerk. Delivery of a petition to
the SFWMD's security desk does not constitute filing. It will be necessary to request that the
SFWMD's security officer contact the Office of the District Clerk. An employee of the SFWMD's
Clerk's office will receive and file the petition.
• Filings by e-mail must be transmitted to the Office of the District Clerk at clerk ,sfwmd.Qov. The filing
date for a document transmitted by electronic mail shall be the date the Office of the District Clerk
receives the complete document. A party who files a document by e-mail shall (1) represent that the
original physically signed document will be retained by that party for the duration of the proceeding
and of any subsequent appeal or subsequent proceeding in that cause and that the party shall
produce it upon the request of other parties; and (2) be responsible for any delay, disruption, or
interruption of the electronic signals and accepts the full risk that the document may not be properly
filed.
INITIATION OF AN ADMINISTRATIVE HEARING
Pursuant to Sections 120.54(5)(b)4. and 120.569(2)(c), Fla. Stat., and Rules 28-106.201 and 28-106.301, Fla.
Admin. Code, initiation of an administrative hearing shall be made by written petition to the SFWMD in legible
form and on 81/2 by 11 inch white paper. All petitions shall contain:
1. Identification of the action being contested, including the permit number, application number, SFWMD
file number or any other SFWMD identification number, if known.
2. The name, address, any email address, any facsimile number, and telephone number of the petitioner
and petitioner's representative, if any.
3. An explanation of how the petitioner's substantial interests will be affected by the agency
determination.
4. A statement of when and how the petitioner received notice of the SFWMD's decision.
5. A statement of all disputed issues of material fact. If there are none, the petition must so indicate.
6. A concise statement of the ultimate facts alleged, including the specific facts the petitioner contends
warrant reversal or modification of the SFWMD's proposed action.
7. A statement of the specific rules or statutes the petitioner contends require reversal or modification of
the SFWMD's proposed action.
8. If disputed issues of material fact exist, the statement must also include an explanation of how the
alleged facts relate to the specific rules or statutes.
9. A statement of the relief sought by the petitioner, stating precisely the action the petitioner wishes the
SFWMD to take with respect to the SFWMD's proposed action.
MEDIATION
The procedures for a Rules 28-106.1 pursuing mediation are set forth in Section 120.573 Fla. Stat. and R 11 and
P p 9
28-106.401—.405, Fla. Admin. Code. The SFWMD is not proposing mediation for this agency action under
Section 120.573, Fla. Stat.,at this time.
RIGHT TO SEEK JUDICIAL REVIEW
Pursuant to Section 120.68, Fla. Stat., and in accordance with Florida Rule of Appellate Procedure 9.110, a party
who is adversely affected by final SFWMD action may seek judicial review of the SFWMD's final decision by filing
a notice of appeal with the Office of the District Clerk of the SFWMD in accordance with the filing instructions set
forth herein within 30 days of rendition of the order to be reviewed, and by filing a copy of the notice with the clerk
of the appropriate district court of appeal.
Rev.11/08/16 2
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ST. LUCIE COUNTY, FLORIDA
Application
WELL Map Date: 2017-04-05
a
• Application • I t l r - • . 1
-95
Sec 24 • 36 '•- 38
• - - .O
� a 0 900 1,800
-95 �� Feet ExhibitNo:
TABLE-A
Description Of Wells.
Application Number: 170404-4
Well ID 276359 276360 276357 276358
Name 3 Barn Livestock/PWS 4 Barn Dustlirriglcieaninl House Exempt 2 House Irrigation Exem
Map Designator 3 4 1 2
FLUWID Number
Well Field
Existing/Proposed P P P P
Well Diameter(Inches) 4 4 4 4
Total Depth(feet) 100 100 100 100
Cased Depth(feet) 80 80 80 80
Facility Elev.(ft.NGVD)
Screened Interval
From
To
Pumped Or Flowing P P P P
Pump Type Jet Centrifugal Jet Centrifugal
M Pump Int.Elev.
02 Feet(NGVD)
to
ID Feet(BLS) 60 20 20 20
C Pump Capacity(GPM) 100 100 0 0
~' Year Drilled 2017 2017 2017 2017
Planar Location
Source APPLICANT APPLICANT APPLICANT APPLICANT
Feet East 823536 822579 823672 822406
XFeet North 1091248 1090911 1091787 1091776
Accounting Method None None None None
�. Use Status Primary Primary Primary Primary
Z Water Use Type Public Water Supply Irrigation Public Water Supply Irrigation
0 Livestock Industrial
Animal Care
N
Aquifer Surficial Aquifer Surficial Aquifer Surficial Aquifer Surficial Aquifer
System System System System
Summary Of Water Use pemands &Recommended Allocation Components
Application Number: 170404-4
Public Water Supply Recommended Allocation(MGD): 0.0002 Recommended Maximum Month Withdrawals (MGM):0.0076
---------Recommended Demands-- Delivery <--------Recommended Alloca
Rec.POUR Avg. Daily Max Monthly System Daily Max. Monthly
Description Population Peak Factor Efficiency MGD MGM MGD MGM
J
BARN/BATHROOM/SINK 10 20 0.0002 1.25 0.0076 100% 0.0002 0.0076
Landscape Recommended Allocation (MGD): 0.0070 Recommended Maximum Month Withdrawals(MGM):0.4892
Rec. Unit :---------Recommended Demands-- Delivery <--------Recommended Alloca
Acres Demand Avg. Daily Max Monthly System Daily Max. Monthly
Description (gallons) MGD Peak Factor MGM Efficiency MGD MGM
SPRINKLER DUST RINK 3 2,324 0.0070 1.7741 0.3763 75% 0.0091 0.4892
Industrial Recommended Allocation (MGD): 0.0038 Recommended Maximum Month Withdrawals(MGM): 0.114
Rec. Unit :---------Recommended Demands-- Delivery <--------Recommended Alloca
Demand Avg. Daily Max Monthly System Daily Max. Monthly
Description Number (gallons) MGD Peak Factor MGM Efficiency MGD MGM
Dust Control 375 0.0038 0.114 100% 0.0038 0.114
Livestock Recommended Allocation(MGD): 0.0001 Recommended Maximum Month Withdrawals (MGM):0.0044
Rec. Unit ;---------Recommended Demands-- Delivery <--------Recommended Alloca
Demand Avg. Daily Max Monthly System Daily Max. Monthly
eQ Description No.Of Head allons MGD Peak Factor MGM Efficiency MGD MGM
oh Horses 8 0.0001 0.0044 100% 0.0001 0.0044
m
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STAFF REPORT DISTRIBUTION LIST
ADDRESSES
Kim Notoris La Potencia li
2000 Coconut Road 225 N E Mizner Boulevard Suite 685
Boca Raton FL 33432 Boca Raton FL 33432
kimnotoris@gmail.com esmith@mbafepa.com
i
Application No:170404-4
Exhibit NoA
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, . r
REPAIR,MODIFY,OR ABANDON A WELL Permit No. -1 71797.1
CF �E��?Fo ❑Southwest Florida Unique ID
PLEASE FILL OUTALLAPPLIGAB.LE FIELDS
❑Northwest (*Denotes Required Fields Where Applicable) Permit Stipulations Required(See Attached)
❑St.Johns River
e:
C The water wel!'conlraelaris responsible for completing
u ❑South Florida this form and forwarding the permtl.appficalion to the 62.524 Quad No, Delineation No.
# ❑Suwannee River appropriate delegated authority where applicable.
❑DEP CUPCNUP Appl)cal)oh No.
O Delegated Authority(if Applicable) ABOVE THIS LINE-FOR OFFICIAL USE ONLY
,
0-te- 1/� t i � I r oS ( ptc�. Ct. err (/aC Cti i ,, " .,s�,� 3(7 �
'Owner,Legal Name if Corporation 'Addres 'City 'State :ZIP 'Telephone Number
2. L iz L 3 Leek S -1 Z�-7 2 S-7 1
-Well Location-Address,Road Name or.Number,City
3. 7274--1 " t 1 1 — 4)U Z - 0.00 Z
a.
'Parcel IDNo..(PIN)orAlternate Key(Circle One) S+,Lo c, Lot Block Unit
�
Section or Land Grant' 'Township 'Range 'County Subdivision Check if 62-. _Yes _No
5 U BrLrrl!A-' 11: A5 99a_a1.S"— S%`f MPVWe11Dr;1I.?na5'?GMOL;lrcc:rrm.
'•Water Well Contractor 'License Number 'Telephone.Number E-mail Address
s R o. D a'1C 5 q 4 PO A- N-e v-c'e Ft- ��—
'Water Well Contractor's Address city State ZIP'
7.'Type of Work: onstruction Repair _Modification -Abandonment
8.'Number of Proposed Wells _L-- 'Reason for Repair,Modification,or Abandonment
9.*Specify Intended Use(s)of Well(s): �T�(�L 6- Q O
✓Domestic landscape Irrigation _Agricultural Irrigation _Site Investigation �D
_t3pttled Water Supply Recreation Area Irrigation _Livestock _Monitoring
Public Water Supply(Limited Use/DOH) _Nursery Irrigation ,Test fin
or Non-Community/DEP)---=Commercial/industrial Earth-Coupled Geothermal APR 2 Q LU�.
_Golf Course irrigation rHVAC Supply
..Classianjection _HVAC Return
Class V Injection:_Recharge_Commercial/Industrial Disposal_Aquifer Storage and Recovery_Drainage
Remedialion: _Recovery _Air Sparge _Other(Describe) E n_l . L $ My
Other(Describe) (Note:Not all types of wefts are permitted by.a given permitting auniorti, Tn
1O.'DistanCe from Septic System if s 200 ft. 7_ 11.Facility Description 5 Fr` 12.Estimated Start Date
13.'Eslitnaled Well Depth 14 u ft. 'Estimated Casing Depth `' ft. 'Primary Casing Diameter Z in. Open Hole: From To ft:
14.Estimated,Screen Interval:From—To—ft.
15:ePrimary Casing Material: Black Steel Galvanized ?W-'PVC Stainless Steel
NolCased Other:
16.Secondary Casing: Telescope Casing Liner Surface:Casing Diameter in:
17.Secondary Casing Material: Black Steel Galvanized PVC Stainless Steel Other
18:'Method of Construction;Repair,orAbandonment: Auger Cable Tool Jetted Rotary Sonic
Combination(Two or More Methods) Hand Driven(Well.Point,Sand Point) Hydraulic Point(Direct Push)
Horizontal Drilling Plugged byApproved Method Other(oesuibel
19.Proposed Grouting Interval for the Primary,Secondary,and Additional Casing:
From TO Seal Material(_Bentgnite Neat:Cement Other )
From To Seal Material( Bentonile Neat Cement Other )
From To Seal Material( Bentonite_Neal Cement Other )
From Tc Seai Material(_Bentonite_ Neat Cement Other )
20.1ndicate total number of existing wells on site List number of existing unused wells an site
21.`Is this well or any existing well or water withdrawal on the owner's contiguous property covered under a Consumptive/Water Use Permit(CUP/WUP)
or CUP/WUP Application? Yes — o If yes,complete the following:CUP/WUP No. District Well ID No.
22.Latitude Longitude
23.Data Obtained From: GPS Map Survey Da(um: NAD 27 NAD 83 WGS 84
'1 hemby eonil y their w,ll mmaiy ve b the applictbta twos of TWO eo,FlpndaAdmmistntm a Cede,and Thal a water t eenyy'(hat t am thft e r otltia propeby."I ate mlWmalbn prodd, od esaavnme.and that l am aware at my
m,e perotitW arGfaal recturye itemdl 8nedded,nas been or era be obtained raw lo.cWnrnon:emenl of well respansib5ihes under Cloplar 377,Ftarida 5latutes,la maintain Wproperty abandon thi, dt W,Iudity,that loam
eatiirodion.I lunnor cerp7y gnat ae itdotmdlronprovided in this aJNkabln is,acwrat¢and mat l will obtain the ai'¢nt lm[hemmer.dalthe intonninon Wooded isararmlo.and owl naveirformod lno wner¢I suir
ne¢psssry apProJo?koin pNprfeQDm(atalo,lrAo�lyav¢rnmentgy ap➢tica6ta.1¢94eetopmndeaw¢II r¢sWAILas staledabove.Owner oagswis to sita ng parsonnal*I phis wM0 or Dainal¢d Aubody a:cess
pmpleGon rgpon l¢Na Ohbiel.red.rt]ti'Gys adarrzmptefon o141e.eanWrrcbon,repW,madTi�aon,or ew¢U slle' mg theee Cost
ctian.r¢pab: irarmn or abandonmiml aulhoared by lhu.peonit.
oaaadon+nenl aalrariroQby.IhEi permit of the permil¢apeodon,wtdcnaveroccan rest./
rJYy {�,,iwt
nature:of Contractor` -License No. igna ovownecor ent 'Gate. :•
BELOWFOR OFFICIAL USE ONLY
` *P1ApprovaiGranled ey Issue pale Y �7 Expiralion,Dale f S*140 Hydrologist Apil.
Initials
Fee Received S Receipt No. Check No,
THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE.OF THE WMD OR DELEGATED AUTHORITY. THE
PERMIT SHALL 8E AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION,REPAIR,MODIFICATION,OR ABANDONMENT ACTIVITIES.
DEP Form:621532.900(1) Incorporated in 62.532.400(1),FA.C. Effective Dale:October 7.2010 Page 1 of 2
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SOUTH • ' D► WATER MANAGEMENT
WATER USE
NOTICED GENERAL PERMIT
APPLICATION NUMBER: 170404-4 PERMIT NO.: 56-03557-W
DATE ISSUED: April 5, 2017 EXPIRATION DATE: April 5, 2037
PERMITTEE: LA POTENCIA II
225 NE MIZNER BOULEVARD, SUITE 685
BOCA RATON, FL 33432
PROJECT NAME: LA POTENCIA II
PROJECT LOCATION: ST LUCIE COUNTY, S24/T36S/R38E
This is to notify you of the South Florida Water Management District's (District) agency action
concerning your Notice of Intent to use water. This action is taken pursuant to Chapter 40E-2,
Florida Administrative Code (F.A.C.). Based on the information provided and certified to, District
rules have been adhered to and a Water Use Noticed General Permit is in effect for this project
subject to:
1. Not receiving a filed request for a Chapter 120, Florida Statutes (F.S.), administrative hearing;
and
2. The attached Permit Conditions.
Should you object to the Permit Conditions, please refer to the attached "Notice of Rights" which
addresses the procedures to be followed if you desire a public hearing or other review of the
proposed agency action. Please contact this office if you have any questions concerning this
matter. If we do not hear from you prior to the time frame specified in the "Notice of Rights,"we will
assume you concur with the District's recommendations.
CERTIFICATE OF SERVICE
I HEREBY CERTIFY THAT this written notice has been mailed or electronically transmitted to the
Permittee (and the persons listed in the attached distribution list) this 5th day of April, 2017, in
accordance with Section 120.60(3), F.S. Notice was also electronically posted on this date through
a link on the home page of the District's website (my.sfwmd.gov/ePermitting).
BY: C:�1//�Ivv/,a d�
KAW R. Madison, Section Leader
Water Use Bureau
South Florida Water Management District
3301 Gun Club Road,West Palm Beach, Florida 33406*(561)686-8800*www.sfwmd.gov
Application Number: 170404-4 Page 1 of 7
SPECIAL PERMIT CONDITIONS
1. This permit is issued to:
La Potencia II, LLC
c/o Edward Smith
225 NE Mizner Blvd. Ste, 685
Boca Raton, FL
2. This permit shall expire on April 5, 2037.
3. Use classification is:
Public Water Supply
Landscape Irrigation
Industrial Water Supply
Livestock Water Supply
4. Source classification is:
Groundwater from:
Surficial Aquifer System
5. Allocation:
Total annual allocation is 3.38 million gallons (MG). (9,260 GPD)
Total maximum monthly allocation is 0.50 million gallons (MG).
These allocations represent the amount of water required to meet the water demands as a result
of a rainfall deficit during a drought with the probability of recurring one year in ten.The Permittee
shall not exceed these allocations in hydrologic conditions less than a 1-in-10 year drought
event. Compliance with the annual allocation is based on the quantity withdrawn over a 12-
month time period. Compliance with the maximum monthly allocation is based on the greatest
quantity withdrawn in any single month. The annual allocation expressed in GPD or MGD is for
informational purposes only.
If the rainfall deficit is more severe than that expected to recur once every ten years, the
withdrawals shall not exceed that amount necessary to continue to meet the reasonable-
beneficial demands under such conditions, provided no harm to the water resources occur and:
1. All other conditions of the permit are met; and
2. The withdrawal is otherwise consistent with applicable declared Water Shortage Orders in
effect pursuant to Chapter 40E-21, F.A.C.
6,, Withdrawal facilities:
Page 2 of 7
Application Number 170404-4
SPECIAL PERMIT CONDITIONS
Groundwater- Proposed:
2-4" X 1 00'X 0 GPM Wells Cased To 80 Feet
2-4"X 1 00'X 100 GPM Wells Cased To 80 Feet
7. The Permittee shall submit all data as required by the implementation schedule for each of the
permit conditions to: SFWMD at www.sfwmd.gov/ePermitting, or Regulatory Support, 3301 Gun
Club Road, West Palm Beach, FL 33406.
8. The Permittee must submit the appropriate application form incorporated by reference in Rule
40E-2.101, F.A.C., to the District prior to the permit expiration date in order to continue the use
of water.
9. The Permittee shall secure a well construction permit prior to construction, repair, or
abandonment of all wells, as described in Chapter 40E-3, F.A.C.
10. If at any time there is an indication that the well casing, valves, or controls leak or have become
inoperative, repairs or replacement shall be made to restore the system to an operating
condition. Failure to make such repairs shall be cause for filling and abandoning the well, in
accordance with procedures outlined in Chapter 40E-3, F.A.C.
11. The Permittee shall submit to the District an updated "Summary of Groundwater (Well) Facilities"
table ("Section IV-Sources of Water", Water Use.Permit Application Form 1379)within 90 days
of completion of the proposed wells identifying the actual total and cased depths, pump
manufacturer and model numbers, pump types, intake depths and type of meters.
Page 3 of 7
Application Number 170404-4
STANDARD PERMIT CONDITIONS
1. All water uses authorized by this permit shall be implemented as conditioned by this permit,
including any documents incorporated by reference in a permit condition. The District may revoke
this permit, in whole or in part, or take enforcement action, pursuant to Section 373.136 or
373.243, F.S., unless a permit modification has been obtained to address the noncompliance.
The Permittee shall immediately notify the District in writing of any previously submitted material
information that is later discovered to be inaccurate.
2. The Permittee is advised that this permit does not relieve any person from the requirement to
obtain all necessary federal, state, local and special district authorizations.
3. The Permittee shall notify the District in writing within 30 days of any sale, transfer, or
conveyance of ownership or any other loss of permitted legal control of the Project and/or related
facilities from which the permitted consumptive use is made. Where Permittee's control of the
land subject to the permit was demonstrated through a lease, the Permittee must either submit a
new or modified lease showing that it continues to have legal control or documentation showing a
transfer in control of the permitted system/project to the new landowner or new lessee. All
transfers of ownership are subject to the requirements of Rule 40E-1.6107, F.A.C. Alternatively,
the Permittee may surrender the consumptive use permit to the District, thereby relinquishing the
right to conduct any activities under the permit.
4. Nothing in this permit should be construed to limit the authority of the District to declare a water
shortage and issue orders pursuant to Chapter 373, F.S. In the event of a declared water
shortage, the Permittee must adhere to the water shortage restrictions, as specified by the
District. The Permittee is advised that during a water shortage, reports shall be submitted as
required by District rule or order. The Permittee is advised that during a water shortage,
pumpage, water levels, and water quality data shall be collected and submitted as required by
District orders issued pursuant to Chapter 40E-21, F.A.C.
5. This permit does not convey to the Permittee any property rights or privileges other than those
specified herein, nor relieve the permittee from complying with any applicable local government,
state, or federal law, rule, or ordinance.
6. With advance notice to the Permittee, District staff with proper identification shall have
permission to enter, inspect, observe, collect samples, and take measurements of permitted
facilities to determine compliance with the permit conditions and permitted plans and
specifications. The Permittee shall either accompany District staff onto the property or make
provision for access onto the property.
Page 4 of 7
Application Number 170404-4
7. A. The Permittee may seek modification of any term of an unexpired permit. The Permittee is
advised that Section 373.239, F.S., and Rule 40E-2.331, F.A.C., are applicable to permit
• modifications.
B. The Permittee shall notify the District in writing 30 days prior to any changes to the project
that could potentially alter the reasonable demand reflected in the permitted allocation. Such
changes include, but are not limited to, change in irrigated acreage, crop type, irrigation system,
large users agreements, or water treatment method. Permittee will be required to apply for a
modification of the permit for any changes in permitted allocation.
8. If any condition of the permit is violated, the permit shall be subject to review and modification,
enforcement action, or revocation pursuant to Chapter 373, F.S.
9. The Permittee shall mitigate interference with existing legal uses that was caused in whole or in
part by the Permittee's withdrawals, consistent with the approved mitigation plan. As necessary
to offset the interference, mitigation will include pumpage reduction, replacement of the impacted
individual's equipment, relocation of wells, change in withdrawal source, or other means.
Interference to an existing legal use is defined as an impact that occurs under hydrologic
conditions equal to or less severe than a 1-in-10 year drought event that results in the:
A. Inability to withdraw water consistent with provisions of the permit, such as when remedial
structural or operational actions not materially authorized by existing permits must be taken to
address the interference; or
B. Change in the quality of water pursuant to primary State Drinking Water Standards to the
extent that the water can no longer be used for its authorized purpose, or such change is
imminent.
10. The Permittee shall mitigate harm to the natural resources caused by the Permittee's
withdrawals, as determined through reference to the conditions for permit issuance. When harm
occurs, or is imminent, the District will require the Permittee to modify withdrawal rates or
mitigate the harm. Harm, as determined through reference to the conditions for permit issuance
includes:
A. Reduction in ground or surface water levels that results in harmful lateral movement of the
fresh water/salt water interface,
B. Reduction in water levels that harm the hydroperiod of wetlands,
C. Significant reduction in water levels or hydroperiod in a naturally occurring water body such as
a lake or pond,
D. Harmful movement of contaminants in violation of state water quality standards, or
E. Harm to the natural system including damage to habitat for rare or endangered species.
Page 5 of 7
Application Number 170404-4
11.The Permittee shall mitigate harm to existing off-site land uses caused by the Permittee's
withdrawals, as determined through reference to the conditions for permit issuance. When harm
occurs, or is imminent, the District will require the Permittee to modify withdrawal rates or
mitigate the harm. Harm as determined through reference to the conditions for permit issuance,
includes:
A.Significant reduction in water levels on the property to the extent that the designed function of
the water body and related surface water management improvements are damaged, not
including aesthetic values. The designed function of a water body is identified in the original
permit or other governmental authorization issued for the construction of the water body. In
cases where a permit was not required, the designed function shall be determined based on the
purpose for the original construction of the water body (e.g. fill for construction, mining, drainage
canal, etc.)
B. Damage to agriculture, including damage resulting from reduction in soil moisture resulting
from consumptive use; or,
C. Land collapse or subsidence caused by reduction in water levels associated with consumptive
use.
Page 6 of 7
Application Number 170404-4
PERMIT INFORMATION
Application Number: 170404-4
Permit Number: 56-03557-W
Project Name: LA POTENCIA II
Location: ST LUCIE COUNTY, S24/T36S/R38E
Applicant's Name and LA POTENCIA II
Address: 225 NE MIZNER BOULEVARD SUITE 685
BOCA RATON, FL 33432
Water Use Classification: Public Water Supply
Landscape
Industrial
Livestock
Sources:
Groundwater from: Surficial Aquifer System
Authorized Allocation:
Annual Allocation: 3.38 Million Gallons(MG)
Maximum Monthly Allocation: 0.50 Million Gallons(MG)
Proposed Withdrawal Facilities -Groundwater
Source: Surficial Aquifer System
2-4"X 100'X 0 GPM Wells Cased to 80 Feet
2-4"X 1 00'X 100 GPM Wells Cased to 80 Feet
Rated Capacity Source Status Code GPM MGM MGY
Surficial Aquifer System P 200 8.8 105
Totals: 200 8.8 105
Purpose:
The purpose of this application is to obtain a Water Use Permit for landscape irrigation of 3 acres of
turf(grass near the barn/horse area) using a sprinkler irrigation system; livestock water supply for 8
horses; public water supply for restrooms serving approximately 2 persons, and industrial water
supply to supply water for dust control for a one (1.0)acre riding ring and to supply water for animal
care. Withdrawals are from the surficial aquifer system via four proposed withdrawal facilities(2 wells
exempt for residence). Prior to drilling the proposed well, it will be necessary for you to obtain well
construction permits from the St Lucie County Health Department.
Page 7 of 7
Application Number 170404-4
NOTICE OF RIGHTS
As required by Sections 120.569 and 120.60(3), Fla. Stat., the following is notice of the opportunities which
may be available for administrative hearing or judicial review when the substantial interests of a party are
determined by an agency. Please note that this Notice of Rights is not intended to provide legal advice. Not
all of the legal proceedings detailed below may be an applicable or appropriate remedy. You may wish to
• consult an attorney regarding your legal rights.
RIGHT TO REQUEST ADMINISTRATIVE HEARING
A person whose substantial interests are or may be affected by the South Florida Water Management District's
(SFWMD or District) action has the right to request an administrative hearing on that action pursuant to
Sections 120.569 and 120.57, Fla. Stat. Persons seeking a hearing on a SFWMD decision which affects or
may affect their substantial interests shall file a petition for hearing with the Office of the District Clerk of the
SFWMD, in accordance with the filing instructions set forth herein, within 21 days of receipt of written notice of
the decision, unless one of the following shorter time periods apply: (1) within 14 days of the notice of
consolidated intent to grant or deny concurrently reviewed applications for environmental resource permits and
use of sovereign submerged lands pursuant to Section 373.427, Fla. Stat.; or(2) within 14 days of service of
an Administrative Order pursuant to Section 373.119(1), Fla. Stat. "Receipt of written notice of agency
decision" means receipt of written notice through mail, electronic mail, or posting that the SFWMD has or
intends to take final agency action, or publication of notice that the SFWMD has or intends to take final agency
action. Any person who receives written notice of a SFWMD decision and fails to file a written request for
hearing within the timeframe described above waives the right to request a hearing on that decision.
If the District takes final agency action which materially differs from the noticed intended agency decision,
persons who may be substantially affected shall, unless otherwise provided by law, have an additional Rule
28-106.111, Fla.Admin. Code, point of entry.
Any person to whom an emergency order is directed pursuant to Section 373.119(2), Fla. Stat., shall comply
therewith immediately, but on petition to the board shall be afforded a hearing as soon as possible.
A person may file a request for an extension of time for filing a petition. The SFWMD may, for good cause,
grant the request. Requests for extension of time must be filed with the SFWMD prior to the deadline for filing
a petition for hearing. Such requests for extension shall contain a certificate that the moving party has
consulted with all other parties concerning the extension and that the SFWMD and any other parties agree to
or oppose the extension. A timely request for an extension of time shall toll the running of the time period for
filing a petition until the request is acted upon.
FILING INSTRUCTIONS
A petition for administrative hearing must be filed with the Office of the District Clerk of the SFWMD. Filings
With the Office of the District Clerk may be made by mail, hand-delivery, or e-mail. Filings by facsimile will not
be accepted. A petition for administrative hearing or other document.is deemed filed upon receipt during
normal business hours by the Office of the District Clerk at SFWMD headquarters in West Palm Beach,
Florida. The District's normal business hours are 8:00 a.m. — 5:00 p.m., excluding weekends and District
holidays. Any document received by the Office of the District Clerk after 5:00 p.m. shall be deemed filed as of
8:00 a.m, on the next regular business day. Additional filing instructions are as follows:
• Filings by mail must be addressed to the Office of the District Clerk, 3301 Gun Club Road, West Palm
Beach, Florida 33406.
Rev.11/08/16 1
• Filings by hand-delivery must be delivered to the Office of the District Clerk. Delivery of a petition to
the SFWMD's security desk does not constitute filing. It will be necessary to request that the
SFWMD's security officer contact the Office of the District Clerk. An employee of the SFWMD's
Clerk's office will receive and file the petition.
• Filings by e-mail must be transmitted to the Office of the District Clerk at clerk(cDsfwmd.Qov. The filing
date for a document transmitted by electronic mail shall be the date the Office of the District Clerk
receives the complete document. A party who files a document by e-mail shall (1) represent that the
original physically signed document will be retained by that party for the duration of the proceeding
and of any subsequent appeal or subsequent proceeding in that cause and that the party shall
produce it upon the request of other parties; and (2) be responsible for any delay, disruption, or
interruption of the electronic signals and accepts the full risk that the document may not be properly
filed.
INITIATION OF AN ADMINISTRATIVE HEARING
Pursuant to Sections 120.54(5)(b)4. and 120.569(2)(c), Fla. Stat., and Rules 28-106.201 and 28-106.301, Fla.
Admin. Code, initiation of an administrative hearing shall be made by written petition to the SFWMD in legible
form and on 81/2 by 11 inch white paper. All petitions shall contain:
1. Identification of the action being contested, including the permit number, application number, SFWMD
file number or any other SFWMD identification number, if known.
2. The name, address,any email address, any facsimile number, and telephone number of the petitioner
and petitioner's representative, if any.
3. An explanation of how the petitioner's substantial interests will be affected by the agency
determination.
4. A statement of when and how the petitioner received notice of the SFWMD's decision.
5. A statement of all disputed issues of material fact. If there are none,the petition must so indicate.
6. A concise statement of the ultimate facts alleged, including the specific facts the petitioner contends
warrant reversal or modification of the SFWMD's proposed action.
7. A statement of the specific rules or statutes the petitioner contends require reversal or modification of
the SFWMD's proposed action.
8. If disputed issues of material fact exist, the statement must also include an explanation of how the
alleged facts relate to the specific rules or statutes.
9. A statement of the relief sought by the petitioner, stating precisely the action the petitioner wishes the
SFWMD to take with respect to the SFWMD's proposed action.
MEDIATION
The procedures for pursuing mediation are set forth in Section 120.573, Fla. Stat., and Rules 28-106.111 and
28-106.401—.405, Fla. Admin. Code., The SFWMD is not proposing mediation for this agency action under
Section 120.573, Fla. Stat., at this time.
RIGHT TO SEEK JUDICIAL REVIEW
Pursuant to Section 120.68, Fla. Stat., and in accordance with Florida Rule of Appellate Procedure 9.110, a party
who is adversely affected by final SFWMD action may seek judicial review of the SFWMD's final decision by filing
a notice of appeal with the Office of the District Clerk of the SFWMD in accordance with the filing instructions set
forth herein within 30 days of rendition of the order to be reviewed, and by filing a copy of the notice with the clerk
of the appropriate district court of appeal.
Rev.11/08/16 2
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ST. LUCIE COUNTY, FLORIDA
Application
WELL Map Date:2017-04-05
Application No: 170404-4 Permit No:56-0-95
3557-W
Sec 24 Twp 36 Rge 38
r
Project Name: LA POTENCIA 11
0 900 1,800
Feet Exhibit No: 1
TABLE -A
Description Of Wells.
Application Number: 170404-4
Well ID 276359 276360 276357 276358
Name 3 Bam Livestock/PWS 4 Bam Dustfimg/cleanin1 House Exempt 2 House Irrigation Exem
Map Designator 3 4 1 2
FLUWID Number
Well Field
Existing/Proposed P P P P
Well Diameter(Inches) 4 4 4 4
Total Depth(feet) 100 100 100 100
Cased Depth(feet) 80 80 80 80
Facility Elev.(ft.NGVD)
Screened Interval
From
To
Pumped Or Flowing P P P P
Pump Type Jet Centrifugal Jet Centrifugal
Pump Int.Elev.
Feet(NGVD)
Feet(BLS) 60 20 20 20
C Pump Capacity(GPM) 100 100 0 0
Year Drilled 2017 2017 2017 2017
Planar Location
Source APPLICANT APPLICANT APPLICANT APPLICANT
Feet East 823536 822579 823672 822406
X Feet North 1091248 1090911 1091787 1091776
Accounting Method None None None None
Use Status Primary Primary Primary Primary
O Water Use Type Public Water Supply Irrigation Public Water Supply Irrigation
Livestock Industrial
Animal Care
N
Aquifer Surficial Aquifer Surficial Aquifer Surficial Aquifer Surficial Aquifer
System System System System
Summary Of Water Use Deemands.&Recommended Allocation Components
Application Number: 170404-4
Public Water Supply Recommended Allocation (MGD): 0.0002 Recommended Maximum Month Withdrawals(MGM): 0.0076
---------Recommended Demands-- Delivery <--------Recommended Alloca
Rec.PcuR S�Avg. Daily Max Monthly stem Daily Max. Monthly
Description Population Peak Factor Efficiency "MGD MGM - MGD MGM _
BARN/BATHROOM/SINK 10 20 0.0002 1.25 0.0076 100% 0.0002 0.0076
Landscape Recommended Allocation (MGD): 0.0070 Recommended Maximum Month Withdrawals(MGM):0.4892
Rec. Unit -----------Recommended Demands-- Delivery <--------Recommended Alloca
Acres Demand Avg. Daily Max Monthly System Daily Max. Monthly,
Description (gallons) MGD Peak Factor MGM Efficiency MGD MGM
SPRINKLER DUST RINK 3 2,324 0.0070 1.7741 0.3763 75% 0.0091 0.4892
Industrial Recommended Allocation (MGD): 0.0038 Recommended Maximum Month Withdrawals (MGM):0.114
Rec. Unit -----------Recommended Demands-- Delivery <--------Recommended Alloca
Demand Avg. Daily Max Monthly System Daily Max. Monthly
Description Number (gallons) MGD Peak Factor MGM Efficiency MGD MGM
Dust Control 375 0.0038 0.114 100% 0.0038 0.114
Livestock Recommended Allocation (MGD): 0.0001 Recommended Maximum Month Withdrawals (MGM): 0.0044
Rec. Unit ---------Recommended Demands-- Delivery <--------Recommended Alloca
Demand Avg. Daily Max Monthly System
Daily Max. Monthly
Description No. Of Head (gallons) MGD Peak Factor MGM Efficiency MGD MGM
0 Horses 8 0.0001 0.0044 100% 0.0001 0.0044
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STAFF REPORT DISTRIBUTION LIST
ADDRESSES
Kim Notoris La Potencia li
2000 Coconut Road 225 N E Mizner Boulevard Suite 685
Boca Raton FL 33432 Boca Raton FL 33432
kimnotoris@gmail.com esmith@mbafepa.com
Applicabon No:170404-4 Exhibit NoA