HomeMy WebLinkAboutWater Control District ApplicationDistrict Use Only: No.. -
NORTH ST. LUCIE RIVER WATER CONTROL DISTRICT
("District")
14666 Orange Avenue • Fort Pierce, Florida 34945 • (772) 461-5050 • FAX (772) 461-9446
Application to Connect to, or Use, District Facilities, or for Utility Construction*
A. General Information:
Applicant Information:
Name: Panelli Fort Pierce, LLC
Address: 6499 Powerline Road, Suite 101
Fort Lauderdale, FL 33309
Owner Information (if different from Applicant):
Name: Same as applicant
Telephone: ( ) 786-250-5268 Telephone:
Email: gabriel@wolflube.com Email:
Engineer of Record Information (if applicable):
Name: Aaron Bowles, P.E. - MBV Engineering, Inc.
1835 20th Street
Vero Beach, FL 32960
Telephone: ( ) 772-569-0035
Email; aaronb@mbveng.com
Billing Contact Information:
Name: same as applicant
Telephone:
B. Project Information: (Check appropriate box and attach drawings to show location and details):
❑ Culvert Connection to District canal for irrigation or gravity drainage.
❑ Pump Connection to District canal for irrigation or drainage.
❑ Installation of culvert or water control structure in District canal for crossing or water control.
❑ Utility Crossing:
❑ Electric ❑ Telephone ❑ Gas
❑ Cable Television ❑ Water Main ❑ Force Main
[� Other (specify): stormwater master - Midway Ind.
Location: Section(s): 06 Township: 36S Range: 40E Canal No.:
Description of Indirect Connection: discharge to stormwater master system. SFwMD Permit # 6"1444-P
Drainage area served: 3.98 acres (Culvert or pump Connections.)
C. Construction Schedule:
Estimated commencement date: January 2021 Estimated completion date: July 2021
D. Application, Use Fee: $ $75 Review Deposit: $ $2.000
(Submit fee with this application in accordance with the District's fee schedule.)
ACKNOWLEDGEMENT AND ACCEPTANCE:
As reflected by my signature below, I hereby certify that the information shown above is accurate to the best of my knowledge, and that I
agree to satisfy or abide by all requirements of this Permit, including "Standard Provisions" itemized on the reverse, and "Special
Conditions" imposed by the District. Further, I acknowledge that the District and its Engineers are doing work to benefit the property and
non-payment may result Vfiling of a cgnstruction lien as permitted by the Florida Statutes.
Owner Signature:
Owner Name JTy
Date: It/to
(1 of 3)
District Use Only: No.
NORTH ST. LUCIE RIVER WATER CONTROL DISTRICT
('District")
14666 Orange Avenue * Fort Pierce, Florida 34945 • (772) 461-5050 • FAX (772) 461-9446
Application to Connect to, or Use, District Facilities, or for Utility Construction*
SPECIAL CONDITIONS: (for District Use Only):
Application Approved and Permit for Construction Issued:
of
For the North St. Lucie River Water Control District
Permit Expiration
Expiration Date:
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Project Certification Received and Accepted:
By: Date of
For the North St. Lucie River Water Control District
Certification Expiration Date:
*This Application will become a Permit if mtd when approved and signed by an mahorized representative of the District.
(2 of 3)
http://ca.dep.state.fl.us/mapdirect/?focus=contamlocator. The ICR may be accessed at:
http://www.dep.state.fl.us/waste/categories/brownfields/pages/ICR.htm, or
http://ca.dep.state.fl.us/mapdireett?focus—icr
❑ YES Continue to VI.C, below.
✓❑ NO Continue to Part VII.
C. Has the site been remediated?
YES Continue to Part VII.
NO Continue to VI.D. below.
D. Are the pollutants of concern (i.e. contamination) present in ground water at the dewatering project site at
concentrations equal to or exceeding the surface water criteria in Rule 62-302.530?
❑ YES Dewatering activities do not qualify for coverage under this generic permit. However, the site may qualify for
coverage under Rule 62-621.300(1), F.A.C., or under an individual wastewater permit on the appropriate form listed in
Rule 62-620.910, F.A.C.
to Part VII.
VII. DISCHARGE INFORMATION:
II A. MS4 Operator Name (if applicable): North St. Lucie River Water Control District 11
II B. Receiving Water Name: Indian River Lagoon II
V III.CERTIFICATION t:
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for
gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
If providing notice of commencement of construction as required by an Individual Environmental Resource Permit, I also
certify that I am authorized by the Permittee (identified in Part III.A., above), to commence construction activities
authorized by the ERP Permit (identified in Part I.B., above).
Responsible Authority Name and Official Title (Type or Print):
Mr. Gabriel Takayama, Operations Manager
//z/B / L .4
DateSigned:
t Signatory requirements are contained in Rule 62-620.305, F.A.C.
Page 3 of 6
DEP Foam 62-621.300(4)(b)
Effective Date: 02/2015
NOTICE OF INTENT TO USE THE GENERAL PERMIT FOR CONSTRUCTION OF WATER MAIN
EXTENSIONS FOR PWSs
by Permittee
I am duly authorized to sign this notice on behalf of the permittee identified in Part 1.17 of this notice. 1 certify that, to the best of
my knowledge and belief, this project complies with Chapter 62-555, F.A.C. I also certify that construction of this project has not
begun yet and that, to the best of my knowledge and belief, this project does not include any of the following construction work:
• construction of water mains conveying raw or partially treated drinking water;
• construction of drinking water treatment, pumping, or storage facilities or conflict manholes;
• construction of water mains in areas contaminated by low -molecular -weight petroleum products or organic solvents;
• construction of an interconnection between previously separate public water systems or construction of water mains that create
a "new system" as described under subsection 62-555.525(1), F.A.C.; or
• construction of water mains that will remain dry following completion of construction.
(A specific construction permit is required for each project involving any of the above listed construction work.)
I understand that, if this project is designed under the responsible charge of one or more professional engineers (PEs) licensed in
Florida, the permittee must retain a Florida -licensed PE to take responsible charge of inspecting construction of this project for the
purpose of determining in general if the construction proceeds in compliance with the Department of Environmental Protection
construction permit, including the approved preliminary design report, for this project. I understand that the permittee must have
complete record drawings prepared for this project. I also understand that the permittee must submit a certification of construction
completion to the Department and obtain written approval, or clearance, from the Department before the permittee places this
pr ject into o eration for any purpose other than disinfection or testing for leaks.
1111a1,70 Mr. Gabriel Takayama Operations Manager
�Signatuy6 and DatA Printed or Typed Name Title
. Certification by PWS Supplying Water to Project
I am duly authorized to sign this notice on behalf of the PWS identified in Part I.G of this notice. I certify that said PWS will
supply the water necessary to meet the design water demands for this project. As indicated below, the water treatment plant(s) to
which this project will be connected has(have) the capacity necessary to meet the design water demands for this project, and I
certify that all other PWS components affected by this project also have the capacity necessary to meet the design water demands
for this project. I certify that said PWS is in compliance with applicable planning requirements in Rule 62-555.348, F.A.C.;
applicable cross -connection control requirements in Rule 62-555.360, F.A.C.; and to the best of my knowledge and belief, all other
applicable rules in Chapters 62-550, 62-555, and 62-699, F.A.C.; furthermore, I certify that, to the best of my knowledge and
belief, said PWS's connection to this project will not cause said PWS to be in noncompliance with Chapter 62-550 or 62-555,
F.A.C. I also certify that said PWS has reviewed the preliminary design report for this project and that said PWS considers the
connection(s) between this project and said PWS acceptable as designed.
• Name(s) of Water Treatment Plant(s) to Which this Project Will Be Connected:
Fort Pierce Utilities Authority Water Treatment Plant
• Total Permitted Maximum Day Operating Capacity of Plant(s), gpd: 18.99
• Total Maximum Day Flow at Plant(s) as Recorded on Monthly Operating Reports During Past 12 Months, gpd:
9.2912/20151
Signature and Date
Timothy E. Perkins, P.E.
Printed or Typed Name
C. Certification by PWS that Will Own Project After It Is Placed into Permanent Operation
Director - WMW Systems
Title
I am duly authorized to sign this notice on behalf of the PWS identified in Part I.H of this notice. 1 certify that said PWS will own
this project after it is placed into permanent operation. I also certify that said PWS has reviewed the preliminary design report for
this project and that said PWS considers this project acceptable as designed.
Signature and Date
Timothy E. Perkins, P.E. Director - WMW Systems
Printed or Typed Name Title
DEP Form 82-555.900(7Wtemate
Effeedve August 28, M03
(Updated September 8, 2015)
Page 7
STANDARD PROVISIONS
for
Application / Permit No.
If this Application for a Permit is approved, I do acknowledge, understand, and agree that:
1. I hereby indemnify and hold the District harmless from claims for property damage or personal injury arising from the installation
or use of the permitted facility, and that this indemnification extends to damage to the facility itself that may occur from District
operation and maintenance work.
2. Approval of this application does not relieve the Permittee from securing any and all other permits that may be required by other
entities or governmental agencies, including, but not limited to, the South Florida Water Management District, the Florida
Department of Environmental Protection, and St. Lucie County.
3. The use of, or construction within, the Districts right-of-way shall conform to the details of the attached approved drawings
supporting this application. Modifications must be approved by the District in writing prior to construction.
4. If required in the interests of the District's operation and maintenance program, or by any modifications to the District's Standard
Provisions, I agree to alter, replace, relocate, or remove the permitted facilities at no cost to the District, all as is more fully set
forth by District Policy Resolution duly recorded in O.R. Book 669 at page 699 of the Public Records of St. Lucie County,
Florida, but subject to the limitations thereof.
5. The lands to be benefited by this application are, or may be, subject to flooding during periods of high water resulting from heavy
rains or other acts of God. This Permit will be accepted subject to this possibility, which is recognized not to be within the control
of the District.
6. Any other requirements that may be imposed by the District are binding upon me, my successors and assigns.
7. Any Permit issued as an approval of this application other than one issued in irrevocable, recordable form pursuant to the Policy
Resolution referenced in item 4, above, shall not be transferable from the Permittee to a subsequent owner or owners of all, or a
portion of, the subject property without the express, written approval of the District.
8. Any Permit issued as approval of this application is strictly subject to all of the rules of the District, duly promulgated from time
to time, which are on file and available for examination at the offices of the District by those having interest.
9. If a Permit is granted, I shall notify the District not less than 24 hours prior to the beginning and completion of the work, to
enable. the coordination and scheduling of inspections.
10. I accept total responsibility for any erosion of, or shoaling in, the District's right-of-way or canals that results from the permitted
work, and I shall repair or remove same promptly, at no expense to the District.
11. During and after construction, I shall prevent material from the construction area from being discharged to, or settling in, District
canals.
12. Unless authorized by Permit, I shall neither place, construct or plant, nor cause to be placed, constructed or planted, any object or
improvement within the District right-of-way without the express written prior approval of the District.
13. Within thirty (30) days of completion of the work, I shall submit a written statement to the District certifying that the work was
performed and completed in accordance with the Permit and the approved drawings. If the work deviates from the Permit or
approved drawings, the certification shall state the nature and extent of those deviations.
14. If this Permit is for a drainage connection, then drainage discharge from the area served shall not exceed the volumetric
equivalent of 2.0 inches of depth over the area for any 24-hour period (38 gallons per minute per acre) from the 10-year
frequency, 72-hour duration rainfall.
15. If a Permit is issued for a hydraulic connection of property with a District canal, I shall not discharge hyacinths or other aquatic
vegetation into the District canal.
16. The Permittee, his agents and contractors, shall conduct the work in a manner that will not impair the use, or potential use, of the
District right-of-way and facilities. In no case shall drainage or irrigation canals or appurtenant works be obstructed or restricted.
17. All irrigation and drainage connections to District facilities shall be clearly marked with a post of contrasting colors to identify
the location and extent of the permitted installation.
18. If access is permitted via an existing culvert crossing installed in District right-of-way, the Permittee is advised that the crossing
may be permitted for use by other affected owners, as such crossings are limited in number by the District.
19. The District reserves the right to permit the use of culvert crossings installed in rights -of -ways by other affected owners of
District lands, as culvert crossings are subject to distance limitations imposed by the District.
20. All utility installations shall be clearly marked with above -ground signs or markers, as required by the District's "Permit
c� Information and Criteria Manual."
X 75. For permanently -installed internal combustion engines, underground fuel storage and piping facilities are designed in
accordance with applicable state and federal regulations; and the design requires engines to be located above grade with
adequate ventilation of fuel vapors and exhaust gases. [RSWF 46.414 and 46.4151
X 76. For permanently -installed or portable engine -driven pumps are used, the design includes provisions for manual start-up.
[RSWF 46.422]
X 77. Where independent substations are used for emergency power, each separate substation and its associated transmission
lines is designed to be capable of starting and operating the pump station at its rated capacity. [RSWF 46.441
Force Mains
X 78. Force mains are designed to maintain, at design pumping rates, a cleansing velocity of at least 2 feet per second. The
minimum force main diameter specified for raw wastewater is not less than 4 inches. [RSWF 48.1]
X 79. The design requires: 1) branches of intersecting force mains be provided with appropriate valves such that one branch
may be shut down for maintenance and repair without interrupting the flow of other branches; and 2) stubouts on force
mains, placed in anticipation of future connections, be equipped with a valve to allow such connection without
interruption of service. [62-604.400(2)(f), F.A.C.]
X 80. The design requires air relief valves be placed at high points in the force main to prevent air locking. [RSWF 48.2]
X 81. Specified force main pipe and joints are equal to water main strength materials suitable for design conditions. The force
main, reaction blocking, and station piping are designed to withstand water hammer pressures and stresses associated
with the cycling of wastewater pump stations. [RSWF 48.4]
X 82. When the Hazen and Williams formula is used to calculate friction losses through force mains, the value for "C" is 100
for unlined iron or steel pipe for design. For other smooth pipe materials, such as PVC, polyethylene, lined ductile iron,
the value for C does not exceed 120 for design. [RSWF 48.61]
X 83. Where force mains are constructed of material, which might cause the force main to be confused with potable water
mains, specifications require the force main to be clearly identified. [RSWF 48.7]
X 84. Leakage tests for force mains are specified including testing methods and leakage limits. [RSWF 48.8]
*RSWF = Reconmrended Standards for Wastewater Facilities (1997) as adopted by rule 62-604.300(5)(c), F.A.C.
B. Explanation for Requirements or Standards Marked "X" in 11(5)A. Above (Attach additional sheets if necessary)
11: Velocities < 15 fps
12. No sewers with slopes 20 % or> designed.
19: None proposed.
26: No electric equipment used in manhole.
27-33: No stream crossings proposed.
34-84: No lift stations for force mains proposed.
PART III - CERTIFICATIONS
(1) Collection/Transmission SystemPennittee
I, the undersigned owner or authorized representative* of Panelli Fort Pierce, LLC
am fully aware that the statements made in this application for a construction permit are tote, correct and complete to the best of my knowledge and
belief. I agree to retain the design engineer or another professional engineer registered in Florida, to conduct on -site observation of construction, to
prepare a certification of completion of construction, and to review record drawings for adequacy. Further, I agree to provide an appropriate
operation and maintenance manual for the facilities pursuant to Rule 62-604.500(4), F.A.C., and to retain a professional engineer registered in
Florida to examine (or to prepare if desired) the manual. I am fully aware that Department approval must be obtained before this project is placed
into service for any purpose other than testing for leaks and testing equipment operation.
Signed: )��/�Q%�v- Date: f/ / 0/ji0
Name: P"• Gabriel akayama l Title: Operations Manager
*Attach a letter ofauthorization.
DeP F.. 62-604.300(8)(n) Page 9 of 11
aIR live November 6, 2003