HomeMy WebLinkAboutWell Permit STATEOF FLORIDA PERMIT APPLICATIONTOCONSTRUCTt f40q0 -6
^r aFKllAdrUma REPAIR, MODIFY, OR ABANDON A WELL PormllNa
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UDEP CUPIWUP Application No.
❑Delegated Authority (If Appllcoble)
I.Kelly Talbot 1496 40th Avenue Vero Beach , FI 32960 _
•Owner, Legal NamelfCorporetlon nA dress
FI ocily 'slate ^ZIP Telephone Number
2.6901 Fort Walton Avenue Port St `L
'Well Location - Addross, Road Name or Number, Oily
a1301 -612-0195-000-9 1.4— 127
'Parcel ID No. (PIN) or Alternate Key(Circle One) Lot Block Unit
41 01 34S 39F St Lucie ChookV02-6240 Yes V] No
"SecOonat Land Grant 1ownshlp tRango Counly Subdivision
61 James Paul Tyson 11362 964.698-4260 downthehole@attnet
'Water Wall Csnire r •License Number - 'Telephone Number E-mall Address
If, PO BOX 881496 Port St. Lucie FI 34988
'WatorWell Contractors Address City Slate ZIP
T 'Typo of Works 49rconstrucllon ❑ Repair (] ModlOI Abandonment
0. 'Numberof Proposed Wells_ Samoan (of r, III Rapal n
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Domestic LandsoapolotaAllon Agricultural Irrigation Site lnVosllgallons
Solllad Water Supply ® Recreation Area lalgallon Livestock Monitoring
Publla.Walar Supply (Limited UseloOH) Nursery hilgallon Test
Public Water Supply (Community orNomCommunlly/DEP) Contmorole111ndoslrinl — Eurlh-Coupled. Gsolhermal DEC 13 2021
Class I ta}eotlon Golf osursa IRigallon )NAC Supply
14VAO Rotor
Class V Injection: (I Recharge CommarclaBlndustdel Disposal [' Aqut(sr storage and Recovery,] Dratnaft H in St Lucie Count
Remedlation:0 Recovery Air Sparse l] other (mambo)
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10,`Dislance from Boom system If 5 20D. R. TY± 11, Facility Description Keslaortoe 121 Estimated Star) Date ASAP
131'Ealtmaled Well Depth 170 IL •Estimated Caskiq Dep1h100 It. Primary Casing Diameter2_in. Open Hole: From c'r'o =16
14. EalimateJ Sciaen Interval: From 100 Tb120 R.
16. 111flmaryCeoingMalerlol: Block Steel Golvanlzed 119� stainless Stool
Not Cased Other, _
te, Secondary Casing: Telescope Casing Liner Surface Casing Dlantelor _ In.
17. Secondary Calling Material: Black Steel Gelvardzed PVC Stemless Steel
111.'Melhod of Construction, Repair, or Abandonment; Auger Cable Tool Jelled %0 Santa
Combination (Two of Moto Methods) Hand Dnven (Won Point, Bond Point) HydrauI otnl (DirectPush)Horizonlot Drilling plugged by Approved Method Other Instance)
10. Proposed Grouting Interval for In% Prirnary, Secondary, and Fjt_l R pie al Caeing:
From_n____ To ,AS+ tool Malarial ( esnlonlla �re'al Cement 011ie( 1
Froa(__ To .Seat Material (- eenloRRe Neat Cement Othec.. t
From. To ` 'Seal Material ( Semantic Neat Cement Other. _ )
From. To + Seal Material ( Benlonllo Neal Cement other t
2D, Indlordo Io(el numberof exlsling wells on alto List number of extolling unused wells on site
21?Is tiltl&& �Y�QQI__I o� r any exislmgviell ar w�.tar wlltid onn the ownata conligu�tis propely soepvveerred under n ConeumpllveiVJaler use Pemtit (CUP)WUF�
or QUPIWUP Apo
oa N If yes, complete the fo lowing: CUPNVUP No. Dlslr cl Well D No.
22. Latitude Long uka 4 ,
23, Data Obtslned From: Opt Mop Survey Datum: _NAB 27 _.fJAD 03 ,_WGS 84
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THIS PERMIT 18 NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER 08 REPRCOENTATIVD OF THE WMD OR DELEGATED AUTHORITY, THE
PERMIT BHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES.
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BO UNbARY ANb 10260 VILLAGE PARKWAY • UNIT 201
y g�gy TOPOGRAPHIC SURVEY ®' PORT ST, LUCIE, FL 34987
Q h FOR: PORT ST, LUCIE PROPERTIES INC, 772 462-2466
h G901 FORT INALTON AVENUE Nm'm.uudnwwm
,� � ET. LUCIE COUNTV, FLORIDA FNOIENV RONMENTAl OR9 F,L9. CEPT IGTTF. GFMrtNOR1)AIIDN IpYe�
Michelle Franklin , CFA -- Saint Lucie County Property Appraiser -- All rights reserved .
Property Identification
Site Address: 6901 FORT Force[ ID: 1301 -612-0195- Account 8: 2943 Sec/Town/Raugc: 01/34S/39E
WALTON AVE 000-9 Map ID: 13/0IS Zoning: RS-4 Count
Use Type: 0000 Jurisdiction: Saint Lucie
County
Ownership Legal Description
Jonhua Buckingham-Main LAKEWOOD PARK-UNIT 10- BLK 127 LOT 14 (MAP 13/018)
Keily 'I'albol
1496 4001 AVE
Vcro Beach, FL 32960
Current Values, Historical Values 3-year
Just/Market: $ 18,700 Assessed: $12,428 Year Just/Market Asscmed Exemptions Taxable
Exemptions: $0 Taxable: $ 12,428 2021 $ 18,700 $ 12,428 $0 $ 12,428
2020 $ 12,400 S11 :299 $0 $ 11 ,299
2019 $ 12,400 $ 10,272 $0 $ 10.272
Sale History
Date Book/Page Sale Code Deed Grantor Price
05-24-2021 4619 / 0152 0001 WD AJ Chandler LLC $26,000
0346-2021 4585 / 0678 0001 WD B & 1) 1lutchinson Properties LLC $ 18,000
06-09-2011 3362 / 0530 0001 WD Wheatley Holdings LLC $7,300
Primary Building Information
Finished Area orthis building: 0 SF
Gross Sketched Area: 0 SF
Exterior Duta
View: Roof Cover: Roof Structure: Building Type:
Year Built: N/A Pranle: Grade: Effective Year: N/A
Primary Wall : Story IF[eight: No. Units: 0 Secondary Wall ;
Interior Data
Bedrooms: 0 A/C %: 0% Electric: Primary [tit Wall:
Full Baths: 0 Heated %: N/A% Heat Type: Avg 1{gl/Floor: 0
I lalt' Baths: 0 Sprinkled %: 0% Heal Fuel: Primary Floors:
LLLL
TOtal, Areas
4 ti
rAir 0 Finished/Uude
' (SI'):
n Gross Sketched Area 0
au MItK - ' .i f (SF):
r Land Size (acres): 0.34
Land Size (SF): 14,960
., . . Total Building Count: 1
Special Features and Yard Items
Type. Q1y Units Year Bit
All information is believed to be correct at this time, but is subject to change and is provided without tiny warranty.
42 Copyright 2021 Saint Lucie County Property Appraiser. All rights mscrved.