The URL can be used to link to this page

Home My WebLink AboutHealth Dept Well ApprovalRon DeSantis Mission: Governor To protect, promote & improve the health of all people In Florida through integrated state, county& community efforts. HEALTH Joseph A. Ladapo, MD, PhD State Surgeon General Vision: To be the Healthiest State in the Nation 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 SLCDO H-WELLSaFLHEALTH. 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 within 48 hours of well construction or abandonment. Florida Department of Health -St Lucie County Division of Disease Control and Health Protection Bureau of Environmental Health Location: 3855 S US Highwayl, Fort Pierce, FL 34982 Mailing: 5150 NW Milner Drive, Port St. Lucie, FL 34983 Phone 772-873-4931 Fax 772-595-1306 Accredited Health Department Public Health Accreditation Board FloridaHealth.gov STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT, REPAIR, MODIFY, ORABANDON A WELL rrr �Ih t [I Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS ❑ Northwest ('Denotes Required Fields Where Applicable) s ❑ St. Johns River Thewaterible forwarding completing ❑ South Florida This loan forwarding the the mi! and and permit pe application application tthe ❑Suwannee River appropriate delegated authority where applicable. � �Q,� yUl)Il C4Itit"il -- 'Delegated Authority (If Applicable) SGG AO 1.Panfml Pemmevy /gOo Lear 'Owner, Legal Name if Corp ration 'Addr 2. As f}lbDve.� 3. YA ok of - =tiffrri> Parcel IU No. (YIN) or Alternate Ke (uircle ne 4. �� 39 STGGCGI� 'Section or Land Gran 5.vn�lr2f/ `seanh `Range -1u ly ll a''�1-S fa 7. 'Type of Work: V Construction _Repair _Modification —Abandonment _ 8. 'Number of Proposed Wells _� .F ify Intended Use(s) of Well(s): 9SP Domestic Landscape Irrigation —Agricultural Irrigation —Bottled Water Supply _Recreation Area Irrigation _Livestock Public Water Supply (Limited Use/DOH) _Nursery Irrigation —Public Water Supply (Community or Non-Community/DEP)—Commercial/Industrial —Golf Course Irrigation —Class I Injection Sr -°�o 3&0\ Unique ID Stipulations Required (See Attached) Quad No. Delineation No. UP Application No. 7 �6-3/7i 'State `ZIP 'Telephone Number N Block Unit J—a rarfN Check if 62-524: _ Yes I,,No �Y�llrfy�%w�c"�s�aul, con E-mail Address �L 3�.467 __Site Investigation Lr-%AU LF Ll 11l, J VJ _Monitoring Test —Earth-Coupled Geothermal DEC 2 2021 _HVAC Supply FIVAC Return Class V Injection: __Recharge Commercial/Industrial Disposal —Aquifer Storage and Recovery _Drainage Remediation: —Recovery —Air Sparge —Oth r (Da,erlbo) FD H in St Lucie Counp ENVr 0WIRPI'VP{L4iEALI —Other( Describe) (Note: Not allt� or w s are permitted by a given permitting authority) 0.`Dislance From Septic Sy tam if s200 fit. DVP/ 11. Facility Description 12. Estimated Start Date • r'�!' '13.'Eslimated Well Depth 70 ft. 'Estimated Casing Depth �ft. `Primary Casing Diameter in. Open Hole: From_To_ft. 14. Estimated Screen Interval: From 7S To 7 0 It' 15.'Primary Casing Material: _Black Steel r' Galvanized _PVC _Stainless Steel Not CasedOther: 16. Secondary Casing: _Telescope Casing _ Liner _ Surfac asing Diameter in. 17. Secondary Casing Material: _Black Steel Galvanized �VC _Stainless Steel _Other 18.1Method of Construction, Repair, or Abandonme _Auger _Cable Tool _Jetted _Rotary _Sonic Combination (Two or More Me(hods) _Hand Driven (Well Point, Sand Point) _Hydraulic Point (Direct Push) _Horizontal Drilling _Plugged by Approved Method _Other (Describe) 19. Proposed grouting 1plsrvaI for the Prmr ary�ondary, and Additional Casing: From To /JJ Seal Material �Bentonite_Neat Cement_Other ) From To Seal Material ( Bentonite Neat Cement_Olher ) From To Seal Material (_Bentonite Neat Cement Other ) From To Seal Malarial (_Be onite_Neat Cement Other ) 20. Indicate total number of existing wells on site List number of existing unused wells on site 21."Is this well oiany existing well or water withd, wal on the owner's contiguous property covered under a Consumptive/Water Use Permit(CUP/WUP) or CUP/WUP Application. _Yes t/ No If yes, complete the following: CUP/WUP No. District Well ID No. 22. Latitude Xongilude 23. Data Obtained From: GPS _Map _Survey Datum: NAD 27 _NAD 83 WGS 84 I h.1, comity Nut twill cmnplrwill, 0c appfcblo ruled of Tllo 44 Fbn0oAdonnotmlive Coee. and Nat a wator Icortir,th.tiom oft ovma,ol0op,ap0, that NB lnlarmallon Orovld.d is etturate. and Net l am awam ern Ioldct wsho 30 dayn alto by tine pmnut ur Ibu Vmn Approval Granted Fee Received $ Receipt No. Issue Date j Z L ,wv Expiration Check No. �ZI Hydrologist Approval InlIW4 THIS PERMIT IS NOT VALID UNTIL PROPERLY SIGNED BY AN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY. THE PERMIT SHALL BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, OR ABANDONMENT ACTIVITIES. OEP Form: 62-532.900(1) Incorporated in 62-532.400(1), F.A.C. Effective Dale: October 7, 2010 Page 1 of; St. Lucie County Health Department uli�e 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: a: BILL oocu:56-BID-5696519 RECEIVED FROM: Dillinq and Irriqation Services AMOUNT PAID: $ 230.00 PAYMENT FORM: CREDIT CARD 001482 PAYMENT DATE: 11/12/2021 MAIL TO: Dilling and Irrigation Services 1265 Pakenham St NW Palm Bay FL 32907 FACILITY NAME: Dilling and Irrigation Services PROPERTY LOCATION: 1265 Pakenham St NW Palm Bay FL 32907 Lot: Property ID: EXPLANATION or DESCRIPTION: -1 - Well Construction Block: QUANTITY FEE 2 $ 230.00 RECEIVED BY: EvansJS AUDIT CONTROL NO. 56-PID-5363517 Note: 59-32682 and 59-32683 Prop(rty Card Page 1 of I Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 12440 Lear PL Parcel ID: 4224-501-0087- Account #: 125848 Sec/Town/Range: 000-1 24/37S/38E Map ID: 42/23X Zoning: AG-5 Count Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Legal Description Daniel Darren Demmery TREASURE COAST AIRPARK LOT 87 AND THAT PART 12440 Lear PL OF SEC 24-37-38 MPDAF: BEG SE CDR OF LOT 87 OF Port St Lucie, FL 34987 TREASURE COAST AIRPARK RUN S 89 31 12 W ALG S LI 315 FT,TH S 00 32 21 E 20 FT,TH N 89 31 12 E 315 FT,TH N 00 32 21 W 20 FT TO POB (2.67 AC) Current Values Historical Values 3-year Just/Market: $117,900 Assessed: $117,900 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $117,900 2021 $117,900 $117,900 $0 $117,900 2020 $69,500 $69,500 $0 $69,500 2019 $69,500 $69,500 $0 $69,500 Date 08-26-2020 11-24-2017 05-31-1991 View: Year Built: N/A Primary Wall: Bedrooms: 0 Full Baths: 0 Half Baths: 0 Sale History Book/Page Sale Code Deed Grantor 4468/2543 0001 WD Bolduc John A 4071 / 0155 0001 WD Eastman John W 0740/ 2503 XX00 WD McCarty III Daniel T Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Roof Cover: Frame: Story Height: A/C %: 0% Heated %: N/A% Sprinkled %: 0% Exterior Data Roof Structure: Grade: No. Units: 0 Interior Data Electric: Heat Type: Beat Fuel: Price $137,000 $90,000 $35,000 Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Flooc 0 Primary Floors: Total Areas Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special features and Yard Items Type Qty Units Year Blt 0 I7 2.67 116,305 1 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. ® Copyright 2021 Saint Lucie County Property Appraiser. All rights reserved. https://paslc.gov/RECard/ 11 /12/2021