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HomeMy WebLinkAboutAPPROVED WELL PERMIT-BoveSTATE OF FLORIDA PERMIT APPLICATION TO CCN$TR:'C'i, REPAIR, MODIFY, OR ABANDON A WELL' i Southwest PLEASE FILL OUT ALL APPLICABLE FIELDS n Northwest (•Denotes Required Fields Where Applicable) USt. Johns River 1�iSouth Florida lbvwarr•rwcllC9ntrilrinn.YmilhonSfGlerarretnprerrliy fiftc ![I1111IN1(Ilul lv/nrlfll9 Inn' Jrvfrlli! Gp)'ht J1 iUf 1 rG rile L Suwannee River AJy)I"GilYN11PrII•i1h7111 YgUNtnnly Whr•re npp7irnhlr l 4 Cl DEP 17IDelegatt?d Authority (if Applicable i 2. Pemslt No Florida Unique to Permit Stipulations Required (See Attached) 62-524 quad No. Delineation No,� CUPIVvUP Application No. Number `Parcel I No. (PIN) or Alternate Key (Cir le One) (� 04 L t , ` lock Unit — 4•�-- 'County if -524:❑ Yes t No ction r Land Gran wn hip ange County " �� ubdroisi^o�n) r 5. fY7 ►11 ClL (i e 4 ! I.— �f�_a, eta o CtI i 8 "W ter ell onlractor, I, �, 'License Number telephone Numbs E-mail Address 4� n `Water ell Contra tor's Address J C) t City --k—S -- tate ZL 7. `Type of ork: Conmruc ion ❑Repair ❑ Modification❑ Abandonment 8. "Number of Proposed Wells Rnuson for Repair 14 lacjG 1 nr3f D `Specify ntended Uses) of Weil(s): 2t U LWa ta Domes c Landscape Irrigation Agricultural Irrigation Site Investigations Bottled Nater Supply H Recreation Area Irrigation ❑ Livestock H Monitoring Public I laterSupply (Limited Use)DOH) ❑ Nursery lrrigation Test JAP1 31 2022 Public iect Supply (Community or Non-Community/DEP)[f Gommercial/Industrial Earth -Coupled Geothermal Class I njection ❑❑ Golf Course Irrigation HVAC Supply ;lass V in'e ion: Recharge HVAC Return 1 ❑ g ❑ Commercial/industrial Disposal ❑ Aquifer Storage and Recovery ❑ Drainage F OH in St Lucie COu ty temedtadon ❑ Recovery Air Sparge ❑ Other IDscnbe, _ EN IROi�1Ni[ NT"AL HE TN ❑ Other I 10.'Distanci 13,'Estimati 14. Estimate 15.'Primary 16. Second 17. Second 18.'Method D 201 Indicate 21.'is this w or CUPP 22. Latitude 23. Data Ob Ihf bY"AOMwm V!YVrtrml Ix RIiMn N Fu4ron. IFYN u YMY Ypp,mN VVnIpICDnn fepnn tY tom Septic Smf 0 ft. ! g Qopth 5 20j�wp12. Estmated Sian Date . Well Depth fdCAein ft. Primary Casing Diameter 1n, Open Hole: From Tn ft. Screen Interval. From ? To U�Dft. 6__Pvc asing Material: Black Steel Galvanized Stainless Steel Not Cased tither Casing: Telescope Casing Liner Surface Casing Diameter __ in. ,Casing Material Black Steel Galvanized PVC Stainless Steel -- Ether _ Construction, Repair, or Abandonment: Auger Cable Tool Jetted ` Rotary Sonic mbination (Two or More Methods) Hand Drivers (Well Point. Sand Point) D0661Push) rizontal Drilling Plugged by Approved Method Other +oeacnba) — 9rputin t 1 fan or the Primary, Secondary, and Ad tlonal-easir T. . J To Seal Material ( Bentonite Neat Cement Other ) To Seal Material ( Bentonite Other ) To Seal Material ( Bentonite Neat Cement Other _ To Seal Material ( Onite Neat Cement Other _` ) tal number of existing wells on site List number of existing unused wells on site or any existin well or water wit d�,l wner's contiguous propertyy covered under a Consumptive/Water Use Permit (CUPANUP) JP Application. Yes omplete the following" CIIPNWUP No. District Well ID No. led From: GPS Map Survey W"101V twn ma npphc,Na Faso Vf rifia 4G, OD wn YYYDnavv CnJ!. anA Gl.n n wma Oh Ypa Yv,nv+, If nrt•dna, hYY Doan N N'fII W a pllof ID tVlpraafwCa+t'nl VI tteY lift/ aul YIf i,tfWnY4tM p,PrkleU In Mm •p{Nwlwh is nwffain and Ihat I WI nblfYn urns, Iedrr4, ewle, a loaYl elfwar,ultaMa 11 ayrY:nDla. i nrpYR if, p—gio x .vl Jiancl rMhin JO dqY aAm t'a,npleYtn of pin cuaYDuart+l, rc4nnr moIGG•,atl,xi of DY t1YY pernm. W ihY pnfml exPuaJpYl, wincbewr aacum iwal. 'License No. Datum: NAD 27 NAD 83 WGS 84 1 t'a, 4iy thus 1 Ym mr ovala Oa. p,npony. Inns n».nfwrrwfwn prtroWW artvlait'. ww awr I um nwure oI rnY f YSppnYlDi4os w+d[t , tldY SfalulYY in rnYinDull W prpVvrty YDandan thia will ar.l roJ, Indt I Yn, rnY a{7Yn1 lnr nr nut lne rnfnrm Ip[awdedh aacunls and lhatifu+Y in4Vmnd Urn pNnarnf (halt rncrnnmol na ar an nfr nr a twMv fp uNow�np pYnnnrrol of a.0 P/MD p, 00,V, d A,,M.,,Iy ..... to B,u vn;ii dorm Ulr cnal top r mtxbfiealwn, or phft"IN t't Yt th-7411 hY thle prm L 'Date Approval Gran d By Issue dote r Expiration Dale:umHydrologist ter, A oval •„ KI,\ �, CAS In111Yt Fee Received _ Receipt No i�'� LL..77 Check N0. THIS PERMIT S NOT VALID UNTIL PROPERLY SIGNED By AN A T RIZED OFFICER OR REPRESENTATIVE OF THE WMD OR DELEGATED AUTHORITY, THE PERMIT SHAL. BE AVAILABLE AT THE WELL SITE. DURING ALL ClNSTRUCTION. REPAIR. MODIFICATION. OR ABANDONMENT ACTIVITIES. DEP Form: 62- 32.g0011) Incorporated in 62-532,400(1), F.A.C. Effective Dale: October 7, 2010 Page 1 of 2 H4 0 00 o f>vg o N 0 a-�- (- t M o e J2 Q 0 0 9 V z ti o 8 ^aP. H � O c o uj US 0) J c 1`- -Uj •ter' TQ Li z O ~¢ U Q 3S o a 5 z m OR Win W9or � C 13 gr in �a OU18 dQ9 a s? W�ZgY a� �5c>°vSu�i�nstl o� ip z �vas�r W I i? 1 1 fm I I 1 I i S 04 '�s six rig ❑B O z t, h$I uj r 2� =W44OOv< jw� O ZOv� �.: ft HIS � ��� � �� j� ff WCL �1mx 8,1 D Q aNa A fn ..���� $ O i 0 LL W O�o U J�W %:- W 4: IkI o to U; w x Ng0 W LL o W = LL U d C) �00 w m a "Ww A ��w O � Z m I �D �a Michelle Franklin, CFA -- Saint Lucie County Property Appraiser -- All rights reserved. Property Identification Site Address: 123 EDEN Parcel ID: 4509-807-0014- Account #: 135042 Sec/Town/Range: 09/37S/41 E CREEK LN 000-2 Map ID: 45/09S Zoning: RM-5 - Cou Use Type: 0000 Jurisdiction: Saint Lucie County Ownership Anthony Bove 675 NW Flagler AVE Apt 301 Stuart, FL 34994 Legal Description OAKS AT INDIAN RIVER LOT 11 Current Values Historical Values 3-year Just/Market: $71,500 Assessed: $70,400 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $70,400 2021 $71,500 $70,400 $0 $70,400 2020 $64,000 $64,000 $0 $64,000 2019 $64,000 $64,000 $0 $64,000 Sale History Date Book/Page Sale Code Deed Grantor 03-05-2021 4583 / 2261 0111 QC Callan Kimberly 08-16-2019 4309 / 1647 0001 WD Horris Melanie S 10-05-2017 4050 / 0028 0001 WD Eginton John S Primary Building Information Finished Area of this building: 0 SF Gross Sketched Area: 0 SF Exterior Data View: Roof Cover: Roof Structure: Year Built: N/A Frame: Grade: Primary Wall: Story Height: No. Units: 0 Interior Data Bedrooms: 0 A/C %: 0% Electric: Full Baths: 0 Heated %: N/A% Heat Type: Half Baths: 0 Sprinkled %: 0% Heat Fuel: Type Total Areas Building Type: Effective Year: N/A Secondary Wall: Primary Int Wall: Avg Hgt/Floor: 0 Primary Floors: Finished/Under Air (SF): Gross Sketched Area (SF): Land Size (acres): Land Size (SF): Total Building Count: Special Features and Yard Items Qty Units Year Blt Price $100 $89,000 $79,000 0 0 0.5 21,915 1 All information is believed to be correct at this time, but is subject to change and is provided without any warranty. 0 Copyright 2022 Saint Lucie County Property Appraiser. All rights reserved. e St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: #: BILL Doc#:56-BID-5121778 RECEIVED FROM: American Drillinq AMOUNT PAID: $ 115.00 PAYMENT FORM: CREDIT CARD 090659 PAYMENT DATE: 12/08/2020 MAIL TO: American Drilling Okeechobee FL 34974 FACILITY NAME: American Drilling PROPERTY LOCATION: Okeechobee FL 34974 Lot: Property ID: _ -1 - Well Construction EXPLANATION or DESCRIPTION: Block: 1 QUANTITY FEE $ 115.00 RECEIVED BY: AdamsC AUDIT CONTROL NO. 56-PID-4824136