HomeMy WebLinkAboutD O H WATER WELL PERMIT;Bridge Web Viewer
Mission:
�^ 'Tot protect, promote & improve the health
oi" peop'e in Florida through integrated
It"'", county & community efforts.
HE"
Vision: To be the Healthiest State in the Nation
Ron DcSantis
Governor
Scott A. Rivitees, MID
State Surgeon General
Page 1 of -
Florida Department of Health in St. Lucie County
Conditions for Issuance of Water Well Permits
SCANNED
Effective July 24,_2017 BY
St Lucie County
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
SLCDOH-WELLSa,FLHEALTH.GOV
b. Provide the following information:
i. Permit number
ii. Driller name
iii. Address
iv. Date and time to begin construction/abandonment
P' 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-WELLSeFLHEALTH.GOV
Submit revisions to permit and/or site map within 48 hours of well construction or
abandonment.
Florida Department of Health -St. Lucie County
Divisbn of Disease Control and Health Protection
Bureau of Environmental Health
LocaJon: 3855 S US Highwayl, Fort Pierce, FL34982
Mailing-'
5150 NW Milner Drive, Port St Lucie, FL 34983
Phone 772-873-4931
Fax 7�2-595-1306
Flori . Health.gov
Accredited Health Department
Public Health Accreditation Board
ittps://s 1.ebrid 'e.com/ebridge/3.0/webviewerNiewer.aspx?ref=jgGE%2bHKLLJOIWMV7mUAKL 1 Wq... 12/11/201 S
;Bridge Web Viewer
Page 2 of-
STATE OF FLORIDA PERMIT APPLICATION TO CONSTRUCT,
y
REPAIR, MODIFY, OR ABANDON A WELL
OSouthwest PLiASEFILL OUTALIAPPUCAGf,EFIELDS
O Northwest (`Denotes Required Fields Where Applicable)
.!
CJSL Johns River
71:a watar rrapco.°Irractorfs rusponalwo rot coniptourrg
C1SOUlt1 Florida
rya' v,ip
husroonand ronvardln (lid pp
g pAntd! n Feofta� to (he
f�SUtvanneflRlvar apptopdarvdotagarodawhadryvdlcronppG?abto.
�t
ODEP
O Delegated Authority (If Applicable) _
,59-29985
Unique ID_
SGpulalions Required (See Attach<d)
62-524 Quart No. Det:neallon No.
CUPIVVUP Application No,
1 , e Z
fe , Le i ame'1 Corp r~ lot 'Addre `city I��` "T.•elleephone Number
2. ah�lf.ne. ��(i~xcc:
W r - Add ss, R ad Na a or N iml er, City
i3. -
'P;jrce D Na, (PIN) orAlternate Key (Ci n) J Lot Block Unit
Section or land Grant 'Township "Range 7� ognty Su ivi ion Cheek if 62-524: _Yes —No
5. Walter Herndon t6 772 571-0324 wherndonwelisinc@aoi.com
'Water Well Contractor `License Number 'Telephone Number E-mail Address
6. 134 Keystone Dr Sebastian FL 32958
7. 'Tyne of Work: X _Construction Repair ,�Modiricalion _Abandonment
B. 'Number of Proposed Welts 1 � 'Rea>f>nrsrRe, Repair, Ngyiti atan, orFus danneen4
9. 'Specify intended Use(s) of Weli(s): t� �LJ Rl®
DomosOo x Landscape Irriijation _Agricultural Irrigation Site investigation PIP
- Bellied Water Supply Recreation Area Irrigation ____-Livestock ._,,,,_Monitoring
Y
Public Water Supply (Limited UselDOH) —Nursery irrigation Test
Commercial/industrial Earth -Coupled Geothermal
--Public Water Supply (Community or Non-CommunityiDEP) Golf Course Irrigation �HVAC Supply OCT — ?C
Class I Injection ^HVAC Return
Class V Injection -____Recharge Commerciallindustrial Disposal Aquifer Storage and Recovery `Drainage
I
Remediation: Recovery _Air Sparge -Other toata,hb) F i A'
ulde I o'
_Ot 1 er tDe:1:6c) (Nate: Nota9 r:pusr�er�wni;a ue pemiRied 6y c ahrn paftrf<ttctg aihority)
10,4DisiI'nce from Septic System if Q00 f °' ` L_.11. FaciliV Description t' 12. Estimated Start Date
13.•Esti'nated !Neil Deplh ;
_ D ft. `Estimated Casing Deplh_V�ft. 'PrimaryCasing Diameler .:?—" in. Open Hole: From To• fl,
,q-1 A. Esiirnaled Screen Intervai: From 4i. T-� ft.
15.`Primpry Casing Material: Black Steel _.�GaNanlzed PVC Stainless Steel
NotCased Other.
16. Secondary Casing: _Telescope Casing Liner Surface Casing Diameter L1.
•17. Seco'fldary Casing Material: Blacl( Steel Galvanized PVC Stainless Sleet Other
16."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)
I i-iorizontai Drilling Plugged by Approved Method Olher(oosaibe)
1 S. Propdsed Grouting interval for the Primary, Secondary. and Additional Casing:
From TO Seat Material (�Bentontla Neat Cement Other )
From! To Seal Material C_Bentonite Neat Cement Other~ )
Froml To Seat Material (____Bentonite Neat Cement Other }
From! To Seat Material L—Bentonile Neat Cement Other }
20, Indicalto total number of existing wells on site List number of existing unused wells on rile _
21.`Isthis well orany existing well orwater wit%hd wal on the owner's contiguous property covered undera ConsumptivenVater Use Permit (CUP/WUP)
or CLiiPfNiUP Application? Yes ✓ No If yes, complete the following: CUPMUP No District Well ID No.
22. Latitude Longitude
23, Data Obtained From: GPS Map Survey Datum: NAO 27 NAD 83 WGS 84
t ;: sr= h ti^:ItElctz>p.'yt.ISirN Ceti<:.'+irWoar iClZ•i3, Pplyta:a'mn[sYaS as [Wa.aiW alsia Wsicr fcaryrt �rir(kn aw 6nrdr n'Ihc rrC.�+"jv.ptlaMlGrma9Jfl piL:iS.,tlr.xnroH. h:d'hait an :+2ro al mf
u:ar.0 i CYtdMrW Inra^nCltnseAce,h„,Y�cst nx^lWti+l;y',uirMv ttr cq±x�tnfwnC±l o/+mrli IwpwL..',maanSu Ch[pluatJlFla+Ja Snk!a, teRW',+.4a'f1 wPu-,c.7y a:raM..cn t4R qC�.: tu,lttr.
Ift+th[tmldY4.el dl Y.rf+7a)aa rttaiWCin LRisnca'rn znrn-,ra,ln,.�u ih,.l�u. ter,..," ..__t _. �._�._ _ _ _ _ _ %VlYtbn
Aporova! C
Pee RecO
THIS PER!
PcRiafi i SI
DEP Faun:
Gn
or
IssuoDate f oj�i"�7 E.xplratlon pate
Receipt No. Check No,
IS NOT VALID UNTIL PROPERLY SIGNED BYAN AUTHORIZED OFFICER OR REPRESENTATIVE OF THE wroD OR
L BE AVAILABLE AT THE WELL SITE DURING ALL CONSTRUCTION, REPAIR, MODIFICATION, ORABANDONMENT
532.900(1) Incerparaled in G2-532A00(1), F,A.C. EINcWe Dale: October7, 2010
Hydrologist Approval
.ncstn
AUTHORITY. THE
Page 1 of 2
to Its
r
D
ittps:Hs 1.ebridg"le.com/ebridge/3.O/webviewerNiewer.aspx?ref=jgGEQ/`2bHKLLJOIWMV7mUAKL 1 Wq... 12/11/201 S
S OST^rL LL'CIALPE3CRIPTION
9C440 ALL OF LOT 71, ACCORDING TO CREEKSWE PLAT NO. 1,
N83'41'31"4J 65.40' AS RECORDED iN PLAT DOCK TA3. PAC_ 12 PUDUC RECORDS
j OF St. LUCIE COUNTY, FLORIDA.
WT $ SET4/8, f LD 4229a (i+rn q / i CONTAfNS 0.11 ACRES, MORE DR tES5
PRarIRRrY Aot3Tt>rss
8604 OMLEST04E DRIVE, FORT PIERCE
a
rr Er;r St AT3�YiTtF1lTATtC)NS_
UPROPOSED
C /evJ'JJ au moms au+n;u ax Ox bwons anau RE05RDS Goa
y ✓ P COWERED I F OG tINOTI S GW#NO V= PA ODrOAS PEAT SOCK
O.Y. oxxora C04ORM MOM,11m PD. DUMTES PATS
a 'tANN O ��'` a"H�1 r. cCow oua�uTa OASai PAL m PAL 0OOTES ODIOM PTWATE IIRwNIC ttACC tstR
t ms cniD ss CONNtTa a car staucaGc Psis onions PlrOrxz~v+u xn�em a ulrax
PRCPOSED t o �, rstm DSTANCC PA.4 trtxlara TYTaiYtsoitr tANO svasrmt
'�`' t COCHW BTmig; PA-Q DOians PANT OF CWPdk49 LttRYAluit
'."! 28.67 O i (fj P.0. DL`iOTES "W OF OIRYATUAC
y- *�'r Cfi WTS P.
CtHORt PANT Of TAKOEYCY
rq t� 4 f COMU CERIM URE
). 8 L. ^ J. -Q T L oiNOM DeAT ACC CA^JYDrr PMOTIZ P. CUIOIES KAT Os7iT eOK1ROl. PONT
a LOT
%n 11.00 , G! �w no DSNOIFS lnf rrZ MOM rK5K FLOOR aLYAG01f R Mons Rhmm
PROPOSED F.F.E..-17.62 / -� ti (fS n T1 %1 f •'I r ' '7l4 R/C CINOTC1 IRON OW ANMICAM P crr xATIR Sra�i. Downs sAtMAAY A Mir or MAT
CREEKSIDE PLAT t{0,.1 r �./'� > k -2 J x- to CINOTC S Ummv e�acttu U r. DErrons Gnun rA�roli
P.D. 8S PO. 12 (/e..� t q s :<y ` t McTCs AM L'NOM Ycvc DOiOns rATIR KANA"W TaecT
VACANT �� S�-..11 LOT 71 U3 } L ? i e L.C. comet L"=APf eAsaravr fuaR cvAasts ser uAo xwt k o Dmc
T• f"t PROPOSED MODEL ewfC �'t [-/ „. ...t ¢�, -t %1 MOM LIAMO m DATA A fiL DD � M0 CM AN" x uANA�mfT e+�mir
`J F,F.E�17,87 ►Lj ) xr0 ooioifs MAIL P
.$ O Q p NA OfNatF9 NNl ANo C#tit �^ Moto asmituc rlow
ARr'A. aSiitfaRY E.Y <rr tlRr rriT �" j`'T,'(Tx. ((hf) MOTO NCN IIA INL
SOD: EGOS f N $ ss �.. �� .... _ t bsL MOTO of nx WACO TRACT MOM MWOR.a r1LVATAN
�'1�] a- LE.I L . x s P�M1.G MOM row or MCA}t.'E CURVArm
j CRNLlvAY%tr/dKTfAY•0a3 CO N C�� v. ty , r GENET AL NOTIM
PROPOSED � l _-1 3k Y L The toot data of Geld work was 09-07-1er
COVER p ! '„�z 2. Ada lt"s or detoUors to swwXy mops or reports by other then the s;4nin2 party or
ENTR�, , O t Y a WHae la pml*Rad vahout Tldlten consent of the vIntng Party w portlov.
ll• t ' ' .� 3. ReproduLclo— o1 this mcp we nal YOU without the s%naluro and wlglnol ra:oed soot of a
2,G7' _ Ronda Lkmstel Surveyor end 1 cpPsr.
2.GT
6 'NaTMY DUCE •PROPOS 4 / �? i 4. Lands she" hereon wora not. cbdroelad by this ofRee for rights -of -way. ecAOM-19
sPaOPO of coastal, a+trwaah}pp, abandonmsnl'a, dead foslrktlana, or tlutphy Act Deeds Thb
5 - o DRit':WrIY o J infcrmalFen ehaulol ba Obtalnod through cpproprbale two varlROo On.
ZONEFLOOD
X" (c , - - NATUI SERIACC ,w, .r .^ -. } 5. Ni above 7wand Rued improvamenla, if any. trove bean located and stwwn hirean.
1 v __ , _ _ / = :� a. Underground foundations and tmptwnmants were not iacated as Part of this survey.
FLOOD ZONE .-- �:~ b / �" `'St, `x.-? 7. Flood Notw Ry graphla Plot ing 001 this. prOPcrty Is in Zen* X cnd AE-15.5, cCeord;ng to
";z - Lb. flood Inswonee Rote Mal, Contmanily Panel No. 12111C0170 .y etfeetive dote Fobruory
SAE-16.5 o Rey 8 - N8 �41'3 "W 65.00� _� & `� 'mac 10. 2Df2. The exact dufgnohVk can Only be detomT•nad by on eleeatton eacttaaals No
_ - _ ""�"'"s"' -�'�-s..-.•-+-:x'°`: addlttenot soardr at the publfa records ties been preformbl ThMe may be C&AI nal mop
e PROP,OS,TO_4"CCNC.'NA1K' ._� j Amondments affecting this propody.
sue+ S. The food. 2ona Cnn shown hereon how been ootobl!shsd by the Publlthnd FELtA Panel and
a
the use of e:datb,g Vold devclbn data.
a 2' CGVC CURD a `F 2 CGN
Y
1 ' n'DETiCNU 9. The baatln;ra aho!m iTaean are, breed an plot hfcrmollon and era relaenaad to the
a } r .+� TO P T `` rm •+ -k, � '.;D:+ly1DTH R/W - a *` icwixi... a ; t ; ? Tr x Ccntor t'ne or Cobttosiono Wive shtch baan North U3.41'31• Watt and at bearings we
r t t c, ".,h5"NhLTPAVt)1,,'- ..� r•.a+ ..:" e ..< x h�.SS-d! ELEt11 160915 °.� relo" thereto.
4 t ea es r 3,1 f �F x 2 sNa.� tia34i 31 W 30.6 -,� w. §c `..:'Y 1 r,
a T h63$131 S� 237'81 s t°n , ,Ntt4)'31-•4Y 6500.,(i38) y t .'� - 10. No smamenh ore aboan harran other then theta depleted on the p?al. tie eeareh of
publfo (Oowds has been pwformett to find additional caseminls that moy exist.
i C {7 tjiJr C r� r `.i r .7r r k T �x.- 4,.e ter e u P,.C. -isr °'x•} ax,.. §
11. l &Ilene shown hereon are based on the North knorf. n VertkCd Datum
� � '�N -L r"':.i 42. The twiidfn9 u1ba6s ehasm heron, afthou9h bated on the but ava,RoSle InrorrnaUarf, are,
iuGtcO Y `3:a`•-'}„ ..,x,.,:not egrUOed to and must bs YerlRod prior to dastan Or canalruaCan.
ter• _
}. • CULPEPPER S TER PENtNDr INC
STA OF Pa ,1„)o1,��]dary Survey, Site Plan & no: 1Fi-14f.700.071
r ,l- Boundary Jt Oale: 01OV2018 eoteaveirMZU)SOVO, 216 SFR;l,.r eYOAa
y lL�j'r" OP: ��.`� 1/ iD: N/h tmxTtlXRai farialuA 3+AaT
THWAS P. KIERNAf4 "2t/ggVr q0A .� DA Tapo Lot 71 URRA'tl or. is 2n f'RONRnT.ruJs)r. PeLX TITda•oi-N
a Profasslonol Svrva +�eG,,yk,t`s r w,..t�•ttt
} e ` _for<3.12.�IOI�T_QLV —
Florida CortltY.ota No. 619 ��-- �--
SITTIT Ct+It MrO� r9Lt1aTG411eH NaiYl +."L
;Bridge Web Viewer Page 4 of
Property Card Page 1 of 1
Michelle Franklin, CFA - Saint Lucie County Property Appraiser --All rights reserved.
I
Property Identification
Site Address: 8604 Parcel ID 2326.600-0076- Account #: 170569 Sec/Town/Range:
Cobblestone DR 000-2 26/35S/39E
w1ap 1D: Zoning: Planned Un Use Type: 0000 Jurisdiction: Saint Lucie
Ownership
D R Horton Inc
1z30 NE Culver DR
Pidni Bay, FL 32907
I
Current Values
1u$t/Market: $13,500 Assessed:
f�emptions: $0 Taxable:
County
Legal Description
CREEKSIDE PLAT N0. I (PB 55-12) LOT 71 (OR 3921-
SC NED
2362)
a
St Lucie County
Historical Values 3-year
S8,250 Year Just/Market Assessed Exemptions
Taxable
S8,250 2019 S13,500 $8,250 $0
2018 $7,500 $7,500 $0
2017 $3,000 $8,000 s0
$8,250
$7,500
$8,000
Sale History
Date
Book/Page
Sale Code Deed Grantor
Price
10-',07-2016
3921 / 2362
0205 SP I•ioyer Homes at Creckside LLC
$2,982,400
09-26-201<t
36777 / 0599
0205 SP D R Horton Inc
$2,290,000
11 j29-2005
2427 / 1807
XX00 SP BJK LLC
$21,900,000
i
Primary Building Information
Finished Area of this building: 0 SP
Gross Sketched Area: 0 SF
Exterior Data
View:
Year Built: NIA
Primary Nall:
Type
Roof Cover:
Roof Structure:
Building Type:
Frame:
Grade:
Effective Year: N/A
Story Height:
No. Units: 0
Secondary Wall:
Interior Data
A/C %: 0%
Electric:
Primary Int Wall:
Heated %: N/A%
Heat Type:
Avg Hgt/Floor: 0
Sprinkled %: 0%
Heat Fuel:
Primary Floors:
Total Areas
}i
Finished/UnderAir 0
(SF):
Gross Sketched Area 0
Ji
c"=
Land Size (acres): 0.19
Land Size (SF): 8,451
Total Building Count: 1
Special Features and Yard Items
Qty Units Year BIt
All information is believed to be correct at this time, but is subject to change and is provided without any warranty.
0 Copyright 2019 Saint Lucie County Property Appraiser. All rights reserved.
https:Hpaslc- cv.org/RECard/ 10/2/2019
ittps://s 1.ebridge.com/ebridge/3.0/wcbviewerNiewer.aspx?ref=jgGE%2bHKLLJOIWMV7mUAKL 1 Wq... 12/11/201 S
;Bridge Web Viewer
f� 1
iiDYi3`a
HEALTH
PAYINIG ON:
RE'EIVVED FROM:
PAYMENT FORM:
i
I
St. Lucie County Health Department
5150 NW Milner Dr Port Saint Lucie, FL 34983
*i en u. Doc n:56-BID-4429414
Walter Herndon Well Drilling AMOUNT PAID: $ 805.00
CREDIT CARD 057888 PAYMENT DATE: 10/01/2019
MAIL TO: Walter Herndon Well Drilling
Sebastian FL 32958
I
FACILI Y NAME : Walter Herndon Well Drilling
PROPERTY LOCATION:
Sebastian FL 32958
�ot:
Property ID:
EXPLANATION or DESCRIPTION:
Block:
QUANTITY FEE
-1 - Well Construction 7 $ 805.00
RECEIVED BY: VanceMH AUDIT CONTROL NO. 56-PID-4166312
Note: 1 Permits 59-29979-59-2998,S
Page 5 of `-
ittps:Hs l .ebridge.com/ebridge/3.0/webviewerNiewer.aspx?ref--jgGE%2bHKLLJOIWMV7mUAKL 1 Wq... 12/11/201 c