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HomeMy WebLinkAbout1993 10 06 - Park Place Water Plant Permits & CorrespondenceCITY OF SEBASTIAN P. 0. Bax 780127 Sebastian, F1 32978-0127 (407) 589-5330 FAX 589-5570 TO . LhnSawe-r LQa-+er rla rn4 WE ARE SENDING YOU I�f\Attached ❑ Under separate cover ❑ Shop drawings ❑ Prints ❑ Plans ❑ Copy of letter ❑ Change order ❑ a UTEIB of TRMITWOa UMK MT[ NO. DESCRIPTION JO. 40. m[vvo« ❑ x: ❑ For review and comment ❑ FOR BIDS DUE the following Items: ❑ Samples ❑ Specifications COPIES DATE NO. DESCRIPTION 9 11 ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE THESE ARE TRANSMITTED as checked below: ❑ For approval 9 For your use ❑ As requested ❑ For review and comment ❑ FOR BIDS DUE REMARKS Rom ❑ Approved as submitted ❑ Resubmit copies for approval ❑ Approved as noted ❑ Submit_copies for distribution ❑ Returned for corrections ❑ Return—corrected prints CU 19 ❑ PRINTS RETURNED AFTER LOAN TO US SIGNED: tf woJoww,.a a not as noted, .bnc*v nor1M ..r ,.,�„ ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 PALATKA, FL 32178-1429 Form EN -50 (40C-2) 1 r L-1z-Ilvu uv-LINt rww Mt I LH WATER USE RECORD (MONTHLY) CUPS 2-061-0357AN Permit Issue Date 07-08-8S Permittee CITY of SEoasTlaN Well/Pump ID tee' 2 Pump Capacity GBpM Discharge Pipe Diameter 2 Inches Meter Model 2` H E25E ( Serial* 72ZS7Z Person Completing Form iR' I "ARb A � I)TI %n ! Please Pnnt D 1 R ECTole Address CITY ASrIp,M i 122.S MAIN TR i City, St, Zip S EBAST I ASI PL_ 329 5p, ! Date Daytime Phone (407 SAC) _ S3-aQ Signature 74E CITY 01= SERA57IAki RSSunED Or-ep riONOF ! Comments Tt, F AAi2Y PLAC ware YR Q SU�TFM n.i �..�AY ly 199, FROM IIVDIAAI --• :,K;�.,,,, --F, COUNTY Flo� USE BLACK OR BLUE PEN OR d2 PENCIL ONLY s ERASE COMPLETELY TO CHANGE _______________________________ FOLD_______________________ _____ MONTH 1MONTF[2 MONTH 3 �MO��OJC3■•d CCSQa MO CL CEi��Cl%�!] MwC==C=: C]r�0®��]CLlaO� >•I M1�a II YR fl6>r5"il'SE=S✓CYR �•W;94i®W�5�g9[II�� YRIA��W�I���� .. -�.. P1I WGXT3flESEAVED. TION 1993 - _. ., i .�', E.... - -_ PA PLACE - >+ GALLONS USED Q=Q]mQ]�mQ7mQ r`. �m37m mCC�CLCpQ ��tSICi^COm �[.Z�4 •�3 '' 1 m2mG✓mm�mm¢ ... �r��ca;cr�caCMC=®¢ • a(II , .. -�.. P1I WGXT3flESEAVED. TION 1993 - _. ., i .�', E.... - -_ PA PLACE - >+ GALLONS USED Q=Q]mQ]�mQ7mQ �m37m mCC�CLCpQ ��tSICi^COm �[.Z�4 '' 1 m2mG✓mm�mm¢ ... �r��ca;cr�caCMC=®¢ .. -�.. P1I WGXT3flESEAVED. TION 1993 - _. ., i .�', E.... - -_ PA PLACE - I kk arca¢ I` �' mac•:� Caa� aaa ' aa= ass®m I A7Cf FROM ixasam��a�,5s:am�s aA I 3 ow iasysa��csma 9 H1NOW 75��3�3533613mSS� tlA a ow s�ss��aas b H1NOW Post Office will not deliver without correct postage. ST JOHNS RIVER WATER MANAGEMENT DISTRICT P O BOX -1429 PALATKA, FL 32178-1429 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT P.O. BOX 1429 ....� PALATKA, FL 32178-1429 Form EN -50 (40C-2) I OTALIZING IN-LINE FLOW METER WATER USE RECORD (MONTHLY) CUP ;* 2-061-0357AN Permit Issue Date 07-08-85 Permittee c1 v OF SEBASTIAN Well/Pump ID d L Pump CapacitvA'� 150 GEMM Discharge Pipe Diameter 3 Inches Meter Model 211 H> I -se t Serial # 90131 OS IMMUNE 10011 Person Completing Form R 1 CHARD $. Vo —% PPKA lYr1L17tFs m Please Print 12EG�12 m Address CITY of SE3ASlAN 1225 MAlrl STRUT ZEN City, St, Zip SEBRSTIAN 1-L.02tDA 32.958 Date Daytime Phone (Zw7) 559— 5330 MINE Mass Signature THE Ci %f OF: S<SASIAN NSSVMED oPtFai N of Comments THE PARK PLACc W A-TE2 SYS '-M I MO I DY I YR I 1< tC. ON M^1 1 1893 FZ:M INDUN EiVe� C -cu w- w1 o 0 USE SLACK OR SLUE PEN OR 42 PENCIL ONLY 0 ERASE COMPLETELY TO CHANGE said I MONTH 1 MONTH 2 MONTH 3 wqM0 0=�7'a�S'27C5'-Z S�T..'ID.'�r�1�20CS]IJ MOI'2..�:II6'.00 ]fiSO^�tSZ. =-= YRj��]8,57�E'�3H79Q7c00: �+LT� YR,'•�35�£5E01Lfg�ggl0�01L�'LI: ! YR4Y3DSiTaSLJS��$ (y) SCANTRON FCRM NO. F-4700•SiMA GALLONS USED mmcs®Im wtm momma smmmm mm2mrLmt�m - ¢xcz�araralxm _ r�mcsa3mmismr� -? .a.�ma31s_so��ts j ==l==C3: t��r2=8:3�3'�C+ti ® SCANTRON CORPORATION 1993 _ '- 1 113 ... 3a i,. i z (y) SCANTRON FCRM NO. F-4700•SiMA GALLONS USED mmcs®Im wtm momma smmmm mm2mrLmt�m - ¢xcz�araralxm _ r�mcsa3mmismr� -? .a.�ma31s_so��ts j ==l==C3: t��r2=8:3�3'�C+ti ® SCANTRON CORPORATION 1993 _ '- 1 113 ... 3a i,. i OIDtffiJDiQ®E�'3�'�...6^03:•�a tlA ow 9 HINOIN FROM ... iSR===� ?5.a tlA OZ ow 5 HINOW O1C�Q�lBE�h73E6ESA�: tlA �,� �Ca0II77�O1v3�lOW b H1NON Post Office will not deliver without correct postage. ST JOHNS RIVER WATER MANAGEMENT DISTRICT P O BOX 1429 PALATKA, FL 32178-1429 FORM EN - 50 CALL CNEaYI R$�i CtO4- -42o9 ST. JOHNS RIVER WATER MANAGEMENT DIS Monthly Records Of Water Use Instructions for Recording Water Withdrawals Using If you have a permitted water withdrawal point well, or surface water pump, you must complete FORM EN - 50. This will record your total water withdrawal each month for six months. Submit FORM EN - 50 to the District after recording all six months. Please complete all the information to the best of your knowledge. It is important that you: use only black or blue pens or a N2 pencil to fill in the spaces erase all changes completely c 1;1 3 6 include your name and address in the space provided sign the form DAY OF LAST CALIBRATION In the bgx h1 rledDAY OF LAST CALIBRATION. blacken the -mouth, day and year of the meter's last known(-- ^ do not know the calibration, or if the meter has not been calibrated, please leave this CHS wi Hntcax Ast{eii ow -TA%s 2e. PPaW PLACE MONTH 1 MONTH AND YEAR In the section labeled MON77I 1, there are three boxes. In the top box, blacken the spaces of the month and year for which you are recording data. For example, if the month is March, blacken the 03 space to show that you are in the third month ol'the year. Below the month is a place to record the year. For example for 1993, blacken the 93 space. METER READING If you are utilizing a meter, in the METER READING block, enter the current reading displayed on your meter, for example, if your meter shows 64800, starting the far left column, find the 6 and blacken the space. In the next column, blacken the 4, in the next column, blacken the 8, and so on. If you are not using a meter, leave this block blank. GALLONSUSED In this box, record the amount of water used in one month. For example, if your current meter reading is 64800, and the previous month's reading was 62000, your gallons used should be recorded as 2800 gallons. Find the 2 in the first column and blacken that space, then find the 8 in the next column and blacken that space and so on until all the numbers are recorded. Some meters do not read exactly as this example. Instead, they require you to multiply your meter value by 10, 100, or 1000. If your meter uses a multiplier, be certain to calculate this into your total gallons used. Your meter installer or manufacturer can help you determine it' your meter has a multiplier. If you are not using a meter, calculate the quantity of water you are withdrawing, utilizing your selected alternative method. MONTHS2THROUGH6 Repeat the above process for each month until all six months are complete. Then return this form to the ST. JOHNS RIVER WATER MANAGEMENT DISTRICT. If you have any questions, please contact the District at (904) 329-4209. Be sure to include FORM EN - 54, a description or your alternative method, and all your calculations when you submit FORM EN -50 to the District. P1 2 P10RA11-D 11-S DATE: April 1, 1994 TO: Park Place Water Treatment Plant - SJRWMD File FROM: Richard B. Votapka, Utilities Director a3✓ SUBJECT: SJRWMD Consumptive Use Permit for Park Place Plant On July 8, 1993, I had called the St. Johns River Water Management District, Cheryl Astey, to request a better copy of the Consumptive Use Permit. I was informed by Cheryl that the permit had expired on July 8, 1992 and that Indian River County had not renewed it. The County was operating the Park Place System without a permit from July 8, 1992 to May 1, 1993, when it turned the system over to the City. Cheryl said that she would send us the application form to complete and send back to the SJRWMD along with a $200.00 application fee. When I started working on this permit, the City was in the process of negotiating with GDU on a second time around basis to buy the system. Once the City bought the GDU system, the City would connect the Park Place System to the GDU system and decommission the Park Place Water Treatment Plant. GDU was purchased on December 17, 1993. The Council approved Hartman & Associates on January 26, 1994 to start work on connecting the two systems. The physical connection should be made in the summer of 1994. Therefore, in a few months, there should be no reason to renew the SJRWMD Consumptive Use Permit, since no water will be withdrawn from the wells. TM, REQUESTED WATER USE If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide ny grams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its acicuracy over time. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for her information on alternate methods for measuring water usage. AESTHETIC O % AGRICULTURAL O % AOUACULTURAL % COOLING AND AIR CONDITIONING C) % a 0— DEWATERING % COMMERCIAL AND INDUSTRIAL O % O w P 0 0 ESSENTIAL %FREEZE PROTECTION i) %GOLF COURSE 0 °'< RECREATION AREA I ~ USEHOLD TYPE % LIVESTOCK % NURSERY % 7 BAN LANDSCAPE IRRIGATION I O U % WATER BASED RECREATION O % UNACCOUNTED FOR WATERl2 % OTHER 0 % 1,J) INCHES PER YEAR ` A ! MILLIONS GALLONS PER YEAR z MILLIONS GALLONS PER DAY (AVERAGE) 0• MILLIONS GALLONS PER DAY (MAXIMUM) ' PLEASE PROVIDE INFORMATION IFAPPUCATION IS FOR MODIFICATION OR RENEWAL OF AN EXISTING PERMIT: PERMIT NO. Z-0(01-0357 tj PERMITTEE: I w1 0l Aw) (L hhiL. Cb-J%XY K z LD DESCRIBE IN DETAIL REASONS FOR REQUEST FOR ADDITIONAL WATER AND/OR SOURCES 1,1010"i (ZwV1. cov.rrr a r�rT 0 0 i KA S 0e7%7+LM%r0 -TAC JPAa�k PLA -Ce WN YL' P2iw.tT S I w c.F UY,'t 1 \ 19 89 . o w r�4q C.U.P. tNplam vN JUv( 6,.199 Z, 0+J 1"\AZJ I, 1993 . L N DI Ar.t 2 woo Co vu -r t 72 A r4s FIF ud&M W k-[ a a TfLrrt'Grk. rc PLawrr r7AC To TMr CIT`t � Se�ASTkw . -TNc G -r -e wi Su$s To co". --T YMC PA4A& PL,Aec Sys -rep% do 7µF F am. --(L 60J $-{3res-, QY &m 195+ -r"CA CY P i s ca .rt I o v I .ro -rvr Pacer PI.nwT n+ ro "-u.,1 If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide ny grams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its acicuracy over time. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for her information on alternate methods for measuring water usage. ROPERTY CONTROL, LOCATION, AND ADJACENT OWNER'S PROPERTY PROPERTY CONTROL �1. Property Ownership - Provide a certified copy of the deed indicating the current owner of the property which is the subject of this application. 2. Leased Property - Provide a copy of the current lease, or a letter signed by the property owner describing the lease arrangement and the duration of the lease. LOCATION MAPS Provide a recent map (preferably a USGS topographic quadrangle, map from a county plat directory, or survey map) indicating the following: (a) property boundaries (include approximate lengths of boundaries in feet); (b) ALL withdrawal point locations. Indicate well number and casing size for groundwater withdrawals, and pump number and maximum pump capacity for surface water withdrawals (refer to Pages 6 and 7 of the Application); (c) a north arrow; (d) a scale designation - all maps should have a minimum scale of 1 " = 2,000'; and (e) landmarks such as roads and political boundaries. ADJACENT PROPERTY OWNERS Provide a complete list of adjacent property owners and mailing address as prescribed in Tables 3 and 4. Attach additional sheets if space provided below is not sufficient. 101/1A1� ADDRESS F] CITY STATE ZIP CODE T 11 MT CAT CITY "MITTS IIADOUL. Homes 7 co P- -2,"t LU04BCP— C -0 - CIA INN UN IZ 17 n NS -T INN o�memo oodaRon 0o sisals I PARK PLACE CITY LIMITS i LOCATION Mf\p EOR THE PARK PLA,= Wk -TER, -TR'EN-VMEW'T PLAN 4.ML lei z� to 0 HE a°ao°mmm©a or no nz NN N come memo acizac V, I UN IZ 17 n NS -T INN o�memo oodaRon 0o sisals I PARK PLACE CITY LIMITS i LOCATION Mf\p EOR THE PARK PLA,= Wk -TER, -TR'EN-VMEW'T PLAN 4.ML lei z� + a St. Johns River Water Management District CONSUMPTIVE USE INDIVIDUAL PERMIT APPLICATION NASSAU Femanduu Heidi I� ERe 4(I D L cd "'L= - CLAY Gaon Cor< 3 T. SP;Z Kj OHN nesvWc � \SI 1CHUA UTNAMFLAG tHnN ARION Del 40C-2-1082-1 LANE i 7 SuJa LS EM USl_ y - O R RANG POLN INDIAN RIVER 11 Headauarters Palatka Deppartment of Resource Management P. O. Box 1429 Palatka, FL 32178-1429 (904) 329-4560 Field Offices Jacksonville Department of Resource Management 7775 Baymeadows Way Suite 102 Jacksonville, FL 32256 (904)730-6270 10 • o Department of Resource Management 618 E. South Street Orlando, FL 32801 (407) 894-5423 Melbourne Department of Resource Management 305 East Drive Melbourne, FL 32904 (407) 984-4940 Submit application to District Headquarters (Attn: Records Division) in Palatka. Personnel are available at the Headquarters and Field Offices to provide assistance in filling out the application forms. Table of Contents as - I. Introduction................................1 II. Individual Consumptive Use Permit Applications...............................3 III. Check List ................................ 12 Supplemental Forms: (Fill out appropriate package for water use type requested) Pages Public Supply and Essential Type Uses .......... PS 1-5 Commercial/Industrial Type Uses .............. C/I 1-2 Agricultural or Aquacultural Type Uses .......... AG 1-8 Fern/Nursery Type Uses ..................... F/N 1-5 Golf Course Irrigation Type Uses .............. GC 1-2 Dewatering Type Uses ...................... DW 1-2 Landscape Irrigation - Aesthetic Type Uses ....... LI 1 SECTION I INTRODUCTION Unless expressly exempted by law or District regulation, an individual consumptive use permit is required for a use, diversion, or withdrawal of surface or ground water which meets any of the following criteria: 1. If the average annual daily withdrawal exceeds one -hundred thousand (100,000) gallons per day; 2. If the withdrawal equipment or facility has a capacity of more than one million (1,000,000) gallons per day; 3. If the withdrawal is from a combination of wells or other facilities, or both, having a combined capacity of more than one million (1,000,000) gallons per day. 4. If the withdrawal is from a well in which the outside diameter of the largest permanent water bearing casing is six inches or greater. For purposes of this section, the diameter of the well at ground surface will be presumed to be the diameter of the well for the entire length unless the well owner or well contractor can demonstrate that the well has a smaller diameter water bearing pipe below ground surface. PROCESSING Processing of permit applications is in accordance with provisions of the Water Resources Act, Chapter 373, Florida Statutes and Chapter 40C-1, Florida Administrative Code. The District will notify an applicant if an application is incomplete within 30 days of receipt and will inform the applicant of what additional information is required to make the application complete. The Board will issue or deny permits within 90 days of receipt of the completed application. The 90 -day period may be tolled in the event an administrative hearing is requested. Projects permitted by the District or exempt from permit requirements by the District are not relieved of the permitting requirements of local or state agencies. Contact your county building codes department, the Florida Department of Environmental Regulation, the Corps of Engineers, the Department of Natural Resources or the District for additional information. Failure to obtain a permit prior to undertaking a regulated activity is a violation of District requirements, even if the project would receive a favorable review in a standard permitting process. The District may initiate administrative, civil or criminal actions against violators, and may require restorative steps. 1 FEE LIST Effective Date: 1/6/93 Consumptive Use Permits (40C-2 F.A.C.) Allocation < 100,000 GPD 200.00 Allocation > 100,000 GPD and < 500,000 GPD 400.00 Allocation > 500,000 GPD 1,000.00 Modifications or Renewals with No Increase in Water Allocation Allocation <_ 100,000 GPD 100.00 Allocation > 100,000 GPD 200.00 General Construction Dewatering Uses 100.00 General Water Use Permits (400.20, F.A.C.)' 50.00 1. Well Construction, Repair or Abandonment Permits (40C-3, F.A.C.) Public Water Supply Well All Other Wells Abandonment of a Well L220.0]0 Variances SECTION 11 INDIVIDUAL CONSUMPTIVE USE PERMIT APPLICATION ST. JOHNS RIVER WATER MANAGEMENT DISTRICT RESOURCE MANAGEMENT DEPARTMENT RECORDS DIVISION P.O. BOX 1429 PALATKA, FLORIDA 32178-1429 OFFICIAL USE ONLY APPLICATION NO. DATE RECEIVED . COUNTY ASSIGNED REVIEWER — DATE COMPLETE PROJECTED BOARD DATE PRE APP WITH Hydrologist DATE Please type or print in ink. Complete necessary data sheets attached. Submit 3 copies of all forms and attachments. Application is for: New use ❑ Existing use ❑ Modification of existing permit ❑ Renewal 12 LAST FIRST NAME CITY OF SEBASTIAN UTILITIES DEPARTMENT, RICHARD VOTAPKA, Ir ADDRESS 1225 MAIN STREET DIRECTOR CITY SEBASTIAN. LU Z p STATE FL ZIP CODE 32958 BUS. TELEPHONE NO. (407) 589-5330 HOME TELEPHONE NO. n/a LAST FIRST NAME Same as owner F < ADDRESS CITY v CL STATE ZIP CODE < TELEPHONE NO. W LAST FIRST zQm NAME ADDRESS ZQti w< wOy09d CITY a ZZa O w¢ STATE ZIP CODE v Li TELEPHONE NO. Z U.S.G.S. TOPO QUAD MAP Sebast; an � 9 COUNTY Indian River TOTAL ACREAGE OWNED 0. 47 acres U5 0 SECTION 20 TOWNSHIP 31 RANGE 39 East PROJECTNAME Park Place Water System PROJECT ACREAGE 151.44 acres In compliance with the provisions of Chapter 373, Florida Statutes, 1973, and applicable rules and regulations of St. Johns River Water Management District, application is hereby made for a permit as identified above, and in accordance with support data and incidental information filed with this application and made a part thereof. APPLICANT'S NAME (Please print) APPLICANT'S SIGNATURE DATE If person other than applicant has completed this form, that person certifies by his signature below that he is acting as an authorized agent of the applicant and his signature will be certification that he is in fact the authorized agent. AGENT'S NAME (Please print) FORM NO. 40C-2-1082-1 AGENT'S SIGNATURE DATE Description of Use Classes: Each permit shall be identified with one or more of the following use classifications: (a) Aesthetic use - the use of water for fountains, waterfalls, and landscape lakes and ponds where such uses are entirely ornamental and decorative. (b) Agricultural use - the use of water for the commercial production of crops or the growing of farm products including, but not limited to, vegetables, citrus and other fruits, pasture, rice and sod. (c) Aquacultural use - the use or withdrawal of water for cultivation of animal and plant life in a water environment, including but not limited to food fish, aquatic bait, game fish, aquatic plants (i.e. watercress), alligators, tropical fish, shellfish, and turtles. (d) Commercial and industrial process use - the use of water essential to the production of the goods or services provided by a business establishment. (e) Cooling and air conditioning use - the use of water for heating or cooling, or for air conditioning. (f) Dewatering use - the removal of water from a specific area to facilitate mining or construction. (g) Essential use - the use of water strictly for fire fighting purposes, health and medical purposes and the use of water to satisfy federal, state or local public health and safety requirements. (h) Freeze protection - the periodic and infrequent use of water to protect agricultural and nursery crops from damage due to low temperatures. (i) Golf course use - water used to irrigate an establishment designed and used for playing golf. Q) Household type use - the use of water for personal needs or for household purposes such as drinking, bathing, heating, cooking, sanitation or cleaning, whether the use occurs in a residence or in a business or industrial establishment. (k) Livestock use - the use of water for watering or washing of livestock. (1) Nursery use - the use of water on premises on or in which nursery stock is grown, propagated or held for sale or distribution or sold or reshipped. (m)Recreation area use - the use of water for the maintenance and support of intensive recreational areas such as, but not limited to, playgrounds, football, baseball, and soccer fields. (n) Urban landscape irrigation - the outside watering or sprinkling of shrubbery, trees, lawns, grass, ground covers, plants, vines, gardens and other such flora which are situated in such diverse locations as residential landscapings, recreational areas, cemeteries, public, commercial and industrial establishments, public medians and rights of way. (o) Water based recreation use - water used for public or private swimming and wading pools, including water slides. This term does not include pools specifically maintained to provide habitat for aquatic life. (p) Water utility use - water used for withdrawal, treatment, transmission and distribution by potable water systems. REQUESTED WATER USE If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide any diagrams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its accuracy overtime. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for further information on alternate methods for measuring water usage. 5 AESTHETIC 0 % AGRICULTURAL % AOUACULTURAL 0 % COOLING AND AIR CONDITIONING 0 % 0 0 LL Q ^, O w `m m DEWATERING % COMMERCIAL AND INDUSTRIAL 0_ 5 ¢ ESSENTIAL % FREEZE PROTECTION 0 % GOLF COURSE 0 % RECREATION AREA 1 % 87 0 0 HOUSEHOLD TYPE % LIVESTOCK % NURSERY % URBAN LANDSCAPE IRRIGATION % WATER BASED RECREATION 0 % UNACCOUNTED FOR WATER 12 % OTHER 0 % INCHES PER YEAR MILLIONS GALLONS PER YEAR 10.57 i MILLIONS GALLONS PER DAY (AVERAGE) 0.03 MILLIONS GALLONS PER DAY (MAXIMUM) 0.05 PLEASE PROVIDE INFORMATION IF APPLICATION IS FOR MODIFICATION OR RENEWAL OF AN EXISTING PERMIT: PERMIT NO. 2-061-0357N PERMITTEE: Indian River County Z g r ¢ DESCRIBE IN DETAIL REASONS FOR REQUEST FOR ADDITIONAL WATER AND/OR SOURCES `a'¢3 w LL CrZ Indian River County has operated the Park Place Water Treatment ¢ Plant since July 11, 1989. The C.U.P. expired on July 8, 1992. On May 1, 1993, Indian River County transferred the water treatment plant to the City of Sebastian. The City wishes to connect the Park Place system to the former GDU system by mid 1994 thereby discontinuing the Park Place plant and wells. If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide any diagrams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its accuracy overtime. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for further information on alternate methods for measuring water usage. 5 EXISTING SOURCES SUMMARY DATA SHEET TABLE 1 Complete applicable sections only. Type or print legibly. Attach additional sheets if space provided below is not sufficient. (Include information for ALL wells and pumps on property). EXISTING GROUNDWATER SOURCE(S) Well Number Casing Diameter (in) Casing Depth (h) Total Depth (h) Maximum Pump Capaoty or Flow Rate- (gpm) Pumped or Flowing (specify pump type and manufacturer) In Use Yes or No (If no, attach explanation) Source Aquifer (if known) Type of Use 1 4" 63' 100' 150 pumped yes surficiall potab 2 6" 60' 100' 325 pumped yes 3urfici2l potab Attach additional sheets if necessary 'Flowing wells must be equipped with a working valve, per Chapter 373.206, F.S. EXISTING SURFACE WATER SOURCE(S) Amro TnnT TnTDTL Pump Number Maximum Pump Capacity (gpm) Acreage of Lake, Pond, etc. Surface Water Source Wholly Owned Yea or No Name of Water Source Type of Use NOTE: PROVIDE ALL HISTORIC WATER QUALITY INFORMATION WITH APPLICATION lA _e _e PROPOSED SOURCES SUMMARY DATA SHEET TABLE 2 Complete applicable sections only. Type or print legibly. Attach additional sheets if space provided below is not sufficient. (Include information for ALL wells and pumps on property). PROPOSED GROUNDWATER SOURCE(S) Well Number Casing Diameter (in) Casing Depth (ft) Total Depth (it) Maximum Pump Capacity or Flow Rate' (gpm) Pumped or Flowing (specily pump type and manufacturer) In Use Yes or No (If no, attach explanation) Source Aquifer (if (mown) Type of Use Attach additional sheets if necessary 'Flowing wells must be equipped with a working valve, per Chapter 373.206, F.S. PROPOSED SURFACE WATER SOURCE(S) Pump Number Maximum Pump Capacity (gpm) Acreage of Lake, Pond, etc. Surface Water Source Wholly Owned Yes or No Name of Water Source Type of Use PROPERTY CONTROL, LOCATION, AND ADJACENT OWNER'S PROPERTY I. PROPERTY CONTROL 1. Property Ownership - Provide a certified copy of the deed indicating the current owner of the property which is the subject of this application. 2. Leased Property - Provide a copy of the current lease, or a letter signed by the property owner describing the lease arrangement and the duration of the lease. H. LOCATION MAPS Provide a recent map (preferably a USGS topographic quadrangle, map from a county plat directory, or survey map) indicating the following: (a) property boundaries (include approximate lengths of boundaries in feet); (b) ALL withdrawal point locations. Indicate well number and casing size for groundwater withdrawals, and pump number and maximum pump capacity for surface water withdrawals (refer to Pages 6 and 7 of the Application); (c) a north arrow; (d) a scale designation - all maps should have a minimum scale of 1" = 2,000'; and (e) landmarks such as roads and political boundaries. III. ADJACENT PROPERTY OWNERS Provide a complete list of adjacent property owners and mailing address as prescribed in Tables 3 and 4. Attach additional sheets if space provided below is not sufficient. NAME ADDRESS 9 CITY STATE ZIP CODE TABLE 3 - Groundwater Withdrawals Withdrawal Amount 1. If the withdrawal during any single day is less than 1,000,000 gallons -and - if the withdrawal is less than 100,000 gallons average per day on an annual basis 2. If the withdrawal during any single day is to exceed 1,000,000 gallons but not more than 5,000,000 gallons -or- if or - if the withdrawal is to exceed 100,000 gallons average per day on an annual basis but not more than 500,000 gallons average. 3. If the withdrawal during any single day is to exceed 5,000,000 gallons but not more than 10,000,000 gallons - or - if the withdrawal is to exceed 500,000 gallons average per day on an annual basis but not more than 1,000,000 gallons average 4. If the withdrawal during any single day is to exceed 10,000,000 gallons - or - if the withdrawal is to exceed 1,000,000 gallons average per day on an annual basis Property Owners to be Listed None required All property owners within 600 feet of the well, or within 100 feet of the property boundary. All property owners within 1,320 feet of the well, or within 200 feet of the property boundary. All property owners within 2,640 feet of the well, or within 400 feet of the property boundary. P] Table 4 - Surface water withdrawals from a non -wholly owned impoundment 1. If your withdrawal is from a lake with a surface area of less than 80 acres, list all riparian land owners on the lake and those up to 660 feet downstream if the lake has an outlet. 2. If your withdrawal is from a lake with a surface area greater than 80 acres, list all riparian land owners 660 feet from the withdrawal point. 3. If your withdrawal is from a stream and if the total daily average pumpage is less than 5,000,000 gallons, list all riparian land owners 660 feet upstream and 1,320 feet downstream from the withdrawal point. 4. If your withdrawal is from a stream and if the total daily average pumpage is greater than 5,000,000 gallons, list all riparian land owners 1,320 feet upstream and 2,640 feet downstream from the withdrawal point. iN Have you obtained or are you in the process of obtaining any of the following permits for this project (Yes or No): Development of regional impact No County Permits NO EPA Ordered Environmental Impact Statements No Agricultural Discharge NO If yes to any of above, please list permit type, permit number, project name, and issuing agency below: USE OF LOWEST ACCEPTABLE QUALITY WATER SOURCE 1. Are you proposing to use the lowest acceptable quality of water as a water source? 2. Is reclaimed water readily available as a source of water? not applicable for drinking water WATER CONSERVATION PLAN A water conservation plan must be submitted with this application. Please refer to Section 12.0 and Appendix K, Applicant's Handbook, Consumptive Uses of Water, for information on plan components. 11 SECTION III APPLICANT CHECK LIST Please verify that the following information has been provided as part of this application package: Attached 1. Appropriate Fee $ 200.00 2. Signature of Applicant and/or Agent 3. Authorization from Owner for Agent (if Agent is listed on application) 4. Certified copy of Deed or Lease Agreement 5. Location Map 6. List of Adjacent Land Owners 7. Completed Water Use Type Package` 8. Water Conservation Plan NOTE: Applications for Public Supply, Commercial/Industrial, Agricultural, Aquacultural, Nursery/Fern, Golf Course Irrigation, Landscape Irrigation and Dewatering water uses must also include the supplemental water use package specific to each use type. 12 SECTION II INDIVIDUAL CONSUMPTIVE USE PERMIT APPLICATION ST. JOHNS RIVER WATER MANAGEMENT DISTRICT RESOURCE MANAGEMENT DEPARTMENT RECORDS DIVISION P.O. BOX 1429 PALATKA, FLORIDA 32178-1429 OFFIUTAL USt UNLY APPLICATION NO. DATE RECEIVED COUNTY ASSIGNED REVIEWER DATE COMPLETE PROJECTED BOARD DATE PRE APP WITH DATE Hydrologist Please type or print in ink. Complete necessary data sheets attached. Submit 3 copies of all forms and attachments. Application is for: New use 0 Existing use 0 Modification of existing permit Q Renewal( LAST FIRST NAME C-LTY Of: bEt-bAc r\AM Va-CRP" Oke.=To2 ADDRESS IzzS Math 51, It Z CITY 5EL3AST1AW 0 STATE F L ZIP CODE 32596 BUS. TELEPHONE NO. d4Or7_ 589 - 5330 HOME TELEPHONE NO. 0 4 LAST FIRST NAME 5 P ►He Pc S ow N c fL Z ADDRESS CITY J a STATE ZIP CODE a TELEPHONE NO. UU LAST FIRST Z =m NAME ADDRESS Z��¢U1 CITY LU0yO(9a OZ W < STATE ZIP CODE 0 LL TELEPHONE NO. Z U.S.G.S.TOP0QUAD MAP 3E6AS-rt01,nl fLU --� COUNTY INDIAN -Hive?? TOTAL ACREAGE OWNED rn U SECTION 2-0 TOWNSHIP 31 RANGE Sc-) E 0M J PROJECT NAME (�I+t2K PROJECT ACREAGE ISI.4'+ In compliance vrilh the provisions of Chapter 373, Florida Statutes, 1973, and applicable rules and regulations of St. Johns River Water Management District, application is hereby made for a permit as identified above, and in accordance with support data and incidental information filed with this application and made a part thereof. APPUCANT'S NAME (Please print) APPUCANT'S SIGNATURE DATE It person other than applicant has completed this form, that person certifies by his signature below that he is acting as an authorized agent of the applicant and his signature will be certification that he is in fact the authorized agent. _ AGENT'S NAME (Please print) AGENT'S SIGNATURE FORM NO.4OC-2-1082-1 DATE REQUESTED WATER USE If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide any diagrams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its accuracy overtime. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for further information on alternate methods for measuring water usage. 9, AESTHETIC O % AGRICULTURAL 0 % AOUACULTURAL % COOLING AND AIR CONDITIONING O % Ow- w `m DEWATERING % COMMERCIAL AND INDUSTRIAL O % m W0v y% ¢ n ESSENTIAL % FREEZE PROTECTIONy GOLF COURSE %RECREATION AREA 1 °, HOUSEHOLD TYPE I" O O % LIVESTOCK % NURSERY % URBAN LANDSCAPE IRRIGATION % WATER BASED RECREATION O % UNACCOUNTED FOR WATER t2 % OTHER % z INCHES PER YEAR MILLIONS GALLONS PER YEAR 10.5-7 a .05 - MILLIONS GALLONS PER DAY (AVERAGE) D• 03 MILLIONS GALLONS PER DAY (MAXIMUM) 0.05 - PLEASE PLEASE PROVIDE INFORMATION IF APPLICATION IS FOR MODIFICATION OR RENEWAL OF AN EXISTING PERMIT: PERMIT NO. Z 0(o l -03x7 (J PERMITTEE: t N DI A" J iLnn-R- Cb1)�rr ,( z O J DESCRIBE IN DETAIL REASONS FOR REQUEST FOR ADDITIONAL WATER AND/OR SOURCES 1 p o1 qr+ (ZkVVV_ C V$n,1 a LL 0 W KA S 04A1_&I% (r_0 - wr VA(LK PLA-ct WNZt-R-P Pur.J'T vwf S I u LF JLP_�t 1 \ 1989 o w T-Fkc C.U.P. tEv.P1(Lao v..1 JU%,1 0,.1992 oxS t-% A3 l I`i93 L N D1 Ar.1 Q WL•1L Co Uw1"T i T 1Z A r.3 5 F d.A.M 'Tt+c W ktea l.iL@ AZM,�C PCMJT TO TMtr CITY as 7i,4 G`rl UI SN rs -ro Low FL -r YN'J PA(At P>,n Ce SYS7fr, -Co TµF FtIamVYL GDv S-CSTan at m1a 19 rNclt qy -rwr A2h. Purer PLA rr A.JID Ln-.L,.t If application is for an initial permit, state the date upon which the use commenced or is planned to commence. WATER USE MONITORING All permittees are required to measure their water usage on a continuous basis. All new users must install totalizing flow meters on all wells and pumps. Meters must be 95% accurate, verifiable and installed according to manufacturers' specifications. Permitted wells and pumps may be fitted with totalizing flow meters, or alternate methods for measuring water use may be employed. Alternative methods must be 90% accurate and verifiable. All alternative methods must be approved in advance in writing by District staff. If you have permitted wells or pumps and plan to use an alternate method for measuring water usage, please describe in detail how you plan to measure flows. Provide any diagrams, calculations, sketch maps, cross-sections etc. necessary to evaluate the methodology and its accuracy overtime. Please refer to Appendix L, Applicant's Handbook, Consumptive Uses of Water, for further information on alternate methods for measuring water usage. 9, EXISTING SOURCES SUMMARY DATA SHEET `r_1 -344E Complete applicable sections only. Type or print legibly. Attach additional sheets if space provided below is not sufficient. (Include information for ALL wells and pumps on property). EXISTING GROUND WATER SOURCE(S) Well Number Casing Diameter (in) Casing Depth (h) Total Depth A Maximum Pump Capaaty or Flow Rate- (gpm) Pumped or Flowing (specifypumpe and mnufacturer) In Use Yes or No (If no. explanation) Source (f Aquifer)Use Type of ( 'I'r rO3' tubi 150 clprn p e es po++.b4 2- (olt1 ' 325 m E (� • t aInk 4. Attach additional sheets if necessary 'Flowing wells must be equipped with a working valve, per Chapter 373.206, F.S. EXISTING SURFACE WATER SOURCE(S) Nc i NPFLIC-ftdLi Pump Number Maximum Pump Capacity (gpm) Acreage of fie• Pond, etc. Surface Water Source Wholey Yea or No Name of Water Source Type of Use NOTE: PROVIDE ALL HISTORIC WATER QUALITY INFORMATION WITH APPLICATION C PROPOSED SOURCES SUMMARY DATA SHEET TABLE 2 Complete applicable sections only. Type or print legibly. Attach additional sheets if space provided below is not sufficient. (Include information for ALL wells and pumps on property). PROPOSED GROUNDWATER SOURCE(S) Well Number Casing Diameter (in) Casing Depth (h) Total Depth (h) Maximum Pump Capacity or Flow Rate' (gpm) Pumped or Flowing (specify and manuf cturer) In Use Yes or No attach explanation) Source (if known) Type of Use Attach additional sheets H necessary 'Flowing wells must be equipped with a working valve, per Chapter 373.206, F.S. PROPOSED SURFACE WATER SOURCE(S) Pump Number Maximum Pump Capacity (gpm) Acreage of fie, Pond, etc. Surface Water Source Wholly Owned Yea or No Name of Water Source Type of Use PROPERTY CONTROL, LOCATION, AND ADJACENT OWNER'S PROPERTY PROPERTY CONTROL 1. Property Ownership - Provide a certified copy of the deed indicating the current owner of the property which is the subject of this application. 2. Leased Property - Provide a copy of the current lease, or a letter signed by the property owner describing the lease arrangement and the duration of the lease. Il. LOCATION MAPS Provide a recent map (preferably a USGS topographic quadrangle, map from a county plat directory, or survey map) indicating the following: (a) property boundaries (include approximate lengths of boundaries in feet); (b) A" withdrawal point locations. Indicate well number and casing size for groundwater withdrawals, and pump number and maximum pump capacity for surface water withdrawals (refer to Pages 6 and 7 of the Application); (c) a north arrow; (d) a scale designation - all maps should have a minimum scale of 1" = 2,000'; and (e) landmarks such as roads and political boundaries. III. ADJACENT PROPERTY OWNERS Provide a complete list of adjacent property owners and mailing address as prescribed in Tables 3 and 4. Attach additional sheets if space provided below is not sufficient. NAME ADDRESS CITY STATE ZIP CODE J Have you obtained or are you in the process of obtaining any of the following permits for this project (Yes or No): Development of regional impact No County Permits lids EPA Ordered Environmental Impact Statements NO Agricultural Discharge No If yes to any of above, please list permit type, permit number, project name, and issuing agency below: USE OF LOWEST ACCEPTABLE QUALITY WATER SOURCE 1. Are you proposing to use the lowest acceptable quality of water as a water source? No 2. Is reclaimed water readily available as a source of water? Nof fktyl«<.6%c. -`w D,kz$ "4%w WATER CONSERVATION PLAN A water conservation plan must be submitted with this application. Please refer to Section 12.0 and Appendix K, Applicant's Handbook, Consumptive Uses of Water, for information on plan components. 11 SECTION III APPLICANT CHECK LIST Please verify that the following information has been provided as part of this application package: Attached 1. Appropriate Fee $ Z00.0'0 2. Signature of Applicant and/or Agent 3. Authorization from Owner for Agent (if Agent is listed on application) 4. Certified copy of Deed or Lease Agreement 5. Location Map 6. List of Adjacent Land Owners 7; Completed Water Use Type Package" 8. Water Conservation Plan " NOTE: Applications for Public Supply, Commercial/Industrial, Agricultural, Aquacultural, Nursery/Fern, Golf Course Irrigation, Landscape Irrigation and Dewatering water uses must also include the supplemental water use package specific to each use type. W M O J • Mix mok-CM ;,4 �y, R '1 8L2, Szro 5,,/, OCA, 93 85'8, aao 10,�2o t°I,Ow $et,4-,`l3 70(o,30o Z4,SS- S L7,10,0 = 8X,3roy3 93`I9(],OW 32,Z.Zb %� 0010 kSOI, 6vo Z ,J,I),a3 04Z,ow 2'Iza3 31,47o �14,40a-3 I,2G2,400 .42,00v 57, 6w 36 g2y �P7+2vv Qe" I �k �3o bvo 30, o Zc) S'j w -o e,�• 9 zfF (09 I , �v� 22, >03 3?,G� 7� 3✓n=2 , 4Jbn't t 5 `4`I, la0 181 ;o3 7A, !�-0 5$, 3vv =2 89u Soo 0 717 u as- og-lo X11 — to to IoSieq��0 0 0.03 �5 I U,57 jh-I,q� C7, 0S PUBLIC SUPPLY AND/OR ESSENTIAL TYPE USES (Submit 3 copies of application, supplemental information, drawings, calculations, etc.) I. YEAR-ROUND PUBLIC SUPPLY A. POTABLE WATER SUPPLY 1. Please submit a map (USGS quad) showing the service area served by the Utility or water supplier. 2. Please submit any of the following which apply: (a) A copy of the Public Service Commission (PSC) Certification describing the service area; (b) A copy of a local government franchise agreement; or (c) Documentation that the utility or water supplier is not regulated by the PSC or local government. 3. Complete Table 1- Historic Water Use, and Table 2 - Projected Water Use as a basis for the requested allocations. In addition: (a) Provide the past 12 months of Daily Operation Summary Sheets (MOR's) required by DER and calculate historic average daily and maximum daily per capita use; (b) Use these calculations to provide projected average daily and maximum daily per capita use for input on Tables 1 and 2. (c) Explain the method of projecting population growth: B. WASTEWATER DISPOSAL 1. Specify the present and projected amounts of wastewater: PRESENT (mgd)' PROJECTED (7 YEARS) Average daily disposal Treatment plant maximum capacity `mgd = million gallons per day PS -1 11 2. Specify the percentage for each type of disposal (total 100%) C. REUSE OF RECLAIMED WATER 1 Describe the method of reuse by completing (a) - (c) below: (a) Type of site (golf course, commercial landscape, etc.) _ (b) Name of facility accepting reclaimed water (c) Acreage of site 2. What is the quantity of reclaimed water used? PRESENT % PROJECTED % 7 YRS Reuse PROJECTED 7yrs) m d Offsite Discharge Average daily flow Individual Septic Tanks On-site Percolation Ponds Maximum daily flow On-site SpraV Fields Other C. REUSE OF RECLAIMED WATER 1 Describe the method of reuse by completing (a) - (c) below: (a) Type of site (golf course, commercial landscape, etc.) _ (b) Name of facility accepting reclaimed water (c) Acreage of site 2. What is the quantity of reclaimed water used? -mgo - minion gallons per day 3. Describe future reuse plans 4. List all potential users within a 5 mile radius of the wastewater treatment plant. Include a map locating potential users in reference to the wastewater treatment plant. D. WATER CONSERVATION PLAN Please submit a water conservation plan prepared in accordance with Section 12.4.5, Applicant's Handbook, Consumptive Uses of Water. E. ESSENTIAL USE 1. Are you requesting an allocation for fire protection? (a) Specify the number and location of well(s) or pump(s) that will be used (b) Calculate the amount of water requested based on the pump's maximum capacity (gpm) pumping continually for a 24 hour period mgd. PS -2 PRESENT m d' PROJECTED 7yrs) m d Average daily flow Maximum daily flow -mgo - minion gallons per day 3. Describe future reuse plans 4. List all potential users within a 5 mile radius of the wastewater treatment plant. Include a map locating potential users in reference to the wastewater treatment plant. D. WATER CONSERVATION PLAN Please submit a water conservation plan prepared in accordance with Section 12.4.5, Applicant's Handbook, Consumptive Uses of Water. E. ESSENTIAL USE 1. Are you requesting an allocation for fire protection? (a) Specify the number and location of well(s) or pump(s) that will be used (b) Calculate the amount of water requested based on the pump's maximum capacity (gpm) pumping continually for a 24 hour period mgd. PS -2 U) (J TABLE 1 HISTORIC WATER USE Last Years past Population Number of Units Per Capita (sage Household Avg. day Max. day (meal) (mgal) Commercialilndustrial Avg. day Max. day (mgal) (mgal) Irrigation (urban landscape, recreation a common areas) (mgal) Water Utility (mgaq Total Annual Avg. day Max day (m9al) (mga1J Installed W elllield mpaaty ftal) 19 19 19 19 19 19 19 Maximum SJRWMD Allocations Household Type Use Average daily per capita use: 150 gallons. Maximum daily per capita use: 300 gallons. These numbers are based on national averages for 1/4 acre lot, and include combined indoor and outdoor use by a household. CommerciaVlndustrial Type Use Varies by use. Use industry standards. Irrigation Type Uses Varies by irrigation system and soils. Contact District for allocation determination. Water Utility Use Water lost due to leaks in distribution system, priming pump and flushing lines. Usually 5% - 10% of total water pumped. TABLE 2 FUTURE WATER USE Nextprojected y Population Number o1 Units Capita Usage Usage Avg. Household 9 y' day (mgal) (mgal) Commercial/Industrial Avg. day Max. day (mgal) (m9aJ) Irrigation (urban landscape, recreation a common areas) (meal) Water Uuliry (mgal) Total Annual Avg. day Max day (mgal) (mgal) Installed Welllield capacityYears (mgal) 19 19 19 19 19 19 19 II. SEASONAL PUBLIC SUPPLY (Mobile Home Parks, RV Parks, Campgrounds, etc.) (Submit 3 copies of application, supplemental information, drawings, calculations, etc.) 2. 3. 4. 5. 6. 7. Number of acres owned: Total number of lots/spaces: Average number of residents over the past 12 months: During which month is the park most occupied?: During which month is the park least occupied?: Does each lot/space have an individual water meter?: Does this facility have any of the following water uses: (yes or no) a) b) C) d) e) f) Laundry Swimming pool Common green areas under irrigation system Bath house/restrooms Club house with restrooms Other uses, please specify total acres) 8. Attach copies of DER monthly pumpage reports forthe last 12 months. Using the past 12 months of DER monthly pumpage reports, please calculate: a) Average Daily water use over the past 12 months: mgd' b) Maximum Daily water use over the past 12 months: mgd' c) TOTAL water used over the past 12 months: mg 9. WASTEWATER DISPOSAL - please specify the percentage for each, to total 100%: Offsite Discharge PRESENT Individual Septic Tank On-site Percolation Pond On-site Spray Field Other: 10. If wastewater is treated on-site: a) b) C) d) PROJECTED % 7 YRS Specify level of treatment: Maximum treatment capacity of plant: Average dill disposal over the past 12 months: Amount of water reused: 'mgd = million gallons per day PS -5 mgd / to be reused mgd mgd mgd WATER CONSUMPTION PARK PLACE AND PALM LAKE CLUB 1993 WELL #1 WELL #1 WELL #2 WELL #2 TOTAL METERED MONTH READING GALS USED READING GALS USED PRODUCED CONSUMPTION APRIL 4957900 PERCENT 5662400 OF LOSS OF LOSS MAY MAY 6128600 1170700 5667100 4700 1175400 992000 JUNE 7368900 1240300 5669100 2000 1242300 1109000 JULY 8234600 865700 5670700 1600 867300 705000 AUGUST 9097700 863100 5673100 2400 865500 769000 SEPT. 9781000 683300 5687900 14800 698100 507000 OCTOBER 10480800 699800 5733100 45200 745000 652000 NOV. 11251800 771000 5744300 11200 782200 688000 DEC. 12128100 876300 5747500 3200 879500 805000 1500 0 w U p „ 1000 v CL fn 0 0 500 J a 0 WATER COMPARISON MAY THRU DECEMBER 1993 MAY JUNE JULY AUG SEPT OCT NOV DEC s GALS PRODUCED M GALS CONSUMED 0 w 1000 v Z o O U 500 Q O 0 GALLONS PERCENT OF LOSS OF LOSS MAY 183400 15.67% JUNE 133300 10.75% JULY 162300 18.75% AUGUST 96500 11.18% SEPT. 191100 27.97% OCT. 93000 13.29% NOV. 94200 12.22% DEC. 74500 8.50% 0 w 1000 v Z o O U 500 Q O 0 Applicant/Owner Name: CUP Number: Date Plan Submitted: Agent/Consultant Name: Project Name: General Information CIT i OF 5Ele>ASTIENIy O(oI -035-74N • If you serve multiple developments and/or municipalities, please provide a map identifying service area boundaries and the associated geographical entities served. i If you have additional information regarding your water consennntion activities, please attach copies to this form. 2 2. 3. 4. 5 9 7 WORKSHEET 1 UNACCOUNTED WATER What is the total volume of water entering the distribution system? MGY (million gallons/year) What is the total volume of water sold and or metered in the distribution system? MGY Unaccounted Water (Line 1 minus 2) MGY What is the estimated volume of water for each Unmetered uses: a. Firefighting MGY b. Sewer flushing MGY C. Main flushing MGY d. Street cleaning MGY e. Construction use MGY f. Public use - schools, irrigation, municipal buildings MGY g. Other: MGY Total amount of unmetered water use (Add a - g) MGY Actual unaccounted for water in system (Line 3 minus Line 5) MGY System unaccounted water percentage (Line 6 Divided by Line 1 x 100) Percent Note: For unmetered uses (Line 4), please provide a narrative on how each estimate was calculated. 5 WORKSHEET 2 LEAK DETECTION EVALUATION To demonstrate the cost effectiveness of a leak detection and repair program, the following Worksheet has been prepared. 1. Actual unaccounted for water in system MGY (Line 6 on UAW) 2. Estimated amount of total due to leakage MGY (District typically estimates 50% of unaccounted water) 3. Estimated recoverable leakage MGY (Typically 80% of Line 2) 4. Purchase cost of water per year (if applicable) S per/ 1000 gal. 5. Cost of chemicals for treatment per year $ per/ 1000 gal. 6. Cost of electricity for pumpage per year $ per/ 1000 gal. 7. Total production cost per year (Add Lines 4 - 6) $ per/ 1000 gal. 8. Average production cost per 1,000 gallons (Line 7 divided by Line 1 of UAW x 1,000) $ 9. One-year benefits from recovered leakage (Line 8 x Line 3, divided by 1,000) S 10. Total benefits from recovered leakage over two years (Line 9 x 2) S 11. Estimated cost of leak detection $ 12. Estimated time for cost recovery years Note: 'UAW' refers to Unaccounted Water Worksheet 1 Provide a narrative to justify the estimated cost for leak detection. 9 Section II Technological, Procedural, and/or Programmatic Improvements Management Water Treatment Plant Technologies: Describe conservation measures used during the water treatment process, (You may wish to use a flow chart.) Water Use Monitoring: Are your production wells currently equipped with individual meters? If yes; Yes No (a) Indicate what type(s) you use (i.e., in-line flow meter, hour meter). (b) What is the calibration schedule for the production well meters? (c) What was the last date of calibration of these meters? If no, what type of meter do you plan to install to meet District monitoring requirements? Note; New applicants are required to install in-line totalizing flow meters to measure water use before initiating withdrawal. Renewing applicants are required to measure water use within one year of permit renewal, or by January 1, 1994, whichever is sooner,using either in-line flow meters or a District -approved alternative method. I3 2. Is each service connection including residential, commercial, industrial and other users currently equipped with a meter? Yes No _ Note: The District now requires that all public supply service connections be metered. If no, propose implementation and calibration schedules for placing individual meters on all service connections. 3. Are there any master meters on your system? Yes No If yes: (a) Propose an implementation schedule which will prohibit new master meters. (b) Propose an implementation schedule which will supply sub -meters to master metered customers. 4. Provide a table showing the breakdown of the present number of service connections for residential, commercial (includes apartments, schools, hospital, etc.), and industrial uses. Other Water Treatment Plant Water Use Practices: What other water use practices have you undertaken or do you plan to undertake to conserve water at the water treatment plant? (i.e., vehicle/equipment washing with reclaimed water) N Indoor Conservation Programs for Customers: Do you provide indoor water audits for your customers? Residential: Yes No Commercial: Yes No Industrial: Yes No If yes: (a) Describe the type of audit and procedure for conducting the audit. (b) How many audits are conducted per year? (c) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an indoor audit program or provide an explanation of why this type of program cannot be undertaken. Residential Plumbing Retrofitting Programs: Do you provide water conservation plumbing retrofitting devices and/or kits to your residential customers? Yes No If yes: (a) Describe the devices and/or contents of the kits and their cost to you and/or the customer. (b) Describe the method(s) used to distribute the devices and kits. (c) Indicate the number and percent of customers impacted by this program. 10 (d) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an indoor retrofitting program or provide an explanation of why this type of program cannot be undertaken, Non -Residential Retrofitting Programs: Describe involvement your facility has had in retrofitting non-residential plumbing or equipment for large volume users of water (i.e., industries, institutions, commercial entities). New Construction Programs: Do you have new construction incentives for water conservation? Yes No Not Applicable If yes, describe these incentive programs (i.e., rebates for builders or homeowners who equip houses or other structures with ultra low volume plumbing fixtures, variable or sliding hookup fees favoring those who have ultra low volume plumbing fixtures, favorable water pricing structure for customers equipped with water efficient plumbing. If no, propose an implementation schedule for new construction water conservation incentives or provide an explanation of why this type of program cannot be undertaken. Other Indoor Conservation Programs for Customers: Please describe any other indoor conservation programs you have implemented. Outdoor Conservation Programs for Customers: Do you provide outdoor water audits for your customers? Residential: Yes No Commercial: Yes No Industrial: Yes No If yes: (a) Describe the type of audit and procedure for conducting the audit. (b) How many audits are conducted per year? (c) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an outdoor audit program or provide an explanation of why this type of program cannot be undertaken. 12 Water Efficient Landscaping: 1. Do you provide information on water efficient landscaping (Xeriscape) to customers? Yes No 2. Have you sponsored a water conservation demonstration garden or landscape plot(s)? Yes No 3. Do you have a rebate or other incentive program to encourage the use of water conservation landscaping for new construction? Yes No If no to any of the above questions, propose an implementation schedule for providing information on water efficient landscaping or provide an explanation of why this program cannot be undertaken. 4. Please describe any other activities you have implemented relative to water efficient landscaping (i.e., soil moisture monitoring and rain shutoff device distribution program). Other Outdoor Conservation Programs for Customers: Please describe any other outdoor conservation programs you have implemented (i.e., recirculating stormwater for aesthetic uses). 13 Rate Structure: 1. What type of rate structure do you currently utilize? Flat Rate Decreasing Rate Inclined Rate Combination (explain) Variable for seasonal demand (explain) Other (explain) 2. Please describe the rate structure. 3. What is the rate? Residential per gallons Commercial per gallons 4. Does your rate structure encourage conservation? Yes No If yes, please describe. If no, propose an implementation schedule for a conservation rate structure or provide an explanation why this program cannot be implemented. Such rate structure should include at least one of the following: increasing block rates, seasonal rates, quantity based surcharges and/or time of day pricing. 14 Section IV Customer and Employee Education (Please attach examples of water conservation information you provide to customers) Using the appropriate letter, please summarize on the following list of which public education and employee awareness measures you have already implemented (1) or plan to implement (P). Activity Implementation date Use bill stuffers to provide water conservation tips and information to customers Use special mailings to provide water conservation tips and information to customers Provide specific water conservation literature or other information for different customer categories Use other advertising (radio and N public service announcements, billboards, newspaper or magazine ads) to encourage water conservation among customers Provide water conservation materials to schools Conduct public tours of your facilities Operate informational booths which include water conservation literature Seek employees' ideas for water conservation, using contests, suggestion boxes or other incentives Install signs in employee restrooms encouraging water conservation Publish and distribute water conservation tips and information via company newsletters, bulletin boards, or employee paychecks IV Appoint an employee water conservation _ coordinator to design and implement your internal plan Conduct other public education and employee awareness activities (please explain) Private utility provide information for applicable local water conservation ordinances 2. Of the education and awareness programs you have implemented, which have been especially effective? 3. Of the education and awareness programs you have implemented, which have not been effective? Why? 19 Section V PLAN IMPLEMENTATION SCHEDULE SUMMARY Note: This is a specific requirement of the applicant's Water Conservation Plan Go back through the Conservation plan and list all of the activities where you proposed an implementation schedule. Specific date or time frames must be given. Activity Implementation Schedule Note: A progress report must be submitted at the mid point of the permit to address the implementation of activities. Please keep a copy of this plan for your records. Person Responsible for Implementing the Plan: Signature Date Phone Number 20 Teiephone (407) 56743000 August 11, 1989 BO. ID OF COUNTY COMMISSION�.?s 1840 25th Street, Vero Beach, Florida 32960 Dannise T. Kemp, Director Division of Records St John's Water Management District P. O. Box 1429 Palatka, FL 32078-1429 n Chew,r-���+y11 hs4j o -F . JfJ�1�s arz" i.INIJ xKd f V, pe'n'"14 Ew wj o� J08 8 , tqctt Suncom Telephone 724. 1011 SUBJECT: PARK PLACE - AKA VILLAGE OF LAKE DELORES CONSUMPTIVE USE PERMIT NO. 2-061-0357N ITEM 1-3, ISSUED JULY 8, 1985, TO NELSON HYATT' Dear Ms. Kemp: The Department of Utility Services of Indian River County has purchased the Park Place Utility, effective August 9, 1989. This letter is to request formal transfer and renewal of the above -listed permit. Please find enclosed a copy of the Purchase Agreement. If you have any questions, please contact this office at telephone (407) 567-8000, Extension 309. DERICK LANG 7` ental Specialist nt of Utility Services JFL/c Enclosure cc: Terrance G. Pinto, Director of Utility Services O. Fred Merkel, Manager of Operations and Engineering Brad O'Keefe, Water Superintendent (CPPRENEW.JFL) nd i bt JLIHIVb "IVl14 WAI ER H@Ivy Du:m, F-h,.,dn IJII(!- I MAIVAGEI'l,it J01111 R, We1de,ASslstant E_m:wti., U1 L l �I]ISTRICT POST OFFICE BOX 1429 • PALATKA, FLORID!: 904/328-8321 JUNE 6, 1990 INDIAN RIVER COUNTY 1840 25TH STREET VERO BEACH. FL 3296U SU3JFCT: CONSUMPTIVE WATER USE THE DISTRICT HAS RECEIVED A COPY INDIAN RIVER COUNTY AS THE OWNER FORMERLY OWNED BY VLD MANAGEMENT 7775 Baynleuduwa Wry Suilu 102 Jacksonvil6q FL :32256 (9011)IA0-627o 0PI-I?AI IOIJt3. :? 133 N. Wickllull l RrI, NIr.Wanie:. IL :;: 9sL-t3IJ£I (•IUil:�bd- 176 1 618 E. !:mull) .`.I 011ui it lo. FL I�LIt �trQllNil -`��, -sl PERMIT NUMBER 2-061-0357N o� OF THE WARRANTY.DEED NAMING OF THE PARCEL OF PROPERTY CORPORATION. PURSUANT TO SECTION 40C-2.35(1) WHICH STATES: "A PERMIT SHALL HE TRANSFERRED UNDER THE SAME TERMS AND CONDITIONS CONTAINED IN THE PERMIT. PROVIDED THAT THE SOURCE AND THE USE REMAIN THE SAME. ALL TERMS AND CONDITIONS OF THE PERMIT SHALL BE BINDING ON THE TRANSFEREE" PERMIT 2-061-0357N IS HEREBY TRANSFERRED TO INDIAN RIVER COUNTY. IF THERE IS AN ANTICIPATED CHANGE IN LAND OR WATER USE. A MODIFIED APPLICATION MUST BE SUBMITTED TO THE DISTRICT PRIOR TO THE PROPOSED CHANGE. AS THE PERMIT HOLDER. YOU WILL BE RESPONSIBLE FOR SUPPLYING ANY INFORMATION WHICH IS SHOWN IN THE PERMIT CONDITIONS. IF YOU HAVE ANY QUESTIONS CONCERNING THE CONDITIONS. PLEASE CONTACT MF AT THE A30VE ADDRESS OR CALL 904/328-8321. EXT. 235. THANK YOU FOR YOUR COOPERATION WITH THIS MATTER. IF YOU HAVE ANY QUESTIONS OR IF THE DISTRICT CAN BE OF FURTHER ASSISTANCE TO YOU/ PLEASE DO NOT HESITATE TO CONTACT THIS OFFICE. SINCERR�E/LY. ECTOR --- DIVISION OF RECORDS DTK:JB ENCLOSURES: PERMIT WITH WELL TAGS COMPLIANCE CONDITIONS FORMS JUN 26 1990 CC: DISTRICT PERMIT FILE uulu�luu u u�� VLD MANAGEMENT CORPORATION - „uunr..l ,auv .ol �,Ia...•u UAU911 161Ahin I�:.�... .Lu. CJN)ITI9Ni FOR IS:UANCE DF 'ET^'IT NUM3E.R ?-O61-03i711 INDI49 RIVFR COUNTY ),ATE) JULY N" 1535 1. PRI')P T) _0'T )F UVIT S4LF3, OR COVSTRJCTI)N• ,IHrCIVVER IC:URS F103T" FH- DI;TRICT MJST RECEIVE THE 'ERM[TTEE'S DROP)SAL OF Al :NrirY T) JE RESPONSI9_E.F)R 0°ERAfION AVD M,AIVTENANCE OF TIE P_RMITTED SYSTE4. WITH TIE DESIGVATI)N 0r THE PR)PJSEC EVTIT(, TIF. DISTRICT MUST ALSO RECEIV_ A )RAFT DO:UMEVT EVU,MERAfIVcQ EVF)R:EAB_E AFFIRMATIVE 03LIGATIO4S OV THE ENTITY TJ PR)PER_Y O'ERAfE AVD M4INTAI4 THE SYSTEM F)R ITS E(PECfED L(Ft. THE DRAFT )OCUME'IT NAY CONSIST OF 4 SH)WIN3 OF C)ml'LIAVC` dITH TIE R_DJIRE4E4TS OF A PUBIC 30DY THAT 4111 R:S'JLT IN THAT !O)Y'S A'C-PTA'ICE )F TIE S(STEM F04 M%Ir,TENAN:E" ARTICLES OF INC0IPIR4TIO4 FOR A :OVDJMIN[U'M )R H)tE00J ER'S A;SJCIATI)PI, 'LAT 03 DEED RESTRICTIONS A'P.:RfI)N[N:; "•A1NTENAVCE IFSPJ9SI41LITY. )R IV THE F.VEf+T THF. PRo%ERT( IS 3=I'JG DEVELOPED FOR A COR,'ORAfE PERMITTEE'S C u"ORATE it . ,:[TiOiT C7!.f"'4P_AfI4G SALES OF _OTS' OR'PITS, A L i T f L 1 ;1;!:.0 cY THr :UPP)RAT' IFFICE? AUTHORIZED TEP` ditio Th-- :0!IP)G4T[0V STATING THE CORP)RATEOV'S ACCEPTANCE OF PERMANENT 4A-4rENA4CE 4ESPINSI3ILITY. PRIOR TO TH? DISTRICT'; 4C:F'TANCE OF 4 CO'"PLETE.D SYSTEM. THE SUB"41TTE) D)CUM-'NT MUST Citi APPROVED Py THE DISTRICT AVD REC)RDF), IF TIC LATTER IS APPROPRIATE. FAILURE T) SU3MIT THE DESICVATED F`JTITY AN) T4- AP'ROP41ATE DOCUMFVT WILL RESU_T'IV THE P•;i.iirTEE. REM4I'IIVG PFRSOVALLY LI4PLE FOR CARRYIN3 our 44INT=-NAN:E AVD O'ERArI)N OF THE 'ERMITTE) SYSTEM. 7. A_L C)NiTRUCTIOV, 0°ERATI)N AID MAINTENAN:E STALL 9E AS SET F)PTH II THF 'LANS, S'ECIFICATIDNS AN) t'ERFIRMANCE CRITERIA AS APDPIV=D HY THIS PER4If. '.. DISTRICT AUTH)RIZ-D STAFF, UPON PROPER IDENTIFICATION. 111-L H4V:: 'FR'"1'SSI)N T) ENTF-" I'JSPF.CT AVD 09SERVE THE SYSTE', TO IVSUAi :OJFJRIITY WITH THE PLANS AND SPECIFICATIOVS A'PROVEO lY TIT P:•!IT. 4. IJRil)ITY e4RRIER3 'IU ST qE IN;TALLE) AT A_L;L)CATEONS 6HERE 14PJS•3I3ILIFY OF TJRANSF 4?LVG SJSPEVDFD S)LIDS INTO THE R - C.-Iil'Jo W'AT:P?0)Y E(13T) DUF TO THE PRO'OSE) •JORr. fJr•!I)1TY P4R4IERS 'IUST PEr!4I% IN PLACE AT AL_ LO:ATI)NS U41IL C)N;TRU:IIOV IS C)PiPL•TFiD AVD S)ILS ARE STA3ILIZED AVD V=G_TATIO� LAS 13F'_ro EiTA?_ISHED. THE4EAFTER fHi °cr!IfTEE 'a IL_ •!E R_5'OISI?LE FIR THE RPM)VAL OF TH7 .:•AP RI TIL J'E1ATI)t+ PHASE OF TH= PER, "IT SHAL N)T P,ECOME HFFECTIV: UVTIL A F_CRI)A R=SISTEPE) ?R)FES310NAL EVG[NFER CEPTfF.'ES TIAT ;L_=ACI_ITIES HAV% 3E EN CON3TRU :T D II 4CCORDAN:E ITit Th_ )E:;;"; A'PROVC) 9Y TIE DISTRICT, dITHId 30 )AYS n°T;? C9%!�LcT1G•l OF C)ASTRUCTIOV OF TIE SJP.FACE WAT:R 4N•,.Z. NT `SY;TTHE 'E1N'ITTEE SHAL _ SUIMIT THE C:.PTIFI AfI:)TJ OR ]NF SET )F PAYS WHI:H R=FLECT TIE SJRFA:E .-I - +4":AG`+':Nf SYSTEM AS ACTUALLY C)NSTRUCTED AVD 141TIFY Ti[ DISTRICT THAT THE FACILITIES APE READ( FOR INSPECTION A',D :'P•+CJ4_. JP)A A.3p4OVAL. )F TIE COMPLETED SJRF4CE SEATER P �r.•th_;Mc'Jf ::YiTcPir THE PE4M[TTEE SHAL_ PE)UEST TR4NSF_R OF �:t+•tIF f0 THF. RES'OVSIaLE F N T I T Y APPROVED R fHr G[SIPiCT. tr L- IF 'ANY ')T'IE'R 1EGO_ATC`4Y ASc'NCY SF3)ULD REOJRc REVISIONS OT 'a)DIFICATION f0 TIE P_RIITT=D PROJECT, THE DISTRI:T I3 TO BE N)TIF:E) )F TIE REVISIONS SO THAT A DETERIIVAfI)N CAN BE MADE S,4r.T4EP A PER'1IT %IODIFICATION IS REQUIRED. 7, WIT-iIV THIRTY (50) DAPS AFTER SALE OR CONIEYAVCE ')F TIE P:R'•1IfTED SJPFACE WATER MANAGEMENT SYSTEM OR THE _AND ON ,ilICH TIE SYSTEM IS L)CATEDr THE )WNER IN W40SE NAME THE Pr_r,j f 4AS SR wED SHALL NOTIFY TIE DISTRICT )F SJCH :HANSE CF JWVERSlIP. TRANSFER OF THIS PERMIT SHALL 3E IV ACCORDANCE 141T�i fHE 'ROVISIOVS OF CHAPTER 575. F_ORI)A STATUTES. AND C4A;)T RS :CC -Sr 4)C-41. AVD 41C-41. F_ORI)A A)MINISTRATIVE C)Dri. AL_ TERMS AND CONDITIONS OF THIS PERMIT SHALL 3E BINDING U°O'1 EHE TRANiFEREE. I. A_L C)NST IUCT1014 ,UST BE IN ACCJR)ANC: WITH TIE PLANS, S'E'IFI:ATIJN3 AN) PERF0R4ANCE CRITERIA AS ACCEPTED AVD AJTHO4IIE) 3Y THIS PE4MIT. 9. TJRII)ITY BAR2IER3 Tie PJS,SI3I�ITY, OF, PCC IJIVG WAT=R;30)Y TJP31)ITY CIAPRIERS UVTIL C)NSTRU:TIOV VEGETATION HAS 9E:N I MUST B'e• IN5T.4L-ED AT A_L L)CATIONS W4ERE TRANSfERRING•�JSPEVDED,S3LIDS,_INTO THE rRISTS DUE f0 THE VRO'OSE) .�OlK. ll OUST REMAIN Ih PLA:E Af AL_ LOCAPBNS IS COMPLETED AVD S)ILS ARE STA3ILIIED AND ESTABLISHED. THEREAFTER 'ERMITTEE MUST g; 0 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Post Office Box 1429 Palatka, Florida 32078-1429 PERMIT NO. I ti I: DATE ISSUED JULY A PERMIT AUTHORIZING: ` ..',)r.I" TFR .4FaCE. W4l TEk FO I''UPLt% ;UOvt,Y TO VILL1.:� I, , 1 '; 1. I.00ATION: :.Ili 51:1U TH. '+.t*.- .. 5.1,. .y ST.. 1 "'r IA'I'I V`7 '.911ti Yy Ji . ISSUED TO: (UWI%YI FL SilF•.1 r� Permittee agrees to hold and save the St. Johns River Water Management District and its successors harmless from any and all damages, claims, of liabilities which may arise from permit issuance. Said application, including all plans and specifications attached thereto, is by reference made a part hereof. This permit docs not convey to permittee any property rights nor any rights or privileges other than those specified herein, nor relieve the permittee from complying with any law, regulation or requirement affecting the rights of other bodies or agencies. All structures and works installed by permittee hereunder shall remain the property of the permittee. This Permit may be revoked, modified or transferred at any time pursuant to the appropriate provisions of Chapter 373, Fkxida Statutes: PERMIT IS CONDITIONED UPON: :i.- t Ir'•'111 1QS Jh AT FAC HED "E KH 191T A"i DATED JULY }1i 1911 AUTHORIZED BY: St. Johns River Water Management District Department of Resource Management Governing Board By; (DirecW ) IJ ..I L L I Ir 1: INC .` I-zeol-z-or NYoi 21n 3anlrNOls S.1Mr I Wad •[DLId ) 3n YH S,1x3DY •Wrpo DegUOW nD K; Iog; YI q OR ID41 u01i:7ILIUG eC Ip• mintpllb,% wit Oug IYAag-LC WI Je IYLtt DLtuoutnD Yt It buIPD cp bu IOU; "!.i 6JNDYb11 8I4 44•riJNIL: YDW.L IDVI' YUDJ WMI pLielDWb: rDY IYDD!7o Di YDYI JLYID YDYLO N 3.LYC 3 H01s :1Nnndd- (IYI nor )NYN 57TF,1RrzrwwY 986L I £Z L i.1dy ''`�Z'��/ �j7f C S /DULL': 41lL DW pYS YDIidTp-C 1 Yll lT dDItQQIJowl IDWepDW DVt D1DD W"c Yt up. 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IUU ISr1 ®-®�I Sl nlf� 'DN 3NDH13'IIL ` 1 I l -�� 300SJ12 � 3.1t1s U! 91AI LIHI I U 1 e t IPIUITJ_i1Nnao M—FT-1-771 7F s l el la I I I I I I I I I I I I 'I I I I I I I I I 1 1 1 1 1 1 1 1 S I n 1 91 f as3aoor I I I I I I I 1 1 I I I I I I I I I I I I I I I ONAO 30 3nrN Sa ISYI p "m3H3Y ❑ yNY3d DNUSnG 10 NOLLVDWOOn ❑ 3sn DNI1503 ❑ 3sn Mae I YOd SI NOunnddr •peYabyo t "m btoo LneeaeV DPIDu� • W.&D'It"D bVlp!Oulw miopi IMYI glut Lt X291; WI Ye ruoWluaulT poet •Ur Wage IIN XDYIi Wlc Wud Je ed4 ••D•Id Ban Devoe aaizBrObd 6zrl-- eG0 r01Y0rXlr7t'd 31YG NOILi drip b31A3Y 6r.Z♦I XDF '0 '0 A Y7Ma IA3Y D3 N01SSr NOISIAIO DNIL1JRIf3d J1Nn: 1R3N1my.•3D lx31C3OYNYn 3DYnOSiY 03AI3331d 31v0 111 15 IZILLSIO IMPESDYNYR Y31rM, 0mv VKHO:;P0 'DN NOLLr2nddi S NOUVOf-lddV Ill Od 3sn 3A11dWnSNOO zble/c- o3z�dX3 t �� �- 1,EXHI3Ir 4" 1 C)N)IrION3 FOR ISSUANCE OF 'E@MIT NUM3E3 ?-761-03574 I4DIA4 RIVER COUNTY )ATE) JULY Br 1935 1. PRIOR T) _OI )R U4Ir SALE3r 01 C04STRJCrI)Nr JHICiEVER OCCURS FIRST, rHE DISTRICT MJST RECEIVE THE 2'ERMITrE_'S PROP)SAL OF Al ENTITY TJ 3E RcSPOVSI9_E;F)R O'ERATION AVD MAI4TEN4NCE OF TIE P_RiIrTED SYSTEM. 4irH TIE D_S_IG4ATI)N OF THE PR)POSED E4TIT(r TIE DISTRICT MUST ALS) RECEIVE A )RAFT DOCU4E4T E4U,MERArI4G EVFOR:EA9_E AFFIRMATIVE 03LIGATIO4S.04 THE ENTITY T) PR)PER_Y O'ERATE AVD MAI4T4IV THE SYSTEM FIR ITS EKPECTED LIFE. rH_ DRAFT )OCUME4T MAY C)NSIST OF A SH)WIN'a OF C3MPLrAVC° aIrH TIE R_QJIRE%IE4TS IF A PUBIC 3ODY THAI TALL RESULT IN THAT 30)Y'S A:CEPTA4CE IF TIE SfSrEM FOR MAINTEN4N:Er ARTICLES OF INCORP)R'ITIOV FOR A :OVD)MINIUM )R H)MEOdNER'S A3SDCrATI)Nr 'LAT OR DEED RESrRICrI)NS A?PORrI)NINS MAINTENAICE RESP)NSI3ILIrYr )R IV THE EVENT THE PROPERT( IS BEI4G DEV_LJP_D FIR A COR'ORArE PERMIrTEE'S C)RPORArE USE WITiOUT C)NrEMPLATI4G SALES OF _OTS OR JNITSr A LETTER SISNED BY THE CORP)RATE )FFICER AUrH)RIZED TO BIND THE ':ORP)RNTIO4 STATINS THE CORP)RATIO443 ACCEPTANCE OF PERMAN=Nr MAINTEMAVCE RESPONSI3ILITY. PiI)R T) THE DISTRICT'S .AC:EPT4NCE 0'F A COMPLETED SYSTEM. THE 3U3MITTE) D)CUMENT MUST BE APPR)VED BY rHE DISTRICT AVD REC)RDE)r IF TAE L%TrER.IS_APPROoRIATE. FAILURE T) SU3MIT THE DESIG4ATED EVTIT( AN) THE .AP3R3PRI4T_ DOCUME4T WILL RESU_T!I4 THE PERMITTEE REM4INIVG PERSO4ALL( LIABLE FOR CARRYINS our MAINTENANCE AVD O'E3.ArI)N Of THE 'ERMITTE) SYSTEM. , 2. .ALL'C)NSTRUCTIO,Nr OPERATI)N AVD M4INTENAN:E'STALL BE AS SET FIRTH IN THE 'LAN3o S'ECIFICATI)N3 AN) PERF)RMAMCE CRITERIA A S AP?R)V_D St THIS PERMIT. 3. DISTRICT 4UTH)RIZED SrAFFr !JP)N PROPER IDENrIFICArIONr WILL HAVE 'ERMISSI)N T) ENrERr IVS'ECT AND 03SERVE TAE SYSTEM TO INSURE :09FDRMITY WITi THE PLANS AND SPECrFICATI04S A'PROVED 3Y THE P_R.iIr.. 4. TJRBI)IrY.BARRIERS MUST BE INSTALLED AT A_LIL)C4TIONS WHERE THE P3S3I3ILIrY OF TRAN3FERRI4G SJSPEIDED SOLIDS INTO THE RECEIVI4G WATERBO)Y EKIST3 DUE TO THE PRO'OSE) WORK. 'TJRBI)IrY BARRIERS MUST P.EMAI4 IN PLATE AT AL_ LO:ATI)NS UNTIL C)NiTRU:TION IS C)M'L=TED AVD S)ILS ARE STA3ILIIED AVD V_GETATI04 HAS 3EEN E3TA3_ISHED. THEREAFTER THE PERMITTEE WIL_ 3E RES104SIBLE FOR THE REM)V4L OF THE BARRIERS. 5. TIE O'ERArI)N PHASE OF TH_ PERMIT SHA_L!N)T BEC)ME EFFECTIVE U4TIL A F_ORI)A R_GISrERE) ''R)F_S3I0NAL'E4GINEER CERTIFIES TiAT AL_ FACI_ITIES HAVE 3EEN C)NSTRU:TED 14 4000RDAN:E WITH rHE )ESI3N A'PROJE) 3Y TIE DISTRICT. AIrHIN 30 )AYS AFTER C)M?LET[04 IF C)NSTRUCT104 IF TIE SJRFA:E WATER M4NAGEMENr SYSTEM. THE 'ERMITrEE SHALL SU3MIT THE CERTIFI:ATI)N OR )NE SET IF PI -AIS WHICH REFLECT TIE SJRFA:E WATER MANAGEMENT SYSTEM AS ACTUALLY C)NSTRUCTED AVD N)TIFY TIE DISTRICT THAT TIE FACILITIES ARE RE.4Df FOR INSPECTION A.4D A'PR04A_.1 UP)N A'PROJA'_ IF TIE C)M°LETED SJRFACE WATER MANAG=MSNr SYSTEM. THE 'ERMITrEE SHAL_ REiUESr TRANSFER OF TIE P_-RMIr TO THE R_S'04SrSLE ENTITY APPR)VED BY THE- DISTRICT. HEDISTRICT. SL')LuARY DATA SE7-ET Ccmnlece apol.,cable seccion� oniv. Type or print legibly. Attach additional sieecs if space provided 'below is noc sufficient. =STING Sob OF WATER IN1TORPLA:I N/A *Flowing wells m_sc be equipped with a working valve, per Chapter 373.206, Florida Statutes. l 1'^7 Sourcei Pump Average Contingentl Impounaed Vnuuny nni..a. Use number capacity withdrawal I l property area Wet], Open Casing Total Casing average :lowing* Pump Source Use be Role Diameter I Depth Depth Withdrawal ?ODed Caoacicv aeuifa_ au Diameter acral or Flow ;r= knor.J I Diameter I 6 inl 100 ftl 60 fr I 325 ' ml 1 Pumped Race f I 2 I 1100 63 150 I Pumped 1150 m 1 4 in 4 in ft fL m l I '?M' :W I in I ft ft gpm I Spm in in fr fr gpm I gpm *Flowing wells m_sc be equipped with a working valve, per Chapter 373.206, Florida Statutes. l 1'^7 Sourcei Pump Average Contingentl Impounaed Name of i Use number capacity withdrawal I l property area water source Eole Diameter 2^m I i:tml ac^eA I acres or Pumped Capa�cy gpm I gpm) acre acres) I o2m gpm) acres) ( Diameter acral PROPOSED SOURCE(S) OE WATER INFORMATION r"nrrnm V AT49 We11 Open Casing Total Casing Average Flowing ?ump lSourceAquife �isnum gpm) acres) acres Eole Diameter Depth Depth Withdrawal or Pumped Capa�cy er lo' ( Diameter or I l5 15/lyn I 6 inl 100 ftl 60 fr I 325 ' ml 1 Pumped I 325 8pm� f I 2 ft I gpm l I '?M' in I iIIl ftl fL I gpm) I 'pml Sou.--' Pump au^�oer capacity I Average Contingent I withdrawal property I Impounded Name of area b�2� water source Use 3 ( 50 9pmI 35 SPm N A acres acres Ipr,ivate lake Irri ation gpm gpm) acres) acres SPMi gpm) acres acres l If appL4cation is for an initial, Re=it. state the date upon which the use commenced or is planned to commence _= modificacien or renewal, state amount of additional water applied for N/A inches per year million gallons per year Describe in detail reascn(s) '_or request for additional water and/or sources: Attach a list or adjacent property owners as prescribed by j, .,r of the 11abolicazc's Randbook, C1apter 4 -CC -2, :.A.C.". 3oa LOC -2-1082-1 Sheet 2 of 6 6. IF ANY )TIER REGU_r JRY ASENCV SH)ULD R=flJIRE'._VISIOVS-OR MIDIFICATION TO TRE PERMITTED PROJECT. THE )I3TII:T IS TO BE N)TIFIE) )F TIE R=VISIOVS SO THAT A DETERMIVATI)N CAN BE MADE WiETHER A PERMIT MODIFICATION IS RE3UIRED. 7. WITHIV THIRTY (30) DAYS AFTER SALE OR CDNIEYAVCE )F TIE PERMITTED SJRFACE WATER MANAGEMENT SYSTEM OR THE _AND ON WAICH TIE SYSTEM IS L)CATEDP THE )WNER IN WiOSE NAME THE PERMIT AAS SRANTE) SHALL NOTIFY TIE DISTRICT )F SJCH :HANSE OF OWYERSiIP. TRANSFER OF THIS PERMIT SHALE 3E IV ACCORDANCE WITH THE ?ROVISIOVS OF CHAPTER 373p F-ORI)A STATUTESi AND CHAPTERS 0C -*i 41C -41i AVD 4)C -41i F_ORI)A A)MINISTRATIVE C)DE. 3 L:- TERMS AND CONDITI04S OF THIS PERMIT SHALL 3E BINDIVG UPON THE TRANSFEREE. 8. A_L.C)NSTRUCTION MUST BE IN ACCJR)ANCE WITH TIE PANS. S'ECIFI:ATI)NS AN) PERFORMANCE CRITERIA AS ACCE'TED AND AJTHORIIE) 3Y THIS PERMIT. 9. TJR3I)ITY BARRIERS MUST BE INSTALLED AT A-L:L)C%TIONS WHERE TIE P3SSI3ILITY OF TRANSFERRIVG SJSoEVDED SJLCDS INTO THE RECEIJIVG WATER30)Y E{IST3 DUE f0 THE PRO'OSE) AORK. TJR3I)ITY BARRIERS MUST REMAIV IN PLA:E Af AL_ LOCATI)NS UVTIL C)NSTRU:TIOV IS C31M'LETED AVD S)ILS ARE STA3ILIIED AND VEGETATION HAS 3E:N ESTAB'-ISHED. THEREAFTER 'ERMITTEE MUST 4E PERMIT NO. ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Post Office Box 1429 Palatka, Florida 32078-1429 2-061-0357N CONSUMPTIVE USE A PERMIT AUTHORIZING: DATEISSUED JULY Be 1985 USE OF GROUNDWATER AMD SURFACE WATER FOR PUBLIC SUPPLY TO VILLAGE OF LAKE LDOLORES. LOCATION: SECTION 20. TOWNSHIP 31 SOUTH. RANGE 39 EAST INDIAN RIVER COUNTY ISSUED TO: lownerl INDIAN RIVER COUNTY 1860 25TH STREET VERO 3EACHP FL 32960 Permittee agrees to hold and save the St. Johns River Water Management District and its successors harmless from any and all damages, claims, of liabilities which may arise from permit issuance. Said application, including all plans and specifications attached thereto, is by reference made a part hereof. This permit does not convey to permittee any property rights nor any rights or privileges other than those specified herein, nor relieve the permittee from complying with any law, regulation or requirement affecting the rights of other bodies or agencies. All structures and works installed by permittee hereunder shall remain the property of the permittee. This Permit may be revoked, modified or transferred at any time pursuant to the appropriate provisions of Chapter 373, Florida Statutes: PERMIT IS CONDITIONED UPON: SEE CONDITIONS ON ATTACHED "EXHIBIT A". DATED JULY 3, 1935 AUTHORIZED BY: St. Johns River Water Management District Department of Resource Management Governing Board By: aadBy; (Direc o JEFF ELLEDGE sistant Secretary) HENRY DEAN PUBLIC SU?PL? TY?E USES r`• SUPPL=SST_?3Y DATA SFc=T z --o lece zhe apprcpriace sections only. Tyle or print legibly. sheets if space provided blow is not sufficient. :.trach additicral Area cvned at withdrawal site 151..44 acres area served acres Is service area decez=ned by Public Service Coat=issica 0 Local Governaenc Franchise ❑ Unregulated Service Area [iiI (Provide cap . {]meat ng serr_ce area) Present population 0 Average daily use for last se: -rice year N/A MGD '.".as'^'•^ daily use for 'last service year N/A- N_GD Projected population 1,300 in 1992 (year) Projected average daily +_Ise 150 MGD in 1992 - (yea=) Average historic daily per capita use N/A GPM ?_a=j:-L,= historic daily per capita use N/A G?CD ?rojected average daily per capita use' 100 GP© Projected yasxua daily per capita use 200 GPCD Average daily per capita use 100 GPCD Yax:3= = daily per capita use 200 G' C:) =.=�1-n nechod o? projecting population and esti"acing per capita usage The"trailer park will consist of retired people there 650 Tr @ 2 persons/trailer= 1300 people x 100 GPCD = 130,000 GPD (chapter 10 D6)+ 20,000 GPD Commercial Area = 150,000 GPD ;.reazmenc plant capacity .150 MGD ?'_anted expansion co camp "GD :n 1992 (year) :raa=ent aethod Chlorination Disposal methods and Dercerit of each N/A 2) 3) =reacent type Primary . Secondary Tartiarj Other Average daily disposal `lec: od of revue quantitT reused Y -GD `!GD Describe tucure re':se plans O N Mcrchly DER ;usage raperzs for at lease the twelve noncs price to _ais agplicst'_ca must be aczached. Also attach any available water qualirj data. N/A :cdicate amount o: loss due to systaa :nerticiency 2% _:ola==n -azar ccnsa­ac1zn =aasures - ^ented cr _^la-ned :or _=oie_encaticn in the near future Water saving Faucets Tcr_ No. =OC-?-lOS2-1 S eec 5 of c I , i J'!IIflJi �r.�lYl- L� w ST. JOHNS RIVER WATER MANAGEMENT DISTRICT PUBLIC -WATER SUPPLY WELL CONSTRUCTION PERMIT �J FOR Nelson C. Hyatt t/U� 9605 S. U.S. 111 Sebastian, FL 32958 , ) f i Cau kll�l PERMIT NO. 3-061-0250 DATE OF ISSUANCE February 7 1985 DATE OF EXPIRATION August 7 1985 Pursuant to the provisions of Chapter 40C-3 Florida Administrative Code, and Application No. 3-018860 this permit is issued to: HenryH. McLau Klin License No. 02709 For the construction of the following; 4" Public supply Well Jetting method (driven) with schedule 40 casing material Near intersection of Bristor Street & Straight Avenue LOCATED AT: Section "0, Township 31S, Range 39E in Indian River County Iri accorda,.;;e with the application Dated: February 7 , 1985 Permission for construction of this well is granted in accordance %vith the Rules and =_gulztions cf St. Johns River Water Management District and subject to conditions set forth on the reverse of this permit. Failure to comply with said provisions shall con_:itute violation of this n-ernit and shall subject the applicant to such civil and criminal --nalties as provided by law. All drilling shall be performed within o months of Iss;:ance ca:a and a copy of the we log will be submitted to this office within 30 cat's aft=r rilliG^y Wirer nS C':=se. in the event construction or repair Is not corn ed ::'ith n� .CiS :i1B, y. _-810:1 r -, ay t.e obtained upon :vrtten requesi by 111E per��lt:e-. -his :crC,:: :C?S clips tion of %valar, approval cl se:vage or OMe :YaSte �IS�GSai �aCillli.S, �'r v: he in the ar= p ties 'o c Su ppI ief o ar C...•.r i.r lfl.i 6 ,�� Dirac -"_')i-;,4,- Palatka, Florida 320/7 Telephone (904) 328-83,1 PERMIT NO. 3-061-0265 ST. JOHNS RIVER �'IATER MANAGEMENT DISTRICT FOR Villages Qf T- P Se tion 2 t NDiFt� f vc2 CO U 4/r DATE OF ISSUANCE November 4, 1985 DATE OF EXPIRATION May 4, 1986 Pursuant to the provisions of Chapter 40C-� FloridaAdministrzfive Code, and Application No. 3-019783 this Fermitis issued to: Adger L. Smith For the constructiorof the following; _ License No. 1035 Public Supply 6" well to serve Villages of Lake Delores, Consumptive Use Number 2-061-0357N, using jetting method of drilling with'galvanized casine marPr;,i LOCATED AT: 9605 US Ill Sebastadn 29 In accordance with the application Dated: Au ust 28 1985' Permission for construttionof this well is g Regulations of St. ranted in accordance with the Rules and Johns River Water Management District and subject to conditions set forth on the reverse of this permit_ Failure to comply with said provisions shall constitute • a violation of this permit and shall subject the applicant to such civil and criminal Penalties as provided by law. All drilling shall be performed within o" -no date and a copy of the well Icg will be submitted taths of issuance o this office within 30 d operations cease. In the event construction or repair is not cpm le ex::nsicn may days after be obtained apart written request by e p t d within this time, an Imply allOcatiOn Of '.Vater, approval Of q Q to Permittee. This permit dO�S water supply 2n One , 52 iSoe or other waste a n"' facilities in .he area to be SU��plied by the di-po„al facilities, Or of GRANTED oY: �nirrw�t-/7 �� ._ su e ve 1. TITL_- PARK PLACE WATER TREATMENT PLANT ACTUAL PUMP DISCHARGES SEPTEMBER 7, 1993 EAST WELL METER READING 5,674,300 gals (finish) 5,674, 100 gals (start) 200 gals — 10:23:00 a.m. 10:20:00 a.m. 3 min. = 67 gal / min. x 1440 min/day 96,480 gal/day 5,674,730 gals (finish) 1:45:45 p.m. 5,674,490 gals (start) 1:40:45 p.m. 240 gals — 5 min. = 48 gal / min. x 1440 min/day 69,120 gal/day WEST WELL METER READING 9,250,400 gals (finish) 9,250,200 gals (start) 200 gals 10:17:16 a.m. 10:14:16 a.m. 3 min. = 67 gal / min. x 1440 min/day 96,480 gal/day 9,252,830 gals (finish) 2:32:30 p.m. 9,253,210 gals (start) 2:27:30 p.m. 380 gals 5 min. = 76 gal / min. x 1440 min/day 109,440 gal/day LETTER OF TRANSMITTAL NDIAN RIVER COUNTY EPARTMENT OF UTILITY SERVICES 840 25TH STREET VERO BEACH, FL 32960 J407) 567-8000 DATE: June 9, 1993 PROJECT NUMBER: SUBJECT: TO: Richard Votapka, P.E. Utility Director, City of Sebastian Sebastian City Hall Post Office Box 780127 Sebastian, Florida 32978 WE ARE SENDING YOU THE FOLLOWING DOCUMENTS: ITEM NO. COPIES DATE DESCRIPTION 1 1 6/9/93 "How to Complete Water Use Measurement Forms" a,r«,s 2�v«✓ 74,�T�✓mo — SIGN i'L� Harry E. Asher Assistant Director of Utility Services �MWMILOT 0�9` 199 terE0� - .a COMPLETE j 0 Fl NIS SL; L, F I R 'IV r- P'W AT r P, Ir A 1-k�l AG r.I}spa— WATER USE MEASUREMENT., F"KIVILS `�' 2-061-0357AN dmrn=J� INDIAN RIVER COUNTY WATER 7/ 8/85 � MATIAGEMENT B 325 GPM oiSTFIICT FORM EN -- RECORDING WATER WITHDRAWALS USING AN ALTERNATIVE METHOD I. EIGHT ALTERNATIVE METHODS FOR MEASURING FLOW ARE DESCRIBED IN APPENDIX L. CHECK WHICH ALTERNATIVE METHOD YOU ARE USING TO MEASURE WATER WITHDRAWALS: ELECTRIC CONSUMPTION SPRINKLER OUTPUT FUEL CONSUMPTION MEASUREMENT OF FLOW USING A STRAP -ON PORTABLE METER WATER CONTROL STRUCTURE METHOD SAMPLING METHOD MONITORING WELLMETHOD OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) H. CHICK }IOW YOU MEASURE YOUR FLOW RATE: STRAP ON PORTABLE METER BUCKETS TO MEASURE FLOW PER UNIT OF TIME (IN GALLONS PER HOUR) MANOMEPER FLUMES OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) III. CHECK HOWYOU DETERMINE THE HOURS THEWF.LLS OR PUMPS ARI; USED ELECTRIC CONSUMPTION RECORDS ELECTRIC HOUR METER ON EACH WELL BATTERY HOUR METER ON EACH WELL MANUALLY RECORD THE TIME ON /TIME OFF INA LOG BOOK OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) IV. CHECK HOW YOU CALIBRATE YOUR SF,LECTED METHOD FOR ACCURACY? STRAP ON METER S.C.S. IRRIGATION RATING SURVEY OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) FORM EN - 54 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Instructions for Recording Water Withdrawals Using An Alternative Method An in-line totalizing now meter is the most efficient and easiest way to measure your water withdrawals. However, if more convenient or less expensive for you, you may utilize an alternative method. You must complete a FORM EN - 54 for each groundwater well and/or surface water pump that does not utilize an in-line flow meter to measure water withdrawals. This form is printed on the other side of these instructions. For each item on FORM EN - S4, place a check mark next to the appropriate choice. Included in this packet is Appendix I., which contains several alternative methods for measuring water withdrawals which are recommended by the District. Please read Appendix L carefully. If you choose an alternative method other than one listed in Appendix L, describe your choice on a separate sheet of paper. This description should include: which method you have chosen how you calculate flow rate in gallons per minute or gallons per hour how you record the time in hours and minutes for each period ,you are withdrawing water -- how you calibrate your method for accuracy Now, calculate your total monthly water withdrawal and record it each month using FORM EN - 50. You must submit a completed FORM EN - 50 to the District every six months. The District will review the alternative method ,you have chosen to determine if it meets the required 90 percent accuracy criteria. If your alternative method does not achieve this accuracy requirement, you will be required to use another alternative or a flow meter. QUESTIONS? Call Cheryl Astey at (904) 329-4209 INDIAN RIVER INDIAN RIVER COUNTY WATER 7/ 8/85 MANAGEMENT A 150 GPM I DISTRICT FORA... - RECORDING WATER WITHDRAWALS USING AN ALTERNATIVE METHOD 1. EIGHT ALTERNATIVE. MIs fHODS FOR MEASURING FLOW ARE DESCRIIIED IN APPENDIX L. CHECK WHICH ALTERNATIVE METHOD YOU ARE USING TO MEASURE WATER WITHDRAWALS: ELECTRIC CONSUMPTION SPRINKLER OUTPUT FUEL CONSUMPTION MEASUREMENT OF FLOW USING A STRAP -ON PORTABLE METER WATER CONTROL STRUCTURE METHOD SAMPLING METHOD MONITORING WELL METHOD OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) II. CHECK HOW YOU MEASURE YOUR FLOW RATE: STRAP ON PORTABLE METER BUCKETS TO MEASURE FLOW PER UNIT OF TIME (IN GALLONS PER HOUR) MANOMETER FLUMES OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) III. CHECK HOW YOU DETERMINE THE HOURS THE WELLS OR PUMPS ARI: USED ELECTRIC CONSUMPTION RECORDS ELECTRIC HOUR METER ON EACH WELL BATTERY HOUR METER ON EACH WELL MANUALLY RECORD THE TIME ON/TIME OFF INALOG BOOK OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) IV. CHECK HOW YOU CALIBRATE YOUR SELECTED METHOD FOR ACCURACY? STRAP ON METER S.C.S. IRRIGATION RATING SURVEY OTHER (EXPLAIN ON A SEPARATE SHEET OF PAPER) FORM EN - 54 ST. ,JOHNS RIVER WATER MANAGEMENT DISTRICT Instructions for Recording Water Withdrawals Using An Alternative Method An in-line totalizing flow meter is the most efficient and easiest way to measure your water withdrawals. However, if more convenient or less expensive for you, you may utilize an alternative method. You must complete a FORM EN - 54 for each groundwater well and/or surface water pump that does not utilize an in-line now meter to measure water %vithdrawals. This form is printed on the other side of these instructions. For each item on FORM EN - 54 , place a check mark next to the appropriate choice. Included in this packet is Appendix L, which contains several alternative methods for measuring water withdrawals which are recommended by the District. Please read Appendix L carefully. If you choose an alternative method other than one listed in Appendix L, describe your choice on a separate sheet of paper. This description should include: which method you have chosen -- how you calculate flow rate in gallons per minute or gallons per hour -- how you record the time in hours and minutes for each period you are withdrawing water -- how you calibrate your method for accuracy Now, calculate ,your total monthly water withdrawal and record it each month using FORM EN - 50. You must submit a completed FORM EN - 50 to the District every six months. The District will review the alternative method ,you have chosen to determine if it meets the required 90 percent accuracy criteria. If your alternative method does not achieve this accuracy requirement, you will be required to use another alternative or a now meter. QUESTIONS? Call Cheryl Astey at (904) 329-4209 (213dVd dO 1331 -IS UIVNVd3S V NO NIV'IdX3) H3H10 A3AHIIS ONILVH NOLLVOIHHI'S'J'S H313W NO dVH.LS LA3VN(I00V HOA 40H,L3W (1313TUS HfIOA 3.LVHSI'IV0 nOA MOH 3103HO 'Al (H3dtld JO 133HS HIVHVd3S V NO NIV'IdX3) H31-110 7100800/ V NI ddO3WLL/NO3WI.L 3HI ONOJ3N A'1'IVnNVW 113M HJV3 NO H3,L3W HnOH AH3.I.l.VB IIHM HJV3 N0H313W NnOH DIN L7313 SONO331d NOIJd WfISNOJ 3I1d.I33'13 QHSn3HVSdWndSO SIIHM3H.L SIInOH AHI WIN1151.1,2I(I nOA MOH XJ3HJ 'III (H3dtld d0.1.33HS 3.LVHVd3S V NO NIVIdX3) H3H.LO s3Wnld H3d3WONVW -- (HnOH Had SNM IVJ NI) 3WU dO.LINn Had MOId 3H(ISVSN O,L S13NJnH H3.L3W 318VINOd NO [VITIS o PI.LVH MOIA HnOA 3ilflSVil W nOA MOII XJ3HJ '11 (H3dtld dO ISHHS 3.LVHVd3S V NO NIV-IdX3) H3H.LO OOHJ2W T13M ONIHO.LINOW OOH.1.3W ONIIAWVS OOHISW 3Hn,Lonw s iOH.LNOJ H3,LVM H3JZW 318VI'dOd NO-dV'dlS V ONISn MO1d dO LN9W3'd(lSV3W NOI.I.dWRSNOJ 13nd .Lnd.LfIO 1131)INIUS NOIJWWfISNOJ JIH.I.0313 :SIVMVHUHd.IM H3J.VM HUSV311 O,L JN1Sn 3HV nOA 4OH.L'.IW HAI.LVNHHL'IV HJIHM XJ3HJ 'I XI4N3ddV N111381HOS3(1311V MOIA 0N12InSV3W HOA S(IOFI L3W 3AI.LVNH3.LIV 1.11013 '1 QOHIHW HAI NNU211 V NV ONIsfl srlvmv2IQH.LIM HHILVM 9NIU1I03Hu WHOA -Loll:f-LSI(3 Wd9 05 J-Lm3Lmanv?4vIA1 98/8 /L II31t/M Mrs 83AIN NVIONI NtlES£Q-i90-Z FORM EN - 54 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT Instructions for Recording Water Withdrawals Using An Alternative Method An in-line totalizing flow meter is the most efficient and easiest way to measure your water withdrawals. However, if more convenient or less expensive for you, you may utilize an alternative method. You must complete a FORM EN - 54 for each groundwater well and/or surface water pump that does not utilize an in-line flow meter to measure water withdrawals. This form is printed on the other side of these instructions. For each item on FORM EN - 54, place a check mark next to the appropriate choice. Included in this packet is Appendix L, which contains several alternative methods for measuring water withdrawals which are recommended by the District. Please read Appendix L carefully. If you choose an alternative method other than one listed in Appendix L, describe your choice on a separate sheet of paper. This description should include: which method ,you have chosen - how ,you calculate flow rate in gallons per minute or gallons per hour -- how you record the time in hours and minutes for each period you are withdrawing water -- how you calibrate your method for accuracy Now, calculate ,your total monthly water withdrawal and record it each month using FORM EN - 50. You must submit a completed FORM EN - 50 to the District every six months. The District will review the alternative method you have chosen to determine if it meets the required 90 percent accuracy criteria. If your alternative method does not achieve this accuracy requirement, you will be required to use another alternative or a flow meter. QUESTIONS? Call Cheryl Astey at (904) 329-4209 APPENDIX L ALTERNATIVES TO IN-LINE FLOW METERS FOR MEASURING WATER USE Alternatives To In -Line Flow Meters For Measuring Water Use The methodologies listed below are examples of alternatives to in- line flow meters for measuring flow to meet the requirements of section 6.7, Applicant's Handbook. Acceptance of an alternative in lieu of flow metering, will be made on a case-by-case basis after a review of each applicant's water use situation. To be approved in an individual case, each alternative must: 1. Maintain an accuracy of at least 908 in measuring flow, 2. Be independently verifiable by District staff, 3.. Meet the specifications, conditions and assumptions on which each alternative methodology is based. A. Electric Record Method (Electric Pumps) Hour meters on electrical pumps used to calculate flows via pump performance curves. Conditions The applicant must provide a diagram which clearly indicates the location of each pump and its associated hour meter. Each pump must be individually equipped with a direct reading electric meter that does not have additional electric inputs. Each pump must have an up-to-date pump performance curve certified by the pump manufacturer or a professional engineer. Every 6 months the permittee must submit monthly electric bills showing electrical usage for each separate electric meter, the number of hours each pump was run, and the RPMs at which each pump was run. Each pumping well must contain an access port to measure static and pumping water levels, or a monitor well must be drilled to the same depth as the production well(s) and within 5 feet of each pumping well to measure these levels. once per year the flow from each withdrawal point must be measured using a sonic flow meter or other method approved by the District to ensure that the actual flow is within 108 of the flow predicted by the pump performance curve. Note: If actual flow is not within performance curves must be prepared professional engineer, the pump must accurate pump performance curve, or meter must be installed. 108 of predicted flow, new by a pump manufacturer or be replaced by a pump with an an inline totalizing flow B. Ebel Record Method (Diesel Pumps) Monthly quantities of diesel fuel used to calculate flows via pump performance curves and fuel versus flow curves. Conditions 1. The applicant must provide a diagram which clearly indicates the location of each pump and its associated fuel tank. 2. Fuel usage must be individually attributable to each pump and must be accurately measured and verifiable. 3. Each pump must have an up-to-date pump performance curve certified by the pump manufacturer or a professional engineer. 4. Each pumping well must contain an access port to measure static and pumping water levels, or a monitor well must be drilled to the same depth as the production well(s) and within 5 feet of each pumping well to measure these levels. 5. Each pump must be fitted with a continuous recording hour meter which measures the total time the pump is operated. 6. A sonic flow meter or other District approved method must be used to determine the relationship between the time the pump is operated, the amount of fuel used, and the amount of water pumped. Different curves must be generated for each of the various pump rates and head differences to be encountered during pump operation. 7. Ebel consumption records must be submitted semi-annually for each individual pump, along with the number of hours each pump was run, the RPMs at which each pump was run and the head change over time at each pumping well. 8. Once per year the flow from each withdrawal point must be measured using a sonic flaw meter or other District approved method to ensure that the actual flow is within 10% of the predicted flow. Note: If actual flow is not within 10% of predicted flow, new performance curves must be prepared by a pump manufacturer or professional engineer, the pump must be replaced by a pump with an accurate pump performance curve, or an inline totalizing flow meter must be installed. C. Manometer Method (Any Pump or Artesian well) Hour meters, pressure tubes, and a sonic flow meter used to calculate flows via pump performance curves. Conditions 1. The applicant must provide a diagram which clearly indicates the location of each pump or well and its associated manometer and hour meter. 2. Each pump or artesian well must be fitted with a recording manometer (pressure tube) and hour meter, each of which provides continuous readings. 3. Each pumping well must contain an access port to measure static and/or pumping water levels, or a monitor well must be drilled to the same depth as the production well(s) within 5 feet of the production well to obtain these levels. 4. A sonic flow meter or other District approved method must be used to determine the relationship between the discharge, the manometer readings, and the time the pump operates. Different curves must be generated for each of the various head levels to be encountered during pump or well operation. 5. Once per year the flow from each withdrawal point must be measured using a sonic flow meter to ensure that the actual flow is within 10% of the predicted flow. Note: If actual flea is not within 10% of predicted flow, new performance curves must be prepared by a pump manufacturer or certified pump installer, the pump (if applicable) replaced, or a flow meter must be installed. D. Permanent On -Line Sonic Meter Method (Any Pump or well) Conditions 1. The applicant must provide a diagram which clearly indicates the location of each pump or well and its associated sonic meter. 2. Each sonic meter must be installed in accordance with all manufacturers specifications. 3. Each sonic meter must provide continuous totalized readings. 4. The electrical and magnetic housings must be protected from vandalism and lightning. E. Monitor Well Method Conditions This method can only be used in an area isolated from any influence on the ground water table other than the permittees' ping 1. The applicant must provide a diagram which clearly indicates the location of each pumping and monitor well(s). 3 2. The monitor well(s) must be cased into the same aquifer zone as the pump well. 3. Continuously recording hour meters must be placed in each pumping well. 4. The monitor wells must be drilled to the same depth as the production well(s) and equipped with devices to continuously monitor the changes in water level. Data must be available to factor out the yearly, monthly and daily changes in water level caused by seasonal variations and tidal fluctuations. 5. Two aquifer performance tests must be run on each well (one in the wet season, one in the dry season) to determine drawdowns in a monitor well or series of monitor wells at different rates of pumping. A discharge/drawdown curve must be developed relating flow to levels in monitor'wells. 6. Once per year the floc from each withdrawal point must be measured using a sonic flow meter or a District approved alternative to ensure that the actual flow is within 10% of the flow predicted by drawdown/discharge curves. Note: If actual flow is not within 10% of the predicted flow, a flow meter must be installed. F. Water Control Structure Method 1. The applicant must provide a diagram which clearly indicates the location of each water control structure. 2. A continuous recording water elevation meter must be placed in the canal upstream of the opening. 3. A rating curve must be developed by a professional engineer for each structure, relating its cross sectional opening at different weir levels to flow over time. 4. Flow measurements must be collected monthly and submitted tc the District semi-annually detailing all openings and closings of the structures and associated flow measurements. G. Sampling Method An alternative to metering all wells in an area or on a contiguous piece of property. Involves installation of an in-line flow meter on one well and calculation of the flow from the others based on their hours of operation. Conditions All unmetered wells must be of the same size and completed into the same zones in the aquifer as each other and the metered well. The geologic and hydrologic aspects of the property must be similar at the site of the metered and unmetered wells. 3. A pub efficiency curve must be developed for each of the metered and unmetered wells. 4. Both metered and unmetered wells must be equipped with continuous recording hour meters with totalizers. 5. A methodology for determining the regional change in head must be developed. Examples would include drilling a monitor well or use of monthly potenticmetric maps produced by the District. 6. A sonic flow meter or other District approved alternative must be used to develop a correlation between flows from the metered and unmetered wells at the start of the monitoring program. This correlation must be re -confirmed twice a year by re -checking with a sonic flow meter. 7. The following information must be collected monthly by the permittee and submitted to the District semi-annually: a. Hours each pump used per month b. Total gallons pumped per month from the metered well C. Total gallons pumped per month from the unmetered wells based on the pump efficiency curve d. Monthly potentiometric levels. 8. The maximum distance allowed between metered and unmetered wells will be established on a case-by-case basis considering the area topography, geology and crop type. Note: As with all other alternatives, if calculated floras from unmetered wells are not within 10% of actual flow, installation of an inline totalizing flow meter may be required. ST JC S RIVER Henry Dean, Executive Director John R. Wehie, Assistant Executive Director WATER POST OFFICE BOX 1429 PALATKA, FLORIDA 32178-1429 MANAGEMENT TELEPHONE 904/3294500 SUNCOM 904/860-4500 OISTRICT FAX(EXECUTIVEILEGAL) 329-4125 (PERMITTING) 3294315 (ADMINISTRATIONIFINANCE) 3213F4508 FIELD STATIONS 2— a E I— D 5 7 A NStreet 7nS Baymea .o Way PERMITTING: OPERATIONS: I G I A N RIVER COUNTY Ida 32901 sane 102 305 East Drive 2133 N. Wickham Road N I N STREET 0 , FbMa 32256 Meurne. Florida 32904 Mebeurne, Florida 329358109 4 0 2 5 9W;aduanvile30-6270 4079844940 407254-1762 UERO 8EAC141 FL 32960 RE: Consumptive Use Permit Measuring Forms Packet Dear Sir/Madam, Recently a letter was sent to all water users with individual consumptive use permits about measuring their water withdrawals. The letter was sent to inform you of action taken by the St. Johns River Water Management District at their December 1992 meeting. At that time the St. Johns River Water Management District Governing Board gave final approval for amendments to its metering rules (part of the Consumptive Use Rule, chapter 40C-2, F.A.C.). These amendments took effect in January 1993. One of these amendments changed the date by which all existing water users with individual consumptive use permits must begin measuring the quantity of water that they are withdrawing from each withdrawal point (well or pump) from January 1, 1994 to March 1, 1993. Measurements of water withdrawals can be made using a meter or an alternative method. All withdrawal points permitted prior to July 1991 may use either a meter or an alternative method. Unless your permit specifically requires the use of a meter, an alternative method is acceptable. Alternative methods are listed in Appendix L (enclosed). Enclosed for your use are the following forms: • Form EN -50 - Used to record monthly water measurements (whether you use a meter or an alternative to a meter). • Instruction sheet for EN -50 - Detailed information on filling out Form EN -50. • Form EN -54 and Instruction Sheet - One side of the form is used to record information on alternative methods and the other side contains the instructions for completing the form. • Appendix L- A list of District approved alternatives for measuring water withdrawals. If you need any information on filling out the forms, contact Cheryl Astey at (904) 329- 4209. Sincerely, J*D' edge, Direc r Df Resourc Management Joe E. Hill, CHAIRMAN Patricia T. Harden, VICE CHAIRMAN LEESBURG SANFORD Jesse J. Parrish, III, TREASURER Lenore N. McCullagh, SECRETARY TITUSVILLE ORANGE PARK Reid Hughes Dan Roach William Segal Denise M. Prescod James H. Williams DAYTONA BEACH FERNANDINA BEACH MAITLAND JACKSONVILLE OCALA ( � .11-. JVI IIVJ I II V LI I YV111 C(1 IVIr11Yf'{U LIrI LIY { UIJ I IIIV { - • P.O. ilox- 1429 iPalatka, Florida 32077 Telephone (904) 328-8321 (/(\�(p� M t. r moi, r' Y `l NOV 61985 ST. JOHNS RIVER WATER MANAGEMENT DISTRICT h A - FOR 414,1-ev 7icw Villaees of Lake Delores 9605 US 111 Sebastion.FL 32958 PERMIT NO. 3-061-0265 DATE OF ISSUANCE November 4, 1985 DATE OF EXPIRATION Nay 4, 1986 - Pursuant to the provisions of Chapter 40c -I Florida-Administrafive Code, and Application No. 3-019783 Adger L: Smith For the constructiorof the following; this permitis issued to: License No. 1035. Public Supply 6" well to serve Villages of Lake Delores, Consumptive Use Number 2-061-0357N, using jetting'method of drilling with galvanized casing material. LOCATEDAT. 9605 US #1 Sebast'aan, FL 32958 RP! Vinn 7n Tne 0,4, 11C'P,�go 19P In accordance with the application Dated: August 28, 1985 Permission for coni t-fu7tionof this well is granted in accordance with the Rules and Regulations of St. Johns River Water Management District and subject to conditions set forth on the reverse of this permit. Failure to comply with said provisions shall constitute a violation of this permit and shall subject the applicant to such civil and criminal penalties as provided by law. All drilling shall be performed within 6 months of issuance date and a copy of the well log will be submitted to this office within 30 days after - operations cease. In the event construction or repair is not completed within this time, an extension may be obtained upon written request by the permittee. This permit does nct imply allocation of water, approval of. sewage or other waste disposal facilities, or of water supply an . ojhe facilities in the area to be supplied by the well. GRANTED BY: TITLE: Director. Division of Records CONDITIONS FOR WELL CONSTRUCTiON�R]IITS • ' T3.''i5 »'ell shall be constructed in accordance with the reeuirements of Chapter 17-22, Florida 1 dminist rat ive. Code, including those rec-uire=eats pertaining to seat -.in-, grouting, and provisions for sampling and dis_n- fection (see.artached excerpt regarding construction). Shouldinzary hazards be c0-•n_trLdzed within one hundred (100) feet of this .:ell;t_e well shall be props lv abandoned and another source of water obtained. Tae -wee io which have been checked are necessary for the oc7ner and drilling contractor to comply with during and upon completion of the construction of this well. ( ) 1. Test holes may be constructed as provided in the Rules and Regulations of the St. Johns River Rater Management District. .Upon abandonment, the hole must be thoroughly plugged by a procedure approved by this District and surface finished so as to cause no hazard to human or animal passage over it, and to seal it hydraulically to prevent any leakage of water into or out of this well. ( 2 The construction of the proposed well must.be in compliance with the engineering plans and specifications approved by this District in -the application for this permit. Driller will notify Division of Enforcement within 24 hours of construction. ( ) 3. This well is in a potential salt water encroachment zone and may or may not yield acceptable water. This permit is there- fore granted with the understanding -that it may have to be plugged at owner's cost if it no longer yields acceptable water or acceptable treatment is provided. ( )•4. Geophysical logging of this well is of great value to the hydrogeologic data -of the District. Upon completion of the well and before installation of hardware, the District -will be notified by the owner within a week prior to well completion as to the appropriate time when the geophysical unit can log the well. ( } 5, average annual daily withdrawal shall not exceed one hundred thousand (100,000) gallons average per cap on an annual basis until such time as a.water use permit authorizing a greater withdrawal is granted by the District. ( ) 6. Other THIS PERMIT iS ONLY `SLID FOR CONSTRUCTION OF TAT' PUBLIC SUPPLY SELL. UPON RECEIPT OF TELt" COMPLETI0N REPORT T= PERMIT TILL BE FORWARDED TO DEPARTME2NT OF-ENVIrRONY-ENTAL REGULATI01i FOR ACTION ON = PUBLIC SUPPLY SYSi WA-T><R - (LuA-vmes- p 'tY Wvs—f wv,�- (o �� CAS i N 6-. w 3 " D a.oe oQ D1SCuA-&6t PAPE' Ca* s -c .ptpvMtT N ° 3-061 -0265 C.U.P. u" oz- o6l - 03s7 �1 Det -le tssven Itl¢lar 2" Hease r t�WT%?e. DIS lE lio 6ptl COASTAL CORRUGATED PIPE CO. TOLL FREE 5695 North U.S. 1 • Vero Beach, FL 32960 1.800.245.7117 (305) 569.5444 �Xa.a6ael��na & Dlalrl6r6eTe CORRUGATED DRAINAGE PRODUCTS FABRICATED FITTINGS // -�� �CAS1J6� V 931 otel 9/ C,w G M.C�vt...r z . Orlando Laboratories, Inc. P. O. Box 19127 Orlando, Florida 32814 0 3051896-6645 Li O W cST IN Et- - ROUTINE WATER ANALYSIS Peak P nce L�kP o�scµ�r Adger Smith Wells, Inc. Report #: 45617 (8338) 873 Adger Smith Lane Sampled by: Client Melbourne, Florida 32935 Date Sampled: 12-11-85 @ 12:30 pm. Date Received: 12-18-85 Date Reported: 01-08-86 Page 1 of 2 IDENTIFICATION: Lake of Delores, Sebastian, Florida. Appearance: Yellow. METHODS This water was analyzed according to "Standard Methods for the Examination of Water and Wastewater," Latest Edition, APRA, AWWA and WPCF. RESULTS Total Dissolved Solids, TDS 330 Silica, Si02 2.7 Phenolphthalein Alkalinity, CaCO3 0 Hydrogen Sulfide, H2S (F -F) <0.1 Total Alkalinity, CaCO3 283 Sodium, Na 13.5 Carbonate Alkalinity, CaCO3 0 Potassium, K <1.00 Bicarbonate Alkalinity, CaCO3 283 Total Hardness, CaCO3 278 Carbonates, CaCO3 0 Calcium Hardness, CaCO3 270 Bicarbonates, HCO3 345 Magnesium Hardness, CaCO3 7.07 Hydroxides, as OH 0 Calcium, Ca 108 Carbon Dioxide, CO2 40 Magnesium, Mg 1.72 Chloride, Cl 20.8 Iron, Fe <0.10 Sulfate, SO4 <1.0 Manganese, Mn <0.05 Fluoride, F 0.040 Copper, Cu <0.01 pH (Laboratory) 7.2 plis 6.95 Stability Index 6.69 Saturation Index (corrosivity) 0.25 Color, PCU 30 Odor Threshold 1 Turbidity, NTU 2.7 Our Flor a D artment of Health 6 Rehabilitative Services Identification Number s 31 1. Results expressed in mg/1. Signed: iLa ratory Manager Adger Smith Wells, Inc. Report dl: 45617 (8338) 01-08-86 Page 2 of 2 QUALITY CONTROL DATA SHEET DUPLICATES• PARAMETER % DIFFERENCE DATE ANALYST Calcium 1.1 01-06-86 B.M. Magnesium 1.9 01-06-86 B.M. Iron 2.9 01-06-86 B.M. Manganese Q.0 01-06-86 L.N. Copper <1.0 01-06-86 L.N. SPIKES: PARAMETER % RECOVERY DATE ANALYST Calcium 108 01-06-86 B.M. Magnesium 109 01-06-86 B.M. Iron 99 01-06-86 B.M. Manganese 98 01-06-86 L.N. Copper 100 01-06-86 L.N. ul y ubmitted, L zratory R TORIE , IV. Manager 0= 705 S.W. 27th Avenue, #4 s�. E N V I R 0 M E T R I C S ii','w ID 83214 • Vero Beach, Florida 32962 • oc 012 312 19x4 Telephone (305) 562-1968 STANDARD CHEMICAL WATER ANALYSIS Sample Identification -: i V•-,-. ,:41 1 �..� I..-�i �_�_ ..�j 1.-:-.. -..♦ :A Sample Location: ' Sample Date "�:;:: 2=: 1S"�, 173^ Received Lab: :iV'_'l ?'?.=: 1°`;!; ;C30'- -• Sampled by: Lab Los # 0'17 Parameter ms/I Parameter mg/� Total Dissolved Solids = Total Hardness, CaCO3 Chloride, as CI1 Calcium Hardness, CaCO3 Turbidity, NTU 1.0 Magnesium Hardness,CaCO3 3 Nitrate, as N 2 Calcium, as Ca Fluoride, as F U•07 Magnesium, as Mg 7 PH 7.4 Iron, as Fe pHs 7.1 Hydrogen Sulfide, H2S ;i 0.0 Stability Index 6.03 Total Alkalinity, CaCO3 27C Saturation Index -0.3 Carbonate Alkal., CaCO3 0 Odor Threshold 1 Bicarb. Alkal., CaCO3 Color, PCU = P. Alkalinity, as CaCO-3 Carbonate, as CO3 n Bicarbonate, as HCO3 _ - Sulfate, as SO4 " Hydroxide, as OH 0 S i fined : ---------- Reference: "EPA Methods for Chemical Analysis of Water and Wastes." March, 1979. "Standard Methods for the Examination of Water and Wastewater." 15th ed. A PUBLIC WA`2 SUPPLY WELL CONSTRUCTION&PLICATION ` ST. JOWS RIVER WATER MANAGEMENT TRICT 3-0&/-aa(os1 Mail To: PERMIT DIVISION (WWC) 93 POST OFFICE BOX 1429 APPLICATION N0.5-0/47 PALATKA, FLORIDA 32077 EXTENSION DATE PHONE -904/328-8321 CONDITIONS ------------------------------------------� I Type or print in ink. Attach a plat or sketch showing well location relative to existing buildings I '1 or physical features, property boundaries, known and proposed sources of contamination in the I I vicinity, and overhead obstructions such as power lines. I I a - z NAME OF WELL CONTRACTOR SMITH ADGER L. 9 * M or (Lastl tFvatl CORPORATION/BUSINESS NAME ADGER SMITH WELLS, INC LICENSE NO. )Middle). _. 1035 0O MAILING ADDRESS PO BOx 361076 Melbourne, FL. 32936 TELEPHONE (305) 254-2446 9 (Streeuso.) (City) (Stau) tZip) NAME OF WELL OWNER VILLAGES OF LAKE DOLORES o (Leri) (Fimil MAILING ADDRESS 9605 Wl Sebastain, FL. 32958 IMiddlel o r sueeto so., (City) 'sta1e1 d CORPORATIONIBUSINESSNRME COUNTY �M Indian ive .T �..z, OWNER'S CONSULTING ENGINEER or GEOLOGIST H P Arias & AS o 2100 Sunrise Blvd m. (Name andAddresal Ft Pier OWNER'SAGENT Nelson Hyatt 9605 US#1 Sebastian, FL. 329 8 S549b (Name and Address) :U WELL TO SUPPLY Vtllaoes of Take Dolores COUNTY Indian River m (Name of6ualneaa. suAmislon, or other r water system well is to serve) NUMBER OF PEOPLE SERVED PER DAY (AVERAGE) 1300 DAYS USED PER YEAR (AVERAGE)___L6_5 365 WELL CAPACITY (GALLONS PER MINUTE) 500± . r O c C) WELLLOCATION 9605 US#1 Sebastain FL. 32958 (Nearstreet crural mute) (Cly) ISutel (2id) C SECTION •20 TOWNSHIP 31SRANGE 39E (or) LATITUDE O z LONGITUDE TYPE OF WELL: NEWWELL X SURFACE CASING DIAMETER 6" OPEN HOLE DIAMETER.61t CASED DEPTH 50' PROPOSED TOTAL DEPTH 100' MODIFIED WELL ABANDONED WELL GROUTING PROPOSED (Per Chapter 17.22, F.A.C.) UPPER 20 FEET X ANNULAR BOTTOM TO TOP CASING INTO BOTTOM 5 FEET OF CONSOLIDATED FORMATION METHOD OF DRILLING jetting CASING MATERIALAND SPECIFICATIONS 611 galv. pipe with 50' 6' stainless steel screen PROCEDURE PROPOSED FOR ABANDONMENT fill with neet cement grout DESCRIPTION OF MODIFICATION PREVIOUS PERMIT NUMBER CUP 2-061-0357N 7/8/85 I agree to furnish a log within 30 days after drilling operations cease and to comply with all provisions of the -0 rules and regulations of the SJRWMD and with the regulations of DER, relative to well construction. rn < 9 (S' re of Drilling Contractor) O I I hereby consent to be regulated by SJRWMD regarding consumptive use of water and allocation thereof, and if this permit is granted I agree to comply with the conditions set forth on the reverse side thereof. Ac- cess to the proposed well site for Inspection during construction and geophysical logging at any reasonable i time after completion of the well is hereby granted to pers I of SJRWMD $55.00(Amount of fee enclosed) (Signature of Owner or hi Authorized Agent) YV•l Agent signature mus a accompanied by written authorization from the owner. (305) 461.3162 (305) 464$713 PUBLIC SUPPLY AND/OR ESSENTIAL TYPE USES (Submit 3 copies of application, supplemental information, drawings, calculations, etc.) I. YEAR-ROUND PUBLIC SUPPLY A. POTABLE WATER SUPPLY 1. Please submit a map (USGS quad) showing the service area served by the Utility or water supplier. 2. Please submit any of the following which apply: (a) A copy of the Public Service Commission (PSC) Certification describing the service area; (b) A copy of a local government franchise agreement; or (c) Documentation that the utility or water supplier is not regulated by the PSC or local government. 3. Complete Table 1- Historic Water Use, and Table 2 - Projected Water Use as a basis for the requested allocations. In addition: (a) Provide the past 12 months of Daily Operation Summary Sheets (MOR's) required by DER and calculate historic average daily and maximum daily per capita use; (b) Use these calculations to provide projected average daily and maximum daily per capita use for input on Tables 1 and 2. (c) Explain the method of projecting population growth: B. WASTEWATER DISPOSAL 1. Specify the present and projected amounts of wastewater: PRESENT (mgd)' PROJECTED (7 YEARS) Average daily disposal Treatment plant maximum capacity 'mgd = million gallons per day PS -1 2. Specify the percentage for each type of disposal (total 100%) C. REUSE OF RECLAIMED WATER 1 Describe the method of reuse by completing (a) - (c) below: (a) Type of site (golf course, commercial landscape, etc.) _ (b) Name of facility accepting reclaimed water (c) Acreage of site 2. What is the quantity of reclaimed water used? PRESENT % PROJECTED % 7 YRS Reuse PROJECTED 7yrs) m d Offsite Discharge Average daily flow Individual Septic Tanks On-site Percolation Ponds Maximum daily flow On-site Spray Fields Other C. REUSE OF RECLAIMED WATER 1 Describe the method of reuse by completing (a) - (c) below: (a) Type of site (golf course, commercial landscape, etc.) _ (b) Name of facility accepting reclaimed water (c) Acreage of site 2. What is the quantity of reclaimed water used? 'mgd - million gallons per day 3. Describe future reuse plans 4. List all potential users within a 5 mile radius of the wastewater treatment plant. Include a map locating potential users in reference to the wastewater treatment plant. D. WATER CONSERVATION PLAN Please submit a water conservation plan prepared in accordance with Section 12.4.5, Applicant's Handbook, Consumptive Uses of Water. E. ESSENTIAL USE 1. Are you requesting an allocation for fire protection? (a) Specify the number and location of well(s) or pump(s) that will be used (b) Calculate the amount of water requested based on the pump's maximum capacity (gpm) pumping continually for a 24 hour period mgd. PS -2 PRESENT m d' PROJECTED 7yrs) m d Average daily flow Maximum daily flow 'mgd - million gallons per day 3. Describe future reuse plans 4. List all potential users within a 5 mile radius of the wastewater treatment plant. Include a map locating potential users in reference to the wastewater treatment plant. D. WATER CONSERVATION PLAN Please submit a water conservation plan prepared in accordance with Section 12.4.5, Applicant's Handbook, Consumptive Uses of Water. E. ESSENTIAL USE 1. Are you requesting an allocation for fire protection? (a) Specify the number and location of well(s) or pump(s) that will be used (b) Calculate the amount of water requested based on the pump's maximum capacity (gpm) pumping continually for a 24 hour period mgd. PS -2 TABLE 1 HISTORIC WATER USE Last y years Past Population Number o1 Units Per Capita U mga Household Avg. day Moot. day (mgal) Met) Commercia9lndustrial Avg. day Max, day (mgal) (mgal) Irrigation (urban landscape, recreation or common areas) (mgal) Water Utility (mgal) Total Annual Avg. day Max day (mgal) (mgal) Installed Wellfield capacity (mgad) 19 19 19 19 19 19 19 Maximum SJRWMD Allocations Household Type Use Average daily per capita use: 150 gallons. Maximum daily per capita use: 300 gallons. These numbers are based on national averages for 1/4 acre lot, and include combined indoor and outdoor use by a household. Commercial/Industrial Type Use Varies by use. Use industry standards. Irrigation Type Uses Varies by irrigation system and soils. Contact District for allocation determination. Water Utility Use Water lost due to leaks in distribution system, priming pump and flushing lines. Usually 5% - 10% of total water pumped. TABLE 2 FUTURE WATER USE Nex[Number Vears ProjectedOf Population Units Units Per Capita Usage (gam) Household Avg. day Mau. day (mgal) (m9�1 CommerciaNndusvial Avg.da Max. da my y (mgal) (mgall Irrigation (urban landscape. recreation or common areas 1 (m9a9 Water mgal (m9a11 Total Annual Avg. day Man day 1m9a9 (m9�1 Installed Wellfield acapacity l) Im9�1 19 19 19 19 19 19 19 II. SEASONAL PUBLIC SUPPLY (Mobile Home Parks, RV Parks, Campgrounds, etc.) (Submit 3 copies of application, supplemental information, drawings, calculations, etc.) 1 2 3 4 5 6 7 Number of acres owned: Total number of lots/spaces: Average number of residents over the past 12 months: During which month is the park most occupied?: During which month is the park least occupied?: Does each lot/space have an individual water meter?: Does this facility have any of the following water uses: (yes or no) a) b) C) d) e) f) Laundry Swimming pool Common green areas under irrigation system Bath house/restrooms Club house with restrooms Other uses, please specify total acres) 8. Attach copies of DER monthly pumpage reports for the last 12 months. Using the past 12 months of DER monthly pumpage reports, please calculate: a) Average Daily water use over the past 12 months: mgd" b) Maximum Daily water use over the past 12 months: mgd" c) TOTAL water used over the past 12 months: mg 9. WASTEWATER DISPOSAL - please specify the percentage for each, to total 100%: Offsite Discharge PRESENT Individual Septic Tank On-site Percolation Pond On-site Spray Field Other: 10. If wastewater is treated on-site: a) b) C) d) PROJECTED % 7 YRS Specify level of treatment: Maximum treatment capacity of plant: Average dai)y disposal over the past 12 months: Amount of water reused: 'mgd = million gallons per day PS -5 mgd / to be reused mgd mgd mgd A DRAFT 7-29-92 WATER CONSERVATION PLAN FORM FOR PUBLIC SUPPLY APPLICANTS Section 12.4.5.1 - Applicant's Handbook: All individual permit applicants for a public supply type water use must submit a water conservation plan for their facility to the District at the time of permit application. The plan must contain specific measures designed to conserve water. At a minimum, the water conservation plan must Include the following elements: (a) An audit of the amount of water used in the applicant's production facility, transmission lines, and distribution system; leak detection and repair program if necessary and cost effective (b) A program for technological, procedural, and/or programmatic improvements to the applicant's production facility, transmission lines, and distribution system to decrease water consumption; (c) An analysis of the economic, environmental and technical feasibility of reusing reclaimed water, recycling water on-site, utilizing the lowest acceptable quality water source, and providing reclaimed water or stormwater for use; (d) Develop and implement an employee awareness and customer education program concerning water conservation; and (e) Procedures and timeframes for implementation, and for periodic assessment and revision of the water conservation plan. In evaluating this form, the District will consider: • your specific use relative to other similar uses • available technology 0 economic feasibility General Information Applicant/Owner Name: CUP Number: Date Plan Submitted: Agent/Consultant Name: Project Name: • If you serve multiple developments and/or municipalities, please provide a map identifying service area boundaries and the associated geographical entities served. • If you have additional information regarding your water conservation activities, please attach copies to this form. 2 Section I WATER AUDIT New Applicants: Must conduct an audit within two years after permit Issuance. Renewing, Existing Violations, or Expired Applicants: Must conduct an audit as part of the application process. Purpose: To help focus water conservation efforts via determination of system efficiency and identification of sources of water and revenue loss. Required Information: • Water Audit Component Summary • Unaccounted Water Determination (Worksheet 1) 0 Leak Detection Cost Feasibility (Worksheet 2) • Corrective Action Plan Note: New Applicants are defined as new facilities, it does not include existing violations or late renewals which are reclassified as °new uses". 3 WATER AUDIT COMPONENT SUMMARY The following guidelines are designed to assist the applicant in collecting sufficient data necessary to conduct the required water audit. Each of the following components must be summarized unless they are part of the consumptive use permit application. These summaries will then allow the applicant to accurately complete Worksheets 1 and 2. Information to Summarize • Water production/service summary (daily and monthly figures) • Water use records for past 12 months (review residential and commercial meter sales on a month by month basis). Please submit summary of this information if available. • Sources of water (i.e., wells, surface, purchased, reclaimed) • Location, type, and size, of production facility meters • Accounting and meter reading processes which may provide for inconsistencies in commercial and residential sales records (i.e., frequency of readings and noted calibration errors) • Records from metered services (i.e., construction, street cleaning, line flushing, etc.) 2. 3. H 5. 9 7 WORKSHEET 1 UNACCOUNTED WATER What is the total volume of water entering the distribution system? MGY (million gallons/year) What is the total volume of water sold and or metered in the distribution system? MGY Unaccounted Water (Line 1 minus 2) MGY What is the estimated volume of water for each Unmetered uses: a. Firefighting MGY b. Sewer flushing MGY C. Main flushing MGY d. Street cleaning MGY e. Construction use MGY f. Public use - schools, irrigation, municipal buildings MGY g. Other: MGY Total amount of unmetered water use (Add a - g) MGY Actual unaccounted for water in system (Line 3 minus Line 5) MGY System unaccounted water percentage (Line 6 Divided by Line 1 x 100) Percent Note: For unmetered uses (Line 4), please provide a narrative on how each estimate was calculated. 5 WORKSHEET 2 LEAK DETECTION EVALUATION To demonstrate the cost effectiveness of a leak detection and repair program, the following Worksheet has been prepared. Actual unaccounted for water in system (Line 6 on UAW) MGY 2. Estimated amount of total due to leakage MGY (District typically estimates 50% of unaccounted water) 3. Estimated recoverable leakage MGY (Typically 805/o of Line 2) 4. Purchase cost of water per year (if applicable) $ per/ 1000 gal. 5. Cost of chemicals for treatment per year $ per/ 1000 gal. 6. Cost of electricity for pumpage per year $ per/ 1000 gal. 7. Total production cost per year (Add Lines 4 - 6) $ per/ 1000 gal. 8. Average production cost per 1,000 gallons (Line 7 divided by Line 1 of UAW x 1,000) $ 9. One-year benefits from recovered leakage (Line 8 x Line 3, divided by 1,000) $ 10. Total benefits from recovered leakage over two years (Line 9 x 2) $ 11. Estimated cost of leak detection $ 12. Estimated time for cost recovery years Note: 'UAW' refers to Unaccounted Water Worksheet 1 Provide a narrative to justify the estimated cost for leak detection. R CORRECTIVE ACTION PLAN The following are examples of system improvements that could form a comprehensive corrective action plan. • Update Utility Master Plan • Update water distribution maps • Repeat audit annually • Computerize billing and accounting system • Account for fire, street, and sewer unmetered use • Annually test and calibrate all production meters •. Annually test all large meters • Standardized meter reading cycle • Remove meters not in use • Establish water main replacement program • Begin comprehensive leak detection and repair program • Require contractors to inform utility and meter water used • Complete systemwide metering • Review line maintenance procedures If it is necessary and cost effective, propose an implementation schedule for a leak detection, repair and corrective action program. 7 J Section II Technological, Procedural, and/or Programmatic Improvements Management Water Treatment Plant Technologies: Describe conservation measures used during the water treatment process. (You may wish to use a flow chart.) Water Use Monitoring: Are your production wells currently equipped with individual meters? If yes; Yes No (a) Indicate what type(s) you use (i.e., in-line flow meter, hour meter). (b) What is the calibration schedule for the production well meters? (c) What was the last date of calibration of these meters? If no, what type of meter do you plan to install to meet District monitoring requirements? Note: New applicants are required to install in-line totalizing flow meters to measure water use before initiating withdrawal. Renewing applicants are required to measure water use within one year of permit renewal, or by January 1, 1994, whichever is sooner,using either in-line flow meters or a District -approved alternative method. 2. Is each service connection including residential, commercial, industrial and other users currently equipped with a meter? Yes No _ Note: The District now requires that all public supply service connections be metered. If no, propose implementation and calibration schedules for placing individual meters on all service connections. 3. Are there any master meters on your system? Yes No If yes: (a) Propose an implementation schedule which will prohibit new master meters. (b) Propose an implementation schedule which will supply sub -meters to master metered customers. 4. Provide a table showing the breakdown of the present number of service connections for residential, commercial (includes apartments, schools, hospital, etc.), and industrial uses. Other Water Treatment Plant Water Use Practices: What other water use practices have you undertaken or do you plan to undertake to conserve water at the water treatment plant? (i.e., vehicle/equipment washing with reclaimed water) Is Indoor Conservation Programs for Customers: Do you provide indoor water audits for your customers? Residential: Yes No Commercial: Yes No Industrial: Yes No If yes: (a) Describe the type of audit and procedure for conducting the audit. (b) How many audits are conducted per year? (c) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an indoor audit program or provide an explanation of why this type of program cannot be undertaken. Residential Plumbing Retrofitting Programs: Do you provide water conservation plumbing retrofitting devices and/or kits to your residential customers? Yes No If yes: (a) Describe the devices and/or contents of the kits and their cost to you and/or the customer. (b) Describe the method(s) used to distribute the devices and kits. (c) Indicate the number and percent of customers impacted by this program. 10 (d) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an indoor retrofitting program or provide an explanation of why this type of program cannot be undertaken. Non -Residential Retrofitting Programs: Describe involvement your facility has had in retrofitting non-residential plumbing or equipment for large volume users of water (i.e., industries, institutions, commercial entities). New Construction Programs: Do you have new construction incentives for water conservation? Yes No Not Applicable _ If yes, describe these incentive programs (i.e., rebates for builders or homeowners who equip houses or other structures with ultra low volume plumbing fixtures, variable or sliding hookup fees favoring those who have ultra low volume plumbing fixtures, favorable water pricing structure for customers equipped with water efficient plumbing. If no, propose an implementation schedule for new construction water conservation incentives or provide an explanation of why this type of program cannot be undertaken. other Indoor Conservation Programs for Customers: Please describe any other indoor conservation programs you have implemented. Outdoor Conservation Programs for Customers: Do you provide outdoor water audits for your customers? Residential: Yes No Commercial: Yes No Industrial: Yes No If yes: (a) Describe the type of audit and procedure for conducting the audit, (b) How many audits are conducted per year? (c) Assess the success of this program (estimate how much water has been saved). If no, propose an implementation schedule for an outdoor audit program or provide an explanation of why this type of program cannot be undertaken. 12 Water Efficient Landscaping: Do you provide information on water efficient landscaping (Xeriscape) to customers? Yes No 2. Have you sponsored a water conservation demonstration garden or landscape plot(s)? Yes No 3. Do you have a rebate or other incentive program to encourage the use of water conservation landscaping for new construction? Yes No If no to any of the above questions, propose an implementation schedule for providing information on water efficient landscaping or provide an explanation of why this program cannot be undertaken. 4. Please describe any other activities you have implemented relative to water efficient landscaping (i.e., soil moisture monitoring and rain shutoff device distribution program). Other Outdoor Conservation Programs for Customers: Please describe any other outdoor conservation programs you have implemented (i.e., recirculating stormwater for aesthetic uses). 13 Rate Structure: 1. What type of rate structure do you currently utilize? Flat Rate Decreasing Rate Inclined Rate Combination (explain) Variable for seasonal demand (explain) - Other (explain) 2. Please describe the rate structure. 3. What is the rate? Residential per gallons Commercial per gallons 4. Does your rate structure encourage conservation? Yes No If yes, please describe, if no, propose an implementation schedule for a conservation rate structure or provide an explanation why this program cannot be implemented. Such rate structure should include at least one of the following: increasing block rates, seasonal rates, quantity based surcharges and/or time of day pricing. 14 Ordinance Development If you are a publicly owned and operated utility, provide a schedule for the adoption of the following water conservation related ordinances or an explanation of why it cannot be undertaken? (a) Requiring the installation of ultra-low volume plumbing fixtures in all new construction, such that plumbing fixtures are installed to comply with the following maximum flow volumes at 80 PSI: Toilets: 1.6 gal/flush Urinals: 1.0 gal/flush Shower heads 2.5 gal/min faucets (bathroom) 2.0 gal/min (kitchen) 2.5 gal/min (b) Adoption of water conservation - based rate structure. (c) Prohibiting master meters on new service connections. (d) In areas which are prone to freezing temperatures: prohibiting the use of water to freeze protect pipes and bibs. (e) Prohibiting wasteful use of water. (f) Requiring the installation, where practical, of a dual piping system to provide reclaimed water in new construction. 2. Where the local government operating the public water supply utility, pursuant to section 125.568 or 166.048, F.S., determines that water efficient landscaping (Xeriscape) would be of significant benefit as a water conservation measure relative to the cost of water efficient landscape implementation, the local government operating the public water supply utility is required to adopt a water efficient landscape ordinance meeting the requirements of section 373,185(2)(a) -(f), F.S. In the event such a water efficient landscape ordinance is proposed for adoption, the permit applicant shall submit the draft ordinance to the District for determination of compliance with section 373.185(2)(a) -(f), F.S. If the cost/benefit analysis has not been done, the applicant may utilize the District's Guide for Local Governments Water Efficient Landscaping (Xeriscape) ordinance economic feasibility analysis. 15 3. What other regulatory or policy activities have you undertaken or do you plan to undertake to conserve water? (i.e., establishment of a water conservation coordinator position, meter readers monitoring and reporting watering restrictions violations) 4. Public water supply utilities operated by private entities are required to document the fact they requested local governments within their service area to adopt those water conservation ordinances listed above. Documentation of the local government's response must be provided. 16 Section III USE OF LOWER QUALITY WATER SOURCES Describe your current reuse program. 2. If you do not have a reuse program currently in place, for those public water supply utilities who control, either directly or indirectly, a wastewater treatment plant, provide a time -frame for the completion of an analysis of the economic, environmental, and technical feasibility or reusing reclaimed water, recycling water on-site, utilizing the lowest acceptable quality water source for the intended purpose, and providing reclaimed water or stormwater for end use. Applicants are required to utilize the Guidelines for Preparation of Reuse Feasibility Studies published by the Department of Environmental Regulation in November, 1991. 3. If you recycle treatment process discharge water or stormwater for onsite landscape irrigation or for any other purpose, please describe the use. 4. Provide a map of the reclaimed water service area showing distribution lines (existing and proposed) and the name, addresses and quantities used by each existing reuse customer. 17 Section IV Customer and Employee Education (Please attach examples of water conservation information you provide to customers) 1. Using the appropriate letter, please summarize on the following list of which public education and employee awareness measures you have already implemented (1) or plan to implement (P). Activity Implementation date Use bill stuffers to provide water conservation tips and information to customers Use special mailings to provide water conservation tips and information to customers Provide specific water conservation literature or other information for different customer categories Use other advertising (radio and N public service announcements, billboards, newspaper or magazine ads) to encourage water conservation among customers Provide water conservation materials to schools Conduct public tours of your facilities Operate informational booths which include water conservation literature Seek employees' ideas for water conservation, using contests, suggestion boxes or other incentives Install signs in employee restrooms encouraging water conservation Publish and distribute water conservation tips and information via company newsletters, bulletin boards, or employee paychecks ti:3 Appoint an employee water conservation _ coordinator to design and implement your internal plan Conduct other public education and employee awareness activities (please explain) Private utility provide information for applicable local water conservation ordinances 2. Of the education and awareness programs you have implemented, which have been especially effective? 3. Of the education and awareness programs you have implemented, which have not been effective? Why? M Section V PLAN IMPLEMENTATION SCHEDULE SUMMARY Note: This is a specific requirement of the applicant's Water Conservation Plan 1. Go back through the Conservation plan and list all of the activities where you proposed an implementation schedule. Specific date or time frames must be given. Activity Implementation Schedule Note: A progress report must be submitted at the mid point of the permit to address the implementation of activities. Please keep a copy of this plan for your records. Person Responsible for Implementing the Plan: Signature Date Phone Number 981 ' RECORD VEEIFIEL` .IEFFFIEY e. 1, \0 FCN ` CLENK GIRt''.:IT CCUII �h " INI71Arl NIVEL' C.? . ;:I -.A f AWW_ L-4ke OeLo1QE5 y�/i}i E2 f WSW PLq iv r5 DOCUMENTARY STAMPS li JEFFREY K. BARTON, CLERK milrauty ked (STATUTORYNiORM DIVER101011 669.01 F.S.) (04le 31thrlthitt, Made this 18th day of January, this instrument was prepared by, A* law 011ie* of FREP T. GALLAGHER P.O. Box 1900 VIVO IIACN, FLORIDA ]]961-1900 1990 , 110111ttR NELSON IIYATT, a/k/a NELSON C. HYATT, of Tile County of Indian River , Stole of Florida grantor', and INDIAN RIVER COUNTY, a political subdivision of the State of Florida, whose post 011ie@ address is 1040 25th Street, Vero Beach, Florida 32960, of The County of Indian River , Stole of Florida , grantee', W11111? WWII, That said grantor, for and In consideration of the sum of ----------------------------Ten and no/100--------------------------- Dollors, and other good and valuable considerations to said grantor in hand paid by said grantee, The receipt whereof is hereby acknowledged, hos granted, bargained and sold To the said grantee, and grantee's heirs and assigns forever, the following described land, situate, lying and being In County, Florida, Io -wit: Those two parcels of land as particularly described In Exhibit A attached hereto. Sssbject to easements, restrictions and reservations of record arid taxes and assessments subsequent to December 31, 1909, This Deed is being given by Grantor to Grantee pursuant to that certain Agreement by arid between the parties hereto dated July 11, 1909, pertain- ing to the County takeover of the utility system, and is further being given upon the specific condition contained in Paragraph 4 entitled "Right of First Refusal", wherein the Grantee obligated itself to recon- vey said property described in Exhibit A hereto at such time as said property is no longer being used by Grantee in its utility operation or at the end of ten (10) years from the date of said Agreement, which- ever first occurs. If after the expiration of said ten-year period, the Grantee still requires the use of said property, Grantee shall., at that time, pay to Grantor the fair market value for said property. and said grantor does hereby fully warrant the Title to said land, and will defend the some against the lawlul claims of nil persons whomsoever. e "Grantor" and "grahlee" are used for singular or plural, as context requires. fill one �htttni, Grantor has hereunto set grorger's hand arid seal the day and year first above written. Signe Baled and delivered in our presenter (/� �� �%" (Seal) Nels�tfC, Ilya — / � — ISeull r� 1\S T - ISnnll i IScnll STATE OF FLORIDA l i:_vlr P. "Ilunac COUNTY OF INDIAN RIVER County AUomey I HEREBY CERTIFY Thal on This day before me, on officer duly qualified to lake acknowledgments, personally appeared NELSON IIYATT, a/k/a NELSON C. IIYATT, To me known to 66 the person described In and who executed the foregoing instrument and acknowledged before me that he executed The sane. WITNESS my hand and official seal in the County and SI r-Jost_oloresaid this 18th day of January, 1990, My commission expires: _ Notary Public NOTARY PUJIIC. STATE OF FLORIDA. LIY CO61 x115 SIUN EXPIRES: DEC. 11. 1991. - n i,•r�.�U„•,1.�.•�nnLln llnnlnlV n:ll Pe. ,r, *—• Vero Beach, Florida 3296.0 I WATER PLANT SITE LEGAL DESCRIPTION COMMENCE AT THE CENTERLINE INTERSECTION OF STRATTON AVENUE AND BRISTOL STREET, AS SHOWN ON 111E PLAT OF SEBASTIAN HIGHLANDS UNIT 17, RECORDED IN PLAT BOOK 8, PAGE 46 OF THE PUBLIC RECORDS OF INDIAN RIVER COUNTY, FLORIDA, AND RUN, ACCORDING TO THE SAID PLAT, S 00°2901" E ALONG THE CENTERLINE OF BRISTOL STREET 25.00 FEET TO A POINT. THEN RUN EAST 25.00 FEET TO TIIE EAST LINE OF BRISTOL _ STREET AND THE BEGINNING OF A 1014.13 -FOOT RADIUS CURVE CONCAVE TO THE NORTH. THEN RUN ALONG THE CURVE, THROUGH A CENTRAL ANGLE OF 05" 19' 59 AN ARC DISTANCE OF 94.10 FEET TO A MINI OF BEGINNING. THEN RUN STILL ALONG THE SAID CURVE, THROUGH A CENIRAL ANGLE OF 07" 25' 55", AN ARC DISTANCE OF 131.54 FEE1 10 A POINT. THEN RUN S 00' 29'01" E 169 FEET TO A POINT. THEN RUN WEST 130 FEET TO A POINT. THEN RUN N 00029'01"W 148.38 FEET TO THE POINT OF BEGINNING. CONTAING 0.47 ACRES, LYING IN INDIAN RIVER COUNTY, FLORIDA. - WASTE WATER PLANT SITE LEGAL DESCRIPTION COMMENCE AT THE NE CORNER OF THE NW 1/4 OF THE SE 1/4 OF EXHIBIT A SECTION 20, TOWNSHIP 31 SOUTH, RANGE 39 EAST AND RUN S 00 45' 33" E ALONG THE EAST LINE OF THE AFORESAID 40 - ACRE TRACT A DISTANCE OF 211.99 FEET TO THE POINT OF BEGINNING MEN RUN S 890 09'47" E A DISTANCE OF 108.90 FEET TO THE WEST LINE OF THE FLORIDA EAST COAST RAILWAY ( 100 FEET WIDE), THEN RUN ALONG THE WEST RIGHT-OF-WAY, S 26" 00' 12" E A DISTANCE OF 659.37 FEET TO A POINT LYING N 26" 00' 12" E 12 FEET FROM THE CENTER OF PAVEMENT OF AN UNDEDICAIED ROAD. THEN RUN S 89° 14' 27" W A DISTANCE OF 390.07 FEET TO THE AFORE- MENTIONED 40 -ACRE LINE. THEN RUN N 0045'33"W ALONG THE SAID 40 -ACHE LINE A DISTANCE OF 599.43 FEET . TO THE POINT OF BEGINNING. CONTAINING 3.419 ACRES AND LYING IN INDIAN RIVER COUNTY, FLORIDA. EXHIBIT A -view looking south from across Stratt Ave Well No. 1 (west) Well No. 2 (east) within the crate like structures 3/2 PARK PLjACE WATER TWNI14Nd I kJ --m" View looking at NE corner showing CL2 groom, meter box housi.nq CL2 injection _tee & solenoid valve, 8" steel line for draining Hydro & ground storage tanks 3/22/93 V1nQut 2.3,t'Tg3 'Tiew looking north at the south end of— t the treatment plant showing the aerator on top, the white PVC pipe is The raw water main which goes from a 411" line to an 8" line uo to aerator —view looking at west side of plant Iran the front. Pipe on side is the finished water from the Hydro Tank to the distribution system. Well No. 1 to the west 3/23/93 Loc-K'CEu Sou T" cr N"It- oni -WE KCN CCRIIS,L or- Pnek f LI,cr- ul Cts CMPAC.i-Vt %S GP5 n ... - "I'7,97.0 ,I l PLNI-rr C.APACI-T ( %S 1 oo,oso 'gr"I h. ( Ave. Well No. 1 (west) Well No. 2 (east) are. within the crate like structures 3/23/9: PARK PLACE DATER View looking at NE corner shy ng CLL ion room, meter box housing CL2 tee & solenoid valve, 8" steel line Por draining Hydro & ground storage tanks 3/22/93 r 11aI -.t� I I I it -view looking north at the south end of 1 the treatment plant showing the aerator on top. The white PVC pipe is the raw water main which goes from a 4" line to an 8" line uo to aerator —view looking at west side of Plano LLU« the front. Pipe on side is the finished water from the Hydro Tank to --Ehe distribution system. Well No 1 to the west �_r ;. .. P.�l ror-err-•'( \f G, `S1 (•;.. „l.�...r :' 1 PARK PLACE WATER TREATHM PLANT -View looking south frcen across Stratton— Ave. Well No. 1 (west) Well No. 2 (east) are. within the crate like structures 3/23/9: PARK PLACE WATER TREA'IMGNT PIAUI: View looking at NE corner showing CL2 xoom, meter box housinq C12 infection tee & solenoid valve, 8" steel line for draining Hydro & ground storage tanke 3/22/93 Hw , 1, 1 111l View looking north at the south end of i the treatment plant showing the aerator on top. The white PVC pipe is the raw water main which goes from a 4" lino t) an 8" line uo to aerator —View looking at west side of plant trcm the front. Pipe on side is the finished water frcrn the ilydro Tank to --f-he distribution system. Well No. 1 to the west 3/23/93 Lc+onr(u Snu-Itt -r ,t' -t' f. I- 6" T.,t r tl\41 C'"nr I to r It Pr\r.,x. f rv,,, -view looking south fran across Strattc Ave. Well No. 1 (west) Well No. 2 (east) d within the crate like structures 3/23 PARK PLACE WATER TREATMENT PIANP View looking at NE corner shaaing . .roing CL2 infection an, meter box hous _tee & solenoid valve, 8" steel line _ for draining Hydro & ground storage tanks 3/22/93 11ARG�1 r ' � Ii'1? !,-View looking north at the south end of -- i the treatment plant showing the aerator on top. The white PVC pipe is 1—Ule raw water main which goes frau a 4"— line to an 8" line uu to aerator —view looking at west side of plant frao- the front. Pipe on side is the A finished water fran the Hydro Tank to —fhe distribution system. 3Well No. 1 -- to the west LAc/VT Eo SOUTH OP S`Trrt TLo,t h.�Ir Ont Tt1E H\hl Coa.td?R Cir- PN14. ('LAV -P. t"..A-IcfA 4.I Ell. CAPAaI-TY %S G8 9P"., - �1`"1,ryZ0 t' PL. v-rr CAPACITY is 10 0, UTO 3r b, ( 144,11 �.. S- G .i+i•. cFh�f�T D;JGT P: 0— Box. 1L -9. - Palatka, Florida 32078-1429 TElephone(904) 326-8321 f � , ST. JOHNS RIVER WATER MANAGEMENT DISTRICT PUBLIC.WATER SUPPLY WELL CbNSTRUCTION PERMIT FOR Nelson C. Hyatt 9605 S. U.S. 111 Sebastian, FL 32958 PERMIT N0. 3-061-0250 DATEOFISSUANCE February 7 1985 DATE OF EXPIRATION August 7 1985 Pursuant to the provisions of Chapter 40C-3, Florida Administrative Code, and Application No.3_ 0_ 1 , this permit is issued to: Henr H. McLaughlin License No. C2709 For the construction of the following; \ 4 Public Su9nly Well lzrrpyP Jetting method (driven) with Schedule 40 casing material LOCATED AT: Near intersection of Bristor Street & Straight Avenue Sec cion 2^, Toc�nahip 315, Rar_ge 39E '_n Indi.a�. River County In accordance with the application Dated: February 7 , 1985 Permission for construction of this well is granted in accordance with the Rules and Regulations of St. Johns River Water Management Dwiihwinand provisions shall ct to conditions tio s set forth on the reverse of this permit. Failure to comply P ute a violation of this permit and shall subject the applicant to such civil and criminal penalties as provided by law. All drilling shall be performed within 6 months of issuance date and a copy of the well log will be submitted to this office within 30 days after drilling operations cease, In the event construction or repair is not completed within this time, an extension may be obtained upon written request by the permittee. This permit does not imply allocation of veater, approval of sewage or other vraste disposal facilities, or of water supply ' I nd other facilities in the area lobe supplied by the well. _ , GRANTED BY �" 1 TITLE: Direct Inn a rRECEIVL=D FEL 9 ry 1°tis PUBLIC WATER SUPPLY WELL CONSTRUCTION APPLICATION ST. JOHNS RIVER WATER MANAGEMENT DISTRICT MailTo: PERMIT DIVISION (WWC) POST OFFICE BOX 1429 PALATKA, FLORIDA 32077 PHONE 904/328-8321 APPLICATION NO EXTENSION DATE CONDITIONS - - - - - - - - - -- - -- - - - - -- - - - - - - I Type or print in ink. Attach a plat or sketch showing well location relative to existing buildings I I or physical features, property boundaries, known and proposed sources of contamination in the I vicinity, and overhead obstructions such as power lines. I -------------------------------------------- - n z� NAME OF WELL CONTRACTOR ttcLaughlin Henry H• iMidtllel Mm CORPORATIONIBUSINESSNAME O Mc(WLaughlin IFir911 Well Dri111ngICENSENO. 02709 MAILING ADDRESS P(SIO8e8oBox�t1561�161a1 Veloo Bea32961L --TELEPHONE 567-5351 O 9 m Dm v r .o r -0 w 2 �z M M m r r C (n m r O:� �m Or z O O z rn M C n O z K m x O 0 rn NAME OF WELL OWNER _ MAILING ADDRESS 96 att outh U.S Al Sebastianr Florida 32958 CORPORATIONIBUSINESSNAMEVillages of es COUNTYIndian River OWNER'S CONSULTING ENGINEER orGEOLOGISTH.P. Arias & Asssoca�211000 Sunrise Blvd. OWN ER'SAGENT None INama !m1 Addrle51 WELLTOSUPPLY Villages of Lake Dolores COUNTY Indian River INama of busmess, suotllwslan, ar other water system well is to serve) NUMBER OF PEOPLE SERVED PER DAY (AVERAGE) 1300 ' DAYS USED PER YEAR (AVERAGE) 365 WELL CAPACITY (GALLONS PER MINUTE) WELLLOCATIONNear Intersection of Bristor St. & Stratton Ave. (Near street or Will route) (city) Isetel ;Ziol SECTION 20 TOWNSHIP 31SRANGE 39E (or)LATITUDE LONGITUDE TYPE OF WELL: NEW WELL SURFACE CASING DIAMETER OPEN HOLE DIAMETER L • CASED DEPTH -40— PROPOSED 49PROPOSED TOTAL DEPTH AJ4 METHOD OF DRILLING - CASING MATERIALAND SPECIFICATIONS MODIFIED WELL ABANDONED WELL 2 Q'° GROUTING PROPOSEDsper Chapter 17.22, F..A.CJ UPPER 2_1 PROCEDURE PROPOSED FOR ABANDONMENT DESCRIPTION OF MODIFICATION PREVIOUS PERMIT NUMBER ANNULAR BOTTOM TO TOP CASING INTO BOTTOM 5 FEET OF CONSOLIDATED FORMATION I agree to furnish a log within 30 days after drilling operations cease and to comply with all provisions of the 'a rules and regulations of the SJRWMD and with the regulAtions of DER, relative to well construction. A �- z (Signature of D ' n Contr tor) o I hereby consent to be regulated by SJRWMD regarding consumptive use of water and allocation thereof, and If this permit is granted I agree to comply with the conditions set forth on the reverse side thereof. Ac- cess to the proposed well site for inspection during construction and geophysical logging at any reasonable time after completion of the well is hereby granted to pers e f S RWfv (Amount of fee enclosed) (Signature of Owner or Is Authorized Agent) Agent signature mot be accompanied by written authoriz tion from the owner. CCNDIT=Gi7S .CR ii=7-�- C.^.NSi3�C='IO`T 2=?..SIITS This Fell stall be COIISt r c— ad 1n accordance witty the requirements Of Chanter 17_?2 Florida ddministrative Code, including those reeu_remeIIts nertainin� t0 Seating, '-'OutiIIg, and nr04iSiOnS'_Or Sam�l=ng 3IId d1.513� ection (see attached escerpt re-srdinS coast ruction). Should sanitary ha .�j.rds be constructed Within one hundred (10 ruct0) feet of this well, the sell shall be properly abandoned and another source of water obtained. The conditions below which and drilling contractor to construction of this well. Test holes may be constructed as provided in the Rules and Regulations of the St. Johns River water Management District. Gaon abandonment, the hole must be thoroughly plugged by a procedure approved by this District and sur -face finished so as to cause no hazard to human or animal passage over it, and to seal it hydraulically to prevent any leakage Of water into or out of this well. have been cheesed are necessary for the Owner comply with during and upon Completion of the ( } 2. The construction of the prcpesed well must be in ccmpliance with the engineering plans and specifications aoorcved by this District in the ano lication for this pe -=it. Driller will _orcement wit notify Division of Rnhin 2a hours of construction. ( } S. This Well is in a potential salt water encroachment zone and not yield acceptable water. This permit is there - may or may _ore granted with the understanding that it may have to be plugged at owner's cost if it no longer yields acceptable water or acceptable treatment is provided. ( } logging of this well is of great value to the a. Geophysical hydrogeolOgic data of the D_sti.ict. Gpoa comp letioa of the well and before installation O ha_rd7are, the District x.11 be notified by the Owner within a week 0-ior to well comnletiOn as to the appropriate time when the 5gecphysiC3i unit Ca. 'cc the well. ( } 5. Servers— a nnual daily wi thd_ awal shah not e:iCeed one thousand (100,000) gallons average per day On as annual oasis until such ti. -e as a water use permit authoriz,ng a 9=eater withdrawal is granted by the District- ( ) a other PLY L. �5-- 7� .�ln -^ t' IS ONLY VALID 7OR CONSTRGCTICN OF TT ��I ?= i p Y�s2'J� 0 caw RZCyI?T Or T COMPL, ICN REPORT Tom. p_.SII_ w- L � PUBLIC SurPL? oEp��,m.,�Y r Or ZNVTROZT -rTA R, C.:-uL=TION =OP. ACTION ON Tom= SOC "?�tt25t t e county health depa_ =eatIs assiStaace in t :e bacteriologies_ clearance O= tae Well. P,jatka Pdnong Cc.. Inc. Form sJRWM@1 i STATE OF f-LORIDA DCPARj-MENT OF ENVIRONMENTAL REGULATION WELL COMPLETION REPORT 103.L9W30512 *2AM 2212'30ONE onNo AMMO) WELL LOCATION: X. % '/. of Section SURFACE CASING,.CASING, AND LINER MATERIAL: Steel Dia. Hn.l I Steel I Old -Il -.l From To Schedule Jo,nts• .,.,.. a e_.. Wt. Iib if t.l pvc nrh.rt IF,.) I IFt.I I No. • TC a Threaded and Coupled. TCW a Threade Coupled, WIEI sM, ,, 'N -Welded, B - Bonded (PVC) O - OmerJ' ..�.'fg GROUT: I I None I I Neat Cement 11 I Other: Type and Percent of Additives and Grout Volume or Number of 94 Ib. Sacks From (Ft.) To IFL) FINISH: I I Open Hole I I Perforated or Slotted Casing I I Gravel Pack ( I Sandpoint or Screen Attached to Well Casing I I Sldpomt o breen Telescoped with'Packer Inside Casing [Packer Materials-"!" ) Slot From To Sandpoint/Screen Material Dia. (In.) Size IIn.) (Ft.) (Ft.) f /Cl I /.-!J I /�.Q 1 I Omer Finish: _ DUALITY TEST: I I None 1 I Bacteria J�ase 1 1 Chemical By- I I Health Dent. I I USGS ( I Othef I I Clear I I Colored I I Sulphur I I Salty I I Iron (/i Other Conductance (Miaromhoal Chloride ® 1L'I��jL�J PPM Hardne+spH m [=-FTemp oF ppm a f calcium carbonate (Date) Well Disinfected: 1 I No I I Yes WELL TEST, by: •1 1 Natural Flow S d G.P.M. I I Airlift I I Bailer I I Permanent Pump 144ist Pump 1 1 None Discharge Mellowed BY: ( I Bailer I I Estimated I 1 Current Meter I I Orifice I1'Trojectory 11 Venturi I I Volumetric I I Other Measured Static Wate/ Level ❑ a ❑ - ® Ft. Measured Pumping Witter Level ❑ ♦ Q- ® Ft. After ® Mount At ® G.P.M. Specific Capacity rim G.P.M./Ft. of Drawdown Measuring PI. (Describe): Which is ® Ft. 1 1 Above I 1 Below Land Surface Elevation of Measuring Pt. - Ft. I I Above I I Below M5L WELL EQUIPMENT: 1 1 Open I l Capped 1 I Valved 1 1 Permanent Pump' 1 I Temporary Pump Type Pump: f(1 Centrifugal ( I Cylinder I I Jet I I Submersible I I Turbine I I Other: Power: I I Diesel 11 Electric I I Gasoline I I Other: Norsepowar FT 1 1 Capacity [-� I I IJ G.P.M take/Injecdod Depth® Ft. A Form 17-1.213(2) Effective November 30 ,TY/Pw CoE CF WORK: Ne rntruchon I I Repau 1 I Deepening I I Plugging 1 I Omer. PERMIT NUMBER: -O 6 /-- 0.2 s WELL TYPE OF WELL: M Water well I I Test well I I Recharge 1 I Drainage I I Waste Disposal I I Observation 1 1 Other USE: I I Domestic I I Irrigation I I Industriat 11 livestock 1•1"Pubfic Supply I I Othec tion LOCATION OF WELL in relation to local landmarks, giving distance and direr• nearest town, road, or other reference point. North CZ" DrwP PIPE 02 ascaM:(,e PIPIT ) GEOPHYSICAL LOGS: TYpe: BY: WELL LOG ' changes. Bore Casing Depth.JF.I Hole Slza Iln.l (In.) From To ® aIN•S1g-M F_ IE -WI ( f 1M--r-- --I"- Township Range Latitude N TOP 3 Cr toy► �•y(11 Oen. Min. ec. Locate in Sactian Longitude F -T-1 FF1 m W Deg. Min, Sec. 30 Number Street/Road ar g Lot No. Subdivision ! -_ I City County OWNER WELL NUMBER OR NAME: DRILL METHOD: lit I Ro 1i 1 1 Cable Toot I I Jet 1 I Auger I I Other: / 7r _ SURFACE CASING,.CASING, AND LINER MATERIAL: Steel Dia. Hn.l I Steel I Old -Il -.l From To Schedule Jo,nts• .,.,.. a e_.. Wt. Iib if t.l pvc nrh.rt IF,.) I IFt.I I No. • TC a Threaded and Coupled. TCW a Threade Coupled, WIEI sM, ,, 'N -Welded, B - Bonded (PVC) O - OmerJ' ..�.'fg GROUT: I I None I I Neat Cement 11 I Other: Type and Percent of Additives and Grout Volume or Number of 94 Ib. Sacks From (Ft.) To IFL) FINISH: I I Open Hole I I Perforated or Slotted Casing I I Gravel Pack ( I Sandpoint or Screen Attached to Well Casing I I Sldpomt o breen Telescoped with'Packer Inside Casing [Packer Materials-"!" ) Slot From To Sandpoint/Screen Material Dia. (In.) Size IIn.) (Ft.) (Ft.) f /Cl I /.-!J I /�.Q 1 I Omer Finish: _ DUALITY TEST: I I None 1 I Bacteria J�ase 1 1 Chemical By- I I Health Dent. I I USGS ( I Othef I I Clear I I Colored I I Sulphur I I Salty I I Iron (/i Other Conductance (Miaromhoal Chloride ® 1L'I��jL�J PPM Hardne+spH m [=-FTemp oF ppm a f calcium carbonate (Date) Well Disinfected: 1 I No I I Yes WELL TEST, by: •1 1 Natural Flow S d G.P.M. I I Airlift I I Bailer I I Permanent Pump 144ist Pump 1 1 None Discharge Mellowed BY: ( I Bailer I I Estimated I 1 Current Meter I I Orifice I1'Trojectory 11 Venturi I I Volumetric I I Other Measured Static Wate/ Level ❑ a ❑ - ® Ft. Measured Pumping Witter Level ❑ ♦ Q- ® Ft. After ® Mount At ® G.P.M. Specific Capacity rim G.P.M./Ft. of Drawdown Measuring PI. (Describe): Which is ® Ft. 1 1 Above I 1 Below Land Surface Elevation of Measuring Pt. - Ft. I I Above I I Below M5L WELL EQUIPMENT: 1 1 Open I l Capped 1 I Valved 1 1 Permanent Pump' 1 I Temporary Pump Type Pump: f(1 Centrifugal ( I Cylinder I I Jet I I Submersible I I Turbine I I Other: Power: I I Diesel 11 Electric I I Gasoline I I Other: Norsepowar FT 1 1 Capacity [-� I I IJ G.P.M take/Injecdod Depth® Ft. A Form 17-1.213(2) Effective November 30 ,TY/Pw CoE CF WORK: Ne rntruchon I I Repau 1 I Deepening I I Plugging 1 I Omer. PERMIT NUMBER: -O 6 /-- 0.2 s WELL TYPE OF WELL: M Water well I I Test well I I Recharge 1 I Drainage I I Waste Disposal I I Observation 1 1 Other USE: I I Domestic I I Irrigation I I Industriat 11 livestock 1•1"Pubfic Supply I I Othec tion LOCATION OF WELL in relation to local landmarks, giving distance and direr• nearest town, road, or other reference point. North CZ" DrwP PIPE 02 ascaM:(,e PIPIT ) GEOPHYSICAL LOGS: TYpe: BY: WELL LOG ' changes. Bore Casing Depth.JF.I Hole Slza Iln.l (In.) From To Examine tunings at 20 /t. or smeller intervals and at Giva color, grain -size and type of material. Note any cavities. Indicate Producing zones. Attach additional sheets it necessary. O Ito TOP 3 Cr toy► �•y(11 to ;Lo ! 20 30 sN a olor d.!SIk S=f •t vo Ile ,A r ,. lJ ,.s J,'.t., Y k• I .. % `' 'cel /-' el %r Total Depth 'T .!. Ft. Producing Zone Material: 4 1" Sand ldT Snell I I Broken Shell ( I LiimeelIstt-oln�e-�(1 Other: Top of Producing Zone Ft., Bottom of Producing Zone n�---� Ft' f I Drill Cuttings Sent to Bureau of Geology oEmp /i License No. - 'Nater Well Contractor's Signature Pouuon Completion DDaaattee� Dnller Sig mwre 1982'