(2)
Applications for permits required by this chapter shall be submitted on State
of Florida Permit Application to Construct, Repair, Modify, or Abandon a Well,
DEP Form
62-532.900(1),
(October 7, 2010), which is incorporated by reference in paragraph
40C-3.036(9)(a),
F.A.C., and shall be submitted electronically at the District's website
sjrwmd.com, delivered to the entity to which the authority to issue a permit
has been delegated as identified in Rule
40C-3.035, F.A.C., or delivered
to one of the following District offices:
District Headquarters
4049 Reid Street
Palatka, FL 32177
Jacksonville Service Center
7775 Baymeadows Way, Suite 102
Jacksonville, FL 32256
Maitland Service Center
601 South Lake Destiny Road, Suite 200
Maitland, FL 32751
Palm Bay Service Center
525 Community College Parkway, S.E.
Palm Bay, FL 32909
The application shall contain:
(a) The name, address, telephone number,
license number, and signature of the licensed contractor who will be
responsible for constructing the well, except in the case of a state agency or
political subdivision that needs an indication of approval from the District in
order to obtain financing to construct a well. In this case the District will
take action on an application for a permit not signed by a licensed contractor
by conditioning the effectiveness of the permit on completion of a copy of the
application by the licensed contractor that obtains the bid to construct the
well, and receipt of the completed copy by the District;
(b) The name, address, telephone number, and
signature of the property owner or his agent, if applicable;
(c) Written authorization from the owner
designating the authorized agent, if any;
(d) The location of the well (to the nearest
one-quarter section, or latitude and longitude to the nearest second, or state
plane of coordinates to the nearest one hundred feet), and site map of the well
location, depicting landmarks and providing a scale;
(e) The expected depth of the well;
(f) The proposed use of the well;
(g) The estimated average daily volume of the
proposed use;
(h) The specification
for well construction including the size(s) of the casing to be used, the
proposed construction, repair or abandonment method, specifications including
casing types, casing diameters and depths; open hole or screened intervals and
sizes and screen opening; and proposed grouting materials;
(i) The proposed method of construction and
completion of the well, or the method of plugging and abandoning of the
well;
(j) The proposed pump
size;
(k) The District consumptive
use permit number, if a consumptive use permit is required for the use;
and
(l) For public supply wells,
the name and address of the business, subdivision, or other water system for
which the well is proposed; the number of persons the well is intended to
serve; and a plat or sketch of the well location showing property boundaries,
existing buildings or physical features, the location of all known and proposed
sources of contamination in the vicinity, and the location of power lines or
overhead obstructions.