40C-3.101. Content of Application

(1) Permits will only be issued upon application by the owner on whose property the well will be located, or the owner’s agent.

(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.

(3) The application must be signed by the owner or his authorized agent, if applicable. The application must also be signed by the licensed contractor who will be responsible for constructing the well, except as otherwise provided in paragraph 40C-3.101(2)(a), F.A.C., above.

(4) The application shall be submitted with the required non-refundable fee pursuant to Rule 40C-1.603, F.A.C., or the fee schedule established by the agency to which permitting authority has been delegated, as identified in Rule 40C-3.035, F.A.C.

(5)(a) In addition to the information required to be included on the District form, the District staff shall specifically request such reasonable additional information as may be necessary to evaluate the hydrologic impacts of construction, repair or abandonment of the well to ensure that the impacts will not be harmful to the water resources of the District as set forth in Chapter 40C-2, F.A.C. Pursuant to Section 373.314, F.S., the District will cite a specific rule when requesting such additional information.

(b) Such requests for additional information will be made in compliance with Section 120.60, F.S., and Chapter 40C-1, F.A.C.

Rulemaking Authority 373.044, 373.113 FS. Law Implemented 373.308, 373.309, 373.342 FS. History–New 10-14-84, Formerly 40C-3.101, 40C-3.0101, Amended 9-17-89, 12-23-90, 7-27-16.