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1f <br />Page 1 <br />INDIAN RIPER FARMS WATER CONTROL DISTRICT <br />7305 4th Sa eet <br />Vero Beach,.Florida32968 <br />(772) 507,2141 <br />APPLICATION FOR CONNECTION TO OR USF OFDTQTRTrr FAC T,TMS <br />Date: 10/24/2017 No. 17 '319 <br />A. Applicant Information: Name: Ihdian River County <br />Address. 180127th Street, I)PU riA _ <br />Vero Beach, PL 32960 <br />Authorized Agent and Title: Tames Ennis, P.E., County Enzineer <br />Telephone Number: 772-226-1221 <br />B. Proposed Connection or Use: (check appropriate box or boxes) NON-REIR NDABLE <br />Q Culvert connection to Diatrict canal for iaigation or drainage $100.00 <br />0 -Pump connection to District canal far irrigation or drainage $300.00 <br />O Calvert and/or control structure in Distrctcenat for crossing <br />and/or water storage $200.00 <br />Co Other (spocify) $100.00 <br />C, Location: Tract. , Section. 21,22;2928 Towdship 32S Range; '39E Candi IVo; Lb4.tad H-3' 4AT, '14 ' <br />Other appropriate descriptions. --45th SteeiBeantiflcafion Project -Phase II <br />Property LD. Parcel Noz <br />Atta6lz draining to show details (lnclude,acreage to beserved). <br />D. Details of proposed,Construetion: (Give diameter and )eagth of colvett; diameter'and rated capacity <br />of pump; height and width ofriser or'other details on watier.control structum) <br />Enclosure ofsub-lateral 'H-3' Canal between 43rd Avenue and Lateral'H' Canal <br />E. .Special Conditions: (forDistrict use only) <br />SCt �:tJ4GH aD L !:i-�' e) SP&C1.4L Get c %4);QS. <br />F Estimated Datr'of Construction Comrtieneement lois <br />Estimated Date of Cbasttactibri a mpletion: 08/2018 <br />G. As the Applicant for perm[[ I do:onderatand and agree that - <br />1. The use •oforconstrnction within, rhe right-of-way.of.the3ndian lverPhtms Water ContrDIDistrict, <br />. <br />will be in accordance with the deter& of the approved sketch and/or p—ad conditions shown hereon, <br />supporting this application; .and if any changes am required, same whit be cleared with the Districk <br />(Continued or a hereo <br />Date Y i. <br />Meant <br />-------------- `-District Use Only) ----------- ---- <br />Application. approved by: eI.GG <br />aian:ttiverFarms tercontrolDistrict <br />Applicadop approved by �l<< <br />or Carter Associates; Inc,; Engineer for District <br />Date of.approval: ✓1 ZI .r/7 <br />Expiration Date of this approved application <br />PERIVOSION, WHEN'GRANTED, WILL BE SUBJECT TO THE STANDARD PROVLSOS. <br />SETFOM ON THE REVERSE HBREOF. <br />