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NOTICE OF INTENT TO USE THE GENERAL PERMIT FOR CONSTRUCTION OF WATER MAIN <br />EXTENSIONS FOR PWSs <br />Prosect Name: Oslo Road/Lateral 'J' Bridge Replacement I Permittee: Indian River County <br />H. Public Water System (PWS) that Will Own Project After It Is Placed into Permanent Operation <br />PWS Name: Indian River County Utility Department <br />Title(s) of Designer(s): Professional Engineer <br />I PWS Identification No.:* 3314052 <br />PWS Type:* <br />® <br />Community <br />❑ <br />Non -Transient Non -Community <br />❑ Plumbing Contractor(s) Licensed in Florida — License Number(s):^ <br />❑ <br />Transient Non -Community <br />❑ <br />Consecutive <br />PWS Owner: Indian River County <br />1 Fax Number of Designer(s): 772-562-9689 <br />Contact Person: Gordon Sparks <br />Contact Person's Title: Environmental Engineer <br />Contact Person's Mailing Address: 1840 25th Street <br />0 <br />City: Vero Beach <br />Contact Person's Telephone Number: 772-567-8000 <br />State: Fl Zip Code: 32960 <br />Contact Person's Fax Number: 772-770-5143 <br />Contact Person's E -Mail Address: gsparks@ircgov.com <br />* This information is required only if the owner/operator is an existing PWS. <br />L Professional Engineer(s) or Other Person(s) in Responsible Charge of Designing Project* <br />Company Name: Kimley-Horn And Associates, Inc. <br />Designer(s): Brian Good, P.E. <br />Title(s) of Designer(s): Professional Engineer <br />Qualifications of Designer(s): <br />D = Total Average <br />Daily Water Demands, <br />gpd (Columns BxC for <br />Residential Service <br />Connections) <br />® Professional Engineer(s) Licensed in Florida — License Number(s): <br />56939 <br />❑ Public Officer(s) Employed by State, County, Municipal, or Other <br />Governmental Unit of State' <br />❑ Plumbing Contractor(s) Licensed in Florida — License Number(s):^ <br />Mailing Address of Designer(s): 601 21st Street, Suite 400 <br />Mobile Home <br />City: Vero Beach <br />I State: Fl Zip Code: 32960 <br />Telephone Number of Designer(s): 772-794-4083 <br />1 Fax Number of Designer(s): 772-562-9689 <br />E -Mail Address(es) of Designer(s): brian.good@kimley-horn.com <br />* Except as noted in paragraphs 62-555.520(3)(a) and (b), F.A.C., projects shall be designed under the responsible charge of one <br />or more professional engineers licensed in Florida. <br />t Attach a detailed construction cost estimate showing that the cost to construct this project is $10,000 or less. <br />^ Attach documentation showing that this project will be installed by the plumbing contractor(s) designing this project, <br />documentation showing that this project involves a public water system serving a single property and fewer than 250 fixture <br />units, and a detailed construction cost estimate showing that the cost to construct this project is $50,000 or less. <br />11. Preliminary Design ReportProject* <br />A. Service Area, Water Use, and Service Pressure Information <br />1. Design Type and Number of Service Connections, and Average Daily Water Demands and Maximum -Day Water Demands, in <br />rhe Entire Area to Re Served by the Water Mains Being Constructed Under this Proiect: <br />A = Type of Service Connection <br />B = Number of Service <br />Connections <br />C = Average Daily <br />Water Demand Per <br />Service Connection, <br />gpd_ <br />D = Total Average <br />Daily Water Demands, <br />gpd (Columns BxC for <br />Residential Service <br />Connections) <br />E = Total Maximum - <br />Day Water Demand b, <br />gpd <br />Single -Family Home <br />o <br />Mobile Home <br />0 <br />Apartment <br />0 <br />Commercial, Institutional, or Industrial Facility° <br />a. Description of Commercial, Institutional, or Industrial Facilities and Explanation of Method(s) Used to Estimate Average <br />Daily Water Demand for These Facilities: There are no service connections within the limits of the existing water main <br />relocation. <br />b. Explanation of Peaking Factor(s) or Method(s) Used to Estimate Maximum -Day Water Demand: There are no service <br />connections within the limits of the existing water main relocation. <br />DEP Form 62-555.900(7) Page 2 <br />Effective August 28, 2003 <br />