Laserfiche WebLink
INDIAN RIVER FARMS WATER CONTROL DISTRICT <br /> 4400 20th Street <br /> Vero Beach, Florida 32960 <br /> (772) 562-2141 <br /> APPLICATION FOR CONNECTION TO OR USE OF DISTRICT FACILITIES <br /> Date : l I� 1 t IDS: No. 0 S " CR <br /> A. Applicant Information : Name : = roan diver Associa+ ;on 7L} LLL ' <br /> Address : .Iqol uniDrly-e ' io,,,;+06 app <br /> Corn% FL 33t� � t <br /> Authorized Agent and Title : An4o6rnj Lof' rn r L7t re.Gkor n- Land U= ek , ,n n�' <br /> Telephone Number : (954) 753 - { -� o <br /> B . Proposed .Connection or Use : (check appropriate box or boxes) NON-REFUNDABLE <br /> 4 Culvert connection to District canal for irrigation ordry $ 100.00 <br /> ❑ Pump connection to District canal for irrigation or drainage $300 . 00 <br /> ❑ Culvert and/or control structure in District canal for crossing <br /> and/or water storage $200. 00 <br /> ❑ Other (specify) $ 100.00 r - -- <br /> roattc '3 4, 5iG� • !! rc�it5 <br /> Co Location : Tract Section 3S Township -33 , Range 39 _, Canal No. 6 -1® <br /> Other appropriate description : s , ntw ' eytiw � <br /> Property I.D . Parcel No . : - 0000t eeuo - a 00o t v - oo &Po - 0000t p � <br /> Attach drawing to show details (include acreage to be served), o00 01 , 0 j -r 04 40a 00 o, oiao � ,, <br /> flans Atkirhed : i`ILt ltxt! i Rf�GB /p th'i tcn ta'trr,;yec c, ufw4x k• 'Ou i U . D-moo i <br /> D. Details of proposed Construction: (Give diameter and length of culvert; diameter and rated capacity <br /> of pump ; height and width of riser or other details on water control structure. ) <br /> 'Za2LF 30eAtG ' Pipe. 0DisCt\ar5& -!�rom cor) k- ro\ 5+ rvckur2 (3 SNV = 14,9c) <br /> E. Special Conditions: (for District use only) <br /> F. Estimated Date of Construction Commencement: <br /> Estimated Date of Construction Completion" ( 0 6 <br /> G. As the Applicant for permit, I do understand and agree that: <br /> 1 . The use of, or construction within, the right-of-way of the Indian River Farms Water Control District <br /> will be in accordance with the details of the approved sketch and/or permitconditions shown hereon, <br /> supporting this application; and if any changes are required, same will be cleared with the District. <br /> (Co rttttued on Reverse hereof) <br /> Signed: Date 1 I ' 1 q ta '> <br /> Applica t <br /> (For Distric Use Only). <br /> i <br /> Application approved by: 'ILL Z 1 t, <br /> for the, India <br /> /v r Farms Water Control District <br /> Application approved by: <br /> • �C./ <br /> f for Carter Associates , Inc. , Engineer for District <br /> Date of approval: -Z - zz -VJT <br /> Expiration Date of this approved application: Z Z - c7� <br /> PERMISSION ; WHEN GRANTED , WILL BE SUBJECT TO THE STANDARD PROVISOS <br /> SET FORTH ON THE REVERSE HEREOF. <br />