LIST THE WITHDRAWAL POINTS) ON THE PROPERTY COVERED BY THE APPLICAT!RPI '
THE REQUESTED INFORMATION FOR EACH OF THEM.
Well Withdrawal- Size, Depth. PUMPAGDEf&a 9 198
Surface Withdrawal Name of lake
or stream CROP ACRES IRRIGATION METHOD AVERAGE MAXIMUM
Example: 6 300 feet Citrus 20 10% day 90% night 18,000 432,000
The example is for a 6" well 300 feet deep used for overhead spray day and night, 20 acres of citrus at an
average rate of 18,000 gallons and maximum rate of 432,000 gallons per day.
The average daily withdrawal is the estimated amount of water to be used for the year divided by 365.
Determine the number of inches of water you would need in an average year (12" in the example), multiply
by 27,154 (one acre, 1 inch of water), multiply by number of acres, 20, then divide the total by 365 to get
an average daily withdrawal.
12" x 27,154 x 20 = 17,855 gpd rounded to 18,000 gpd
The maximum is the gallons per day on the longest day pumped. The example is 300 gpm multiplied b
1,440 (minutes in a day). (If maximum pumped in one day was 12 hours the maximum would be 216,000
FOR MORE THAN ONE CROP show each crop separately and the amount of water used for same.
INDICATE CROPS AS tomatoes, peppers, cucumbers, strawberries, melons and whether one or two crops
BE SPECIFIC WHEN INDICATING THE IRRIGATION METHOD: Drip, spray (indicate as permanent
overhead, volume gun, center pivot, undertree spray, low volume undertree, etc. INDICATE HOURS
FOR DAY AND NIGHT SPRAY), ditch or flood (indicate whether, open, closed, semi-closed, and how
runoff is contained), other (specify)
ADD A SEPARATE SHEET FOR ADDITIONAL WITHDRAWAL POINTS OR OTHER PERTINENT
NOTICE TO ADJACENT PROPERTY OWNERS FOR WELL WITHDRAWALS:
If the total average daily pumpage for all wells on the property is less than 100,000 gpd it is not necessary
to notify adjacent property owners. If over 100,000 gpd the following property owners must be notified:
100,000 499,999 gpd either those 660' from well or 100' from property boundary.
500,000 999,999 gpd 1,320' from well or 200' from property boundary.
1,000,000 or more gpd 2,640' from well or 400' from property boundary.
NOTICE TO ADJACENT PROPERTY OWNERS FOR SURFACE WITHDRAWALS:
For withdrawals) from lake(s) or other impoundments with an acreage of:
less than 80 acres all owners on the lake or impoundment must be given notice.
over 80 acres all owners in either direction 660' from point where applicant's
property intersects the shoreline must be given notice.
For withdrawals) from a stream, if the total daily average pumped is:
less than 5)00,000 gallons all owners 660' upstream and 1,320' downstream must be given
5,000,000 or more gallons all owners 1,320' upstream and 2,640' downstream from the
withdrawal points) must be given notice.
Name and address of adjacent property owners: (if not applicable, enter N/A)
Notices will be made by SWFWMD. Failure to list all property owners and the .rrect d s y resul
in delayed processing of your application, or the invalidation of a permit. If a ionatice is needed, ad
a separate sheet. .i
SOUTHWEST FLORIDA WATER MANAGEMENT DISTRICT
CONSUMPTIVE USE PERMIT APPLICATION
Have you included the
$10 fee and signed the 5060 U.S. Highway 41 South Phone 904-796-7211
application? Brooksville, Florida 33512
GENERAL INSTRUCTIONS. PLEASE READ BEFORE PROCEEDING.
APPLICANT: Enter the name in which the Consumptive Use Permit (CUP) will be issued. Identify
applicant as an individual, partnership, corporation or other legal entity. If there is
more than one owner, name the one on whose property the withdrawal points) are
located. A permit may be issued to a lessee if a copy of the lease is furnished. In the
case of a verbal lease agreement, the owner's signature on the application will be
LOCAL CONTACT: Enter the name of an individual who has knowledge of the property and the
application and who may be contacted for any additional information needed,
if other than the applicant.
OWNER: Enter the name and address of the owners) of the property if other than applicant.
PROPERTY: Include only the contiguous acreage covered by this application. A SEPARATE
APPLICATION MUST BE COMPLETED FOR EACH NON-CONTIGUOUS TRACT
ANSWER ALL QUESTIONS. DO NOT USE PENCIL. Date 12-18-81
1. APPLICANT West Coast Regional Water Supply Authority/ St. Petersburg. City of
indicate whether: individual partnership corporation __other
2280 U.S. Hwy. 19, North, Suite 121, Clearwater, FL 33515 813/796-2355
Address, City, State, Zip Code Telephone w/area code "
2. LOCAL CONTACT Harold Aiken Vincent Patton
Name, Telephone number It other than applicant O
3. OWNER St. Petersburg, City of "
Name, Address If other than applicant
4. PROPERTY S. 11, 14, 23, 26, 27 34 T 27 S R 17 E .Hillsborough
Section(s), Township(d), Range(s) County
Acres: owned 591.5 leased serviced 45.015 total 45.606.5
"*An applicant (other than Public Supply) delivering water to another.property owner must include a
signed statement of that arrangement. Copies of all written agreements and/or contracts must be
5. WITHDRAWAL INFORMATION: Indicate number of withdrawal points for each source:
wells 23_ streams __ lakes ponds other (specify) total 23
Date withdrawals were (viWi^d initiated: 1930 most recent date of use current
Amount of withdrawal: average daily 19 MGD maximum daily 22 MGD
"* A minimum use of 9 mgd was in existence prior to January 1, 1975.
6. USE: Indicate percent distributed to each category. Do NOT include domestic supply (that used for
individual personal needs, household purposes, sanitation and for lawns of less than five (5)
acres) public supply !n irrigation lawns livestock
perishable food processing industrial mining power
recreation attractions essential services total 100% _
7. TYPE OF APPLICATION: new renewal JL_.modification __ current CUP No. 7500004
RENEWAL APPLICATION WITH NO REQUESTED INCREASE IN QUANTITIES, NO CHANGE IN
METHOD OR USE, OR LOCATION/NUMBER OF WITHDRAWAL POINTS FROM PRESENT
PERMIT. SIGN BELOW AND SUBMIT THE APPLICATION AND FEE.
All others must complete additional forms. The forms for agricultural and irrigation uses are included.
Complete the following pages and submit with fee. Additional forms will be furnished other users
upon receipt of this application. Sign below and submit with fee.
I hereby certify that the information as contained in this application is true and accurate and based upon
the best information available and further that the undersigned has th eg l authority to execute this
SSIGNATURE OF APPLICANT / eIV.
SIGNATURE OF OWNER /3g,^h^ /-
FILED IN FILE ,: ^
ON RECORD, WW 28 1981 :
ON/ L ^ rf' J
P r7c- '5 "
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