Permit No. (Assigned by V.W.C.D.) PERMIT APPLICATION Valencia Water Control District c/o CPH, Inc. 1117 E. Robinson Street Orlando, FL 32801 VWCD Office: (407) 841-5524 X 101 CPH, Inc. (407) 425-0452 (1) PROPOSED USE: Install two (2) horizontal directional drills across VWCD Canal C-1 within the Orangewood Boulevard right-of-way. (2) LOCATION OF WORK: Block: Lot: Subdivision: or Section: 18 Township: 24 S Range: 29 E (3) DISTRICT WORKS INVOLVED: Install a 12” HDPE water main and a 12” HDPE force main under VWCD Canal C-1, both by horizontal directional drill. All work will occur within the Orange County owned Orangewood Boulevard right-of-way. (4) OWNER OF PROPOSED WORK OR STRUCTURE: Phone #: 407 254-9694 Name: David S. Arms, PE Title: Orange County Utilities Chief Engineer Address: Orange County Utilities, 9150 Curry Ford Road, Orlando, FL 32825 (Street) (City) (State) (Zip) (5) APPLICATION OTHER THAN OWNER: (if any) Phone #: 407 896-8608 Name: Cynthia K. Malone, PE Serving as: Engineer of Record (6) Address: Barnes, Ferland and Associates, Inc., 1230 Hillcrest Street, Suite 100, Orlando, FL 32803 (Street) (City) (State) (Zip) (7) AREA PROPOSED TO BE SERVED: Give legal description and size in acres. Attach legal description if necessary. If land is platted, indicate Block, Lot and Subdivision. Not Applicable (8) CONSTRUCTION SCHEDULE: The proposed work, if permitted, will begin within 180 Calendar days of permit approval and be completed within 365 calendar days thereafter. (9) This application, including sketches, drawings or plans and specifications attached contains a full and complete description of work proposed or use desired of the above described facilities of the District and for which permit is herewith applied. It shall be a part of any permit that may be issued. It is agreed that all work or the use of the District’s facilities will be in accordance with the permit to be granted. Submitted this 28th day of February 2024. Signature of Property Owner (Officer of Corporation): Print Name of Property Owner (Officer): David S. Arms, PE, Chief Engineer, Orange County Utilities