Laserfiche WebLink
SAKiiJOAQUIN <br />r�„•�` COUNTY <br />Greotness grows here. <br />Environmental Health Department <br />New Well Information <br />Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption <br />criteria must submit the following required information, to the extent that can be reasonably <br />known. The Environmental Health Department must collect this information before a new well <br />permit is issued and must post the information on the Department's website for public information. <br />WELL LOCATION AND OWNER INFORMATION <br />Total Number of Existing Wells on Property: i <br />Please complete the information below for every well on property. Use extra paper if needed <br />Well Total Depth (ft): 1 -360 <br />Well Location Address: <br />252-13 C r t <br />City: <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Well Location APN: <br />,� O _ -1. 6 <br />Proposed Well Capacity (gal/ft): <br />a �, M� <br />Well Latitude: <br />Anticipated Pumping Schedule (gal/day): <br />Well Longitude: <br />Estimated Annual Extraction Volume (acre-feet): 2. <br />Specific Capacity (gal/min/ft): 50 <br />Flood Plain Designation: <br />Well Elevation: <br />b <br />Applicant Name: <br />e r ` <br />Applicant Title: <br />Y, <br />Applicant Address: <br />63 <br />City: <br />n -i H r o <br />Applicant Phone: <br />752- r <br />Applicant email: <br />Property Owner Name: <br />VtrPlAbs �VNi <br />Property Owner Address: <br />3a 0 <br />City: <br />h, v <br />Property Owner Phone: <br />. -7 s <br />Property Owner email: <br />PROPOSED.WELL INFORMATION <br />Total Number of Existing Wells on Property: i <br />Please complete the information below for every well on property. Use extra paper if needed <br />Well Total Depth (ft): 1 -360 <br />Acres to be Served by Well: Li <br />Use of Well: <br />❑ Domestic IXJrrigation <br />❑ Other: <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Depth of Corcoran Clay (ft): <br />Casing Diameter (in): j 6 '° <br />Proposed Well Capacity (gal/ft): <br />a �, M� <br />Estimated Pumping Rate (gal/min): S6 v i 2 jVN <br />Anticipated Pumping Schedule (gal/day): <br />,pa <br />Estimated Annual Extraction Volume (acre-feet): 2. <br />Specific Capacity (gal/min/ft): 50 <br />Estimated Cumulative Extraction Volume before January 1, 2020 (acre-feet): <br />EXISTING WELLS INFORMATION <br />Total Number of Existing Wells on Property: i <br />Please complete the information below for every well on property. Use extra paper if needed <br />Well #1 Information <br />Use of Well:ODornestc <br />01 <br />$j Irrigation El Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />❑ Other: <br />Total Depth (ft): 2 <br />)6 Open Bottom or Screen Interval (ft): <br />To: I Z 0 From: q p <br />Casing Diameter (in): j 6 '° <br />To: From: <br />Pumping Rate (gpm): Se, <br />To: From: <br />Annual Extraction Volume (acre-feet: L+5$ -f•+ <br />(��� )i( Estimated ❑ Measured <br />Specific Capacity (gal/min/ft): 50 <br />Other Pumping Tests Performed: <br />Test Result: <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />