My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0037765
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
O
>
120 (STATE ROUTE 120)
>
12999
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0037765
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
11/19/2024 4:01:48 PM
Creation date
9/27/2018 8:37:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0037765
PE
4366
STREET_NUMBER
12999
Direction
E
STREET_NAME
STATE ROUTE 120
City
MANTECA
Zip
95336-
APN
20817024
ENTERED_DATE
1/3/2018 12:00:00 AM
SITE_LOCATION
12999 E HWY 120
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2018
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
DOWN , <br /> ' °,{ SA N J Q Q Q U I N Environmental Health Department <br /> COUNTY <br /> `-°qOP' Greatness grows here. <br /> New Well Information <br /> Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption criteria must submit <br /> the following required information, to the extent that can be reasonably known. The Environmental Health Department <br /> must collect this information before a new well permit is issued and must post the information on the Department's <br /> website for public information. <br /> EXEMPTION CRITERIA <br /> Well meets the following Exemption: <br /> Well not located in a critically overdrafted basin. <br /> Well owner will be a de minimis extractor: maximum two acre-feet or less per year being extracted for domestic <br /> purposes only. <br /> Replacement well with same extraction as the existing well that it is replacing. The existing well must be <br /> destroyed under permit. <br /> Public agency that substantially meets or exceeds these requirements through another requirement of the law. <br /> In order to be exempt, the applicant shall document the laws that substantially meet or exceed these <br /> requirements and how the requirements of those laws were met. <br /> A city or county municipal well to provide water supply solely for residents of the city or county. <br /> WELL LOCATION AND OWNER INFORMATION <br /> Well Location Address: Q City: <br /> Well Location APN: <br /> Well Latitude: qff 77 Well Longitudi-[%tv. / <br /> Flood Plain Designation: Well Elevation: <br /> Applicant Name: Applicant Title: <br /> Applicant Address: city: U O <br /> Applicant Phone: Z — Applicant email: <br /> Property Owner Name: <br /> Property Owner Address: Cit <br /> Property Owner Phone: Property Owner email: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):1 Acres to be Served by Well: <br /> Use of Well: I)i(Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> ❑ Other: <br /> Depth of Corcoran Clay ft <br /> Proposed Well Capacity (gal/ft): Estimated Pumping Rate (gal/min): <br /> Anticipated Pumping Schedule (gal/day): Estimated Annual Extraction Volume(acre-feet)- <br /> Estimated <br /> acre-feet:Estimated Cumulative Extraction Volume before January 1,2020 acre-feet): <br /> EXISTING WELLS INFORMATION <br /> Number Existing Wells on Property: Please complete the information below for every well on property. Use extra paper if needed. <br /> Well#1 Information <br /> Use of Well: ❑ Domestic ❑ Irrigation ❑Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> ❑ Other: <br /> Total Depth(ft): To: From: <br /> Casing Diameter in : ❑ Open Bottom or Screen Interval(ft): To: From: <br /> Pumping Rate m : To: From: <br /> Annual Extraction Volume(acre-feet: ❑ Estimated ❑ Measured <br /> Specific Capacity al/min/ft <br /> Other Pumping Tests Performed:1 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 />
The URL can be used to link to this page
Your browser does not support the video tag.