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-j oulN C <br /> S Q N ) Q Q N Environmental Health Department <br /> ' € l COUNTY <br /> Greotness grows here. <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 known. <br /> The Environmental Health Department must collect this information before a new well permit is <br /> issued and must post the information on the Department's website for public information. <br /> WELL LOCATION AND OWNER INFORMATION <br /> Well Location Address: 1696 N E s c a l o n B e l l o t a Rd <br /> City: Linden <br /> Well Location APN: 09325001 <br /> Well Latitude: Well Longitude: <br /> Flood Plain Designation: Well Elevation: <br /> Applicant Name: Watkins Farms Partenership Applicant Title: O w n e r <br /> Applicant Address: P .O. Box 472 City: Linden <br /> Applicant Phone: 209-403-8592 Applicant email: <br /> Property Owner Name' a le Watkins and K & A Watkins Farm Partenership <br /> Property Owner Address: P O B o x 472 City: Linden <br /> Property Owner Phone: 2 0 9—4 0 3—8 5 9 2 1 Property Owner email: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):1 I Acres to be Served by Well: <br /> Use of Well: ❑ Domestic CC 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): iso 1 Estimated Pumping Rate(gal/min): a'Dov <br /> Anticipated Pumping Schedule(gal/day): I Estimated Annual Extraction Volume(acre-feet): <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): <br /> EXISTING WELLS INFORMATION <br /> Total Number of Existing Wells on Property: 3 <br /> 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): un k To: From: <br /> Casing Diameter(in): u t( ® Open Bottom or Screen Interval(ft): To: From: <br /> Pumping Rate(gpm): ;X To: From: <br /> Annual Extraction Volume(acre-feet: E4 Estimated ❑ Measured <br /> Specific Capacity(gal/min/ft): Nol +e <br /> Other Pumping Tests Performed: ywy,,L 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 />