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WP0038758
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4200/4300 - Liquid Waste/Water Well Permits
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WP0038758
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Entry Properties
Last modified
4/29/2019 10:53:06 AM
Creation date
1/23/2019 8:37:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0038758
PE
4369
STREET_NUMBER
23335
Direction
E
STREET_NAME
DODDS
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20716004
ENTERED_DATE
9/10/2018 12:00:00 AM
SITE_LOCATION
23335 E DODDS RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
AMeuangkhoth
Supplemental fields
CYEAR
2018
Tags
EHD - Public
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SAN � OAQUIN Department <br /> Environmental Health De <br /> COUNTY <br /> t <br /> h <br /> 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: 233 city:1 �» <br /> Well Location APN: — LG-G�1 <br /> Well Latitude: Well Longitude: <br /> Flood Plain Designation: Well Elevation: <br /> Applicant Name: e V Applicant Title: -CgA M 14< <br /> Applicant Address: s city: <br /> Applicant Phone: lt2l D 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: ❑ 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): J y Estimated Pumping Rate al/min <br /> Antici ated Pumping Schedule al/da Estimated Annual Extraction Volume acre-feet: -� <br /> Esfirnafed Cumulative Extraction Volume before January 1,2020 acre-feet: <br /> EXISTING WELLS INFORMATION <br /> Number Existing Wells on Property: I 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): goo To: From: <br /> Casinq Diameter in : tf &pen Bottom or Screen Interval(ft): To: From: <br /> PumpingRate m : 1.56 <br /> To: From: <br /> Annual Extraction Volume(acre-feet: Jess j.)„ _L_44EZaje4 ❑ Measured <br /> Specific Capacity al/min/ft <br /> Other Pumping Tests Performed: I Test Result: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-34201 F 209 464-0138 1 www.sjcehd.com <br />
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