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SAN J OAQ U I N Environmental Health Department <br /> ' —COUNTY— <br /> Greatness <br /> COUNTYGreatness grows Frere. <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 OW,IER.IN_FORMATIOK:t <br /> Well Location Address: �f� Z,,;�5�4 T City: f' Z <br /> 910 <br /> Well Location APN: D l_ 13o _ 7bo <br /> Well Latitude: 3g , ' te0 Al Well Longitude: ,Zi J!'S; 4cli W <br /> Flood Plain Designation: Well Elevation: IV <br /> Applicant Name: Canepa and Sons,Inc. Applicant Title: Contractor <br /> Applicant Address: 14384 Cuesta Court City: Sonora <br /> Applicant Phone: (209)532-1136 Applicant email: csonsdrilling@gmail.coin <br /> Property Owner Name: ./ <br /> Property Owner Address: �J /�. City: al' <br /> Property Owner Phone: v9 �i� _ .332(o V ie- Property Owner email: <br /> PROPOSED WELLINFORMATION ; - = <br /> Well Total Depth(ft):1 1 710 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): _ Estimated Pumping Rate(gal/min): �00 <br /> Anticipated Pumping Schedule(gal/day): A� Estimated Annual Extraction Volume(acre-feet): 1 <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): - <br /> EXISTINOVELLS INFORMATION <br /> ..rl <br /> Total Number of Existing Wells on Property: <br /> Please complete the information below for every well on property. Use extra paper if needed <br /> Well#1 Information 70 —Z�9AA <br /> Use of Well: ❑ Domestic )EI Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> ❑ Other: <br /> Total Depth(ft): `,_ To: From: <br /> Casing Diameter(in): J2 ❑ Open Bottom or Screen Interval(ft): To: From: <br /> Pumping Rate(gpm): �CV To: From: <br /> Annual Extraction Volume(acre-feet: '7!� 15�Estimated ❑ Measured <br /> Specific Capacity(gal/min/ft): <br /> Other Pumping Tests Performed: D 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 />