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SAN JOAQUk EnvironmentaN Health Department _ COU N T Y -- - Water Usage Information no PROJECT INFORMATION Application Number : Application Type : Project Address : 4343 N . Wilson Way , Stockton CA . 95205 Project APN : 132-020-220 Applicant Name : Gurparttap Singh Title : Applicant Address : 62 N . Sierra Madre St. City/Zip : Mountain House , CA , 95391 Applicant Phone : (209) 724-8010 Email : garybiz@yahoo . com Property Owner Name : Gurparttap Singh Property Owner Address : 62 N . Sierra Madre St. City/Zip : Mountain House , CA, 95391 Property Owner Phone : (209) 724-8010 Email : garybiz@yahoo . com SERVICES INFORMATION Please provide description below : Water Supply : ❑ Surface Water (Attach Water Rights Information) Domestic Wastewater Disposal : Process Wastewater Discharge : Ponds : 7FApplicable WDR : Storm Drainage System : WATER USAGE DATA Provide for total water usage at full buildout Number Persons/Da Gallon s/Person/Day Total Gallons/Da Domestic Water Usage by Employees/Customers : Type of Process/irrigated Lands Total Gallons/Da Process Water Usage : Process Water Usage : Irrigation Water Usage : Total Gallons Per Day : PROPOSED WELL LOCATION Well Location Address : 4343 N . Wilson way, Stockton CA, 95205 Cit : Stockton Well Location APN : 132-020-22 Well Latitude : 37059'59 . 26" N Well Longitude : I - 121 ° 15'44 . 82"W Flood Plain Designation : zone x Well Elevation : N/A PROPOSED WELL INFORMATION Well Total De th (ft) : 1 Acres to be Served by Well : Use of Well ; Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock ❑ Other: Depth of Corcoran Clay (ft) .8 Proposed Well Capacity (gal/ft): Estimated Pumping Rate (gal/min): Anticipated Pumping Schedule (gal/day): Estimated Annual Extraction Volume (acre-feet): Estimated Cumulative Extraction Volume before January 1 , 2020 acre -feet SITING INFORMATION Distance To Nearest ft) : Onsite : Offsite : Distance To Nearest ft) : Onsite : Offsite : Wastewater Treatment System : loo+ Sources of Contamination : loo+ Other Wells : Pond/Lake : loo + Sewer Lines : loo + Stream/River: loo + Animal or Fowl Enclosure : loo+ Navigable Waterway : 100 + Storm Drainage System : _ 45 _J�Potential Recharge Features : 45 GROUNDWATER INFORMATION Depth (ft) : Source/Date of Reference : Groundwater Subbasin : Current Depth to Water: 65 ❑ Cosumnes Subbasin (2-22 . 16) Highest Depth to Water : 40 ® Eastern San Joaquin Subbasin (5-22 . 01 ) Lowest Depth to Water : 90 ❑ Tracy Subbasin (5- 22 . 15) 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209468 - 34201 209464 ~ 0138 AW.Wsicehd . com 1 Of 2