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PVtM0204 <br /> SAN JOAQUIN Environmental Health Department <br /> .0 U NT <br /> yl------ <br /> Greatness 9roo,,5 here, <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number: Application Type: SITE PLAN REVIEW <br /> Pro ect AddreSS: 25 E.FRENCH CAMP RD,FRENCH CAMP,CA Project APN: 193-070.02 <br /> Applicant Name: GURBINDER SINGH Title: MEMBER <br /> Applicant Address: 17900 MURPHY PARKWAY City/Zip: LATHROP,95330 <br /> Applicant Phone: 408-355-5700 Email: GBSINGH84@GMAIL.COM <br /> Property Owner Name: FRENCH CAMP TRUCK TERMINAL.LLC,A CALIFORNIA LIMITED LIABILITY COMPANY <br /> Property Owner Address: 17900 MURPHY PARKWAY Cit /ZI LATHROP195330 <br /> Prope Owner Phone: 4oa 356 s7oo Email: GBSINGH84@GMAIL.COM <br /> SERVIO�SINFORMATiON .' <br /> Please provide description below: PRIVATE WELL FOR IRRIGATION&DOMESTIC SERVICES <br /> Water Supply: PRIVATE WELL <br /> ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: SEPTIC SYSTEM WITH 100%REPLACEMENT <br /> Process Wastewater Discharge: Ponds: NIA licable WDR: <br /> Storm Drainage System: ONSITE RETENTION POND <br /> WATER USAGE.DATA <br /> Provide for total water usage at full buildout ' Number Persons/Day Gallons/PersonlDa Total'Gallons/Da <br /> Domestic Water Usage by Employees!Customers: 5 135 175 <br /> T e of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usage: NIA o <br /> Process Water Usage: NIA a <br /> Irrigation Water Usage: FOR LANDSCAPING 5189 <br /> Total Gallons Per Da 5364 <br /> I (PROPOSED WELL LOGATION <br /> I <br /> Well Location Address: 25 E.FRENCH CAMP ROAD Ci : FRENCH CAMP <br /> Well Location APN: 193-070-02 <br /> Well Latitude: SEE ATTACHED SITE PLAN FOR APPROXIMATE LOCATION Well Longitude: SEE ATTACHED SITE PLAN FOR APPROXIMATE LOCATION <br /> Flood Plain Designation: ZONE X Well Elevationd TBD <br /> PRQrQSED WELL INFORMATION <br /> Well Total Depth(ft):j TBD Acres to be Served by Well: PROJECT SITE(11.23 ACRES) <br /> Use of Well: <br /> X Domestic IN 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): LESS THAN 2 ACRE-FEET Estimated Pumping Rate al/min : TBD <br /> —Anticipated Pumping Schedule al/da : LESS THAN 2 ACRE-FEET Estimated Annual Extraction Volume acre-feet: TBD <br /> Estimated Cumulative Extraction Volume before Janus 1,2020(acre-feet): <br /> SITING,►NFORMATION M" <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System: 117 FEET 1190 FEET Sources of Contamination: N/A N/A <br /> Other Wells: N/A 1200 FEET Pond/Lake: N/A NIA <br /> Sewer Lines: NIA NIA Stream/River: N/A >350' <br /> Animal or Fowl Enclosure: NIA NIA Navigable Waterway:l Waterway: NIA NIA <br /> Storm Drainage S stem: RETENTION POND(320FT) RETENTION POND(950 FT) Potential Recharge Features: N/A N/A <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water: 25'-40' CALIFORNIA WATER DATA LIBRARY GROUNDWATER LEVEL REPORTS ❑ Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: _ _ IN Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: ❑Tracy Subbasin(5-22.15) <br /> 1868 E. Hazeiton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br /> 1 or 2 <br />