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SAN JOAQUIN Environmenta, Health Department -COUNTY-Gr am qt ~ her Water Usage Information PROJECT INFORMATION Application Number: Application Type: SITE APPROVAL Project Address: 4250 & 4242 E. MARIPOSA ROAD Project APN: 179-56-020 Applicant Name: Sanjeev Toor & Jagdev Singh Title: MR. Applicant Address: PO BOX6818 City/Zip: OAKLAND, 94603 Applicant Phone: 209-814-5739 Email: talsingh@jsdrayage.com & garys@jsdlca.com Property Owner Name: Sanjeev Toor & Jagdev Singh Property Owner Address: PO BOX6818 I City/Zip: OAKLAND, 94603 Property Owner Phone: 209-814-5739 I Email: talsingh@jsdrayage.com & garys@jsdlca.com SERVICES INFORMATION Please provide description below: Water Supply: Existing well □ Surface Water (Attach Water Rights Information) Domestic Wastewater Disposal: On-site Septic tank and leach lines Process Wastewater Discharge: Ponds: I NIA I Applicable WDR: I NIA Storm Drainage System: ON-SITE BASIN WATER USAGE DATA Provide for total water usage at full buildout Number Persons/Day I Gallons/Person/Day Total Gallons/Day Domestic Water Usaqe by Employees/Customers: 9 I 20 gal * 9 persons 200 Gallons I Day Type of Process/Irrigated Lands Total Gallons/Day Process Water Usage: N/A Process Water Usaqe: N/A Irrigation Water Usage: N/A I Total Gallons Per Day: 200 Gallons I Day PROPOSED WELL LOCATION Well Location Address: N/A I City:! N/A Well Location APN: N/A Well Latitude: N/A Well Longitude:! NIA Flood Plain Designation: N/A Well Elevation:! NIA PROPOSED WELL INFORMATION Well Total Depth (ft):I NIA I Acres to be Served by Well:! NIA Use of Well: D Domestic D Irrigation D Small Public Water Supply D Municipal Public Water Supply D Industrial D Stock □ Other: Depth of Corcoran Clay (ft): N/A Proposed Well Capacity (qal/ft): N/A Estimated Pumpinq Rate (qal/min): N/A Anticipated Pumpinq Schedule (gal/day): N/A Estimated Annual Extraction Volume (acre-feet): N/A Estimated Cumulative Extraction Volume before January 1, 2020 (acre-feet): N/A SITING INFORMATION Distance To Nearest (ft): Onsite: Offsite: Distance To Nearest (ft): Onsite: Offsite: Wastewater Treatment System: 63 Sources of Contamination: 158 Other Wells: N/A Pond/Lake: N/A Sewer Lines: 50 Stream/River: 142 Animal or Fowl Enclosure: N/A Navigable Waterway: N/A Storm Drainaqe System: 97 Potential Recharqe Features: 29 GROUNDWATER INFORMATION Depth (ft): Source/Date of Reference: Groundwater Subbasin: Current Depth to Water: 50+/-SJCO Groundwater Report 2020/ Spring 2020 D Cosumnes Subbasin (2-22.16) Highest Depth to Water: 85+/-SJCO Groundwater Report 2020/ Fall 1992 ~ Eastern San Joaquin Subbasin (5-22.01) Lowest Depth to Water: 50+/-SJCO Groundwater Report 2020/ Spring 2020 □ Tracy Subbasin (5-22.15) 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www.sjcehd.com 1 of 2