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00220OU8i <br /> SAN J O A Q U I N Environmental Health 'PAIM b$ Q <br /> —COU NTY— �+ <br /> 5ee— Tewacov\ pq.a-- <br /> Water Usage Information <br /> r <br /> .S �r <br /> PROJECT INFORMATION <br /> Application Number: Application Type: Zone Reclassification <br /> Project Address: 15314 N.Thornton Rd Lodi,CA 95242 Project APN: 025-190-31 <br /> Applicant Name:Kevin Huber Title: President and Managing Member <br /> Applicant Address:1202 N Grant St Stockton,CA City/Zip: 95202 <br /> Applicant Phone:209-490-2650 Email:I khuber@grupehuber.com <br /> Property Owner Name:Highway 12 Investors,LLC and Lilval Properties,Ltd <br /> Property Owner Address:same as applicant Cit /Zip: <br /> Property Owner Phone:same as applicant I Email:I same as applicant <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: CSA-31 ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: Septic <br /> Process Wastewater Discharge: Ponds: T A plicable WDR: <br /> Storm Drainage System: I CSA-31 <br /> WATER USAGE DATA <br /> Provide for total water usage at full buildout Number Persons/Day Gallons/Person/Da Total Gallons/Da <br /> Domestic Water Usage by Employees/Customers: 3 @18.75 GPD and 10@5gpd 18.75(emp)5(customers) 106.25 <br /> Type of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usage: drought resistant landscaping of approximately 48,500 square feel 2000 <br /> Process Water Usage: <br /> Irrigation Water Usage: <br /> Total Gallons Per Day: <br /> PROPOSED WELL LOCATION <br /> Well Location Address: I City: <br /> Well Location APN: <br /> Well Latitude: Well Longitude: <br /> Flood Plain Designation: Well Elevation: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):1 Acres to be Served by Well: <br /> =of ❑ 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): <br /> Anticipated Pumping Schedule (gal/day): Estimated Annual Extraction Volume(acre-feet): <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System:Septic to be built Sources of Contamination: <br /> Other Wells: Pond/Lake: <br /> Sewer Lines: Stream/River: <br /> Animal or Fowl Enclosure: Navigable Waterway: <br /> Storm Drainage System] In Thornton Rd Potential Recharge Features: <br /> GROUNDWATER INFORMATION <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water:20 feet SGMA Data Viewer and Terracon Report ❑ Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: ❑ Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: ❑Tracy Subbasin(5-22.15) <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s'cehd.com <br /> 1 of 2 <br />