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PA2, eUUi8 � <br /> SAN 10AQUIN Environmental Health Department <br /> COUNTY <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Apelication Number: Application Type: sne <br /> Pro ect Address: 12999 Blossom Court Lockeford,CA 95237 Project APN: 051-310.46 <br /> Applicant Name: O'Reilly Auto Enterprises,LLC Title: N/A <br /> Applicant Address: 233 S Patterson Ave City/Zip: Springfield,M0 65802 <br /> Applicant Phone:j 417 862 0558 1 Email: esa@estertyschneider.com <br /> Property Owner Name: Diode Pending LLC <br /> Property Owner Address: P.D.Box 1007 CII IZI Woodbridge,CA 95258 <br /> Property Owner Phone: I Email: <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> water supply: Public Water Main 0 Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: -blc Bever Maf <br /> Process Wastewater Discharge: Ponds: wA A licable WDR: NIA <br /> Storm Drainage System: Blossom Court Subdivision has a retention pond this project will discharge to through existing slam drains stubbed to the proposed project site. <br /> WATER USAGE DATA <br /> Provide for total water usage at full buildout Number Persons/Da Gallons/Person/Da Total Gallons/Da <br /> Domestic Water Usage by Employees/Customers: 62 2Woor-3 perWy 260 <br /> Type of Processlirri ated Lands Total Gallons/Da <br /> Process Water Usage: <br /> Process Water Usage-, <br /> Irrigation Water Usage: ragauon—tv tsps <br /> Total Gallons Per Day: 2135 <br /> PROPOSED WELL LOCATION <br /> Well Location Address: N/A I City:City:1 NIA <br /> Well Location APN: NIA <br /> Well Latitude: NIA Well Lon itude: NIA <br /> Flood Plain Designation: NIA Well Elevation: N/A <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ftj(ftNIA Acres to be Served by Well:1 wA <br /> Use of Well: ❑Domestic ❑Irrigation ❑Small Public Water Supply ❑Municipal Public Water Supply ❑Industrial ❑Stock <br /> ❑Other: <br /> Depth of Corcoran Clay(ft: NIA <br /> Proposed Well Capacity (gal/ft): N/A Estimated Pumping Rate (gal/min : NIA <br /> Anticipated Pumping Schedule (gal/day): N/A Estimated Annual Extraction Volume acre-feet: NIA <br /> Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): NIA <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System: N/A N/A Sources of Contamination: N/A NIA <br /> Other Wells: N/A NIA Pond/Lake: NIA N/A <br /> Sewer Lines: NIA N/A Stream/River: NIA NIA <br /> Animal or Fowl Enclosure: NIA NIA Navigable Waterway: NIA NIA <br /> Storm Drainage S stem: N/A N/A 1 1 Potential Recharge Features: N/A NIA <br /> GROUNDWATER INFORMATION <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water; NIA N/A ❑Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: N/A NIA a Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: N/A N/A ❑Tracy Subbasin(5-22.15) <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 l T 209 468-3420 l F 209 464-0138 1 www.slcehd.com <br /> 1 of 2 <br />