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SAN JOAQUIN Environmental Health Department COUNTY Grecllness yrov. s hc3r Water Usage Information PROJECT INFORMATION Application Number: PA-2300274 Application Type : Conditional Use Permit Project Address : 6001 Stanley Road , Stockton , CA 95215 Project APN : 187-06-029 Applicant Name : Vinay Mamidi Title : Authorized Owners Representative Applicant Address : 1312 North Rd Cit /Zip : Belmont, CA 94002 Applicant Phone : 6507930054 Email : prashvin@yahoo .com Property Owner Name : SMVATrust Property Owner Address : 1312 North Rd Cit /Zip : Belmont, CA 94002 Property Owner Phone : 6507930054 Email : prashvin@yahoo .com SERVICES INFORMATION Please provide description below : Water Supply : Existing on - site well ❑ Surface Water (Attach Water Rights Information ) Domestic Wastewater Disposal : Existing and new on-site Septic System Process Wastewater Discharge : Ponds : NSA Applicable WDR : NSA Storm Drainage System : On-Site Swales WATER USAGE DATA Provide for total water usage at full buildout Number Persons/Da Gallons/ Person / Da Total Gallons/Day Domestic Water Usage by Employees/Customers : 40 5 200 Type of Process/ Irrigated Lands Total Gallons/ Da Process Water Usage : Process Water Usage : Irrigation Water Usage : Limited drought tolerant landscaping 50 Total Gallons Per Day: 250 PROPOSED WELL LOCATION Well Location Address : I Cit Well Location APN : Well Latitude . Well Lon itude : Flood Plain Designation . , Well Elevation : PROPOSED WELL INFORMATION Well Total Depth (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) : 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 : Sources of Contamination : Other Wells : Pond /Lake : Sewer Lines : Stream /River : Animal or Fowl Enclosure : Navigable Waterway : Storm Drainage System : Potential Recharge Features : GROUNDWATER INFORMATION Depth (ft) : Source / Date of Reference : Groundwater Subbasin : Current Depth to Water : ❑ Cosumnes Subbasin (2 -22 . 16 ) Highest Depth to Water: 0 Eastern San Joaquin Subbasin ( 5 -22 . 01 ) Lowest Depth to Water : ❑ Tracy Subbasin (5 -22 . 15 ) 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464 - 0138 www . socehd . com 1 of 2