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SAN JOAQUIN Environmental Health Department - -- -- C O U N T Y - -- --- Water ----- Water Usage Information PROJECT INFORMATION Application Number ; Application Type : Conditional use Permit Project Address . 18700 CA-88 , Lockeford , CA Project APN : 051 -31 -001 Applicant Name . ParminderKaur Title : Owner Applicant Address , 8858 Latigo Court Cit /Zip . Roseville, CA 95747 Applicant Phone : 661 -900-9578 Email , Lionbuilders@ gmail .com Property Owner Name : ParminderKaur Property Owner Address : 8858 Latigo Court Cit /Zip : Roseville, CA 95747 Property Owner Phone : 661 -900-9578 Email , Lionbuilders@ gmail .com SERVICES INFORMATION Please provide description below: Water Supply : Lockeford Community Services District ❑ Surface Water (Attach Water Rights Information ) Domestic Wastewater Disposal : Lockeford Community Services District Process Wastewater Discharge : Ponds ; N/A Applicable WDR : Storm Drainage System : On -Site WATER USAGE DATA Provide for total water usage at full buildout Number Persons/Da Gallons/ Person/Da Total Gallons/ Da Domestic Water Usage by Employees/Customers : 45 12.4 558 FType of Process/ Irrigated Lands Total Gallons/Da Process Water Usage : Car wast, 11265 Process Water Usage : Irrigation Water Usage : Landscape 20 Total Gallons Per Day . 13843 PROPOSED WELL LOCATION Well Location Address : N/A I Cit Well Location APN : N/A Well Latitude : N/A Well Longitudes N/A Flood Plain Designation : N/A Well Elevation : N/A PROPOSED WELL INFORMATION Well Total Depth (ft) : 1 N/A Acres to be Served by Well : N/A Use of Well : ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock ❑ Other ; Depth of Corcoran Cla ft : N/A Proposed Well Capacity (gal/ft): N/A Estimated Pumping Rate al /min ; N/A Anticipated Pumping 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 : Sources of Contamination ; Other Wells : Pond/Lake : Sewer Lines ; Stream/River: Animal or Fowl Enclosure : Navigable Waterwa Storm Draina e System : j 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: ❑ Eastern San Joaquin Subbasin (5 -22 . 01 ) Lowest Depth to Water : ❑ Tracy Subbasin ( 5 -22 . 15 ) 1868 E . Hazelton Avenue Stockton , California 95205 1 T 209 468 - 3420 F 209 464 - 0138 www . sicehd . com 1 of 2