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SAN J O A Q U I N Environmental Health Department <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Applicabon Number: Application Type: <br /> PTject Address: 30636 E Carter Rd.Farmington,Calliarnia 95290 ProjBgt APN: 207.080.004 <br /> Applicant Name: Rlcherd Jenkins Title: ceo <br /> APO!cant Address: 30&36 E Carter Rd.Farmlh9ron,GelHornla 95230 CIt /ZI : Farmington,95230 <br /> Applicant Phone: 209-652-2278 Email: rlenkiMsapvfarmsca-com <br /> Pro2e!ty Owner Name: Rlchard Jenkrns <br /> Property Owner Address: 30636 E carter Rd,Farmington,caufornia 9523o Ci 1Zi : Farmington,95230 <br /> Property Owner Phone: 209,4552-2276 Finall: r3enkins@pvfarrrtsea.com <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: Wells 0 Surface Water(,Attach Water Fights Information) <br /> Domestic Wastewater Disposal:-None <br /> Process Wastewater Dischar e: ponds: Yes A licable WDR: <br /> Storm Drainage System: <br /> WATER USAGE DATA <br /> Provide for total water usage at full buildout Number PersonslDa Gallons/Person/Day Total GallonslDa <br /> Domestic Water Usage b Employees/Customers: 3 78 <br /> Tyee of Processllrri ated Lands Total Gallons/Da <br /> Process Water Usa e: Egg Wash 1500 <br /> Process Water Usage: <br /> Irrigation Water Usage: done <br /> Total Gallons Per Day: 1578 <br /> PROPOSED WELL.LOCATION <br /> Well Location Address: J Cit <br /> Well Location APN: <br /> Well Latitude: Well Longitude: <br /> Mood Plain Designation: Well Elevation: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth :1 Acres to be Served by Well: <br /> Use of Well: ©Domestic © Irrigation ❑Small Public Water Supply 0 Municipal Public Water Supply Q industrial ❑ Stock <br /> © Other, <br /> Depth of Corcoran Clay(ft): <br /> Proposed Well Capacity(gall ft: Estimated Pumping Rate allmin : <br /> —Anticipated Pumping Schedule allda : Estimated Annual Extraction Volume acre-feet: <br /> Estimated Cumulative Extraction Volume before JanuaDr 1,2028(acre-feet): <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ftl: Onsite: Offsite: <br /> Wastewater Treatment System: Sources of Contamination: <br /> Other Wells; Pond/Lake: <br /> Sewer Llnes; StreamlRiver: <br /> Animal or Fowl Enclosure: Navi able Waterway <br /> Storm Drainage System:— Potential Recharge f=eatures: <br /> GROUNDWATER INFORMATION <br /> De th ft: Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water: p Cosumnes Subbasin(2-22,16) <br /> Highest Depth to Water: 0 Eastern San Joaquin Subbasln(5-22.01) <br /> Lowest Depth to Water: ❑Tracy 5ubbasin(5-22,15) <br /> 1868 F_- Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www sicehel corn <br /> 1 of 2 <br />