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- SAN a 0 A Q U I N Environmental Health Department <br /> GO'K' --COUNTY- <br /> Greatness grows here. <br /> New Well Information <br /> Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption <br /> criteria must submit the following required information, to the extent that can be reasonably known. <br /> The Environmental Health Department must collect this information before a new well permit is <br /> issued and must post the information on the Department's website for public information. <br /> WELL LOCATION AND OWNER INFORMATION <br /> Well Location Address: 4343 E. Mortensen Rd. City: Manteca 95337 <br /> Well Location APN: 241-20-004 <br /> Well Latitude: 37.69951 Well Longitude: -121.25565 <br /> Flood Plain Designation: Well Elevation:Iest. 39' <br /> Applicant Name: Hennings Bros. Drilling Co., Inc. Applicant Title: <br /> Applicant Address: 1930 Ladd Rd. City: Modesto 95356 <br /> Applicant Phone: 209-545-1185 Applicant email: wells4u@henningsbros.co n <br /> Property Owner Name: D & D Farms <br /> Property Owner Address: 28536 S. Airport Way City: Manteca, CA 95337 <br /> Property Owner Phone: 209-765-7565 Property Owner email: deruyterfarms@gmail.com <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft): 350' Acres to be Served by Well:1 40.42 <br /> Use of Well: ❑ 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 /> EXISTING WELLS INFORMATION <br /> Total Number of Existing Wells on Property: <br /> Please complete the information below for every well on property. Use extra paper if needed <br /> Well#1 Information <br /> Use of Well: ❑Domestic tl Irrigation ❑Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> ❑ Other: <br /> Total Depth(ft): UNKNOWN To: From: <br /> Casing Diameter(in): ❑Open Bottom or Screen Interval(ft): To: From: <br /> Pumping Rate(gpm): To: From: <br /> Annual Extraction Volume(acre-feet: ❑ Estimated ❑ Measured <br /> Specific Capacity(gal/min/ft): <br /> Other Pumping Tests Performed:1 Test Result: <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />