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SAN 10 A Q U ! N Environmental Health Department <br /> Water Usage Information !R ! 9 0 0 2 4 9 <br /> PROJECT INFORMATION <br /> Application Number: Application Type.- Conditional Use Permit <br /> Project Address: 4674 E.Waterloo Rd.Stockton Ca.95215 Project APN: 101-0212-32 <br /> Applicant Name:Patrick Byron __ Title:CEO <br /> Applicant Address:412 N.California Street City/Zip: Lodi,Ca.95240 <br /> Applicant Phone:209-329-6437 Email: Mustangbandit06@gmaii.com <br /> Property Owner Name:j Stockton Warehouse and Industrial Complex <br /> Property Owner Address:834 Mission Ave,San Rafael Ca.94901-3209 CI /Z'I : San Rafael Ca.94901-3209 <br /> Property Owner Phone:415-457-1629 Email:Improp@att.net <br /> SERVICES INFORMATION <br /> Please provide description below. <br /> Water Supply: <br /> [ISurface Water(Atfach Water Rights Information) <br /> Domestic Wastewater Disposal: <br /> Process Wastewater Discharge Ponds:n /a livable WOR: <br /> Storm Drainage System: s-C <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 Em to ees/Customers: 2.5 15-20 40-50 <br /> Type of Process/Irrigated Lands Total Gallons/Dq <br /> _ Process Water Usage: none <br /> Process Water Usage: <br /> Irrigation Water Usage: <br /> Total Gallons Per Day: 40-50 <br /> PROPOSED WELL LOCATION <br /> Well Location Address:n/a I Ci :n/a <br /> Well Location APN:n/a <br /> Well Latitude:n/a _ Well Longitude]n/a <br /> Flood Plain Designation:n/a Well Elevation:n/a <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):1 n/a I Acres to be Served by Well-.Fn/-, <br /> Use of Well:❑Domestic [:]Irrigation E]Small Public Water Supply F]Municipal Public Water Supply ❑Industrial ❑Stock <br /> ❑Other. <br /> Depth of Corcoran Clay(ft:n/a <br /> Proposed Well Capacity (gal/ft):n/a Estimated Pumping Rate admin :n/a <br /> Anticipated Pumping Schedule (gal/day):n/a Estimated_Annual Extraction Volume(acre-feet):n/a <br /> Estimated Cumulative Extraction Volume before Janua 1,2020 acre-Feet:rva <br /> SETING INFORMATION <br /> Distance To Nearest(ft): Onsfte: Offsite: Distance To Nearest ft: Onsite: Offsite: <br /> Wastewater Treatment System: n/a Sources of Contamination: n/a <br /> Other Wells: n/a Pond/Lake: n/a <br /> Sewer Lines: n/a Stream/River.. n/a <br /> Animal or Fowl Enclosure: n/a Navigable Waterway: n/a <br /> Storm Drainage System: Potential Recharge Features: n/a <br /> GROUNDWATER INFORMATION <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water. ❑Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: <br /> ❑Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water. I El Tracy Subbasin(5-22.15) <br /> 1868 E. Ha2elton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 <br /> 1 of 2 <br />