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°PO` SHAMA 0A U <br /> ®� Q Environmental Health Department <br /> COUNTY <br /> cr�;r:�a���'I Greotness grows here. <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number: Application Type: Site Approval <br /> Project Address: 16201 N.Tretheway Rd.Lodi,CA. Project APN: 051-200-53 <br /> Applicant Name: Dillon 6 Murphy C/o Joe Murphy Title: Engineer <br /> Applicant Address: P.O.Box 2180 City/Zip: 95241-2180 <br /> Applicant Phone: (209)334-6613 Email: jmurphy@dillonandmurphy.com <br /> Property Owner Name: Bill Cook <br /> Property Owner Address: 16201 N.Thretheway Rd. Cit /Zi : Lodi,CA.95240 <br /> Property Owner Phone: (209)610-9973 Email: bcook@silverblending.com <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: <br /> Process Wastewater Discharge: LApplicable WDR: <br /> Storm Drainage System: <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 Employees/Customers: <br /> Type of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usa e: <br /> Process Water Usage: <br /> Irrigation Water Usage: <br /> Total Gallons Per Day: <br /> PROPOSED WELL LOCATION <br /> Well Location Address: Cit <br /> Well Location APN: <br /> Well Latitude: Well Lon itude: <br /> Flood Plain Designation: Well Elevation: <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth(ft):l Acres to be Served by Well: <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 Rateal/min <br /> Anticipated Pumping Schedule al/da : Estimated Annual Extraction Volume(acre-feet)] <br /> Estimated Cumulative Extraction Volume before January 1,2020 acre-feet <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft)- Onsite: Offsite: <br /> Wastewater Treatment System: Sources of Contamination: <br /> Other Wells: Pond/Lake: <br /> Sewer Lines: StreamlRiver: <br /> Animal or Fowl Enclosure: Navigable Waterway: <br /> Storm Drainage System] Potential Rechar a Features: <br /> GROUNDWATER INFORMATION <br /> Depth ft : Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water: 93.1' California Dept. Water Resources 10/1/9 ❑ Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: 108.6' California Dept. Water Resources 10/1/9 a Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: 45.5' California Dept. Water Resources 10/1/9 ❑Tracy Subbasin(5-22.15) <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.s*cehd.com <br /> 1 of 2 <br />