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SAN J QA Q U I N Environmental Health Department <br /> C o u r'j T'Y <br /> r' <br /> Water Usage Information <br /> Application Number: PROJECT INFORMATION <br /> Pro ect Address: 20814 N DAVIS RD,LODI,CA 95242 Application Type: <br /> Project APN: 35-013-09 <br /> Ap licant Name: JOHN VIERRA <br /> Applicant Address: 212 W PINE STREET,STE#1 Title: ARCHITECT <br /> Clt /ZI LODI,CA 95240 <br /> A plicant Phone: 209-400-6080 Email: john@njaarchitecture.com <br /> Prope Owner Name: CELIA HUNG <br /> Prope Owner Address: 157 CALIFORNIA RESERVE,67667 HWY 20 Cit /Zip: BEND,OR 97701 <br /> Property Owner Phone: Email: <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: PRIVATE WELL <br /> ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: PRIVATE SEPTIC <br /> Process Wastewater Discharge: Ponds: NSA Applicable WDR: N/A <br /> Storm Drainage System: SURFACE DRAINAGE EXISTS TO SURROUNDING VINEYARDS <br /> WATER USAGE DATA <br /> Provide for total water usage a=buildoutNumber Number Persons/Da Gallons/Person/Da Total Gallons/DaDomestic Water Usa a by EmployeeType of Process/Irri ated Lands Total Gallons/DaProcess WINE PRODUCTION 30-50 <br /> Process WINERY30 <br /> Irri ation NATIVE&AG <br /> Total Gallons Per Day: 60 <br /> PROPOSED WELL LOCATION <br /> Well Location Address: 20814 N DAVIS RD City: LODI <br /> Well Location APN: 013-o9-35 <br /> Well Latitude: 38.175955 Well Lon itude: 121.322764 <br /> Flood Plain Designation: ZONE A Well Elevation: 35 FT <br /> PROPOSED WELL INFORMATION <br /> Well Total De th ft: Acres to be Served by Well: <br /> Use of Well: ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br /> IN Other: SMALL WINERY, EVENT CENTER,AND TASTING ROOM <br /> Depth of Corcoran Clay ft <br /> Proposed Well Capacity (gal/ft): Estimated Pumping Rate (gal/min): <br /> Antici ated 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: Stream/River: <br /> Animal or Fowl Enclosure: Navi able Waterway- <br /> Storm Drainage S stem: Potential Recharge Features: <br /> GROUNDWATER INFORMATION <br /> Current Depth to Water: Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Highest Depth to Water: ElCosumnes Subbasin (2-22.16) <br /> IN Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: ❑Tracy Subbasin (5-22.15) <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 fF 209 464-0138 1 vv�k�nrv.sicehd.com <br /> i of 2 <br />