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oPquin, S ANJOAQUIN Environmental Health Department Q � . Uri . �' < 1 COUNT Y - iroGreatness groes here . Water Usage Information PROJECT INFORMATION Application Number : Application Type : Project Address : 13881 S Highway 99 , Manteca , CA 95336 Project APN : Applicant Name : George Perry and Sons , Inc . Title : Applicant Address : PO Box 2588 City/Zip : Manteca , CA 95336 Applicant Phone : 209 - 249 - 2400 Email : joewgperryandsons . com Property Owner Name : AG Enterprises , LLC Property Owner Address : PO Box 2588 City/Zip : Manteca , CA 95336 Property Owner Phone : 209 - 249 - 2400 Email : ' oew@ erryandsons . com SERVICES INFORMATION Please provide description below : Water Supply : existing well ❑ Surface Water ( Attach Water Rights Information ) Domestic Wastewater Disposal : se tic Process Wastewater Discharge : Ponds : N /A Ap licable WDR : N /A Storm Drainage System : existing oond WATER USAGE DATA Provide for total water usage at full buildout Number Persons/ Day Gallons /Person / Da Total Gallons/ Day Domestic Water Usage by Employees/Customers : 15 5 75 Type of Process/ Irrigated Lands Total Gallons/Da Process Water Usage : N /A Process Water Usage : N /A Irrigation Water Usage : Landscape 100 Total Gallons Per Day : PROPOSED WELL LOCATION Well Location Address : I Cit Well Location APN : Well Latitude : Well Longitude : Flood Plain Designation : Well Elevation : PROPOSED WELL INFORMATION Well Total Depth (ft) : 1 Acres to be Served by Well : Use of Well : ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock ❑ Other : Depth of Corcoran Clay (ft) : Proposed Well Capacity (gal/ft): Estimated Pumping Rate (gal/min): Anticipated Pumping Schedule (gal/day): Estimated Annual Extraction Volume ( acre -feet) : Estimated Cumulative Extraction Volume before January 1 , 2020 ( acre -feet) : SITING INFORMATION Distance To Nearest (ft) : Onsite : Offsite : Distance To Nearest (ft ) : Onsite : Offsite : Wastewater Treatment System : Sources of Contamination : Other Wells : Pond/ Lake : Sewer Lines : Stream / River : Animal or Fowl Enclosure : Navigable Waterwa Storm Drainage System : Potential Recharge Features : GROUNDWATER INFORMATION Depth (ft ) : Source/ Date of Reference : Groundwater Subbasin : Current Depth to Water : ❑ Cosumnes Subbasin ( 2 - 22 . 16 ) Highest Depth to Water : ❑ Eastern San Joaquin Subbasin ( 5 - 22 , 01 ) Lowest Depth to Water : ❑ Tracy Subbasin ( 5 - 22 . 15 ) 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 ( F 209 464 - 0138 www . stcehd . com 1 of 2