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SAN J O AO U I N Environmental Health Department <br /> COUNTY <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number: Application Type: <br /> Project Address: 4010 E.Fremont Street,Stockton,CA 95215 Project APN: 143-330.029 <br /> Applicant Name: Muhammad Bilal Title: Owner/Operator <br /> Applicant Address: 10445 Chantel Lane Clt /ZI : Stockton,CA 95212 <br /> Applicant Phone: (707)486-8894 Email: fasteasyl01@gmaii.com <br /> Property Owner Name: Muhammad Bilal <br /> Property Owner Address: 10445 Chantel Lane City/ZiStockton,CA 95212 <br /> Property Owner Phone: (707)486-8894 Email:I fasteasyl01 @gmail.com <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: California Water Service ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: City of Stockton Municipal utilities <br /> Process Wastewater Discharge: Ponds: I N/A Applicable WDR: I NSA <br /> Storm Drainage System: on-site retention <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: 130 1.5 195 <br /> Type of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usage: N/A o <br /> Process Water Usage: N/A o <br /> Irrigation Water Usage: drip irrigated trees,shrubs,and groundcovers 2.431 <br /> Total Gallons Per Day: <br /> PROPOSED WELL LOCATION <br /> ocation Address: Cit <br /> WeTrt,%,ation APN: 1101, <br /> We itude: Well Lon itude: <br /> Flood Plain Design Well Elevation: <br /> PROPOSED WELL INFORMATION <br /> Well Total11E <br /> th ft: Acres to be Served ell: <br /> Use of Wel <br /> ❑ Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public er Supply ❑ Industrial ❑ Stock <br /> Other: <br /> Depth of Corcoran Clay(ft): <br /> Proposed Well Capacity al/ft: Estimated Pumping Rate (gal/min): <br /> Anticipated Pumping Schedule al/da Imated Annual Extraction Volume(acre-feet): <br /> Estimated Cumulative ction Volume before January 1,2020(acre-feet): <br /> SIT INFOR ION <br /> Distance To Nearest(ft): Onsite: Ite: Distan o Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System: Sources o ntamination: <br /> Other Wells: d/Lake: <br /> Sewer Lines: Stream r: <br /> Animal or Fowl Enclosure: Navigable Waterway': <br /> Storm Drainage Systemdoe Potential Recharge Features: <br /> GROUNDWATER INFORMATION <br /> 04 Depth (ft): Source/Date of Reference: Groundwater Sub n: <br /> Current Depth ater:j ❑ Cosumnes Subbasin (2- 16) <br /> Highest th to Water] ❑ Eastern San Joaquin Subbasin 2.01) <br /> Est Depth to Water: El Tracy Subbasin(5-22.15) <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.s6cehd.com, <br /> 1 of 2 <br />