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DocuSign Envelope ID:E3D5593F-5BC1-4D54-972C D1746EA12 <br /> SAN J O A Q U I N Environmental Health Department <br /> C O U . T Y--__._._ <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number: Application Type: Major Use Permit <br /> Project Address: 150&212 Frewert Road,Lathrop,CA.95330 Project APN: 191-230-12& 191-230-14 <br /> Applicant Name: Railport Logistics Inc/Ranjit Gill Title: <br /> Applicant Address: 403 Riley Court,Tracy,CA.95377 City/Zip: Lathrop/95330 <br /> Applicant Phone: 209)640-9078 Email: rs illftpacbell.net <br /> Property Owner Name: Gi lico,Inc.,A California Corporation /Joe Gi lico <br /> Property Owner Address: 12333 S.Manthey Road,Box C Cit /Zi : 95330-9732 <br /> Property Owner Phone: 209 481-0746 Email:I jgigili@gmail.com <br /> SERVICES INFORMATION <br /> Please provide description below: <br /> Water Supply: Proposed Domestic Well ❑ Surface Water(Attach Water Rights Information) <br /> Domestic Wastewater Disposal: eptic Tank with Leach Field <br /> Process Wastewater Discharge: Ponds: I I Applicable WDR: <br /> Storm Drainage System: On-site retention Pond <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: 10/day 55/10/1 550 <br /> Type of Process/Irrigated Lands Total Gallons/Da <br /> Process Water Usa e: <br /> Process Water Usage: <br /> Irrigation Water Usage: Industrial MWELO-water efficient plantings 1000 gallons I day <br /> Total Gallons Per Day: 1,550 <br /> PROPOSED WELL LOCATION <br /> Well Location Address: 150 Frewert Road Ci : Lathrop <br /> Well Location APN: 191-230-14 <br /> Well Latitude: 37°50'52.98"N Well Lon itude: 121°17'19.84"W <br /> Flood Plain Designation: Zone X Well Elevation: 13.00 <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth ft: _ I Acres to be Served by Well:j 34.41 <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): TBD Estimated Pumping Rate (gal/min): TBD <br /> Anticipated Pumping Schedule (gal/day): 1550 gal/day Estimated Annual Extraction Volume acre-feet):TBD <br /> Estimated Cumulative Extraction Volume before January 1,2020 acre-feet): TBD <br /> SITING INFORMATION <br /> Distance To Nearest(ft): Onsite: Offsite: Distance To Nearest(ft): Onsite: Offsite: <br /> Wastewater Treatment System: 630'+/- 140'+/- Sources of Contamination: Drainage None <br /> Other Wells: 500'+- 88'+/- Pond/Lake: 670' 7,300'+/- <br /> Sewer Lines: 630'+/- 190'+/- Stream/River: None 8,800+- [ <br /> Animal or Fowl Enclosure: None None Navigable Waterway: None <br /> Storm Drainage System: 670' 1,100'+/- Potential Recharge Features:1 Groundwater Groundwater[ <br /> GROUNDWATER INFORMATION <br /> Depth(ft): Source/Date of Reference: Groundwater Subbasin: <br /> Current Depth to Water: 12.5 average San Joaquin ❑ Cosumnes Subbasin(2-22.16) <br /> Highest Depth to Water: 15 County Flood Control and Water Conservation District ® Eastern San Joaquin Subbasin(5-22.01) <br /> Lowest Depth to Water: 10 ❑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 />