Laserfiche WebLink
SAK JOAQUIN <br />t. Z <br />1; Y i COU NTY— <br />``%+;, Greatness grows here. <br />Environmental Health Department <br />New Well Information <br />Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption <br />criteria must submit the following required information, to the extent that can be reasonably known. <br />The Environmental Health Department must collect this information before a new well permit is <br />issued and must post the information on the Department's website for public information. <br />WELL LOCATION AND OWNER INFORMATION =' 1a"tiKl , °��.. g� . <br />Well Location Address: <br />j FCCO AlSK04a S J410 06h <br />6. City: <br />j <br />Well Location APN: <br />60 qO <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Depth of Corcoran Clay (ft): <br />Well Latitude: <br />3S. O <br />Well Longitude: — 12 / . 012. (a 3 <br />Flood Plain Designation: <br />1.Z widho' 4 /da q I Estimated Annual Extraction Volume (acre-feet): 9s <br />Well Elevation: <br />Estimated Cumulative Extraction Volume before January 1, 2020 (acre-feet): S <br />Specific Capacity (gal/min/ft): <br />Applicant Name: <br />Canepa and Sons, Inc. <br />Applicant Title: <br />Contractor <br />Applicant Address: <br />14384 Cuesta Court <br />City: <br />Sonora <br />Applicant Phone: <br />(209) 532-1136 <br />Applicant email: <br />csonsdrilling@gmail.com <br />Property Owner Name: <br />o go T7r0ZJLL' <br />. <br />Property Owner Address: <br />j <br />City: <br />S26 <br />Property Owner Phone: <br />_ 409 <br />1 Property Owner email: <br />MQ P—)l <br />PRO'PEED'=WELL=INFORMATION <br />' <br />Well Total Depth (ft): <br />Total Number of Existing Wells on Property: <br />Please complete the information below for every well on property. Use extra paper if needed <br />00 Acres to be Served by Well:1 Z40 <br />Use of Well: <br />❑ Domestic Irrigation <br />❑ Other: <br />❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />Depth of Corcoran Clay (ft): <br />Ijo13e <br />Proposed Well Capacity (gallft): <br />4. 1(pq Estimated Pumping Rate (gal/min): �600 <br />Anticipated Pumping Schedule (gal/day): <br />1.Z widho' 4 /da q I Estimated Annual Extraction Volume (acre-feet): 9s <br />Annual Extraction Volume (acre-feet: k%44r, Z <br />Estimated Cumulative Extraction Volume before January 1, 2020 (acre-feet): S <br />n <br />`EXIST( 15LLS'INFdRMATION: <br />,� 9� .. - r <br />Total Number of Existing Wells on Property: <br />Please complete the information below for every well on property. Use extra paper if needed <br />Well #1 Information SpOaAbki <br />RXZ <br />2 1. 01STT <br />Use of Well: <br />Domestic ❑ Irrigation ❑ Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑ Stock <br />❑ Other: <br />Total Depth (ft): 100 <br />yyr <br />❑ Open Bottom or Screen Interval (ft): <br />To: From: <br />To: From: <br />From: <br />Casing Diameter (in): S 1 <br />Pumping Rate (gpm): 1,06qoTo: <br />Annual Extraction Volume (acre-feet: k%44r, Z <br />jX Estimated ❑ Measured <br />Specific Capacity (gal/min/ft): <br />Other Pumping Tests Performed: <br />Test Result: <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br />