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SAN J OAQ U I N Environmental Health Department COUNTY--- -- Water Usage Information PROJECT INFORMATION Application Number: N/A Application Type: Site Approval Project Address: 6786 E.Fairchild Rd.,Stockton,CA 95215 Project APN: 101-290-03 Applicant Name: Dillon&Murphy,c/o Joe Murphy Title: Project Engineer Applicant Address: Po Box 2180 Cit /Zip: Lodi,CA 95241 Applicant Phone: 209-334-6613 Email: jmurphy@dillonandmurphy.com Property Owner Name: David Bonadonna Property Owner Address: 5039 Palmer Avenue CltylZlp: Stockton,CA 95215 Property Owner Phone: 209-993-3159 1Email: N/A SERVICES INFORMATION Please provide description below: Proposed private services;storm,sewer,and water.Sewer as Phase 2. Water Supply: Existing private well ❑ Surface Water(Attach Water Rights Information) Domestic Wastewater Disposal: Proposed private septic(Phase 2) Process Wastewater Discharge: Ponds: N/A Applicable WDR: N/A Storm Drainage System: Natural drainage WATER USAGE DATA Provide for total water usa e at full buildout Number Persons/Da Gallons/Person/Da Total Gallons/Da Domestic Water Usage by Employees/Customers: o o 0 Type of Process/Irri ated Lands Total Gallons/Da Process Water Usage: N/A Process Water Usage: N/A Irrigation Water Usage: N/A Total Gallons Per Day: jo PROPOSED WELL LOCATION Well Location Address: 6786 E.Fairchild Road I City: Stockton Well Location APN: 101-290-03 Well Latitude: -38.0041 Well Lon itude: -121.2185 Flood Plain Designation: x Well Elevation: -43' PROPOSED WELL INFORMATION Well Total De thft: n/a Acres to be Served by Well: n/a Use of Well: ❑Domestic ❑ Irrigation ❑Small Public Water Supply ❑ Municipal Public Water Supply ❑ Industrial ❑Stock ❑ Other: Depth of Corcoran Clay(ft): n/a Proposed Well Capacity (gal/ft): n/a Estimated Pumping Rate (gal/min): n/a Anticipated Pumping Schedule(gal/day): n/a Estimated Annual Extraction Volume(acre-feet): n/a Estimated Cumulative Extraction Volume before January 1,2020(acre-feet): n/a SITING INFORMATION Distance To Nearest ft): Onsite: Offsite: Distance To Nearest ft): Onsite: Offsite: Wastewater Treatment System: N/A zoo+ Sources of Contamination: N/A N/A Other Wells: N/A zoo+ Pond/Lake: N/A 100+ Sewer Lines: NIA zoo. Stream/River; N/A +/-6300 Animal or Fowl Enclosure: N/A N/A Navigable Waterway: N/A +/-30,000 Storm Drainage System:j System: NIA 100+ Potential Recharge Features: N/A N/A GROUNDWATER INFORMATION Depth ft): Source/Date of Reference: Groundwater Subbasin:N/A Current Depth to Water: 105 ft. DWR Groundwater Data/October 2013 ❑ Cosumnes Subbasin(2-22.16) Highest Depth to Water: 113 ft. DWR Groundwater Data/October 1992 D Eastern San Joaquin Subbasin(5-22.01) Lowest Depth to Water: 65 ft. DWR Groundwater Data/April 1984 ❑Tracy Subbasin(5-22.15) 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com 1 of 2