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SAN J O A Q U I N Environmental Health Department COU N T Y Water Usage Information PROJECT INFORMATION Application Number: Application Type: Project Address: 9999 S Austin Road,Manteca,CA 95336 Project APN: 181-150-07108/09;201-060-051177-260-36 Applicant Name: Ameresco Forward RNG LLC Title: Applicant Address: 111 Speen St, City/Zip: Framingham,MA 01701 Applicant Phone: 408.515.4602 Email: asiegwarth@ameresco.com Property Owner Name: Forward,Inc. Property Owner Address: 9999 S Austin Road City/Zip: Manteca,CA 95336 Property Owner Phone: 800.204.4242 Email: lewisengineering@sbcglobal.net SERVICES INFORMATION Please provide description below: Water Supply: on-Site Wells 0 Surface Water(Attach Water Rights Information) Domestic Wastewater Disposal: valley sanitation Process Wastewater Discharge: PondFT Applicable WDR: Storm Drainage System: onsite drainage and stormwater sedimentation ponds WATER USAGE DATA Provide for total water usage at full buildout Number Persons/Da Gallons/Person/Da Total Gallons/Da Domestic Water Usage by Employees/Customers: Type of Process/Irrigated Lands Total Gallons/Da Process Water Usage: Process Water Usage: Irrigation Water Usage: Total Gallons Per Day: PROPOSED WELL LOCATION Well Location Address: NIA I Cit Well Location APN: Well Latitude: Well Longitude: Flood Plain Designation: Well Elevation: PROPOSED WELL INFORMATION Well Total Depth(ft):1 N/A 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: none Sources of Contamination: varies Other Wells: varies Pond/Lake: N/A Sewer Lines: NSA Stream/River: loo-ft Animal or Fowl Enclosure: N/A Navigable Waterway: N/A Storm Drainage System: onsite drainage Potential Recharge Features: N/A GROUNDWATER INFORMATION Depth(ft): Source/Date of Reference: Groundwater Subbasin: Current Depth to Water: 50-70 ❑ Cosumnes Subbasin(2-22.16) Highest Depth to Water: 50 N Eastern San Joaquin Subbasin(5-22.01) Lowest Depth to Water: 80 ❑Tracy Subbasin(5-22.15) 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com 1 of 2