Laserfiche WebLink
2 <br /> PAS - 04) j � 4 <br /> SAN JOAQUIN Environmental Health Department <br /> - <br /> - COUNTY -- -- -- <br /> - <br /> Water Usage Information <br /> PROJECT INFORMATION <br /> Application Number : Application Type : <br /> Project Address : 2900 E FREMONT ST, STOCKTON , CA 95205 Project APN : 143-420-65 <br /> Applicant Name : LAKHWINDERSINGH Title : PROPERTY OWNER <br /> Applicant Address : 19037 SANTA MARIA AVE City/Zip . CASTRO VALLEY, 94546 <br /> Applicant Phone : (510) 754-7415 Email , ladibigbrother@yahoo .corn <br /> Property Owner Name : <br /> Property Owner Address : I City/Zip : <br /> Property Owner Phone : I Email : <br /> SERVICES INFORMATION <br /> Please provide description below : <br /> Water Supply : CAL WATER ❑ Surface Water (Attach Water Rights Information ) <br /> Domestic Wastewater Disposal : CITY OF STOCKTON <br /> Process Wastewater Discharge : Ponds : Applicable WDR : <br /> Storm Drainage System : CITY OF STOCKTON <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 9 90 <br /> Type of Process/ Irrigated Lands Total Gallons/Da <br /> Process Water Usage : NIA <br /> Process Water Usage : N/A <br /> Irrigation Water Usage : NSA <br /> Total Gallons Per Day : <br /> PROPOSED WELL LOCATION <br /> Well Location Address : NSA City : 1 <br /> Well Location APN : <br /> Well Latitude : Well Longitude : <br /> Flood Plain Designation : Well Elevation : <br /> PROPOSED WELL INFORMATION <br /> Well Total Depth.&L IAcres to be Served by Well : <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): Estimated Pumping Rate (gal/min): <br /> Anticipated Pumping Schedule (gal/day): Estimated Annual Extraction Volume ( acre-feet) : <br /> Estimated Cumulative Extraction Volume before January 1 , 2020 (acre-feet): <br /> SITING INFORMATION <br /> Distance To Nearest (ft) : Onsite : Offsite : Distance To Nearest (ft) : Onsite : Offsite : <br /> Wastewater Treatment System : Sources of Contamination : <br /> Other Wells : Pond/Lake : <br /> Sewer Lines : Stream/River: <br /> Animal or Fowl Enclosure : Navigable Waterway : <br /> Storm Drainage System : SWALE CITY OF STOCKTON Potential Recharge Features : <br /> GROUNDWATER INFORMATION <br /> Depth (ft) : Source/Date of Reference : Groundwater Subbasin : <br /> Current Depth to Water: ❑ Cosumnes Subbasin (2 - 22 . 16) <br /> Highest Depth to Water: ❑ Eastern San Joaquin Subbasin ( 5 - 22 . 01 ) <br /> Lowest Depth to Water : ❑ Tracy Subbasin ( 5 -22 . 15 ) <br /> 1868 E . Hazelton Avenue Stockton , California 95205 T 209 468 - 3420 F 209 464 - 0138 www . sicehd . com <br /> 1 of 2 <br />