Laserfiche WebLink
Waiver <br /> Well Permit Number: Q 5&I:i ( CI ep <br /> This application is made for a waiver of the minimums ck dist"c required by San <br /> Joaquin County Well Standards. <br /> Site Address: 800 West Mossdale Road, Lathrop,CA 95330 _ <br /> APN: 239-030-080 <br /> This Waiver is requested due to the following circumstances: <br /> The County well ordinance requires a 50 foot seal on irrigation wells. We are requesting to <br /> install a 60 to 70 foot deep well with 40 to 50 feet of screen.We do not want tounp_ cture a clay <br /> layer at greater depths. Groundwater is approximately 10 feet bgs. T he well will be used intermittently <br /> for landscaping. We request a variance for a minimum 20 feet seal. <br /> Approved by: ��r" _ Date: t' <br /> egistued Envirn p t}i Specialist <br /> The following conditions are placed on the well construction permit and may not be <br /> modified: <br /> 1. The property owner shall sign this application and acknowledge that the minimum <br /> distance setback deviates from the minimum distance setback of Well Standards. <br /> I, the undersigned owner of the property identified above, hereby request a Waiver from <br /> the minimum distance setback of San Joaquin County on the information noted above. I <br /> acknowledge that this Waiver information should be disclosed to subsequent property <br /> owners. <br /> Signature of Property Owner. <br /> Print Name: <br /> v 'rL`" � J� — <br /> Mailing Address: PO Box 1429,Lathrop, CA 95330-1429 <br />