My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
WP0040900
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
L
>
LIVE OAK
>
10751
>
4200/4300 - Liquid Waste/Water Well Permits
>
WP0040900
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
12/27/2021 11:28:17 AM
Creation date
4/14/2021 9:11:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040900
PE
4366
STREET_NUMBER
10751
Direction
E
STREET_NAME
LIVE OAK
STREET_TYPE
RD
City
LODI
Zip
95240-
APN
06319033
ENTERED_DATE
6/19/2020 12:00:00 AM
SITE_LOCATION
10751 E LIVE OAK RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\tsok
Supplemental fields
CYEAR
2020
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
31
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
COUNTY— <br />tt!Foikr.! Greatness grows h. <br />I hereby certify that <br />Signed: <br />e information I have provided in this statement is accurate and truthful. <br />Date: <br />p1R4012-(-i <br />Statement completed by: Well Driller El Well/Property Owner D Other: <br />SAN JOAQUIN Environmental Health Department <br />Well Exemption Statement <br />Pursuant to California Water Code, Section 13808, all new wells that do not meet the exemption criteria must submit <br />additional information prior to the issuance of a permit by the Environmental Health Department. This form must be <br />completed to document the exemption criteria applicable for the new well application. <br />WELL LOCATION AND OWNER INFORMATION - , <br />Well Location Address: i. I 01 ,s----i 6, t_ i Ni 0 (A k: R A City: Lo A t <br />Well Location APN: O3 I CI <br />, <br />Applicant Name: C (/(0-1,,e, t\git 1 Dr , t 1 1,5 Applicant Title: b ri I <br />Applicant Address: pc) G A,\<:: IL( Li (0 City: R vutlx-v-i. I') <br />Applicant Phone: 9,00) r/1 Lo& , 0 I c (---f Applicant email: <br />Property Owner Name: C C,1 - 1 L.,,& V...._\ c c <br />Property Owner Address: C 2 --• PrOv t J, --r Inc: e .v.ic,i 4,, City: Le ,,A 1 <br />Property Owner Phone: a.,oq \ 1 Li 1 - 0 D-1 Propeity Owner email: <br />EXEMPTION CRITERIA <br />Weil meets any of the following Exemptions: <br />Well not located in a critically overdrafted basin. Eli Tracy Subbasin (5-22.15) • Cosumnes Subbasin (5-22.16) <br />.t,/ New well owner will be a de minimis extractor: maximum two acre-feet (651,702 gallons) or less per year being <br />extracted for domestic purposes only. <br />Replacement well with same extraction as the existing well that it is replacing. To meet this exemption the existing <br />well must be destroyed under permit or continue to be used for domestic purposes with total domestic extractions <br />remaining two acre-feet or less per year. <br />Purpose/use of existing well: El Serve an existing residence El Irrigate residential landscape <br />New well estimated annual extraction volume: <br />Existing well estimated annual extraction volume: <br />Total Annual Domestic Use Volume: <br />Public agency that substantially meets or exceeds these requirements through another requirement of the law. In <br />order to be exempt, the applicant shall document the laws that substantially meet or exceed these requirements <br />and how the requirements of those laws were met. <br />• <br />A city or county municipal well to provide water supply solely for residents of the city or county. E <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com
The URL can be used to link to this page
Your browser does not support the video tag.