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PA-2100295 (UP), PA-2200090 (GP), Referral, S00014698 Page 2 of 2 6550 E. State Route 12, Lodi December 1, 2022 4. An application for Waste Discharge Requirements must be submitted to the Central Valley Regional Water Quality Control Board prior to development (California Water Code, Article 4, Section 13260). 5. The existing private water wells shall be tested for the chemical Dibromochloropropane (DBCP) and nitrates with the results submitted to the Environmental Health Department prior to issuance of building permit(s). Samples are to be taken and analyzed by a State-approved laboratory (San Joaquin County Development Title, Section 9-1115.7). 6. Submit Water Provision Declaration form to the Environmental Health Department for review. 7. Should the existing private water well's number of non-resident individuals exceed 24 for at least 60 days per year, or the number of service connections exceed four, a yearly permit to operate a public water system will be required by the Environmental Health Department (San Joaquin County Development Title, Section 9-1120.2 and 9-1115.9.). The supplier must possess adequate financial, managerial, and technical capability to assure delivery of pure, wholesome, and potable drinking water in accordance with San Joaquin County Development Title, Sections 9-1120.2 and 9-1115.9 and C.C.R., Title 22, and Health and Safety Code, Section 116525 through 116570. 8. The existing well must be repaired under permit and inspection by the Environmental Health Department (San Joaquin County Development Title, Section 9-1115.4(e)) as follows: a. Install sanitary seal. b. Install cement surface seal around the well casing to protect the well casing sufficiently and the integrity of well grout. c. Raise well casing 12 inches above ground level. d. Provide sample tap between the well head and the pressure tank. 9. Install an approved back-flow prevention device on the water supply system(s) (California Code of Regulation, Title 17, Section 7603). 10. Any geotechnical drilling shall be conducted under permit and inspection by The Environmental Health Department (San Joaquin County Development Title, Section 9-1115.3 and 9-1115.6). 11. If floor drains are required, they must be plumbed through a sand/oil separator and discharged to an above ground system approved by the Environmental Health Department. A registered engineer must design this system. The material collected in the above ground holding system must be analyzed for hazardous constituents prior to disposal. Specific test requirements may be obtained from the Environmental Health Department. The fee will be based on the current schedule at the time of payment.