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----------------------------------------- From: "Wong,Jeff[EHD]" To: "mberrington@charter.net" Cc: Sent: Wednesday April 26 2023 2:48:22PM Subject: SJC Well Permit application procedure for MW demo Ref: 3138 Main Mike: Visit the SJCEHD website https://www.s-jgov.org/department/envhealth/forms Look under Forms, and click on Site Mitigation tab,there you'll find all the permit forms you would need for your Phase II Site Assessment or other Site Mitigation endeavor, as well as a guidance. But in brief, you would need to provide to the EHD the following: 1. Completed Master File Record, especially the billable party information.This will also act as a service request to review your work plan/proposal 2. Completed Site Mitigation Well/boring permit application for each separate parcel (APN). Please be aware well boring permits are only issued to C-57 licensed holder per California requirement, and therefore requires either their signature on the permit application, or a person authorized by the C-57 licensed holder on the attached License Contractor Declaration form (see bottom of the form). 3. Work Plan complete with map of where the borings/well are to be installed, and construction diagram of any proposed monitoring wells. Must include a little bit of background/history/future developmental goal(can be very brief: who, what,when,where, why.A short paragraph or two will work, more if required), and the proposed analytical testing. 4. If this work is required by a lead agency(i.e. EPA, RWQCB, DTSC, etc.),their approval documentation for this proposed work 5. Access agreement(or encroachement, revocable permits if in city/county/government Right of Way) if the work is being done on a property that does not belong to your client 6. Fees. -$468 for the plan check fee which covers 3 hours (if it's a large or complicated plan, it may require $780 which covers 5 hours) - Boring Permit fees averages $468 ($156/hour) per parcel(each parcel requires a separate permit), which buys 3 hours of inspection time. Please be aware that if the inspection goes over the 3 hours which includes drive time, the time over the 3 hours will be billed to the billable party. Hence there are occasions where more than 3 hours is submitted to avoid being billed at a later time. Please feel free to contact me for variations of the fees required. -Well Permit fees: $156 per well (not parcel) per parcel, but the fees maxes out at 5 wells per parcel. 2