For a karstified limestone area in NW Vietnam, the relationship between the distribution of lineaments and borehole specific capacity is determined, resulting in the conclusion that not only the borehole geomorphological-hydrogeological position but also the lineament distribution influences the specific capacity. No significant spatial well yield patterns are evident in this highly fractured-karstified region. The supposition is that lineaments caused by geotectonic activities affect the local variability in borehole specific capacity. Sixteen pumping tests in conjunction with a comprehensive lineament analysis are used to prove this relationship. The boreholes and lineaments are classified into two groups according to their similarity in geomorphological-hydrogeological features. Lineaments tend to be less detectable in discharge areas (lowland, wide and flat valleys) in contrast to the high density in recharge areas (highland narrow-mountainous ravines). In addition, the presence of a stream network in the former can act as a recharge source to the underlain karstic groundwater system. Consequently, boreholes that are in the discharge areas with a lower density of lineaments often produce high yield. For recharge areas with a high density of lineaments, a good correlation is found between lineament density and borehole specific capacity.