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�' - 4-6 <br /> NOTE: PULL ALL PERTTS (SEPTIC, WELL, ETC...) `AKE COPIES FOR FILE <br /> LAND USE REPORT APP# L401 -og <br /> n 15e�'orQ <br /> EHD RECEIVED APP.REFERRAL: - COMPLETE & SUBMIT BY_6j///]]T p' 0_-_CQ0-Q I <br /> DATE DATE <br /> f- <br /> ATTN: C Y a rj Lc oAc/ - r, <br /> SITE ADDRESS: g S. �'� C • O c K �P <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, l ation of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR C MMENTS: <br /> _ A� �mn� <br /> +i;0-7A. soil suitability stud /nitrate loading study Indicating that the area is suitable for septic tank <br /> - usage must be performed prior to recordation of Lot Line Adjustm. ntGiding <br /> rewired-by Section <br /> 9-1105.2(d) of the San Joaquin County Development Title. utra eudy is <br /> required and a review fee of$ 1 .00 must be paid at time of submittal to Environmental <br /> Health Division. <br /> The sewage disposal system shall comply with the on site sewage standards of San Joaquin <br /> County prior to approval. A percolation test that meets absorption rates of the manual of <br /> septic tank practice or E.P.A. Design Manual for onsite wastewater treatment and disposal <br /> system is required for eacl*parcel A permit fee of$87.00 per percolation hole Is re ug Ired• <br /> I recommend: Approval— Denial Continuance Inspector's Signature <br /> /441 <br /> **********�ede�e****3e*fit*Fr 9c'k �enFi�cx**ic***F*�e�rx�cic*�cdo�e�rx�r*�i**aF3t4t�ekFJr9e*ic*itis**ic*$c**3cK9t�r 3e*9e$elelex is 9cvF*fit <br /> Supervisor/Lead Senior Comments: <br /> " � <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA 7I•CHECK QFF LIST .' 4PTaofreard reportCorreei LAND,[ISE#9 <br /> `- . ' Coriect CONDITION(SJ', Logger!1n LAND USE BDOK� <br /> EH 06 06 Rev 1199 K <br /> ,; . a <br />