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Environmental Information Form <br /> Part B <br /> DATE : November 1988 <br /> (To be Completed By Applicant ) <br /> NOTE : In completing this form, use additional sheets if necessary. <br /> Answer all questions to the best of your ability . If a question <br /> is not applicable to your project, write NA ( not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted. <br /> PERSON COMPLETING FORM PROPERTY OWNER __AGENT OF OWNER <br /> Name_ Quartaroli & Associates <br /> Address 160 Northgate Drive <br /> Cit y Manteca <br /> State/Zip CA 95336 <br /> Phone (209) 239-4908 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application : Q Use Permit, E] Major Subdivision, <br /> Zone Reclassification, ] Minor Subdivision, Q Site Approval, <br /> Zone variance, Q Other : <br /> 2 . P :oject location: 6400 1, . Durham Ferry Road <br /> Describe the project; i .e . , request being made and nature of use . <br /> Identify specific project components : Create 4 - 1.5 1 acre parcels to <br /> finance residences for four members of the owner-operator's family who earn a sub- <br /> stantial portion of their livelihood from participation in operating an agricultural <br /> enterprise. <br /> 3 . Total acreage of project: 40.9 ± acrck of existing parcels : one <br /> Assessor Parcel # (s ) : 253-250-19 <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date : N/A <br /> 5 . Jther permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> Percolation Test Permit Local Health District <br /> Well & Septic Permit Local Health District <br /> Building Permit Building Department <br /> Minor Subdivision - 7 - ( 6/8(; ) <br />