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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006348 <br /> DATE RECEIVED by EHD: December 19,2006 APPL#: PA-0600650 <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, January 2, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 25901 N FUHRMAN RD, ACAMPO APN : 02103059 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Arno Public Sewer: QIP <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> A. The Environmental Health Department requires a soil suitability study indicating <br /> that the area is suitable for septic tank usage. This must be performed prior to <br /> — issuance of a building permit (s), San Joaquin County Development Title, <br /> — Section 9-1105.2 (d)). A review fee of$190.00 must be paid at time of submittal <br /> to the Environmental Health Department. <br /> The Sewage disposal system shall comply with the onsite sewage standards of <br /> — San Joaquin County prior to approval. A percolation test that meets absorption <br /> rates of the manual of septic tank practice or E.P.A. Design Manual for onsite <br /> I reco wastewater treatment and disposal system is required for each parcel. A permit <br /> fee of$95.00 per percolation hole is required. <br /> Sunervisor/Lead Senior COMMENTS: — <br /> n <br /> SUPERVISOR/LEAD SENIOR Approval: Datc: <br /> 50�"'��' ` " Ptb8 "Report? Coricct LAND USE 4 9 <br /> 64 II heck Off List <br /> _ 1 . Correct CONDITMN(S),? Loggcd in LAND USE Book? <br /> EH 06 06 Report 97201 December 20,2006 <br />