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C. Will the purchaser be responsible for any of the following public/private sewer system <br /> costs(excluding.septic systems): <br /> 1) Installation of system? ..................................................................... ❑Yes ®No <br /> If YES,stale estimated cost per lot. ........................... $ N/A <br /> 2) Extension to lot? .............................................................................. ❑Yes ®No <br /> If YES,srate estimated cost per lot. ..••• S N/A <br /> 3) Hookup fees for vacant lots(including meter or other fees)?........................... ❑Yes ®No <br /> If YES,state estimated cost per lot. .................................................. .. $ N/A <br /> D. Will the project use septic.systems or other individual sewage systems?...... ........... M Yes ❑No <br /> If YES,submit a letter from the local health authority stating that a septic tank or other <br /> individual sewer system isthe acceptable method ofsewage disposal and will be permitted <br /> on each and everylot included in the application.Ifthe letter fromthe localhealth authority <br /> does not specify each and every lot as suitable for the proposed sewage disposal system, <br /> the sample escrow instructions and the sample sales agreement must provide that no sale <br /> will be closed until the purchaser has received a written opinion, satisfactory to the <br /> purchaser,from the local health authority,a registered civil engineer or a geologist,that <br /> the Iovpareel is suitable for installation of aseptic system or other individual sewersystem <br /> and a permit would be issued on thedate of the opinion,if an application for a permit were <br /> made in compliance with local permit requirements on that date. <br /> Ifpurchaser is to pay for installation,state estimate of cost and date estimate was trade. <br /> If none,so state..................................................................................... $ <br /> (date) <br /> 12. SOILS,FILLED GROUND&GEOLOGICAL INFORMATION <br /> A. Give the name and street address ofthe local public agency where information concerning <br /> soil conditions and/or filled ground, and/or geologic conditions in this project will be <br /> available. if such reports were not prepared specifrc to this subdivision,fill-in"none." <br /> NAntEOF soE Pueuc AGENCY <br /> County of San Joaquin-Dept.of Environmental Health <br /> ADDRESS <br /> 304 E.Weber Avenue <br /> cow STATE W CODE <br /> $tlMlLtlln CA 95202 <br /> NAME OF FILLED GROUND PUBLIC AGENCY <br /> ADDRESS <br /> CT' STATE ZIP CODE <br /> NAME OF GEOLOGICAL REPORT PUBLIC AGENCY <br /> ADDRESS <br /> CITY STATE ZP CODE <br /> RE 628 Parr X 0 11 F12A Page 10 of 23 <br />