Laserfiche WebLink
PLAN MAP AMENDMENT <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - <br /> G%FO � <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed F_] <br /> Existin <br /> Private Water NM Existin Well New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance tublic <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewage <br /> Disposal Existing Septic System JWNew Septic System ❑ Other ❑ <br /> Storm Drainage <br /> Public Storm a Detention-Retention Annex-Formation Terminal Drainage Drainage Service Provider(if Public) 9 <br /> Proposed❑ Re uired to: Ponds <br /> Existing❑ <br /> Private Storm <br /> Drainage On-site Retention Ponds) Natural Drainage/No Change ❑ Other ❑ <br /> Electricity Telephone Service <br /> Distance to <br /> Service Provider Service Service Provider Distance to Service <br /> Gre* e <br /> School Service Fire Protection Service <br /> Service Provider Distance to Elem Service Provider Distance to Fire Station <br /> School <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter _Sidewalks <br /> } ( Z Yes[I No N Yes El No <br /> Yes El No❑ Yes El No El <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY) <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding(include flood depths and flood panel map number): <br /> ILI® F, <br /> Describe the current depth of the ground water and depth to potable water: <br /> Describe any existing drainage courses or eroded areas on or near the project site(e.g. rivers,creeks,swales or drainage ditches): <br /> 8 Aj—t=:� <br /> FADEMCTlanning Application forms\ Page 5 of 7 <br /> Plan Application Amendmentdm.(Revised 05-11-09 <br />