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NOTE: PULL Alk,,JERMITS (Septic, Well, etc.) MAR► OPI.ES FORFILE <br /> LAND USE REPORT RECORD ID: SU0007704 <br /> DATE RECEIVED by EHD: April 27,2009 APPL#: PA-0900096 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, May 13, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 19690 N HWY 99 ,ACAMPO APN : 01733007 <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: ��� Public Sewer: <br /> Names of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 11:11 Prior to Final Map Recordation <br /> 10:08 <br /> NOTE: This facility is currently regulated by the Regional Water Quality Control <br /> Board (RWQCB) for Waste Discharge Requirements (WDR). Routine <br /> monitoring requirements are satisfied by the facility under WDRs. <br /> The proposed land use application will not change this status. <br /> 11:01 else '`„ er_colation,test throng ... permi for percoiatiflr�-tests.is. <br /> eed Keep (San Jaaquln County2 y bevelopmen .... <br /> NOTE: This facility is currently permitted with the Environmental Health <br /> Department (EHD) for a Waste Water Treatment Plant. The proposed <br /> land use application will not change this status. <br /> 20:01 <br /> I NOTE: This facility is currently permitted as a Small Community Water System <br /> (SCWS) with the EHD. The proposed land use application will not <br /> change this status. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: f� <br /> 0;411:OhockP0 ci telsert - Correct'LIND[ISE'# <br /> m i o eil ur LAND U1Boak2 _ <br /> Garxcecc� DrIIN{ _ ` _.. <br /> EH 06 06 Report 7!7201 <br /> April 27,209 <br />