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6 <br /> NOTE: PULL ALL6,AMITS (Septic, Well, etc.) MAKE -PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005948 <br /> DATE RECEIVED by EHD: March 07,2006 APPL#: PA-0600100 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 21, 2006 <br /> Assigned to : EE0005366 MEDUVA <br /> SITE ADDRESS: 26609 N HWY 99 W FRONTAGE RD,ACAMPO APN : 00509068 <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: e'22e7�L Public Sewer: <br /> - dt22-12ne <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �j�� _ c44e'zt;' <br /> 072, <br /> C'7 c 2 /J cy l ( ct air l Q J— 1 � <br /> .n/ The Environmental Health Department does not have records for a existing domestic <br /> well located on Proposed Parcel #2. The EHD cannot support the use of the well for <br /> domestic purposes due to the unknown construction of the well. <br /> I recommend: Approval Denial E] Continuance ❑ Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> o t1 <br /> A r� c.n <br /> 27 ' o <br /> C) f is <br /> d'1014 AA I <br /> .; <br /> fr <br /> ' 2 2 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 3H 06 06 Report#7201 March 07,2006 <br />