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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009730 <br /> DATE RECEIVED by EHD: August 16,2013 APPL#: PA-1300118 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, August 28, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 14647 N RAY RD, LODI APN : 05516029,41& 50 <br /> [n 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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: )t�� (6)'( z!ZL 6- Z (-3) �Ia i7 <br /> 7sf Sr7c .7 .� .4L �nL<�u/C4�7�7cct�lJ/11/ 5 71E SS/S!'9�JS ! � �A2rdA2smaAL,4 <br /> �B,Z`1,1/�2/I7r77(� t'rTClft�) <br /> ,✓ i« 6 e4twiza✓s�aJ.� <br /> -7A�,2,L�}-C�f�,1�2ur3t17/!y. T'.ej-J0./(Jd.&�- , JXc �'/bi��!< <br /> -1G«iL�r�rQvl-rl[Cib- <br /> l 6 /.Y< e <br /> I recommend: Approval 2 Denial Continuance Inspecto . <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> i <br /> GrtaLfro. tSSvavte bbb !«5 PJnrri (s)f[�4 frolluwinyShall lu s�bm i'�4_vEf�(� "'thAwholkFall: <br /> 1) A permit amendment to begin operating as a Non-Transient Non community water system; <br /> 2) Documentation that demonstrates that the water system's well has the capacity to produce the volume of 't^q <br /> water to meet the new and current water demands;andJ <br /> 3) The test results that found the well water meets the water quality standards of a Non-Transient Non Community - <br /> Water System,which includes results for arsenic and DBCP that are contaminants known to be prevalent in this <br /> area of the San Joaquin County <br /> C. <br /> Pittrt..'1'o L55��aca <br /> G Ef = n5 <br /> 3 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: r7j <br /> t <br /> EH 06 06 Report 47201 <br /> August 16,201- <br />