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J� <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> 7 <br /> LAND USE REPORT APP# <br /> EHD RECEIVED APP.REFERRAL: /U c D COMPLETE & SUBMIT BY lb- —22 <br /> DATE _I / DATE <br /> ATTN: C�) til CI le r d )a r 7 itj / <br /> SITE ADDRESS: 0 ,S . arc,r 4 <br /> In completing the Land I TSA ;.,xrPctianflnn_draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). PUBLIC HEALTH SERVICES: <br /> showing population der <br /> Public water: a. A sail suitability study as required by Section 10100 of <br /> the San Joaquin County Development Code shall be <br /> SUMMARY OR COIF performed prior to approval of the Parcel Map indicating <br /> that the area is suitable for septic tank usage (San <br /> Joaquin County Planning Title Section 10100) . <br /> b. Construct an individual sewage disposal system(s) on <br /> 9 )q9? parcel r11-4 under a permit and inspection by the <br /> Environmental HealthDivision at the time of development <br /> i <br /> (Ordinance Code Section 5-3003) . <br /> C. Construct an individual domestic water well on parcel 241- <br /> 4 under a well permit and inspection by the Environmental <br /> Health Division at the time of development (Sar. Joaquin <br /> County Ordinance No. 1862, Section 5-4100) . <br /> d. The existing private water wells shall be tested for the <br /> c emical nitrates prior to approval of the Parcel `uam. <br /> Samples aree to be taken and man by a State approved lab. <br /> (��anning __-::'__ Sec-ion 9-_0100-05) . <br /> I recommend: Approval „ Denial Continuance Inspector's Signature, r <br /> Supervisor/Lead Senior Comments: <br /> 1 � <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />