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"OTE: PULL ALL PERM ` 'S (SEPTIC, WELL, ETC...) I `KE COPIES FOR FILE LAND USE REPORT APP# EHD RECEIVED APP.REFERRAL: — COMPLETE & SUBMIT BY - DATE DATE ATTN: -/ SITE ADDRESS: U In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area showing population density, location of house, wind direction, etc.... Public water: / Public sewage: SUMMARY OR COMMENTS: I recommend: Approval V Denial Continuance Inspector's Signature iciciriacxF�c�eXre 'cFiex�c�ciciex�cFicicx*ieXXicicxx4eieic�cac�exiricx'c�"e�E�e�e�e4�'c�x�xxiccxic�exxieFxxie�e 'rte�Exiede'exieirFFie4iex�exic�F Supervisor/Lead Senior Comments: -- Count Development Title Requirements listed below have been identified as fe San Joaquin Y 1 These requirements cannot be rtinent to this project. Other requirements may also appy•dified. Environmental Health Division requires a soil suitability/ itrate use, udy that the 'oea.i g A. En and custom winery waste, number of proposed employeesg ermits suitable for septic tank usage. This must be performed evelopmentrior to Title,fSection 9 p AAY and/or final occupancy approval (San Joaquin County 05.2 d A nitrate loading study is required and a review fee of$445.00 must be paid at 11O) time of submittal to Environmental Health Division. a e disposal system shall comply with the on site sewage standards of San Joaquin The sew t g p percolation test that meets absorption rates of the manual of County prior to approval. A p _ tank Practice or E.P.A. Design Manual for onsite wastewater er percolation hole is rdequi d 1 septic P permit fee of$89. p P ` sy tem is required for each parcel. A p �h� nand the proposed use may need to meet the T q ite The ements Of Public . existing well(s) Water System as defined in the California Safe Drinking Water Act by serving 25 or more Public Water S;•tem rkuric t., individuals for at least 60 days per year. A yearly permit to operate a 'E BooK? will be required by Environmental Health Division(San Joaquin County Development Title, Section 9-1120.2 and 9-1115.9.). The supplier must possess adequate financial, managerial, and technical capability to assure delivery of pure, wholesome, and potable drinkainndg water in accordance 91115 9 and C C.RWTitle 22J oaquin and Health County Development Title, Sections 9-1120. and Safety Code, Section 116525 through 116570. No' E. -Contact Adrienne Ellsaesser at Environmental Health Division at(209) 468-0343 for determination of this requirement. k. Obtain discharge requirements from the California Regional Water Quality Control Board, Central Valley Region, prior to final occupancy approval (Water Code, Article 5, Section 13280). Submission of three (3) sets of food facility plans to the Environmental Health Division for review and approval prior to issuance of building permit(s) (California Health and Safety Code, Section 113915). F' Refuse, garbage, and other solid waste material must be stored, removed and transported to . an approved landfill in accordance with San Joaquin County Ordinance Code, Section 5- 2400.