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PLAN MAP AMENDMENT <br /> ao mss-,oma <br /> c a <br /> SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT <br /> FILE NUMBER: - - <br /> SITE IMPROVEMENTS AND SERVICES <br /> Water <br /> Annex-Formation Distance to Public <br /> Public Water Service Provider Required Water Feet <br /> Proposed❑ <br /> Existing Q C 5A -3 O E S G <br /> Private Water❑ Existin Well ❑ New Well ❑ Well Replacement ❑ <br /> Sewage Disposal <br /> Public Sewage Annex-Formation Distance to Public <br /> Disposal Service Provider Required Sewer Facility <br /> Proposed ❑ <br /> Existin ❑ <br /> On-site Sewa e <br /> Dis I Existing Septic System ❑ New Septic System Other ❑ <br /> Storm Drainage <br /> Public Storm Annex-Formation Terminal Drainage Detention-Retention <br /> Drainage Service Provider(if Public) <br /> Required to: Ponds <br /> Proposed❑ <br /> Existing ❑ <br /> Private Storm <br /> Drains t Q On-site Retention Pond(s) [� Natural Drainage/No Change ❑ Other ❑ <br /> Electricity Telephone Service <br /> Service Provider Distance toService Service Provider Distance to Service <br /> P 3 C r-7- VE�rz l o v^l 30 FT <br /> School Service Fire Protection Service <br /> Service Provider Distance to ElemSchool Service Provider Distance to Fire Station <br /> ,L/�IGOGN 2.3 rn /Y/A,v-Te=C A f/R)= DEPT. 5 1,2 <br /> Existing Roads <br /> Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks <br /> S GLl TH D/>7 GOK EX 0,4 D OFT o?a f T Yes❑ No R Yes❑ No[B' <br /> Yes ❑ No❑ Yes ❑ No❑ <br /> ENVIRONMENTAL INFORMATION <br /> USE ADDITIONAL PAPER, IF NECESSARY) <br /> Water, Drainage and Flooding <br /> Describe any areas subject to flooding(include flood depths and flood panel map number): <br /> O TO /DO YEAg L ri0[7 PANFL /�0 6�F <br /> Describe the current depth of the ground water and depth to potable water: <br /> wATE rz DEPT74 = 3 o FT 496u140 WATcQ 4�46 /VilQ vER4 9 ZE, rt CA/ <br /> PEP 7W_Tv PnTADc.C- WArE2 = et c o FT <br /> Describe any existing drainage courses or eroded areas on or near the project site(e.g. rivers,creeks, swales or drainage ditches): <br /> S5 Sr D T12R16AT1 G/�/ /A7ZE"I- AT- 50le7/-/ 20PE2 250,QDCg- <br /> 4-vOD /,e�z/C/-1r1dn! fGoW Tc) 77-1FN61,QT14 <br /> F:OEVSVC�Pianning Application Fortes\ Page 5 of 7 <br /> Plan Application Amendmentdoc (Revised 05-11-09 <br />