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°Aa�IN APTLICATION — SPECIA PURPOSE PLAN < SAN JOAQUIN COUNTY COMMUNITY DEVELOPMENT DEPARTMENT _ FILE NUMBER: SP- SITE IMPROVEMENTS AND SERVICES Water Annex-Formation Distance to Public Public Water Service Provider Required Water Feet Proposed ❑ Existing MOKELUMNE ACRES MD Private Water❑ Existing Well ❑ New Well ❑ Well Replacement ❑ Sewage Disposal Public Sewage Annex-Formation Distance to Public Disposal Service Provider Required Sewer Facility Proposed ❑ WOODBRIDGE SANITARY DISTRICT Existing On-site Sewage Disposal ❑ Existing Septic System ❑ New Septic System ❑ Other ❑ Storm Drainage Public Storm Drainage Service Provider(if Public) Annex-Formation Terminal Drainage Detention-Retention Proposed ❑ Required to: Ponds Existing ® MOKELUMNE ACRES MD Private Storm Drainage ❑ On-site Retention Ponds ❑ Natural Drainage/No Chane ❑ Other ❑ Electricity Telephone Service Distance to Service Provider Service Service Provider Distance to Service PG&E SBC School Service Fire Protection Service Distance to Elem Service Provider School Service Provider Distance to Fire Station LODI UNIFIED WOODBRIDGE Existing Roads Road/Street Name R.O.W.Width Pavement Width Curb/Gutter Sidewalks VARIOUS Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ ENVIRONMENTAL INFORMATION USE ADDITIONAL PAPER, IF NECESSARY Water, Drainage and Flooding Describe any areas subject to flooding (include flood depths and flood panel map number): FLOOD ZONE B Describe the current depth of the ground water and depth to potable water: Describe any existing drainage courses or eroded areas on or near the project site (e.g. rivers, creeks, swales or drainage ditches): MOKELUMNE RIVER F:\DEVSVC\Planning Application Forms\Special Purpose Plan.doc. Page 3 of 6 (Revised 8-10-05)