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F . UTILITIES <br /> 1. Water <br /> a . Source for Project <br /> Private Well (s ) 1 <br /> Public System Agency Local Health Dent_ <br /> b. Distance to Nearest Public Water Connection 5 Mi _ M/T, <br /> C . Are fire hydrants proposed? Yes Q No a <br /> 2 . Sewage Disposal ' <br /> a . Type <br /> Septic System EX <br /> Private Treatment Plant <br /> Public System Q Agency Local Health Dept _ <br /> b. Distance to Nearest Public Sewer Connection S mi M/T, <br /> 3 . Storm Drainage <br /> a. Type <br /> On-site Method On Lot Retention <br /> Off-site Q Method <br /> 4 . Natural Gas Supplier PG&E <br /> S . Electricity <br /> a . Supplier PG&E <br /> b. Underground Distribution: Yes Q No Q <br /> G . IMPROVEMENTS/DEDICATIONS <br /> 1. On-site: streets: Q No Yes 50 ' <br /> right-of-way width (s ) <br /> curbs : Yes No; gutters a Yes [Z No <br /> sidewalks : Q No Yes; street lights : No Q Yes <br /> sewage N/A <br /> -3- (9/85 ) <br />