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1) Submit the following: a) A letter from a California licensed well driller giving estimated cost for drilling and casing a well, cost of pressure pump and system and any required conditioning equipment; and depth at which water may be found. b) A letter from local health authority stating that individual wells will be permitted; the type of sewage disposal system permissible with wells on the size of lot proposed: and that the water is potable. 2) Is a geologist's report as to avai l a hi li ty of underground water required by local authorities? ❑ Yes ® No ❑ NA If YES, submit report. Upon review of your file, the Department may require a geologist's report even if one is not required by local authorities. 3) Are there any special requirements or conditions imposed by local city/ county authorities for the installation of individual wells? ❑ Yes No ❑ NA If YES,submit a statement or notice from the local authority citing the special requirements or conditions. Note: Subdivider should check with the local authorities to determine if there is a requirement that a well must be installed on each lot at the subdivider's expense prior to closing the escrow or,alternatively,that a statement from the purchaser must be obtained waiving installation of the well as a condition of sale. 15.0 UTILITIES A. Complete the following information regarding utilities: as ompa y 1 P FiC rias._ ! �'�tc ity elephom Number � TI)t�Ompany City i C Telephow Number Telephone company -- Cuy ✓7 Fj j Telephone Number B. Will the subdivider extend the above-listed gas,electric and telephone lines to the project? (Note: If utility supplier lines are already adjacent to the project, mark NA.) 1) Gas ❑ Yes ❑ No ® NA 2) Electric ❑ Yes ❑ No ® NA 3) Telephone ❑ Yes ❑ No [lq NA RE 618 Part/1/ Q 15.0 Page 11 of 20