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SA N J OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> COUNTY SITE APPROVAL/USE PERMIT <br /> FILE NUMBER: <br /> SERVICES <br /> Water Public — <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Water: <br /> ❑ Existing Well New Well Well Replacement <br /> Private ■ <br /> ❑■ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Sewer: <br /> Private <br /> ❑ Existing Septic System New Septic System Septic System Replacement <br /> ■ ❑ ❑ ❑ <br /> Description of process wastewater: Volume of process Method of disposal: <br /> If the project will result in Public Treatment Planned Recycling wastewater: Public Treatment <br /> process wastewater provide Center via an on-site concrete >160 cubic feet Planned Recycling <br /> the following information: <br /> washout container. center <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ El Public Storm <br /> D rai n: <br /> ❑ Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> Private ❑ ❑ 1 ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> N/A School: N/A N/A Fire Station: I N/A <br /> Page 3 of 6 <br /> 08/13/2021 <br />