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COMMUNITY DEVELOPMENT DEPARTMENT <br />MOUNTAIN HOUSE <br />USE PERMIT, SITE APPROVAL & <br />IMPROVEMENT PLAN APPLICATION <br />FILE NUMBER: _______________ <br />Page 4 of 7 <br /> <br /> <br /> <br />Storm Drainage <br />Public <br /> <br />Service Provider: Will Serve Letter Provided <br /> <br />Distance to Public Storm Drain: <br />Private <br /> <br />Existing On-site Retention Pond <br /> <br />New On-site Retention Pond <br /> <br />Natural Drainage <br /> <br />Electricity Natural Gas <br />Service Provider: Distance to Service: Service Provider: Distance to Service: <br /> <br />Telephone Service Cable Television Service <br />Service Provider: Distance to Service: Service Provider: Distance to Service: <br /> <br />School Service Fire Protection Service <br />Service Provider: Distance to Elem School: Service Provider: Distance to Fire Station: <br /> <br />Existing Roads <br />Road/Street Name R.O.W. Width Pavement Width Curb/Gutter Sidewalks <br /> Yes No Yes No <br /> Yes No Yes No <br /> <br />ENVIRONMENTAL INFORMATION <br />Water, Drainage and Flooding <br />Describe the current depth of the ground water and depth to potable water: <br /> <br /> <br /> <br />Describe any existing drainage courses or eroded areas on or near the project site (e.g. rivers, creeks, swales or drainage ditches): <br /> <br /> <br /> <br />Describe any areas subject to flooding (including flood depths and flood panel map number): <br /> <br /> <br /> <br /> <br />CSD (Water Quality Basin 1)0 <br />Modesto Irrigation District 0 PGE 0 <br />Comcast/ATT 0 Comcast/ATT 0 <br />Lammersville School District French Camp Fire +-2 Miles <br />Central Parkway 30' <br />N/A <br />None <br />None <br />■ <br />■■