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NOTE: PULL ALL PERK (SEPTIC, WELL, ETC...) Pi KE COPIES FOR FILE <br /> LAND USE REPORT APP# (P- 9q - 3 + 2k- 99 -1/ <br /> EHD RECEIVED APP.REFERRAL: I —' L— COMPLETE & SUBMIT BY 9 — 01 <br /> DATE DATE <br /> ATTN: L n L1-;o fn cv 1 <br /> SITE ADDRESS: of -t)I O C) �� �s 5 b n �= Cl . <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> -Environmental Health Division is unable to support this General Plan amendment and <br /> recommends denial. This area is noted to have high ground water table level(s) and also known <br /> -to have high levels of nitrates that exist in the first water bearing aquifers. <br /> .Y <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> A,p J,- <br /> SUPERVISOR/LEAD <br /> SUPERVISOR/LEAD SENIOR APPROVAL: ,. <br /> OA H CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOR? <br />