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UNITY <br /> 5 A N 1 O Q Q 111 N COMADMINISTRATIVE/CONDITIONAL PERMIT <br /> use ��� �T <br /> TMENT <br /> FILE NUMBER- <br /> SERVICES <br /> Water <br /> Public ❑ Service Provider: Will Serve Letter Provided Distance to <br /> ❑ Public Water: <br /> Private <br /> ❑ Existing Well New Well Well Replacement <br /> ■ <br /> 0 ❑ ❑ <br /> Wastewater Disposal <br /> Public L1Service Provider: Will Serve Letter Provided 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 wastewater: <br /> process wastewater provide Mixture of water,de-foamer,and 1,500 Gallons Existing On-site <br /> the following information; soap used for orcdanicaliy cleaning <br /> eggs. Retention Fond <br /> Storm Drainage <br /> Service Provider: Will Serve Letter Provided Distance to <br /> Public ❑ ❑ Public Storm <br /> Drain: <br /> Private <br /> Existing On-site Retention Bond New On-site Retention Pond Natural Drainage <br /> Q <br /> ❑� ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Fscalon Unified School; 15.2 miles Farmington Fire Department Fire Station: 12 miles <br /> Mage 3 of s <br /> oar2sr2o2a <br />