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NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP# 61 fo- 9 -aO <br /> 6 f m ff a ,/� ,Q <br /> EHD RECEIVED,SPP.REFERRAL: / I/ COMPLETE & SUBMIT BY / 5t l /- <br /> DATE DATE <br /> ATTN• i � � <br /> SITE ADDRESS: 3ql c� S , oLi <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 /> 3. PUBLIC HEALTH SERVICES (Staff Contact: Johnny Yoakum,468-3147) <br /> a. Prior to the issuance of any building permits,sewer facilities shall either be bonded for or be in place, <br /> as evidenced by a letterfrom the serving entity. (Development Title Section 9-1100.3[d]) <br /> b. This project shall be provided with public water service at the time of Final Map recordation. Prior to <br /> final approval,a letter shall be submitted from the purveyor stating that these services are either <br /> bonded for or are in place. <br /> c. Open, pump, and backfill the septic tank, seepage pit, or excavation under permit and inspection by <br /> the Environmental Health Division. (Development Title Sections 9-1110.3 and 9-1110.4) <br /> d. The existing private water wells shall be tested for the chemical dibromochloropropane(DBCP)and <br /> nitrates prior to recordation of the Parcel Map. Samples are to be taken and analyzed by a State <br /> approved laboratory. (Development Title Section 9-11(/155.7,) <br /> t <br /> ( �;Z <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE 4? <br /> EH 06 06 Rev 1/99 Correct CONDITION(S)? Lobed in L,4ND USE BOOK? <br />