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J� <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT Am111g_ 9j -jbo �c( <br /> EHD RECEIVED APP.REFERRAL: 10--1-6:1 COMPLETE & SUBMIT BY <br /> DATE /� DATE <br /> ATTN: 111�1 �f 11)a r T//i <br /> SITE ADDRESS: j b Lj _? G) S , bi od �9 <br /> In completing the Land T Too :n��P�riQ�rion.-draw al] Public Heath factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). PUBLIC HEALTH SER4ICES: <br /> showing population der <br /> Public water: a. A soil suitability study as required by Section 10100 of <br /> the San Joaquin County Development Code shall be <br /> SUMMARY OR COIF performed prior to approval of the Parcel Map indicating <br /> that the area is suitable for septic tank usage (San <br /> Joaquin County Planning Title Section 10100) . <br /> b. Construct an individual sewage disposal system(s) on <br /> parcel 01-4 under a permit and inspection by the <br /> Environmental Health Division at the time of development <br /> (Ordinance Code Section 5-3003) . <br /> C. Construct an individual domestic water well on parcel T1- <br /> 4 under a well permit and inspection by the E,zvi ronmental <br /> Health Division at the time of development (San Joaquin <br /> County Ordinance No. 1362, Section 5-4100) . <br /> -d. Tte existing private water wells shall be tested for the <br /> c:.emical ni-rates prior to approval of the Parcel Map. <br /> Samcies aree to be taken and ran by a State apc_ roved lab. <br /> (Manning Ti--le Sec-::icn 9-_0100-CS) . <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> � 2 <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 BOOK? <br />