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t SA NJ OAQ U I N COMMUNITY DEVELOPMENT DEPARTMENT <br /> -----C o u N r Y- SITE APPROVAL <br /> Greatness grows here. <br /> FILE NUMBER: <br /> SERVICES <br /> Water <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Water: <br /> ❑ ❑ <br /> Private Existing Well New Well Well Replacement <br /> NO ® ❑ ❑ <br /> Wastewater Disposal <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Sewer: <br /> ❑ ❑ <br /> Private Existing Septic System New Septic System Septic System Replacement <br /> EX ® ❑ ❑ <br /> If the project will result in process Description of process Volume of process wastewater: Method of disposal: <br /> wastewater provide the following <br /> wastewater: <br /> information: <br /> Storm Drainage <br /> Public Service Provider: Will Serve Letter Provided Distance to Public Storm Drain: <br /> ❑ ❑ <br /> Private Existing On-site Retention Pond New On-site Retention Pond Natural Drainage <br /> OTHER PUBLIC SERVICES <br /> School Service Fire Protection Service <br /> Service ProviderDistance to School Service Provider Distance to Fire Station <br /> Lodi Unified School Dist 2 Miles Mokelumne 2 Miles <br /> Page 3 of 6 <br /> Updated 08/22/2019 <br />