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SAN JOAQUIN COMMUNITY DEVELOPMENT DEPARTMENT <br /> - COUNTY — SITE APPROVAL/ USE PERMIT <br /> FILE NUMBER : <br /> SERVICES <br /> Water <br /> ❑ <br /> Public Service Provider : Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Water : <br /> Private ■❑ Existing Well New Well Well Replacement <br /> ❑■ ❑ ❑ <br /> Wastewater Disposal <br /> Public <br /> ❑ Service Provider: Will Serve Letter Provided <br /> Distance to <br /> ❑ Public Sewer: <br /> Private ■ 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 <br /> the following information : <br /> Storm Drainage <br /> Service Provider : Will Serve Letter Provided Distance to <br /> Public ❑ ElPublic Storm <br /> Drain : <br /> ❑ Existing On -site Retention Pond New On -site Retention Pond Natural Drainage <br /> Private ■ ❑ ❑ ❑ <br /> Other Public Services <br /> School Service Fire Protection Service <br /> Service Provider Distance to Service Provider Distance to <br /> Lodi Unified Sch Dist School : 9 - 0 . 85 Miles Woodbridge Fire Station 2 . 80 miles <br /> Page 3 of 6 <br /> 08/13 /2021 <br />