HomeMy WebLinkAboutRFI20-0331 -Comments Form - Environmental HealthButte Local Agency Formation Commission
Request for Comments Form
Departmental Report
To: BUTTE COUNTY ENVIRONMENTAL HEALTH – Attn: Date:
LAFCO File Name:
Assessor Parcel Number(s):
Return by: IF NO COMMENTS OR COMMUNICATIONS ARE RECEIVED BY THE RETURN DATE, THE
ASSUMPTION WILL BE MADE THAT YOUR AGENCY HAS NO COMMENTS.
See attached application, map(s) and legal description(s).
1. Lists presently available water and sanitary services available to the project site.
2. Are septic tanks presently in operation in the area? Yes: No:
3. Is it an area of septic tank failure? Yes: No:
4. Have any septic tanks within the proposed boundaries been destroyed? Yes: No: If so, specify parcel number and date of connection to the City sewer:
5. Will the proposal require annexation to a Special District or C.S.A.? If so, please specify:
6. Is it in a RWQCB prohibition area? Yes: No:
7. Will this proposal be affected by or create any unusual health hazards or problems?
Yes No If so, please specify:
8. Your comments regarding the effects of the proposed project:
Prepared by: Date: