Laserfiche WebLink
1. SEWAGE.- <br /> Distance <br /> EWAGE:Distance to Public Sewers: Connection necessary: Yes No <br /> Does existing septic system comply with San Joaquin County Development . Title #549 ? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes No Is well proper: Yes No <br /> State deficiency: R�rt3z l"f <br /> Is well system a Public Water system? Yes—_ <br /> No Is the permit current? Yes / No <br /> Does existing or proposed use make this well ublic Water: Yes No Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes `/ No Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: klewef <br /> State possible vector potential and necessary control: <br /> r <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: PoN& Additional <br /> facililies needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: M"Al <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: ib&li i0A Y Ori' "� <br />