Laserfiche WebLink
NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE�F4P1ES FOR FILE s <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? 0 Yes Ej/No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes ❑ No E] Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? ,� Yes 0 No Is well properly sealed and constructed ? [2 Yes ❑ No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? ❑ Yes Q No Is Public Water System Permit current? E] Yes 0 No <br /> Does existing or proposed use make this a Public Water System ? F-] Yes © No <br /> Is water 1 well sampling current? ❑ Yes F-1 No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? � Yes F-1 No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 4. FLY MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> S. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> //1 <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: �/ ( ,y i /Py—(yam,/ _ <br /> ?H 06 06 Report 47201 February 01,2010 <br />