Laserfiche WebLink
NOTE: PULL ALL :RMITS (Septic, Well, etc.) MAKE,,,O;)PIES FOR FILE ' <br /> 1. SEWAGE: ' <br /> Distance to Public Sewers: 7 Connection Necessary? ❑ Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? ❑ Yes �No Unknown <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? es ❑ No Is well properly sealed and constructed ? Yes 0 No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? ❑ Yes Ej No Is Public Water System Permit current? ❑ Yes 0 No <br /> Does existing or proposed use make this a Public Water System ? n Yes No <br /> Is water/well sampling current? n Yes No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? O'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 /> efrQ L <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> Approximate number of people per square mile: <br /> Eli 06 06 Report 97201 July 28,2009 <br />