Laserfiche WebLink
NOTE: PULL ALLRMITS (Septic, Well, etc.) MAKEPIES FOR FILE <br /> I. SEWAGE: <br /> S Distance to Public Sewers: Connection Necessary? 0 -Yes ❑ No <br /> f Does Existing Septic System comply with San Joaquin County Development Title ? Yes No <br /> Unknown <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? ❑ Yes ❑ No Is well properly sealed and constructed ? ❑ Yes ❑ No <br /> Describe deficiency,if any: <br /> 1 <br /> f Is well system a Public Water system ? ❑ Yes ❑ No Is Public Water System Permit current? ❑ Yes ❑ No <br /> Does existing or proposed use make this a Public Water System ? ❑ Yes ❑ No <br /> Is water I well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 6 <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? ❑ Yes ❑ 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 /> 5. TOILET/BATH FACILITIES: <br />} Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> b• PREVIOUS OPERATION HISTORY: <br /> k <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> FH 06 06 Report 97201 September 15,2008 <br /> k <br />