Laserfiche WebLink
NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? 0 Yes Q 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 /> Z. WATER SUPPLY: <br /> Is Water supplied by Private Well ? F-1 Yes 7 No Is well properly sealed and constructed ? ❑ Yes 0 No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? ❑ Yes [D-*"No Is Public Water System Permit current? Yes E] No <br /> Does existing or proposed use make this a Public Water System? F-1 Yes No <br /> Is water/well sampling current? ❑ Yes No <br /> Additional information or comments: <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 MOS UITO 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 /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: X�� y <br /> 06 06 Report 47201 June 01,2007 <br />