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NOTE: PULL ALI _ ERMITS (Septic, Well, etc.) MAKI.OPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: i . ?!iY Connection Necessary ? ❑ Yes P No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes No Unkno <br /> If no, explain: _ - <br /> escribe Septic System to be installed: <br /> r <br /> 2 WATER SUPPLY: <br /> Is Water supplied by Private Well ? Yes ❑ No Is well properly sealed and constructed ? Yes N <br /> Describe deficiency,if any: <br /> 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/well sampling current? ❑ Yes F-1 No <br /> Additional information or comments: <br /> GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? -Yes ❑ No Service Area No. : <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> FLY.MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: `jy�,. C: a-si.L.✓i" <br /> ET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: ,�yy�yij� <br /> Additional facilities required: <br /> PREVIOUS OPERATION HISTORY: <br /> GENERAL SANITATION: <br /> List any problem(s)not previously noted: f:7 r C + •'-:ad.✓. <br /> B. POPULATION DENSITY: <br /> Approximate number of people per square mile: —.2, <br /> -A6 06 Report 07201 March 21,2008 <br />