Laserfiche WebLink
NOTE: PULL ALS ERMITS (Septic, Well, etc.) MAK. OPIES FOR FILE ' <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? [:] Yes F� 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 /> f <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? [:] Yes No Is well properly sealed and constructed ? ❑ Yes E] No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? 7 Yes F-1 No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? F� Yes F_� No <br /> Is water/well sampling current? F-] Yes F-1 No <br /> Additional information or comments: <br /> i <br /> I <br /> I <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? F-1 Yes ❑ No Service Area No. : <br /> Other proposed disposal method: <br /> Potential Problem(s): § <br /> i <br /> 4. FLY, MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> 5. TOILET/BATH FACILITIES: <br /> Dumber 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 /> 8. POPULATION DENSITY: <br /> i <br /> Approximate number of people per square mile: i <br /> I <br />"sH 06 06 Report 97201 December 20,2007 <br /> i <br />