Laserfiche WebLink
1- <br /> NOTE.- PULL AL1, 1, ,IMITS (So"' ie, Well, etc.) MAKE MES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: connection Necessary? ❑ Yes -Pto���Gg <br /> Does Existing Septic System comply with San Joaquin CIoIIunty Development Title ? ❑ Yes ❑ No ❑`i wn <br /> If no,explain: uU <br /> Describe Septic System to be installed: �I <br /> III <br /> 2. WATER SUPPLY: <br /> Is Water supplied b Private Well? Yes N I Is well properly sealed and constructed ? Yes No <br /> PP Y ❑ � ❑ ❑ <br /> Describe deficiency,if any: �I <br /> III <br /> Is well system a Public Water system ? ❑ Yes ❑ l o 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 1 well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? 11 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 /> I� <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: Ztif7� c <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> �Ihh� <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> 8. POPULATION DENSITY: i <br /> Approximate number of people per square mile: yrs <br /> Eli 06 06 Report#7201 May 02,2006 <br /> I <br />