Laserfiche WebLink
NOTE: PULL AL%,,rERMITS (Septic, Well, etc.) MAK mwdOPIES FOR FILE <br /> I. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? F-1 Yes ❑ No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? E] Yes ❑ No Unknown <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? E] Yes E] No Is well properly sealed and constructed ? F-] Yes ❑ No <br /> Describe deficiency,if any: <br /> Is wells stem a Public Waters stem ? <br /> y y Ej Yes F] No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? F-] Yes ❑ No <br /> Is water/well sampling current? D Yes F-] No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-1 Yes F-1 No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> E <br /> E <br /> 4. FLY,MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> t <br /> i <br /> f <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: ' <br /> I <br /> 7. GENERAL,SANITATION: <br /> List any problem(s)not previously noted: <br /> i <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> i <br /> EH 06 06 Report 47201 <br /> March 07,2048 <br />