Laserfiche WebLink
NOTE: PULL AL%_. ERMITS (Septic, Well, etc.) MAK.—OPIES FOR FILE <br /> SEWAGE: <br /> Distance to Public Sewers: _ Connection Necessary ? E—] Yes No <br /> Does Existing Septic System comply with San Joaquin Count. Development Title ? Yes No Unknown <br /> If no, explain: - <br /> Aescribe Septic System to be installed: <br /> WATER SUPPLY: <br /> Is Water supplied by Private Well? El Yes Q No Is well properly sealed and constructed ? E] Yes D Nq <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? F1 Yes F-1 No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System? [:] Yes E] No <br /> Is water/well sampling current? Ej Yes F-1 No <br /> Additional information or comments: <br /> 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 /> Y,MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: — <br /> /BATH FACILITIES: <br /> rand Location(s)of existing facilities: <br /> . Additional facilities required: <br /> PREVIOUS OPERATION HISTORY: <br /> GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> b6 06 Report 47201 <br /> Apn10Q2 <br />