Laserfiche WebLink
r <br /> NOTE: PULL Alk—OERMITS (Septic, Well, etc.) MAK,-.tOPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: -' Connection Necessary ? Yes ❑ No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes a No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? ❑ Yes .,EN Is well properly sealed and constructed ? D Yes E] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? Yes 0 No Is PubliS>Vater System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? Yes F-1No <br /> r� <br /> Is water/well sampling current? u Yes F-] No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: I <br /> Licensed scavenger pick-up? ifj 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 /> 5. TOILET/BATH FACILITIES: <br /> Number 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 /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 <br /> October 17,2005 <br />