Laserfiche WebLink
f <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection necessary: Yes No <br /> Does ' existing septic system comply with San Joaquin County Development Title 4549 ? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: �•�` �� <br /> Is water supplied by private well: Yes � o Is well proper: Yes A------No <br /> State deficiency: <br /> - Is well system a Public Water system? Yes No FIs the permit current? Yes Nb <br /> Does existing or proposed use make this well Public Water: Yes No G---Is water/well <br /> sampling current: yes No Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes o Service Area No.: Other proposed <br /> disposal method: r <br /> Potential problem(s): <br /> f <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> T <br /> Af <br /> Y <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> t Approximate number of people per square mile: <br /> N <br />