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NOTE: PULL A, PERMITS (Septic, Well, etc.) MAI _ ;�QPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Servers: 7,�� - Connection Necessary? [-] Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title? ET Yes 0 No ❑ Unknown <br /> If no, explain: <br /> e Septic System to be installed: <br /> 1 <br /> 2. WATER SUPPLY: ` <br /> is Water supplied by Private Well ? L::l Yes ❑ No Is well properly sealed and constructed ? P' Yes E] N <br /> Describe deficiency,if any: <br /> Is well system a Public Water system? F-1 YesNo Is Public Water System Permit current? E] Yes Ej No <br /> Does existing or proposed use make this a Public Water System? ❑ Yes No <br /> Is water/well sampling current? ❑ Yes F-1 No <br /> Additional information or comments: <br /> GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? �es F-1 No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): 6 �/ <br /> : FLY,MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: d <br /> TOTI ET/BATH FACILITIES: <br /> Number and 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 /> POT"tTLATION DENSITY: <br /> Approximate number of people per square mile: - <br /> #7201 April 0 <br />