Laserfiche WebLink
NOTE: PULL AL1j„.ERMIT3 (Septic, Well, etc.) MAKL,.oOPIES FOR FILE <br />1. SEWNGE: <br />Distance to Public Sewers: Connection Necessary? 0 Yes O No <br />Does Existing Septic System comply with San Joaquin County Development Title ? [7 Yes ❑ No <br />If no, explain: <br />Describe Septic System to be installed: <br />2. WATER SUPPLY: <br />Is Water supplied by Private Well ? 0Yes ❑ No <br />Describe deficiency, if any: <br />❑ Unknown <br />Is well properly sealed and constructed ? ja Yes ❑ No <br />Is well system a Public Water system ? ❑ 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 ❑ No <br />Is water/ well sampling current ? ❑ Yes F-1 No <br />Additional information or comments: <br />3. GARBAGE & REFUSE: <br />Licensed scavenger pick-up? 'E Yes E] 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 1 BATH FACILITIES: <br />Number and Location(s) of existing facilities:������ r <br />Additional facilities required: <br />6. PREVIOUS OPERATION <br />//H``ISTORY- <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 97201 April 29, 2008 <br />