Laserfiche WebLink
NOTE: PULL ALL t.,RMITS (Septic, Well, etc.) MAKE%im#PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: ��a'� Connection Necessary? ❑ Yes tf-No <br /> Does Existing Septic System comply with San Joaquin County Development Title? El Yes 'Q--�o nknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. .WATER SUPPLY: ,5' <br /> Is Water supplied by Private W�? Yes E] No Is well properly sealed and constructed? 23—Yes ❑ No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes No Is Public Water System Permit current? ❑ Yes E] No <br /> Does existing or proposed use make this a Public Water System ? ❑ Yes No <br /> Is water/well sampling current? ❑ Yes F—] No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-1 YesNo 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 I BATH FACILITIES: <br /> r Number and Location(s)of existing facilities: p <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: pc� <br /> EH 06 06 Report 47201 March 14,2006 <br />