Laserfiche WebLink
NOTE: PULL AI I` ERMITS (Septic, Well, etc.) MAKE-COPIES FOR FILE <br /> SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? 0 Yes E) No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Ej Yes ❑ No ❑ Unknown <br /> If no,explain: <br /> cribe Septic System to be installed: <br /> WATER SUPPLY: <br /> Is Water supplied by Private Well ? r-1 Yes ❑ No Is well properly sealed and constructed ? Yes No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? F1 Yes 0 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? F 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 problems) not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: _ <br /> :H 06 06 Report#7201 -August 1 - <br />