Laserfiche WebLink
r � <br /> NOTE: PURL ALL RMITS (Septic, Well, etc.) MAKE'-")PIES FOR FILE <br /> 1. SEWAGE: *011— low <br /> Distance to Public Sewers: Connection Necessary ? F__j Yes �No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? ❑ Yes ❑ No .© Unknown <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? l`es" ❑ No Is well properly seated and constructed ? Fzryes No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes E — o Is Public Water System Permit current? ❑ Yes No <br /> Does existing or proposed use make this a Public Water System ? 0 Yes [__j No <br /> Is water 1 well sampling current? ❑ Yes [—I No <br /> r Additional information or comments: <br /> I <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? Q Yes No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): <br /> 1 <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 /> I <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: <br /> t <br /> 8. POPULATION DENSITY: <br /> i <br /> Approximate number of people per square mile: <br /> EH 06 06 Report#7201 April 09,2009 <br />