Laserfiche WebLink
NOTE: PULL AL 'RMITS (Septic, Well, etc.) MAKPIES FOR FILE --- <br /> 1. SEWAGE: <br /> Distance to Public Sewers:_c?c`xD Connection Necessary? ❑ Yes if <br /> Does Existing Septic System comply with San Joaquin County Development Title ? ❑ Yes Ej No Unknown <br /> I€no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well? es E] No Is well properly sealed and constructed ? ,ETYes No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? F-1 Yes Ef No Is Public Water System Permit current? ❑ Yes No <br /> Does existing or proposed use make this a Public Water System ? 7 Yes No <br /> Is water/well sampling current? ❑ Yes No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? Yes F—] 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: <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: <br /> EH 06 06 Report#7201 Page 2 June 21,2004 <br />