Laserfiche WebLink
NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKL QOPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: ,/ _ Connection Necessary ? ❑ Yes ❑ No <br /> Does Existing Septic System comply with San Joaquin County Development Title ?` E Yes No Unknown <br /> If no, explain: rte i IL2 1125 /7 tt9A e- -A �4,Oirl kl ' <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? E-Yes ❑ No <br /> Is well properly sealed and constructed ? [—] Yes [�] No <br /> Describe deficiency,if any: y.,t,Q,["y _ =A„Y,A i LFA .\j--OA 'A� V1--W «a <br /> Is well system a Public Water system ? Yes -aNo 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 No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? E-1 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/ 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 lanuarry 18,20N, <br />