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.max. <br /> NOTE: PULL ALC;,�RMITS (Septic, Well, etc.) MAKL,.obPIES FOR FILE <br /> 1. SEWAGE: yy 11 <br /> Distance to Public Sewers: Connection Necessary? ❑ Yes F� 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 ? Yes ❑ No Is well properly sealed and constructed ? [:] Yes ❑ No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system? ❑ Yes GNo Is Public Water System Permit current? E] Yes E] No <br /> Does existing or proposed use make this a Public Water System? ❑ Yes Ea"No <br /> Is water/well sampling current? [:] Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? 12"Yes F-1 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: /2e3 <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> i EH 06 06 Report#7201 December N,2007 <br />