Laserfiche WebLink
NOTE: PULL AL ERMITS (Septic, Well, etc.) MAR.. SPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: ? lG� _ Connection Necessary? Yes F-1 No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? D Yes F-1No 2ti4+4newn <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? Yes 0 No Is well properly sealed and constructed ? Yes No <br /> Describe deficiency, if any: <br /> Is well system a Public Water system ? F] YestQ No Is Public Water System Permit current? Yes No <br /> Does existing or proposed use make this a Public Water System ? GI Yes Q No <br /> Is water/well sampling current ? F-1 Yes F-1 No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? 2 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 /> .4L / ZY/i�Es <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted Z4 <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: zlt� <br /> EH 06 06 Report N7201 Page 2 lune <br />