Laserfiche WebLink
NOTE: PULL ALL'PERMITS (Septic, Well, etc.) MAKE sJPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? [jr Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes F—] No [W U.u.k <br /> If no, explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? 0 Yes ENo Is well properly sealed and constructed ? El Yes F� No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? [--] Yes [--] No Is Public Water System Permit current? F-1 Yes F-1 No <br /> Does existing or proposed use make this a Public Water System ? F-1 Yes F--j No <br /> Is water/well sampling current? 0 Yes [—] No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? 1Z 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: ZI A. <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: , <br /> 3 f1S <br /> 6 <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s)not previously noted: X/A <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: )—��k? � <br /> EH 06 06 Report 47201 April 14,2008 <br />