Laserfiche WebLink
NOTE: PULL AL%wERMITS (Septic, Well, etc.) MAKi.,�OPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: Connection Necessary? ❑ Yes ET 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 /> i <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? ®—Yes ❑ No Is well properly sealed and constructed ? ErYes ❑ No <br /> Describe deficiency, if any: <br /> I <br /> Is well system a Public Water system ? ❑ Yes [No Is Public Water System Permit current? ❑ Yes 1:1 No <br /> Does existing or proposed use make this a Public Water System ? F� Yes r-1 No <br /> Is water I well sampling current? F-1 Yes ❑ No <br /> Additional information or comments: <br /> A <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? ®mss 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 /> i <br /> 5. TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: ��/9 � <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> �d�Ji�/moi 7T r e- <br /> 7. <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 97201 December 20,2007 <br />