Laserfiche WebLink
1. SEWAGE: <br /> Distance to Public Sewers: A1�— Connection necessary: Yes No <br /> Does existing septic system comply with San Joaquin County Development Title #549 `? <br /> Yes No Unknown If no, explain: <br /> Describe septic installation to be installed: <br /> 2. WATER SUPPLY: <br /> Is water supplied by private well: Yes_ No Is well proper: Yes 1/ No <br /> State deficiency: <br /> Is well system a Public Water system'? Yes No Is the permit current? Yes No <br /> Does existing or proposed use make this well Public Water: Yes No Is water/well <br /> sampling current: yes No___ Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up: Yes____Not_ Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: X14State possible vector potential and necessary control: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: caa/E --, < ou ':f 7 Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 1-1- <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: /-� <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> EH 06 06 Rev 1/99 <br />