Laserfiche WebLink
NOTE: PULL ALL—VERMITS (Septic, Well, etc.) MAKE;,COPIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: 7��j� Connection Necessary? ❑ Yes No <br /> Does Existing Septic System comply with San Joaquin County Development Title? F-] Yes ❑ No EDUnknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? 0-yes 0 No Is well properly sealed and constructed ? Yes No <br /> Describe deficiency, if any: � �` j� �� � � �Y�Z <br /> Is well system a Public Water system ? F_� Yes F3--No Is Public Water System Permit current ? F-1 Yes No <br /> Does existing or proposed use make this a Public Water System ? F-1 Yes No <br /> Is water/well sampling current? F-1 Yes [71 No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? 0 Yes F_� No Service Area No. <br /> Other proposed disposal method: <br /> Potential Problem(s): v <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 /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: ,-2 <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: �X� <br /> EH 06 06 Report#7201 June 20,2008 <br />