Laserfiche WebLink
NOTE: PULL A, :RMITS (Septic, Well, etc.) MA )PIES FOR FILE <br /> 1. SEWAGE: , / <br /> Distance to Public Sewers: Connection Necessary? F_� Yes [No <br /> Does Existing Septic System comply with San Joaquin County Development Title? Yes F� No F� Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? W Yes 0 No Is well properly sealed and constructed ? Er Yes F� No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? Yes 0 No Is Public Water System Permit current? F-1 Yes F� No <br /> Does existing or proposed use make this a Public Water System ? F-] Yes F-] No <br /> Is water/well sampling current? F-1 Yes F� No <br /> Additional information or comments: <br /> 3. GARBAGE&REFUSE: <br /> Licensed scavenger pick-up? F-] Yes F_� 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: Z�O�� <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: N/4 <br /> 8. POPULATION DENSITY: C <br /> Approximate number of people per square mile: <br /> i <br /> 106 06 Report 97201 May 27,2009 <br />