Laserfiche WebLink
1. SEWAGE: <br /> Distance to Public Sewers: ` Connection necessary: Yes NM"-"- <br /> Does existing septic system comply with San Joaquin County Development . Title #549 ? <br /> Yes No Urn <br /> sc ' se t. nstallation tostalled: " <br /> L. <br /> Wei( & v/y ? — $,9d r74f4!S <br /> 2. WATER SUPPLY: a y5� BrM r f�- <br /> � � m/ g/p d l y �yLv <br /> Is water supplied by private well: Yes ✓ No Is well proper: Yes r// 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 No Service Area No.: Other proposed <br /> disposal method: <br /> Potential problem(s): <br /> 4. FLY, MOSQUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION HISTORY;, <br /> j. rnd:_ <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: <br /> S. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> r i <br /> l <br /> 4 � <br />