Laserfiche WebLink
MOTE: PULL ALL -1 RMITS (Septic, Well, etc.) MAKE-; IPIES FOR FILE <br />1. SEWAGE: <br />Distance to Public Sewers: Connection Necessary ? ❑ Yes r-1 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 />2. WATER SUPPLY: <br />Is Water supplied by Private Well ?~Yes No <br />Describe deficiency, if any: <br />Is well properly sealed and constructed ? F2-1�es ❑ No <br />Is well system a Public Water system ? ,rYes F;rNo Is Pub i ater <br />Does existing or proposed use make this a Public Water System ? Yes <br />Is water / well sampling current ? 0 Yes E] No <br />Additional information or comments: <br />3. GARBAGE & REFUSE: � <br />Licensed scavenger pick-up? —i'es <br />Other proposed disposal method: <br />Potential Problem(s): <br />4. FLY MOSQUITO OR VECTOR CONTROL: <br />Describe potential Vector Control issues: <br />5. TOILET I BATH FACILITIES: <br />Service Area No. : <br />in Permit current ? 0 Yes E] No <br />No <br />Number and Location(s) of existing facilities: <br />Additional facilities required: <br />6. PREVIOUS OPERATION HISTORY: <br />GENERAL SANITATION: <br />List any problem(s) not previously noted: <br />POPULATION DENSITY: <br />Approximate number of people per square mile: <br />H 06 06 Report #7201 November 19, 2007 <br />