Laserfiche WebLink
1. SEWAGE: <br /> Distance to Public Sewers: 7a Connection necessary: Yes Nom <br /> Does existing septic system comply yvith 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 No <br /> State deficiency: <br /> M /dam m4-1 �fG-TB/ eS <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, MOSOUITO OR VECTOR POTENTIAL: <br /> State possible vector potential and necessary control: <br /> 5. TOILET/BATH FACILITIES: <br /> Number and locations existing: z2zne Additional <br /> facilities needed: <br /> 6. PREVIOUS OPERATION ISTORY:• <br /> 7. GENERAL SANITATION: <br /> State any problems not previously noted: Z 2y� <br /> 8. POPULATION DENSITY: / <br /> Approximate number of people per square mile: <br /> EH 06 06 Rev 1/99 <br />