Laserfiche WebLink
NOTE: PULL ALL i -AMITS (Septic, Well, etc.) MAKE L-�,AES FOR FILE <br /> SEWAGE: <br /> Distance to Public Sewers: Connection Necessary ? 0 Yes DINo <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 /> WATER SUPPLY: <br /> Is Water supplied by Private Well ? Z]--Yes No Is well properly sealed and constructed ? �nYes No <br /> Describe deficiency, if any: <br /> ly 3 <br /> Is well system a Public Water system ? F-� Yes No Is Public Water System Permit current ? Yes No <br /> Does existing or proposed use make this a Public Water System ? [—] Yes No <br /> Is water/well sampling current ? F–] Yes No - <br /> Additional information or comments: <br /> GARBAGE& REFUSE: <br /> ensed scavenger pick-up? ZF"Ves F-1 No Service Area No. <br /> Other proposed disposal method: <br /> tential Problem(s): <br /> Y MOSQUITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> TOILET/BATH FACILITIES: <br /> Number and Location(s)of existing facilities: <br /> Additional facilities required: <br /> PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted: <br /> 8, POPULATION DENSITY: <br /> Approximate number of people per square mile: ' <br /> ,16 06 Repon 87201 pdI 24 Z <br />