Laserfiche WebLink
NOTE: PULL ALL _ _ RMITS (Septic, Well, etc.) MAKE � PIES FOR FILE <br /> 1. SEWAGE: <br /> Distance to Public Sewers: / Connection Necessary? ❑ Yes ❑ No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Yes F-1 No Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> N / <br /> S9 n " <br /> ler*', �(/j�l <br /> � �B iylw� 1-6 <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? �Yes No Is well properly scaled and constructed ? L j Yes E] No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system ? ❑ Yes No Is Public Water System Permit current ? Yes No <br /> Does existing or proposed use make this a Public Water System ? F-� Yes F-1 No <br /> Is water/well sampling current ? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? ❑ Yes ❑ 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: <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: <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: <br /> 16 06 Report#7201 February 28,2006 <br />