Laserfiche WebLink
NOTE: PULL ALLAR... -01. {Septic, We11, etc.) MAKEPIES FOR FILE <br /> 1. SEWAGE: Yes E] No <br /> Distance to Public Sewers: �a Connection Necessary ? ❑ <br /> ? ❑ No ❑ Unknown <br /> Does Existing Septic System comply with San Joaquin County Development Title . ❑ Yes <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> i <br /> Is Water supplied by Private Well? Yes ❑ No Is well properly sealed and constructed ? ElYes El No <br /> Describe deficiency,if any: <br /> Is well system a Public Water system? ❑ Yes No Is Public Water System Permit current? No <br /> ❑ Yes ❑ <br /> Does existing or proposed use make this a Public Water System . ❑ Yes F1 No <br /> Is water/well sampling current? ❑ Yes ❑ No <br /> Additional information or comments: <br /> 3. GARBAGE& REFUSE: <br /> Licensed scavenger pick-up? Yes ❑ Na Service Area No. <br /> Other proposed disposal method: <br /> } Potential Problem(s): <br /> 4. FLY MOS UITO OR VECTOR CONTROL: <br /> Describe potential Vector Control issues: <br /> 5. TOILET 1 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 /> April 11,2007 <br /> EH 06 06 Report#7201 <br />