Laserfiche WebLink
NOTE. PULL ALL-PERMITS (Septic, Well, etc.) MAKE _.)PIES FOR FILE <br /> 1. SEWAGE: // <br /> Distance to Public Sewers: 10114 Connection Necessary ? F-1 Yes E2�`No <br /> Does Existing Septic System comply with San Joaquin County Development Title ? Ea Yes F] No E] Unknown <br /> If no,explain: <br /> Describe Septic System to be installed: <br /> 2. WATER SUPPLY: <br /> Is Water supplied by Private Well ? 7 Yes [] No Is well properly sealed and constructed ? [D Yes 0 No <br /> Describe deficiency,if any: /z-� lS r,C 62) ' '-;yLl�' - <br /> Is well system a Public Water system ? F-1 Yes [E) No Is Public Water System Permit current ? F-1 Yes F] No <br /> Does existing or proposed use make this a Public Water System ? F-1 Yes No <br /> Is water/well sampling current ? F-] Yes F-] No <br /> Additional information or comments: <br /> 3. GARBAGE & REFUSE: <br /> Licensed scavenger pick-up? El Yes M 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: �_ ® ��yf/C lit/ �.ZE �C�Gf`7�<-✓ 5<e,✓.4fCc� <br /> Additional facilities required: <br /> 6. PREVIOUS OPERATION HISTORY: <br /> 7. GENERAL SANITATION: <br /> List any problem(s) not previously noted ti/A <br /> 8. POPULATION DENSITY: <br /> Approximate number of people per square mile: e'-�j- <br /> EH 06 06 Report x7201 Page 2 lune 21,2001 <br />